Paeds

Question 1

Tx for scarlet fever

Answer 1

Oral phenoxymethylpenicillin penV

(Often follows tonsilitis/ pharyngitis episodes)

Question 2

2 dangerous complications of scarlet fever

Answer 2

Post-streptococcal glomerulonephritis

Rheumatic fever

Question 3

Suspected HSP what do you monitor and why

Answer 3

Monitor BP and urinalysis as HSP can involve the kidneys through IgA-nephropathy

Monitor for 6-12 months !

Question 4

How do you test if triple therapy for H. Pylori has worked

Answer 4

Urea breath test

Question 5

Perthes disease Mx

Answer 5

If under 6 years observation- will likely resolve with conservative Mx

> 6yrs= surgical management - moderate results

Question 6

Otitis media with perforation Mx

Answer 6

No need to refer to ENT

give oral amoxicillin

Usually heals in 6-8 weeks and monitor in that time- if fails to heal then referral may be appropriate

Question 7

DiGeorge syndrome presentation

Answer 7

CATCH22

Cardiac abnormalities
Abnormal facies
Thymic hypoplasia
Cleft palate
Hypocalcaemia
22q deletion

Question 8

How do you work out the normal feeding amount for a baby up to 6 months

Answer 8

Weight x 150 = total volume they should have in mls in 24 hours

Question 9

When is jaundice pathological

Answer 9

First 24 hours of life

Days 1-14 are normally physiological

treat with phototherapy or exchange transfusion

Use the threshold graph to determine whether they need it or not

Question 10

How to calculate dehydration fluids

Answer 10

Fluid deficit = weight x dehydration % x 10

(Over 48 hours!