Paeds

Question 1

A common mode of presentation of sickle-cell disease in late infancy is

Answer 1

Hand-foot syndrome is caused by the sickling of red blood cells interfering with circulation to the hands and feet. This results in swelling, pain and erythema with a sudden onset.

Question 2

minimal change disease management

Answer 2

prednisolone

Question 3

the most likely result if a fetus is homozygous for alpha-thalassaemia?

Answer 3

hydrops fetalis

Question 4

What is the most common identified trigger of anaphylaxis in children?

Answer 4

food

Question 5

Osteomyelitis most common cause

Answer 5

Staph. aureus is the most common cause except in patients with sickle-cell anaemia where Salmonella species predominate

Question 6

Osteomyelitis subclassifications and RF and target population for each

Answer 6

Question 7

Osteomyelitis investigations

Answer 7

MRI is the imaging modality of choice, with a sensitivity of 90-100%

Question 8

Osteomyelitis management

Answer 8

flucloxacillin for 6 weeks
clindamycin if penicillin-allergic

Question 9

Patients with active Henoch-Schonlein purpura: what should be monitored?

Answer 9

Patients with active Henoch-Schonlein purpura: blood pressure and urinanalysis should be monitored to detect progressive renal involvement