Paeds

Question 1

Scaphoid abdomen

Answer 1

Diaphragmatic hernia

Question 2

Nitrogen washout

Answer 2

Differentiates between congenital heart disease and respiratory disease.
Fast release of nitrogen (positive) menas congenital heart disease

Question 3

Crossed eyed child

Answer 3

Must ask whether vomited this morning

Question 4

Flexure sparing rash

Answer 4

Nappy rash

Rx = barrier cream e.g. zinc or castor oil

Question 5

Non flexure sparing

Answer 5

fungal infection

Rx = clotrimazole

Question 6

Satellite lesions

Answer 6

fungal infection

Rx = clotrimazole

Question 7

Pruritus ani

Answer 7

threadworm

Rx = mebendazole single dose with second dose available in 2 weeks

Question 8

Assessment of depression in LD

Answer 8

physical symptoms are important like poor sleep and weight loss

Question 9

Diarrhoea with no fever or vomiting

Answer 9

E Coli

Question 10

Diarrhoea with vomiting and fit (10%)

Answer 10

Shigella

Question 11

Double stomach bubble on x ray

Answer 11

duodenal atresia

Question 12

Previous intubation

Answer 12

Subglottic stenosis

Question 13

JIA Rx?

Answer 13

Corticosteroids or methotrexate.

> 6 weeks arthropathy

Question 14

Epilepsy: Lennox-Gastaut Type

Answer 14

Multiple seizures daily which are difficult to treat and associated with personality changes
Rx: sodium valproate

Question 15

EEG: slow spike waves with abnormalities

Answer 15

Lennox Gastaut type

Question 16

Epilepsy: Juvenile myoclinic epilepsy

Answer 16

Teenager who drank alcohol. Symmetrical arm and leg jerking

Rx: sodium valproate

Question 17

Epilepsy: Benign Rolandic epilepsy

Answer 17

Nocturnal
Mouth and face twitching
Generally children grow out of it
Rx: carbemazepine

Question 18

EEG: 3 (2) spike wave per second

Answer 18

Absence seizure

Question 19

High spike in left centrotemporal lobe

Answer 19

Benign Rolandic

This is known as the Rolandic fissure

Question 20

Pyloric Stenosis Rx

Answer 20

NMB, IV fluids, NG tube and Ramstedt procedure