Paeds

Question 1

Edwards syndrome

Answer 1

Trisomy 18
Micrognathia
Low-set ears
Rocker bottom feet
Overlapping of fingers

Question 2

Pyloric stenosis

Answer 2

Projectile vomiting after feed
2-6wks of age
Olive shaped mass in RUQ

Question 3

Whooping cough management

Answer 3

Children <6mo= admit
Oral macrolide if onset within last 21 days
School exclusion= 48 hrs after starting Abx/21 days since onset

Question 4

Most associated symptom of migraines in children

Answer 4

GI upset

Question 5

When is neonatal blood spot screening test done and what does it test for

Answer 5

5th-9th day of life
tests for sickle cell disease, cystic fibrosis, congenital hypothyroidism, phenylketonuria (PKU), and medium-chain acyl-CoA dehydrogenase deficiency (MCADD)

Question 6

Most common presentation of Wilm’s tumour

Answer 6

palpable mass

Question 7

Cyanotic congenital heart conditions (CT)

Answer 7

Tetralogy of fallot
Transposition of great arteries
tricupsid atresia

Question 8

Hypotonia in children causes

Answer 8

Down’s syndrome
Prader-Willi syndrome
hypothyroidism
cerebral palsy

Question 9

GORD in children management

Answer 9

Thickened formula
Gaviscon if bvreastfeeding
Next, 4 week trial of PPI/ranitidine

Question 10

Features of innocent paediatric murmurs (7Ss)

Answer 10

Soft
Systolic
Short
Sounds (S1/2) normal
Symptomless
Special tests normal (ECG, CXR)
Sitting/standing (varies with position)

Question 11

Risk factors for DHD

Answer 11

Female, Fat, Feet First (breech), Family (hx), Firstborn, fluid low (oligohydroamniosis)

Question 12

Paeds constipation management

Answer 12

Movicol -> stimulant laxative

Question 13

Bone tumours in children

Answer 13

Soap bubble= osteoclastoma
Sunburst= osteosarcoma
onion appearance= Ewig’s

Question 14

Noonan’s

Answer 14

no neck

Question 15

Fragile X

Answer 15

X= big
Big ears, macrocephaly, big balls
Learning difficulties

Question 16

Prader-willie

Answer 16

Parada willy= hypogonadism

Question 17

Fragile X

Answer 17

X= big
Big ears, macrocephaly, big balls
Learning difficulties

Question 18

HSP

Answer 18

Abdo pain, arthritis, haematuria, purpuric rash over buttocks and lower limbs, typically following an upper resp infection

Question 19

HUS TRIAD

Answer 19

AKI
Micoangiopathic haemolytic anaemia (normatic)
Thrombocytopenia

Question 20

Heart condition associated with turner’s

Answer 20

Bicuspid aortic valve, ejection systolic murmur

Question 21

Most imp treatment for prevention of NRDS

Answer 21

administer dex to mother

Question 22

Shaken baby syndrome triad

Answer 22

Retinal haemorrhages, subdural haematoma and encephalopathy

Question 23

Sturge-Weber syndrome

Answer 23

Skin > PW stains
Eye > choroidal angioma
Brain > leptomeningeal angiomas

Question 24

Drug management of coarctation of aorta

Answer 24

IV Prostglandins (prop the door open for ductus arteriosus) until surgical management