Paediatrics Flashcards
A 12 week old baby is brought to the pharmacy by his mother. He has a sore mouth. What is the most likely diagnosis?
a. Teething
b. Mouth ulcer
c. Thrush
d. Leukoplakia
e. Herpes simplex
c. Thrush
Which measurement of fever does NICE recommend for children younger than 5 years?
a. Underarm
b. Forehead
c. Oral
d. Anal
e. Either oral or under arm
a. Underarm
Mrs Ng tells you that while combing her daughter’s hair, she saw a head louse. You decide to advise a dimeticone lotion, and Mrs Ng asks how to use it. Which one of the following is the most appropriate way to apply the lotion?
a. Apply once only.
b. Apply today, then reapply every 7 days for the next 2 weeks.
c. Apply today, then reapply in 7 days’ time
d. Apply today, then reapply at 3 to 4 day intervals for the next 2 weeks.
e. Apply today, then reapply twice more at 14 day intervals
c. Apply today, then reapply in 7 days’ time
What confirms the presence of a head louse infection?
a. Presence of egg cases (nits) in the hair
b. An itchy scalp
c. A live louse
d. Louse faeces on the pillow
e. Dead lice on a pillow
c. A live louse
Which statement concerning threadworm management is incorrect?
a. All family members should be treated
b. Mebendazole can be given from 6 months upwards
c. A repeated dose after 14 days is recommended
d. Mebendazole can cause GI upset
e. Bed linens should be washed at start of treatment
b. Mebendazole can be given from 6 months upwards
Nappy rash that becomes secondarily infected with Candida is most commonly associated with which of the following?
a. Itch and pain
b. Shiny, bright red lesions
c. Satellite lesions
d. Flexure involvement
e. Scaling lesions
c. Satellite lesions
Which sign or symptom represents high risk in children younger than 5 years with fever?
a. Decreased activity
b. Respiration rate of less than 50 breaths/min
c. Reduced urine output
d. Pallor
e. Reduced skin turgor
e. Reduced skin turgor
At what age does colic usually resolve?
a. Within the first few weeks of birth
b. Before 6 months old
c. Between 6 and 12 months
d. Between 12 and 18 months
e. Before the age of 2 years
b. Before 6 months old
Mrs Brown requests treatment for her 7 yr old son, James. He has confirmed active head lice infection. James has not had a previous infection. He has asthma and uses a salbutamol inhaler when required and beclometasone 100mcg inhaler, two puffs twice daily. Which one of the following is the most appropriate treatment?
a. Dimeticone 4% lotion, applied to the hair for 8 hours before rinsing and repeated after 7 days
b. Lyclear spray + comb, applied to the hair for 15 minutes before rinsing and repeated after 14 days
c. Permethrin 1% cream rinse, applied to the hair for 10 minutes before rinsing and repeated after 7 days.
d. Bug buster kit to be used immediately and repeated after 7 days
e. Malathion 1% cream shampoo, applied to the hair for 10 minutes before rinsing and repeated after 7 days
a. Dimeticone 4% lotion, applied to the hair for 8 hours before rinsing and repeated after 7 days
Young children are prone to otitis media. Which of the symptom clusters best reflects the signs and symptoms of otitis media in this age group?
a. Irritability and crying
b. Irritability, crying and pain
c. Irritability, crying, fever and pain
d. Irritability and pain
e. Irritability and fever
c. Irritability, crying, fever and pain
A mother of a 5 year old daughter wants some advice. Her daughter has developed a rash on her face. Based solely on this information, which is the most likely condition causing the rash?
a. Pertussis
b. Psoriasis
c. Atopic dermatitis
d. Erythema infectiosum
e. Pityriasis rosea
d. Erythema infectiosum
Warts are a common skin condition seen in children. Which symptoms best describe warts?
a. Raised smooth papules
b. Raised hyperkeratotic papules
c. Raised papules with central dimples
d. Raised waxy lesions
e. Raised crusty lesions
b. Raised hyperkeratotic papules
Itchy rash with which of the following symptom(s) or history is most indicative of atopic dermatitis?
a. Family history of asthma
b. Personal history of asthma
c. Visible eczema
d. Onset of symptoms before the age of 1 year
e. Family history of eczema
d. Onset of symptoms before the age of 1 year
Which infection is most likely to present with fever as the major symptom in children?
a. Upper respiratory tract infection
b. Lower respiratory tract infection
c. Urinary tract infection
d. Impetigo
e. Atopic dermatitis
c. Urinary tract infection
Which statement best describes the rash of measles?
a. Rash appears around the ears before moving to the trunk and limbs
b. Rash appears on the face that quickly moves to the trunk and extremities
c. Rash starting on the abdomen before spreading to the limbs and extremities
d. Rash appears on the trunk and limbs
e. Rash typically begins on the face, stomach and back
a. Rash appears around the ears before moving to the trunk and limbs
Which condition is associated with a facial rash, often resembling a ‘slapped cheek’?
a. Chicken pox
b. Molluscum contagiosum
c. Fifth disease (erythema infection)
d. Impetigo
e. Psoriasis
f. Atopic dermatitis
g. roseola infantum
c. Fifth disease (erythema infection)
Which condition can be mistaken for warts?
a. Chicken pox
b. Molluscum contagiosum
c. Fifth disease (erythema infection)
d. Impetigo
e. Psoriasis
f. Atopic dermatitis
g. roseola infantum
b. Molluscum contagiosum
Which condition can lead to shingles in later life?
a. Chicken pox
b. Molluscum contagiosum
c. Fifth disease (erythema infection)
d. Impetigo
e. Psoriasis
f. Atopic dermatitis
g. roseola infantum
a. Chicken pox
Which condition commonly affects cheeks and behind the knee?
a. Chicken pox
b. Molluscum contagiosum
c. Fifth disease (erythema infection)
d. Impetigo
e. Psoriasis
f. Atopic dermatitis
g. roseola infantum
f. Atopic dermatitis
Which condition is associated with high-grade fever?
a. Chicken pox
b. Molluscum contagiosum
c. Fifth disease (erythema infection)
d. Impetigo
e. Psoriasis
f. Atopic dermatitis
g. roseola infantum
g. roseola infantum
Which condition is caused by bacterial infection?
a. Chicken pox
b. Molluscum contagiosum
c. Fifth disease (erythema infection)
d. Impetigo
e. Psoriasis
f. Atopic dermatitis
g. roseola infantum
d. Impetigo
Select the most likely diagnosis for the following scenario: ‘A 7 year old girl who is sent home from school because she developed multiple vesicles on her face and arm’
a. Chicken pox
b. Measles
c. Fifth disease (erythema infection
d. Impetigo
e. Rubella
f. Scarlet fever
g. Pertussis
a. Chicken pox
Select the most likely diagnosis for the following scenario: ‘An 18 month old boy appears irritable and unwell with a fever that lasts 2 days but then subsides, only to develop a maculopapular rash on his body’
a. Chicken pox
b. Measles
c. Fifth disease (erythema infection
d. Impetigo
e. Rubella
f. Scarlet fever
g. Pertussis
b. Measles
Select the most likely diagnosis for the following scenario: ‘A 5 yr old girl is sent home from school because she feels poorly. She has been suffering coldlike symptoms the previous couple of days. Later that night, her mum notices a widespread rash on her face and body’
a. Chicken pox
b. Measles
c. Fifth disease (erythema infection
d. Impetigo
e. Rubella
f. Scarlet fever
g. Pertussis
e. Rubella
Select the most likely diagnosis for the following scenario: ‘A 9 year old girl has a sore throat, and examination reveals red spots on her palate. A day later, her father notices a fine red rash over the whole body’
a. Chicken pox
b. Measles
c. Fifth disease (erythema infection
d. Impetigo
e. Rubella
f. Scarlet fever
g. Pertussis
f. Scarlet fever
