Paeds Infections

Question 1

5 live attenuated vaccines

Answer 1

BCG
MMR
Chickenpox
Nasal influenza 
Rota virus

Question 2

HPV strains causing genital warts

Answer 2

6 and 11

Question 3

HPV strains causing cervical cancer

Answer 3

16 and 18

Question 4

Gram neg diplococci

Answer 4

Neisseria meningitidis

Question 5

LP for all children:

Answer 5

Under 1 month with fever
1-3 months with fever and unwell
Under 1 year with unexplained fever and other features of serious illness

Question 6

Kernig’s Test

Answer 6

Flex hip and knee to 90 degrees then straighten to elicit pain in meninges

Question 7

Brudinskis test

Answer 7

Flex chin to chest causing involuntary flexion of hips and knees due to meningeal irritation

Question 8

Community Mx of meningococcal meningitis

Answer 8

IM benpen and 999 transfer

Question 9

Meningitis Mx under 3 months

Answer 9

IV cefotaxime and amoxacillin

Question 10

Meningitis Mx over 3 months

Answer 10

Ceftriaxone

Question 11

Post exposure prophylaxis to meningitis

Answer 11

Single dose ciprofloxasin

Question 12

LP with neutrophils

Answer 12

Bacterial

Question 13

LP with lymphocytes

Answer 13

Viral

Question 14

LP turbid / cloudy / opaque

Answer 14

Bacterial

Question 15

LP with protein > 1.5 g/L

Answer 15

Bacterial

Question 16

Key complication on meningitis requiring follow up

Answer 16

Hearing loss

Question 17

Red light color of skin

Answer 17

Pale
Mottled
Ashen
Blue

Question 18

Red light activity

Answer 18

No response to social cues
Appears unwell
Does not wake or stay awake
Weak or high pitched cry

Question 19

Red light respiratory

Answer 19

Grunting
RR > 60
Chest indrawing

Question 20

Red light circulation

Answer 20

Reduced skin turgor

CRT > 4 sec

Question 21

Red light other

Answer 21

< 3 months with 38C fever

Non blanching rash

Bulging fontanelle

Neck stiffness

Status epilepticus

Focal neuro signs

Focal seizures

Question 22

Intensely itchy maculopapular rash after amoxacillin

Answer 22

Mononucleosis

Question 23

Heterophile antibody tests for EBV

Answer 23

Mono spot test (horse RBCs)

Paul-Bunnell test (sheep RBCs)

Question 24

Specific antibody tests for EBV

Answer 24

Anti Viral capsid antigen antibodies (anti VCA)

IgM = acute infection 
IgG = immunity

Question 25

Cancer associated with EBV

Answer 25

Burkitts Lymphoma

Question 26

What to avoid after mono

Answer 26

Alcohol
Contact sports
Amoxacillin

Question 27

Mumps transmission

Answer 27

Resp droplets

Question 28

Mumps presentation

Answer 28

Prodrome of fever, aches, lethargy

Parotid swelling and pain

Question 29

Mumps dx

Answer 29

Saliva swab for PCR

Serum antibodies

Question 30

Mums complications

Answer 30

Pancreatitis 
Orchitis
Meningitis
Encephalitis
Sensorineural hearing loss

Question 31

Measles transmission

Answer 31

Resp droplets

Question 32

Measles presentation

Answer 32

Fever, coryzal sx, conjunctivitis
Koplik spots
Erythematous macular rash starts on face behind ears and spreads to rest of body

Question 33

Complications of measles

Answer 33

Pneumonia 
Meningitis/encephalitis
Hearing loss
Vision loss
Death

Question 34

Rubella transmission

Answer 34

Resp droplets

Question 35

Rubella presentation

Answer 35

Erythematous macular rash starting on face and spreads to rest of body

Lymphadenopathy behind ears and back of neck

Question 36

Rubella complications

Answer 36

Thrombocytopaenia
Encephalitis
Congenital rubella syndrome (deafness, blindness and heart disease)