Paediatrics

Question 1

what treatment is given to household members if someone has scabies?

Answer 1

permethrin

Question 2

proper name for slapped cheek syndrome, caused by which virus

Answer 2

erythema infectiosium

parvovirus B19

Question 3

painless rectal bleeding could be due to

Answer 3

meckel’s diverticulum

Question 4

cardinal symptoms of measles

Answer 4

cough
coryza
conjunctivitus
widespread rash
high spiking fever`

Question 5

what organism causes croup?

Answer 5

parainfluenza

Question 6

treatment of croup

Answer 6

oral dexamethasone 0.15mg/kg

Question 7

who gets croup?

Answer 7

babies-toddlers

boys

Question 8

when to admit a child with mild croup

Answer 8

• under 3 months old
• chronically ill child
  50-75% of normal fluid intake or no wet nappies

Question 9

most common heart defect in turner’s syndrome?

Answer 9

bicuspid aortic valve and coarction of the aorta

Question 10

Most common heart defect in marfan’s?

Answer 10

mitral regurgitation

Question 11

Most common heart defect in down’s syndrome?

Answer 11

AVSD

Question 12

X-ray appearance of transposition of the great arteries

Answer 12

egg on side

Question 13

baby born blue/goes blue soon after birth indicates which heart defect?

Answer 13

transposition of the great arteries

Question 14

What medication is given to a baby with TGA?

Answer 14

IV prostaglandins to keep the ductus arteriosus open

Question 15

4 defects in tetralogy of fallot:

Answer 15

pulmonary stenosis
right ventricular hypertrophy
overriding aorta
ventricular septal defect

Question 16

boot shaped heart on x ray = ?

Answer 16

tetralogy of fallot

Question 17

what are tet spells?

Answer 17

intermittent cyanosis (feeding/crying) seen in tetralogy of fallot

Question 18

Lithium can cause what heart defect?

Answer 18

ebstein’s anomaly

Question 19

what is duodenal atresia

Answer 19

narrowing/closure of the duodenum

Question 20

double bubble on x ray = ?

Answer 20

duodenal atresia

Question 21

classic sign of duodenal atresia?

Answer 21

bilious vomiting after first feed

Question 22

most common cause of neonatal meningitis?

Answer 22

group b strep

Question 23

presentation of congenital adrenal hyperplasia in females?

Answer 23

ambigious genitalia at birth, symptoms of PCOS in teenagers

Question 24

presentation of congenital adrenaal hyperplasia in males?

Answer 24

hyperpigmentation of scrotum

penile enlargement

Question 25

low sodium, high potassium in a floppy baby?

Answer 25

congeital adrenal hyperplasia

Question 26

what’s on the heel prick test?

Answer 26

hypothyroidism
phenylketouria
sickle cell
CF

Question 27

signs of congenital cytomegalovirus infection?

Answer 27

mental retardation
deafness
periventricular calcification

Question 28

signs of congenital toxoplasmosis infection?

Answer 28

chorioretinitis
intracranial calcifications
hydrocephalksu

Question 29

signs of congenital rubella infection?

Answer 29

cataracts
heart defects
sonsorineural deafness

Question 30

what is given in addition to cefotaxime to treat meningitis in children under 3 months?

Answer 30

amoxicillin to cover listeria

Question 31

pyloric stenosis biochemical abnormality?

Answer 31

hypokalaemia, hypochloraemia, metabolic alkalosis

Question 32

what organism causes bronchiolitis

Answer 32

RSV

Question 33

describe the course of roseola infantum

Answer 33

fever followed by a rash whe the child feels well again

Question 34

a normal pCO2 in an asthma attack is…

Answer 34

life threatening!

Question 35

emergency treatment of croup

Answer 35

high flow oxygen

nebulised adrenaline

Question 36

rockerbottom feet is seen in

Answer 36

edward’s Ssyndromw

Question 37

SIGNS OF AN ATYPICAL UTI

Answer 37

catfish:
Creatinine
Abdominal mass
Terribly ill
Flow problems
Infection non-ecoli
Sepitic
Halted response > 48 hours

Question 38

salmon pink rash + joint swelling

Answer 38

juvenile idiopathic arthritis