Paeds

Question 1

What is the shaken baby triad?

Answer 1

Retinal haemorrhages, subdural haematoma and encephalopathy is the triad of the shaken baby syndrome

Question 2

At what age should a child start to crawl?

Answer 2

8-10 months

Question 3

Which rash is seen commonly in Still’s disease?

Answer 3

Systemic onset JIA (AKA Still’s disease) has a characteristic salmon-pink rash

Question 4

What would you hear on examination of a diaphragmatic hernia?

Answer 4

On auscultation of the precordium you note the heart sounds are absent on the left hand side but can hear tinkling sounds

Question 5

What could be considered for recurrent febrile seizures?

Answer 5

Specialists may consider prescribing benzodiazepine rescue medication for recurrent febrile seizures (rectal diazepam or buccal midazolam)

Question 6

What is the gold standard diagnosis for Hirschsprung’s?

Answer 6

Rectal biopsy is the gold standard for diagnosis of Hirschsprung’s disease

Question 7

How long do you need to stay off school for with HF&M disease?

Answer 7

No need to stay off school.

Question 8

How many rescue breaths should you give in paediatric life support?

Answer 8

Paediatric BLS: give 5 rescue breaths if there are no signs of breathing on initial assessment

Question 9

What is often preceded by a viral illness and the presence of an isolated thrombocytopaenia and bruising?

Answer 9

ITP

Question 10

What are the indicators of a life-threatening asthma attack?

Answer 10

Cyanosis
Poor respiratory effort
Peak expiratory flow rate < 33%
Silent chest
Altered level of consciousness

Question 11

Which vaccines for 13-18 year olds normally recieve?

Answer 11

Tetanus/diphtheria/polio + Men ACWY.

Question 12

What is the drawing and tower block milestones?

Answer 12

Can scribble at age 1
Can draw a line (has 2 ends) at age 2
Can draw a circle (360 degrees) at age 3
Can draw a square or a cross (4 sides/points) at age 4
Can draw a triangle at age 5 (I always just remember this one because it’s annoying that it isn’t age 3)

In general - multiple age in years by 3 to very roughly work out how high a tower they can build, although this doesn’t work that work for a tower of 3:
Tower of 3 = 18 months
Tower of 6 = 2 years
Tower of 9 = 3 years

Question 13

Where does rubella typically start?

Answer 13

Rubella also results in a mildly itchy maculopapular rash. This starts on the face (often behind the ears) before spreading, but does not become vesicular.

Question 14

What is the first line management of transient tachypnoea of the newborn?

Answer 14

Observation and supportive care

Question 15

What would be raised in biliary atresia?

Answer 15

Conjugated bilirubin