Paeds

Question 1

breast milk failure jaundice

Answer 1

• PC: first week Dehydration

- poor latch: decrease bilirubin elimination, increase enterohepatic

Question 2

tx breast milk failure jaundice

Answer 2

breast feed every 2-3hrs 15 minutes per side

Question 3

umbilicated vesicles on top of atopic dermatitis

Answer 3

= HSV-1 eczema herpeticum– life threatening

Question 4

transient synovitis vs. LCP

Answer 4

faster onset with transient synovitis;

do XR to exclude

Question 5

fanconi anaemia

Answer 5

aplastic chromosomal breaks

Question 6

breast feeding does NOT decrease the risk of…

Answer 6

endometrial cancer

Question 7

tripple bubble=

Answer 7

jejunal atresia;

secondary to vascular accident in utero: cocaine or smoking

Question 8

todd’s paralysis

Answer 8

post-seizure: restore motor function in 24hrs

Question 9

post-pericardiotomy syndrome

Answer 9

= BECKS TRIAD

- distant heart sounds, hypotension, increase jugular veins

Question 10

goats milk leads to….

Answer 10

FOLATE deficiency– macrocytic anaemia

Question 11

B2 leads to…

Answer 11

normocytic

normochromic anaemia

Question 12

metatarsus adductus passive and active overcorrects AB

Answer 12

reassurance

Question 13

severe metatarsus adductus, when to do surgery

Answer 13

ASAP: stretch/manipulate/cast;

3-6 MONTHS

Question 14

ALL is what positive

Answer 14

PAS POSITIVE

Question 15

tx radial head subluzation

Answer 15

REDUCTION

• hyperpronation OR
• supination and flexion

Question 16

preme vaccines–

Answer 16

SAME SAME SAME schedule by age,

EXCEPT– hep B vaccine must be greater than 2kg

Question 17

painful eyes and diplopia in a kid

Answer 17

orbital celulitis

Question 18

stridor that improves with neck extension

Answer 18

vascular ring

Question 19

age for vascular ring

Answer 19

less than 1 yo

a/w cardiac abnormalities

Question 20

imaging for neuroblastoma

Answer 20

calcification and haemorrhage

Question 21

Dx HIV in baby with PCR

Answer 21

up until 18months

Question 22

confirm lead poisoning

Answer 22

venous sampling

Question 23

NAI burn

Answer 23

sparing flexors

NO splash marks

Question 24

malrotation imaging:

Answer 24

upper GIT contrast study

Question 25

eye: follicular conjunctivitis and pannus

Answer 25

trachoma

Question 26

triad of symptoms lead poisoning

Answer 26

• metabolic acidosis
• haematemesis
• abdo pain

Question 27

trauma to the soft palate=

Answer 27

ICA dissection–> stroke

Question 28

tx androgen insensivity syndrome

Answer 28

gonadectomy post-puberty

Question 29

cough–> can lead to

Answer 29

subcutaneous emphysema

Question 30

platelets in wiskott aldrich

Answer 30

small platelets

Question 31

MCC CP

Answer 31

PREME

Question 32

bruit at the costovertebral angle=

Answer 32

fibromuscular dysplasia

Question 33

murmur TOF

Answer 33

harash SEM, crescendo-decrescendo at LLUSB with single S2

Question 34

venom immunotx

Answer 34

anaphylaxis

Question 35

pavlik

Answer 35

less than 6 months

Question 36

XR for DDH

Answer 36

greater than 6 months

Question 37

wry neck—>

Answer 37

c-spine XR

Question 38

cervical adenitis tx

Answer 38

clindamycin

Question 39

california at risk for

Answer 39

botox spores

Question 40

other name for CF diagnosis

Answer 40

pilocarpine elecetrophoresis

Question 41

fam hx
L axis deviation
decrease pulmonary vascular markings

Answer 41

TRICUSPID VALVE ATRESIA

Question 42

which childhood brain tumour can present in infratentorial and supratentorial

Answer 42

PILOCYTIC ASTROCYTOMA

Question 43

varicella PEP– never been vaccinated

Answer 43

immunocompromised: 10days VGIV
immunocompetent: varicella vaccine

Question 44

PC: non-TB mycobacterial lymphadenitis

Answer 44

thin skin and violaceous

Question 45

painless bloody stools + ECZEMA

Answer 45

milk protein allergy/ enterocolitis

Question 46

ACUTE abnormal menstrual bleeding in 16yo

Answer 46

immature HPA– still getting anovulatory cycles–> thus tx= high doses of estrogen