Paediatrics

Question 1

Signs of croup

Answer 1

Stridor
Barking cough, worse at night
Fever
Coryza

Question 2

When should croup be managed in the hospital?

Answer 2

Mod-Severe (stridor, sternal retraction, distress/lethargy)
Laryngomalacia
Uncertain diagnosis (epiglottitis, quinsy, foreign body)
Esp if under 6months

Question 3

Treatment of croup

Answer 3

Oral dexamethasone 0.15mg/kg
O2
Nebulised adrenaline

Question 4

What route should be avoided in paediatrics?

Answer 4

IM

Question 5

Difference between unlicensed and off-label

Answer 5

Unlicensed: Outside of marketing authorisation

Off-label: Licensed medication for an unlicensed application

Question 6

What is an orange card?

Answer 6

British Paediatric Surveillance Unit

Rare disease studies (eg perinatal HIV exposure, FGM, congenital zika, juvenile SLE)

Question 7

What is different on an under 12’s prescription?

Answer 7

Written age

Question 8

What is better than using weight for dose calculations?

Answer 8

Ideal body weight (based on age and height)

BSA (body surface area)