Paediatrics🧸

Question 1

3 classic symptoms of croup

Answer 1

Barking cough
Hoarse voice
Inspriatory stridor

Question 2

What age is HPV vaccine routinely given?

Answer 2

12-13

Question 3

Symptoms of Hirschprung disease

Answer 3

Delayed meconium passage
Constipation
Abdominal distension
Explosive stool release following DRE

Question 4

What age is the MenACWY vaccine offered?

Answer 4

17-18

Question 5

Second line treatment for Croup

Answer 5

Nebulised adrenaline - if dexamethasone fails

Question 6

Bronchiolitis management upon hospital admission?

Answer 6

High flow oxygen

Question 7

What is Palivizumab and what is it used for?

Answer 7

A monoclonal antibody

Prevention of RSV infections

Question 8

What is the next step in acute asthma attack after partial response to bronchodilator?

Answer 8

Oral prednisolone

Question 9

What starts to happen when intussusception is progressing to complication?

Answer 9

Abdominal distension and tenderness

Question 10

Pathophysiology of Hirschsprung’s disease

Answer 10

Absence of ganglion cells in my enteric and submucosal plexus

Question 11

Rescue medication for children with recurrent febrile seizures

Answer 11

Rectal diazepam or buccal midazolam

Question 12

What diseases are included in the 6 in 1 vaccine?

Answer 12

Diphtheria
Hepatitis B
Hib (h.influenzae b)
Polio
Tetanus
Whooping cough

Question 13

When is the 6 in 1 vaccine given?

Answer 13

8, 12, 16 weeks old

Question 14

What sign is found on abdominal US for intussusception?

Answer 14

Target sign

Question 15

Most appropriate investigation to confirm IgE mediated CMPA?

Answer 15

Serum-specific IgE testing

Question 16

Typical age Perthe’s disease presents

Answer 16

4-8 yrs

Question 17

Symptoms of Perthe’s disease

Answer 17

Gradual onset painless limp
Restricted hip movement

Question 18

X ray findings Perthe’s disease

Answer 18

Femoral head flattening
Reduction in epiphysis size

Question 19

Complication of Hirschsprung’s disease

Answer 19

Toxic mega colon

Question 20

Neurological exam findings in cerebral palsy

Answer 20

Toe-walking
Scissor gait
Increased muscle tone
Brisk reflexes
Positive Babinski sign

Question 21

Symptoms of CMPA?

Answer 21

Frequent vomiting
Loose stools - sometimes blood
Poor weight gain
Abdominal distension
Erythematous skin changes

Question 22

Most appropriate investigation for non-IgE mediated CMPA?

Answer 22

Elimination diet and challenge

Question 23

Key clinical feature of DDH?

Answer 23

Limited hip abduction

Question 24

Classic presentation of Meckel’s diverticulum?

Answer 24

Painless rectal bleeding
Normal US
No other history

Question 25

3 signs of Hirschsprung-associated enterocolitis

Answer 25

Fever
Abdo distension
Explosive diarrhoea

Question 26

Gold Standard investigation for Meckel’s diverticulum

Answer 26

Technetium-99m pertechnetate scan

Question 27

What is a Technetium-99m pertechnetate scan?

Answer 27

Nuclear imaging - ‘Meckel’s scan’

Detects ectopic gastric mucosa