Paeds

Question 1

What kind of murmur does ASD have?

Answer 1

Ejection systolic
Left upper sternal edge
Fixed splitting of S2

Question 2

What kind of murmur does VSD have?

Answer 2

Pan-systolic
Left lower sternal edge

Question 3

What kind of murmur does PDA have?

Answer 3

Continuous machinery-like murmur

Question 4

What kind of murmur does coarctation of the aorta have?

Answer 4

Mid-systolic murmur
Radiates to back
Radio-femoral delay

Question 5

What kind of murmur does Pulmonary stenosis have?

Answer 5

Ejection systolic
Louder on inspiration

Question 6

What kind of murmur does aortic stenosis have?

Answer 6

Ejection systolic
Louder on expiration

Question 7

What kind of murmur does mitral regurgitation have?

Answer 7

Pansystolic murmur
High pitched blowing

Question 8

What kind of murmur does tricuspid regurgitation have?

Answer 8

Pansystolic murmur
Louder on inspiration
High pitched blowing

Question 9

What kind of murmur does aortic regurgitation have?

Answer 9

Early diastolic murmur
High pitched blowing

Question 10

What kind of murmur does pulmonary regurgitation have?

Answer 10

Early diastolic murmur
High pitched blowing

Question 11

Which murmurs are pansystolic?

Answer 11

VSD
Tricuspid regurgitation
Mitral regurgitation

Question 12

Which murmurs are ejection systolic?

Answer 12

ASD
Pulmonary stenosis
Aortic stenosis

Question 13

Which murmurs are early diastolic?

Answer 13

Pulmonary regurgitation
Aortic regurgitation

Question 14

Pathophysiology of Hirschsprungs?

Answer 14

Absence of parasympathetic ganglion cells in the myenteric plexus

Question 15

Red signs for paediatric traffic light system?

Answer 15

Colour - mottled/blue/ashen/pale
No response to social cues/does not wake when roused
Weak
Continuous high-pitched cry
Grunting/tachypnoea
<3months with temp >38
Non blanching rash
Seizures

Question 16

Fluid bolus requirements? (Paeds)

Answer 16

10mg/kg 0.9% NaCl

Question 17

Maintenance fluids? (Paeds)

Answer 17

100mg/kg for 10kg
50 mg/kg for 10kg
20mg/kg for the rest
0.9% NaCl + 5% glucose

Question 18

Organism for hand foot mouth disease?

Answer 18

Coxsackie A16

Question 20

Examples of live vaccines?

Answer 20

MMR, BCG, chicken pox, NASAL influenza

Question 20

When is newborn blood spot test?

Answer 20

5 days

Question 21

Conditions tested for on newborn blood spot?

Answer 21

CF, sickle cell disease, congenital hypothyroidism, phenylketonuria, maple syrup urine disease

Question 22

Which vaccines are given at 8 weeks?

Answer 22

6-in-1, Rotavirus, Meningococcal B

Question 23

Which vaccines are given at 12 weeks?

Answer 23

6-in-1, Rotavirus, Pneumococcal

Question 24

Which vaccines given at 16 weeks?

Answer 24

6-in-1, Meningococcal B

Question 25

Which vaccines given at 1 year?

Answer 25

2-in-1, MMR, Meningococcal B, Pneuomoccal

Question 26

When is nasal flu vaccine given?

Answer 26

2-8 years

Question 27

What vaccines given at 3 years 4 months?

Answer 27

4-in-1, MMR

Question 28

When is HPV vaccine given?

Answer 28

13-14 years

Question 29

Which vaccines given at 14 years?

Answer 29

3-in-1, Meningococcal ACWY

Question 30

Which vaccines are in the 6-in-1?

Answer 30

Diptheria
Polio
Pertussis
Tetanus
Hepatitis B
HiB

Question 31

Examples of inactivated vaccines?

Answer 31

Polio, flu

Question 32

Treatment for meningitis in infants >3 months?

Answer 32

IV Ceftriaxone or Cefotaxime

Question 33

Treatment for meningitis in <3 months?

Answer 33

IV Cefotaxime and Amoxicillin

Question 34

By what age does infantile colic usually subside?

Answer 34

6 months

Question 35

Features to be explored in monitoring asthma control?

Answer 35

Pattern of medication use (overuse)
Persistence of symptoms e.g. wheeze/nocturnal cough/reduced physical activity
Involvement of secondary care e.g. HDU/ICU admission

Question 36

Appearance of meningococcal bacteria on microscope?

Answer 36

Gram negative diplococci

Question 37

How long before notifiable disease reported?

Answer 37

Immediately