Paeds

Question 1

Flexural sandpaper rash, circumoral pallor, strawberry tongue

Answer 1

Scarlet Fever

Question 2

Causative organism scarlet fever

Answer 2

Group A haemolytic Strep

Question 3

Treatment of scarlet fever

Answer 3

oral penicillin V for 10 days
penicillin allergy- azithromycin
children can return to school 24 hours after commencing antibiotics
scarlet fever is a notifiable disease

Question 4

Hip pain in a 4-8yo

Answer 4

Perthes (AVN of the femoral head)

Question 5

Hip pain in an overweight 10-15yo, may radiate to knee

Answer 5

SUFE

Question 6

Macular then papular then vesicular rash

Answer 6

Chickenpox (varicella zoster)

Question 7

Prodrome of irritability, conjunctivitis and fever

Answer 7

Measles

Question 8

Koplik spots (white spots on buccal mucosa)

Answer 8

Measles

Question 9

Discrete maculopapular rash which then becomes confluent, starts behind ears and spreads to whole body

Answer 9

Measles

Question 10

Parotitis (earache and pain on eating)

Answer 10

Mumps

Question 11

Pink maculopapular rash starting on face before spreading to whole body

Answer 11

Rubella

Question 12

‘slapped cheek’ rash spreading to proximal arms and extensor surfaces

Answer 12

Parvovirus B19

Question 13

Fever, malaise, tonsilitis, strawberry tongue

Answer 13

Scarlet fever

Question 14

Fine punctate erythema sparing the area around the mouth

Answer 14

Scarlet fever

Question 15

When does hand preference emerge?

Answer 15

After 12mo