Paeds Flashcards
1
Q
Fibromas in the brain + Bilateral acoustic neuromas
A
Neurofibromatosis type 2
2
Q
Cafe au last spots, neurofibromas, optic gliomas, litchi nodules
A
neurofibromatosis Type 1
3
Q
Hx of trauma/abuse, shaken baby
A
subdural haemorrhage
4
Q
Explosive flatus on PR
A
Hirschsprung disease
5
Q
painless, bright red, rectal bleeding
A
juvenile polyps
6
Q
Infant drawing up legs, flinging out arms
A
West syndrome
7
Q
Hemifacial contorsions, inability to speak, abnormal feelings in tongue
A
benign rolandic epilepsy
8
Q
URTI followed by stridor, response distress, vaccinated against HIB
A
Bacterial trachietis
9
Q
Inconsolable crying, abdominal distension, green vomit, cool peripheries
A
Malrotation with volvulus
10
Q
generalised seizure
A
valproate or lamotrigine
11
Q
sodium valproate
A
increased weight, alopecia, teratogenic
12
Q
One month old, jaundice day 3 then resolved, now jaundice again, pale stools
A
biliary atresia
13
Q
double bubble on XR
A
duodenal atresia
14
Q
Tinnitus, bilateral frontal headache, visual blurring
A
idiopathic intracranial HTN
15
Q
unstable walking, multiple ear infections
A
ataxia telangiectasia
16
Q
overweight teenager, painful hip, external rotation of leg
A
SUFE
17
Q
Short stature, diarrhoea, neutropenia, low faecal elastase AR
A
scwachman-diamond syndrome
18
Q
fell from monkey bars, bruises on back, spiral fracture
A
NAI
19
Q
hypotonia, fasciculation of tongue muscles, absent tendon reflexes
A
spinal muscular atrophy type 1
20
Q
Ground glass appearance of CXR
A
RDS
21
Q
Absence seizures
A
Ethosuximide
22
Q
delayed puberty, anomia, AD/AR
A
Kallman’s syndrome
23
Q
short stature, webbed neck, wide spaced nipples
A
Turner syndrome
24
Q
abdo mass crossing midline
A
neuroblastoma
25
Premature baby, formulae fed, abdo distension, bilious vomiting, bloody bowel movements
NEC
26
vomits after feeds, good growth
GOR
27
Puffy eyes, swollen feet, abdo pain
nephrotic syndrome
28
Headache worse in the morning, ataxic gait, nystagmus
medulloblastoma
29
Testicular swelling larger when standing, transilluminates
hydrocele
30
Rash after fever on trunk
roseola infantum
31
Flattened femoral head, <12 years, limping
perthes disease
32
Progressive distal muscle wasting, high arched feet, motor sensory neuropathy
Charcot-marie toothq
33
laughing paroxysms, uplifted arms on walking
angle man syndrome
34
long face, big ear, macro-orchidism
fragile X
35
Headache at the end of the day-band like
tensions headaches
36
tongue fascinations, absent deep tendon reflexes, severe hypotonia
SMA type 1
37
Indigenous child, knee pain, swelling, febrile murmur at apex
rheumatic fever
38
Bright red cheeks, lace like rash, red cell aplasia
Parovirus B19
39
Perineal prutitis
pin work
40
White spots on palate (kopeck spots), conjunctivitis cough, cephalocaudal spread of rash
measles
41
Mono phasic expiratory wheeze, noisy breathing, worse when crying
layngomalacia
42
worsening ataxia, distal leg wasting
freidrich ataxia
43
megaloblastic anaemia, pancytopaenia, cafe au last spots, malformed thumbs
fanconi anaemia
44
port wine stain
Sturge weber syndrome
45
Fever >5 days, conjunctivitis, rash, erythema (peripheral), lymph(A)denopathy, mouth (red tongue)
Kawasaki disease
46
Early puberty, bone dysphasia, hyperpituitarism, hyperthyroid, cafe au last spots
McCune-Albright
47
epicanthic fold, brush field spots, wide space between 1st and 2nd toe
Down syndrome
48
Hip and knee pain, URTI last week afebrile
Transient synovitis
49
abdominal wall defect no peritoneum
Gastrochisis
50
Neck webbing, low set ears, affect both sexes
Noonan syndrome
51
morning headache, vomiting, papilloedmea
cerebral astrocytoma
52
Rash over hands and feet and mouth ulcers
hand, foot mouth diease
53
itchy rash appearing in crops
chicken pox
54
abdominal wall defect peritoneum
Exomphalos
55
Unable to swallow, toxic child with stridor, HIB
epiglottitis
56
Shagreen patches, ash leaf spots, peri-fungal fibroma, adenoma sebaceous
tuberous sclerosis
57
Barking cough, parainfluenza virus
croup
58
difficulty chewing and swallowing food, bilateral ptosis
myasthenia gravis
59
testicular swelling, larger when standing, bag of worms appearance
varicocele
60
Agranulocytosis, hepatotoxicity
carbamazepine
61
Down syndrome, recurrent croup infections
subglottic stenosis
62
6 month old, vomiting, eczema
cow's milk protein intolerance
63
Anterior hydronephrosis in a male, oligohydraminos
posterior urethral valves
64
Focal seizure
carbamazepine or lamotrigene
65
young teenage girl, knee pain, painful lump on shin
osgood Schalter
66
Rocker bottom feet
Edward syndrome
67
baby with diffuse wheeze and crackers, sibling had recent URTI
Bronchiolitis
68
6 week old infant, jaundice no dilated ducts
Biliary atresia
69
X-linked recessive eczema, thrombocytopenia, immunodeficiency
wiskott-aldrich syndrome
70
trident shaped hands
achondroplasia
71
hip pain, fever, irritable, miserable pain on movement
septic arthritis
72
Throbbing headache, teenage girl, worse when looking at lights
migraine
73
strawberry tongue, sandpaper like rash
Scarlett fever
74
Barking cough, pseudomembranous pharyngitis, bull neck, lymphadenopathy, fever
diphtheria
75
Target sign on U/S, red stools, midline mass
intussusception
76
abdominal distension and buttock wasting
coeliac
77
well circumscribed, erythematous, painful leisons in child with constipation likely due to a scratch
perinatal strep (cellulitis) - penicillin
78
MEMBRANOUS tonsils exudate, generalised lymphadenopathy, hepatosplenomegaly and faint macular rash
EBV
79
running outside barefoot, groin lump, tender and red
inguinal lyphadenopathy
80
meconium ileus, recurrent chest infections
CF
81
bow legs, bead like costoschondral junction, craniotabes
rickets
82
multiple different seizures, neurodevelopment delay
lennox-gastraut
83
6 week old infant, jaundice, dilated ducts on US
choledochal cyst
84
blue dot sign
torsion of appendix of testes
85
bilateral painful ankle swelling, buttock rash
HSP
86
drop attacks
atonic attacks
87
GOR and back arching
sandifer syndrome
88
Projectile vomiting
pyloric stenosis
89
Gower's sign, dilated cardiomyopathy, enlarged calves
Duchenne's muscular dystrophy
90
Cessation of activity, lip smacking, 3 second spike and wave discharge
absence seizure
91
GI symptoms and red lumps on shins
Crohn's disease
92
bilateral jerking of limbs, clumsy, consciousness maintained, usually while sleeping
myoclonic seizure
93
large intestines, macroglossia, exomphalos, neonatal hypoglycaemia, wills tumor
beckwith Wiedemann
94
Pulmonary stenosis, butterfly vertebrae, biliary atresia, TOF
alagille syndrome
95
Hypogonadism, microphonic, gynaecostastia, tall
klienfelter syndrome
96
10 year old, recurrent abdo pain, better on weekend
abdominal pain of childhood
97
Vomits after feeding, poor growth, irritable
GORD
98
elfin facies, transient neonatal hypercalcaemia, supravalvular aortic stenosis
William syndrome
99
Proctitis, child abuse, constipation with straining, CF
rectal prolapse
100
high riding testes absent cremasteric reflex
testicular torsion
101
Maculopapular rash, not coryza symptoms, foscheimmer's spots
rubella
102
C-section, tachypnoea, increased marking and fluid in fissure on CXR
TTN
103
jaundice hepatospelnomegaly, multiple spider nave, teenager
Wilsons disease
104
seizure after a fright
breath holding
105
episodic visual distortions or hallucinations and migraine like headache
benign occipital epilepsy
106
Micrognathia, cleft palate
Pierre robin syndrome
107
post gastro, diarrhoea for 2 weeks
lactose intolerance
108
Pregabalin
weight gain
109
Red eyes in an infant, staccato cough
chlamydia
110
Septic baby massive splenomegaly, no jaundice
glycogen storage disease
111
Phenytoin
sedation in children, hirsutism, gingival hypoplasia, skin reactions in Asia
112
Carbamazepine
can make absence seizures worse
113
corkscrew sign
malrotation with volvulus
114
fever, tonic clonic seizure lasting 5 minutes <6 years
febrile convulsions
115
Young teenage female, knee pain esp when standing from sitting or walking up stairs
chondromalacia patallae
116
child wakes from sleep with no cause, pain in shins or feet age 3-12
growing pains
117
malformed thumbs, microcephaly, anaemia, facial malformation
diamond-blackfan anaemia
118
burrows in weber spaces
scabies
119
Painless bright red blood with bowel movements
Meckels diverticulum
120
abdo mass not crossing midline
wilms tumor
121
Post URTI, central abdo pain, low fever
mesenteric adenines
122
almond shaped palpebral fissures, hyperphagia
prader willi
