Paeds

Question 1

When can a child with impetigo go to school?

Answer 1

Once lesions have crusted or 48 hours after ABX.

Question 2

Impetigo management?

Answer 2

Hydrogen peroxide 1% cream (apply two or three times daily for 5 days) for people who are not systemically unwell. OR

Fusidic acid 2% (apply three times a day for 5 days).

Question 3

What causes croup?

Answer 3

Parainfluenza 1&2

RSV

Question 4

Croup Management

Answer 4

Dexamethasone 15mg/kg

Question 5

Cause of bronchiolitis?

Answer 5

RSV

Question 6

Bronchiolitis management

Answer 6

Supportive

Question 7

What are the 4 domains of development?

Answer 7

1. Gross motor
2. Fine motor and vision
3. Speech, language and hearing
4. Social behaviour and play

Question 8

Key features of pyloric stenosis?

• Presentation
• Investigations
• Management

Answer 8

4-6 weeks old
Swelling at pyloric sphincter prevents food entering duodenum
projectile vomit at end of or after feed
Dehydration

Diagnosed by USS and venous blood gas.

Surgery to release constriction.

Question 9

Where does Henoch Scholein Purpura usually appear?

Answer 9

Buttocks and legs

Question 10

Gastroenteritis –> HUS

Answer 10

E.coli 0157

Question 11

Sunburst appearance?

Answer 11

Osteosarcoma

Question 12

Warm swelling in paed femur?

Answer 12

Ewings sarcoma – poor prognosis

Question 13

Normal references for observation in an infant?

Answer 13

RR 30-60
Pulse - 100-160
Temp around 37
passing urine and stool

Question 14

Cardiac defect in turner’s syndrome

Answer 14

Bicuspid aortic valve (most common)

Coarctation of aorta

Question 15

What makes up tetralogy of fallot?

Answer 15

VSD
RVH
Pulmonary stenosis
overarching aorta