PAEDS

Question 1

SCARLET FEVER

bacteria?
syx?
tx?

Answer 1

STEP A E.G STREP PYOGENES

fever, sore throat, strawberry tongue, rash often flexures

tx- pen V

Question 2

Osgood-Schlatter disease

Answer 2

Seen in sporty teenagers
Pain, tenderness and swelling over the tibial tubercle

Question 3

Chondromalacia patellae

Answer 3

Softening of the cartilage of the patella
Common in teenage girls
Characteristically anterior knee pain on walking up and down stairs and rising from prolonged sitting
Usually responds to physiotherapy

Question 4

Erythema infectiosum
syx?
virus?

Answer 4

fifth disease or ‘slapped-cheek syndrome’
Caused by parvovirus B19
Lethargy, fever, headache
‘Slapped-cheek’ rash spreading to proximal arms and extensor surfaces

Question 5

Rubella

Answer 5

Rash: pink maculopapular, initially on face before spreading to whole body, usually fades by the 3-5 day
Lymphadenopathy: suboccipital and postauricular

Question 6

laxative of choice in children?

Answer 6

movicol

Question 7

asthma over 5

Answer 7

1) SABA
2) SABA + PAEDS LOW ICS
3) SABA + PADS LOW ICS + (LTRA)
4) SABA + PADS LOW ICS + LABA
5) SABA + MART LOW DOSE
6) SABA + MART MED DOSE
7) REFER

Question 8

asthma under 5

Answer 8

1) SABA
2) SABA + MOD PAED ICS
3) SABA +PAED LOW ICS + (LTRA)
4) REFER

Question 9

Caput succadeneum
c s - CROSSED SUTURES

Answer 9

Generalised superficial scalp oedema, which crosses suture lines

Question 10

cephalohaematoma

Answer 10

The swelling usually appears 2-3 days following delivery and does not cross suture lines.

Question 11

MEASLES

Answer 11

erythematous rash that classically starts behind the ears
associated with fever, conjunctivitis, coryzal symptoms
white koplik spots inside of the mouth.

Question 12

Most common congenital cardiac abnormality in Down’s syndrome?

Answer 12

Atrioventricular septal defects

Question 13

Necrotising enterocolitis
syx

Answer 13

one of the leading causes of death among premature infants.
feeding intolerance
abdominal distension
bloody stools
abdominal discolouration, perforation and peritonitis.

Question 14

Eczema herpeticum

Answer 14

begins with a cluster of itchy and painful blisters
urgent admission and treatment with antivirals.

Question 15

Barlow vs ortalani

Developmental dysplasia of the hip (DDH)

Answer 15

Barlow = Bad - backwards ( dislocation).

Ortolani= Orthopedist means the doctor will correct the dislocation - out

Developmental dysplasia of the hip
6 X more common in females

Question 16

indication for admission with croup?

Answer 16

stridor at rest
suprasternal recessions
under 6 months

Question 17

when to refer for external cephalic version

Answer 17

women who are 36 weeks or more with a breech presentation

Question 18

threadworms tx

Answer 18

single dose mebendazole whole house + hygiene advise

Question 19

IM BEN PEN dose FOR meningococcal septicaemia

Answer 19

< 1 year 300 mg
1 - 10 years 600 mg
> 10 years 1200 mg

Question 20

Osgood-Schlatter disease.

Answer 20

painful swelling over the tibial tubercle.

Question 21

A baby is born with micrognathia, low-set ears, rocker bottom feet and overlapping of fingers

Answer 21

• Edward’s syndrome 18
• eigtheen
• digit overlapping
• rocker bottom

Question 22

when is neonatal blood spot screening ‘heel prick’ test performed?

Answer 22

Between fifth and ninth day of life.

Question 23

whooping cough tx?

Answer 23

if within 21 days onset, start azithromycin or clarithromycin

Question 24

cyanotic congenital heart disease
which detected in neonate?

Answer 24

three Ts
tetralogy of Fallot - presents later
transposition of the great arteries (TGA) - neonate detected
tricuspid atresia

Question 25

acyanotic CHD

Answer 25

ventricular septal defects (VSD) - most common
atrial septal defect (ASD)
patent ductus arteriosus (PDA)
coarctation of the aorta
aortic valve stenosis

Question 26

Immune (or idiopathic) thrombocytopenic purpura

Answer 26

child presenting with petechiae and no fever
usually preceded by a viral illness

Question 27

grade reflux nephropathy?

Answer 27

micturating cystography is the investigation of choice for reflux nephropathy

Question 28

Autosomal recessive conditions are

Autosomal dominant conditions are

Answer 28

Autosomal recessive conditions are ‘metabolic’

Autosomal dominant conditions are ‘structural’
-structures are strong and dominanat eg structural engineering

Question 29

A young boy is noted to have a webbed neck, pulmonary stenosis, ptosis and short stature. The karyotype is normal

Answer 29

Noonan syndrome

Question 30

williams syndrome

Answer 30

supravalvular aortic stenosi
small upturned nose
long philtrum
wide mouth, full lips
small chin, and puffiness around the eyes.
happy + itellectual disability

Question 31

A baby is born with microcephaly, small eyes, low-set ears, cleft lip and polydactyly

Answer 31

• Patau syndrome
  13

Question 32

All breech babies at or after 36 weeks gestation require what imaging at 6 weeks??

Answer 32

USS for DDH screening at 6 weeks regardless of mode of delivery

Question 33

croup severe tx i.e. low 02 not responded to PO dex

Answer 33

02 and nebulised adrenaline