PAEDS Flashcards
widespread crackles and wheeze on examination - pathogen likely involved
B.
Respiratory syncytial virus
constituional growth delay - investigation
Radiological assessment of bone age (need to see if patient dropping off centiles)
conditions assessed during 6-8 week check
congenital cataract, congenital heart disease, developmental dysplasia of the hip and cryptorchidism
when to request renal ultrasound for children with UTI
recurrent AND first time UTI for those under 6 months, need to be carried out within 6 weeks
child with UTI need repeat culture after treating?
No
head lice treatmentr with alcohol content should be avoided whrn
Patient has history of atopy (eczema, asthma)
vaccination schedule for premature neonates, what to follow
usual immunisation schedule
constipation diagnosis on kids
less than 3 bowel movement in 1 week
first line laxative for constipation for kids
macrogol/movicol
SINGLE MOST likely to support a diagnosis of uncomplicated GORD in 6 week old
Distressed behaviour during feeding
kid with upper abdominal pain and tachypneoa and febrile, likely diagnosis
pneumonia
undescended testis bilateral - what to do
refer to paeds to rule out sexual development disorder
still undescended testis on 6-8 week check and already referred to paeds, next step?
re-examine when aged 3 months
HFM disease caused by
Coxsacki virus
Incubation period of HFM disease virus
3 days
HFM disease usually settles after how mnay days?
7 days
Watchful waiting for ADHD, how many weeks max
10 weeks
usual duration of diarrhoea on kids? Stops within?
5-7 days, stops within 2 weeks
usual duration of vomiting in kids? Stops within?
1-2 days, 3 days
acceptable weight loss on newborn
anything up to 20% in the first week of life
inguinal hernia management for kids
urgent referral to surgery
at what developmental age (in years) at which a child can be expected to be consistently dry at night?
five years
Use of oral antibiotics in the treatment of acute otitis media (AOM) in children reduces the rate of which of the following?
Tympanic membrane perforation
physiological jaundice begins to disappear at what day and resolves usually when
begins to disappear day 7 and resolves day 10 of life
codeine cannpot be used on children aged? Why?
under 12 years, respiratory depression
Early onset neonatal sepsis is most likely to be associated with
Maternal group B streptococcal colonisation
AOM antibiotics will be of benefit if kid has?
Othorrhoea
Within how many weeks is the cough of bronchiolitis most likely to resolve?
Three
persistent crying, diarrhoea, constipation (less common), blood in stools, signs of atopy (eczema, wheeze), poor weight gain and feeding problems
Cow’s milk protein allergy
Which medication can be considered for the treatment of significant gastro-oesophageal reflux disease (GORD) in infants who have NOT responded to feed-thickeners and subsequent alginate therapy?
Omeprazole
When assessing a sick child, which of the following clinical features is the MOST significant when considering a diagnosis of meningococcal septicaemia?
Cold hands and feet/pallor/reduced CRT
The neonatal blood spot test screens for which ONE of the following conditions?
sickle cell disease (SCD)
cystic fibrosis (CF)
congenital hypothyroidism (CHT)
inherited metabolic diseases (IMDs). These are genetic diseases that affect the metabolism and include:
phenylketonuria (PKU)
medium-chain acyl-CoA dehydrogenase deficiency (MCADD)
maple syrup urine disease (MSUD)
isovaleric acidaemia (IVA)
glutaric aciduria type 1 (GA1)
homocystinuria (HCU)
primary nocturnal enuresis is usually caused by?
congenital malformations (posterior urethral valves)
secondary nocturnal enuresis is caused by?
organic problems (UTI, diabetes, neurologic, bladder overactivity, sleep apnoea)
flat feet usually resolve by age?
6
when to review AOM with supportive treatment if not improving?
after 3 days
diagnostic test for cow’s milk allergy?
none, clinica
teenage parents causing neglect on their child, therapeutic input to offer family?
Comprehensive parenting intervention
For which SINGLE time period (in hours) should fluids be restricted AFTER taking desmopressin?
8 hours
first line for upper UTI in kids
cefalexin
Which of the following is the SINGLE MOST likely risk factor associated with developmenal dysplasis of hip?t
oligohydramnios, breech, multiple pregnancy, big baby
how to use dimeticone 4% lotion for head lice
Apply to dry hair and scalp, wash off after eight hours and repeat application after seven days
A 16-year-old girl has had a bone marrow transplant.Which is the SINGLE MOST likely long-term musculoskeletal complication?
osteoporosis
gestational correction when plotting height and weight for pre-term babies should continue until
1 year of age
What is the MAXIMUM time period (in hours from the consultation) within which she should have a urine sample tested?
24 hours
vigorousparoxysms of coughing
pertussis
common complication of meningitis
sensorineural deafness
treated meningitis, routine follow up investigation?
audiogram
common cause of encephalitis in children
herpes simplex
children learnt that caregiver is not reliably responsive at times of distress, diagnosis?
avoidant insecure atachment
coeliac disease testing only valid if?
It may only be valid if gluten has been taken daily in at least two meals a day for six weeks before testing
how long should be seizure free before stopping anti-epileptics
2 years
kids with ulcerative colitis on steroids should have weight monitoring every?
3-6 months, otherwise every 12 months if
when to monitor weight for patients with ulcertive colitis
if they are on steroids, apporaching ouberty, has active chronic disease
painless lump on the neck after recent cold
cystic hygroma
knee pain, fever, fatigue, swelling knee
Ewing’s sarcoma
for GORD, which is the SINGLE MOST appropriate initial management option to trial if breastfeeding assessment and advice has failed to help?
Oral alginate
Expected duration of CROUP
2 days/48 hours
Expected duration of SORE THROAT
2-7 days
Expected duration of EAR ACHE
7-8 days
Expected duration of COMMON COLD
15 days
Expected duration of Non-specific RTI
16 days
Expected duration of BRONCHIOLITIS
21 days
Expected duration of ACUTE COUGH
25 days
