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MSRA General > Paeds > Flashcards

Paeds Flashcards

1
Q

What major complication can Kawasaki disease lead to?

A

Coronary artery aneurysm

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2
Q

How is Kawasaki disease managed?

A

Aspirin + Immunoglobulin

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3
Q

How is severe nappy rash managed?

A

1% hydrocortisone
Imidazole if candida

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4
Q

Autosomal dominant are often metabolic and recessive often structural. T or F

A

False. Recessive = Metabolic. Dom = Structural

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5
Q

Which structural disorder is AR and not AD

A

Frederichs ataxia

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6
Q

Which ages are children immunised for against whooping cough?

A

2, 3, 4 months and 3-5 years

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7
Q

When should antibiotics be given for whooping cough and which one?

A

Onset of cough < 21 days
Macrolide (-mycin)

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8
Q

Women during what period of gestation are offered the whooping cough vaccine?

A

16-32 weeks

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9
Q

Hirschprungs disease is characterised by what?

A

Aganglionic bowel

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10
Q

What is the clinical triad of shaken baby syndrome?

A

Retinal haemorrhages
Subdural haematoma
Encephalopathy

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11
Q

Which hearing test is offered to newborns?

A

Otoacoustic emissions test

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12
Q

If the otoacoustic emissions test is abnormal, what test happens next?

A

Auditory brainstem response test

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13
Q

Which is the most common cause of bacterial pneumonia in children?

A

S. pneumoniae

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14
Q

What is the treatment of pneumonia in children?

A
  1. Amoxocillin
  2. Macolide + amoxicillin
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15
Q

Hand preference before what age is abnormal?

A

12 months

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16
Q

Which drug is given to neonates with a patent ductus arteriosus?

A

Indomethacin / ibuprofen

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17
Q

Which drug keeps the ductus arteriosus open?

A

Prostaglandin E1

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18
Q

When is the heel prick test done?

A

5-9 days post birth

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19
Q

What are the features of innocent murmurs?

A

soft, symptomless, standing/sitting, systolic, short

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20
Q

What are the types of innocent mumurs in children?

A

Still’s
Venous hum

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21
Q

Symptoms and management of scarlet fever

A

sore throat. coarse rash, red tongue, fever
Phenoxymethylpenicillin or azithromycin

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22
Q

What is the most common complication of Scarlett fever?

A

Otitis media

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23
Q

What are the 4 features of TOF

A

VSD
Overriding aorta
RV outflow obstruction
RVH

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24
Q

Which way is the shunt in TOF

A

R to L

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25
Q

Cause of acute epiglottis

A

HI type B

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26
Q

Pathology in Perthes disease

A

Avascular necrosis of the hip

27
Q

Characteristic rash in roseola infantum

A

rash AFTER fever

28
Q

Where does a measles rash classically start

A

behind the ears

29
Q

Difference in fever characteristics parvo vs roseola

A

parvo mid
roseola high

30
Q

What causes roseola

A

human herpes 6

31
Q

Most common cause of croup

A

Parainfluenza virus 1+2

32
Q

Gap between live virus injections

A

4 weeks

33
Q

When is the MMR vaccine administered

A

12-15 months
3-4 years

34
Q

The measles virus is RNA

A

True

35
Q

ABG in pyloric stenosis

A

Raised HCO3
Low chlor
Low k

36
Q

F > M risk in DDH

A

True

37
Q

Features of the murmur in PDA

A

Continuous
Machinery like
Subclavicular
Large volume collapsing pulse

38
Q

Characteristic rash in JIA

A

Salmon pink

39
Q

Characteristic rash in JIA

A

Salmon pink

40
Q

When is the pertussis vaccine given

A

2 3 4 months
3-5 years
Pregnant 16-32 weeks

41
Q

Management of childhood asthma

A
  1. SABA
  2. SABA ICS
  3. SABA ICS LTRA
  4. SABA ICS LABA
  5. SABA MART
42
Q

Management of childhood asthma

A
  1. SABA
  2. SABA ICS
  3. SABA ICS LTRA
  4. SABA ICS LABA
  5. SABA MART
43
Q

Hand preference before which age is abnormal?

A

12 month

44
Q

Which are the cyanotic heart disease?

A

Tricuspid atresia
Tranposition
Tetralogy
Trunks arteriosus

Think CT - cyanotic Ts

45
Q

Risk factors for surfactant lung disease

A

Male
maternal DM
Oligohydramnios
C section
Prematurity

46
Q

In X linked recessive inheritance, only males are affected

A

True

47
Q

Male to male transmission is not seen in X linked recessive conditions

A

True

48
Q

Homozygous women transfer x linked inherited conditions

A

False. Heterozygous females transfer a 50% risk to males and a 50% carrier risk to females

49
Q

Knee pain, swelling and locking

A

Osteochondirtis dissecans

50
Q

Which syndromes can cause obesity in chidlren

A

Down’s, Cushing’s, Prader Willi

51
Q

Partial seizures at night

A

Benign Rolandic epilepsy

52
Q

When is the 6 in 1 vaccine given

A

2, 3 and 4 months

53
Q

When is MenB vaccine given?

A

2, 4, 12 months

54
Q

When is the rotavirus vaccine given?

A

2 and 3 months

55
Q

Pneumococcal vaccine ages

A

3 months, 12 months, 65y

56
Q

Influenza B vaccine age

A

1 year

57
Q

Exclusion period in scarlet fever

A

24hrs after abx

58
Q

Exclusion period in HFM disease

A

None

59
Q

Exclude until lesions are crusted and healed, or 48 hours after commencing abx treatment

A

Impetigo

60
Q

What type of inheritance does haemophilia A have

A

X linked recessive

61
Q

Infectivity and incubation period of Chickenpo

A

Infectivity - 4 days before rash until 5 days after it goes

Incubation - 10-21 days

62
Q

Age of onset Perthes disease

A

4-8

63
Q

Which are the common causes of meningitis in neonatal to 3 month old?

A

Group B strep
E coli
Listeria

64
Q

Treatment of whooping cough

A

Macrolide if cough within 21days

MSRA General (7 decks)

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