Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

MSRA 2 > Paediatrics > Flashcards

Paediatrics Flashcards

1
Q

When can most children undress themselves?

A

4y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

When can most children jump by?

A

2y

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

When can most children roll from front to back?

A

4/12

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

How do we dx CF?

A

Sweat test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

How does cow’s milk protein allergy present?

A

Combination of skin and GI sx

E.g. severe eczema + N&V

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Tx cow’s milk protein allergy?

A

Extensively hydrolysed forula

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

What is an atypical UTI in children?

A

Seriously ill
Poor urine flow
Abdominal or bladder mass
Raised creatinine
Septicaemia
Failure to respond to tx with abx by 48h
Infection by non-E .coli organisms

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

How do we tx UTI in 5y.o.

A

Trimethoprim first-line
Or nitro

Amoxicillin has high levels of resistance so +ve culture needed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What is a common cause of nappy rash? Tx?

A

Candida albicans
Topical antifungal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

How do we treat impetigo?

A

Topical hydrogen peroxide
Second line fusidic acid

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

How do we estimate weight in <=10y.o.?

A

Weight = (age+4) * 2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

What is fifth disease otherwise known as?

A

Erythema infectiosum or slapped cheek syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

What causes fifth disease?

A

Parvovirus B19

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

How does fifth disease present?

A

Rash sparing nasolabial folds
Rash on arms and trunk following sore throat and fevers sx the week before

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

What is acute splenic sequestration?

A

Life-threatening complication of sickle cell disease
Sudden enlargement of the spleen with a decrease in Hb concn and substanial reticulocytosis

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How does acute splenic sequestration present?

A

Shocked, sudden abdo pain and distension, large mass from the left costophrenic angle to the umbilicus

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

How does congenital hypothyroidism present?

A

Lethargy, poor feeding, constipation, symmetrically poor weight gain, length and head circumference
Sometimes umbilical hernia

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

How does growth hormone deficiency present?

A

Standing height and growth velocity reduced
Increased subcutaneous fat around the trunk
Pubertal onset delayed

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

How do we test for growth hormone deficiency?

A

Insulin tolerance test for dx
MRI head to r/o tumour

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

Give a risk factor for necrotizing enterocolitis

A

Formula feed

21
Q

Where may you see redcurrant stool?

A

Intussusception

22
Q

What is screened for in the bloodspot test?

A

Phenylketonuria
Congenital hypothyroidism
Sickle cell
CF
Medium chain acyl-CoA dehydrogenase deficiency

Maple syrup urine disease
Homocystinuria
Glutaric acidaemia type 1
Isovaleric acidaemia

23
Q

Where do you see blast cells?

A

ALL

24
Q

What is a stork mark?

A

Pink, flat and irregularly shaped mark on the back of the neck, and/or the forehead, eyelids and sometimes the top lip

25
Q

What is protozoal gastroenteritis?

A

Consider this if the diarrhoea lasts most than 14 days

26
Q

How does hand, foot and mouth disease present?

A

Sore throat, dysphagia, pyrexia (up to 39deg), vesicles in oral cavity, hands and feet

27
Q

What are the TORCH infections?

A

Pass from mother to foetus during childbirth

Toxoplasma gondii
Other agents
Rubella
Cytomegalovirus (CMV)
Herpes simplex virus

Other agents incl. treponema pallidum, VZV, parvovirus B19, Zika virus

28
Q

What is the most common childhood epilepsy?

A

Benign rolandic epilepsy
- partial
- usually resolve by adolescence

29
Q

Why do we treat neonatal jaundice?

A

Avoid neurotoxicity

30
Q

What is ECMO? What is it used for?

A

Extracorporeal membrane oxygenation

Technique to provide both cardiac and respiratory support oxygen to pts whose lungs are severely dysfunctional e.g. in RDS or Primary Pulmonary Hypertension

31
Q

What causes roseola infantum?

A

HHV-6 - supportive tx

32
Q

Where would you see abdominal breathing?

A

Normal in infants

33
Q

How do we initially support newborn babies after delivery?

A

Warm and stimulate by rubbing (vast majority of infants respond to just these two manouvres)

34
Q

What is Riedel’s lobe?

A

Downward tongue-like projection of the anterior edge of the right liver lobe to the right of the gallbladder, seen most frequently in the liver. Sometimes can extend down to the RIF! Normal variant

35
Q

In which population is RDS more common in?

A

Males

36
Q

Where do you see the double bubble sign?

A

Duodenal atresia

37
Q

How does duodenal atresia present?

A

Vomiting within first 24hrs of life, absence of breath sounds, scaphoid abdomen

38
Q

How does Hirschsprung disease present?

A

One year old child with a PMH of delayed passage of meconium presents with constipation and vomiting

39
Q

Where do you see a thumbprint sign on CXR?

A

Epiglottitis

40
Q

How do we treat epiglottitis?

A

Third gen cephalosporin e.g. cefotaxime

41
Q

How do we catch a urine sample in a young child?

A

Clean catch urine

42
Q

What is erythema toxicum neonatorum?

A

Toxic erythema of the newborn
Harmless red rash that occurs on the skin of newborns

43
Q

How do we treat erythema toxicum neonatorum?

A

Self-limiting

44
Q

How do we manage henoch-schonlein purpura?

A

Urine dipstick looking for blood or protein in urine
Refer to secondary care

45
Q

What is haemorrhagic disease of the newborn?

A

Vitamin K deficiency bleeding

46
Q

Where do you see dermatitis herpetiformis?

A

Coeliac disease - it results as a form of gluten causes inflammation

47
Q

What is DIC?

A

Activation of the coagulation system leads to deposition of fibrin throughout the circulation, further compromising organ and tissue perfusion. It also leads to consumption of platelets and clotting factors, as they are being used up to form the blood clots. This leads to thrombocytopenia, haemorrhages and an inability to form clots and stop bleeding. This is called disseminated intravascular coagulopathy (DIC).

48
Q
A

MSRA 2 (10 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions