Paeds workshops

Question 1

What is an unlicensed medication?

Answer 1

A medication with no UK license

Question 2

What is an off label medication?

Answer 2

One that is used outside of its license - e.g. different indication, dose of frequency

Question 3

What is diarrhoea?

Answer 3

More than 3 stools per day

Question 4

How does loperamide work?

Answer 4

Slows intestinal motility

Question 5

Management of GORD in children

Answer 5

Reassurance, gaviscon initially then add ranitidine

Question 6

Symptoms of coeliac disease

Answer 6

Diarrhoea, pale stools, abdominal bloating, growth failure, anaemia, often asymptomatic

Question 7

Diagnosis of coeliac disease

Answer 7

Endoscopy with duodenal biopsy
TTG >10x normal
Anti-endomysial antibodies

Question 8

Histology findings of coeliac disease

Answer 8

Crypt hyperplasia with flattening of villi

Question 9

What is a raised faecal calprotectin associated with?

Answer 9

Associated with inflammatory bowel disease

Question 10

What is constipation?

Answer 10

Less than 3 stools per week

Question 11

Name 2 stool softeners

Answer 11

Movicol, Lactulose

Question 12

Name two stimulants

Answer 12

Docusate
Senna

(docusate may be useful for older children as it is a softener AND a stimulant and available in tablet form)

Question 13

skips, oedema, inflammation, cryptitis and abscesses, 30% of patients have granulomas

Answer 13

Crohn’s

Question 14

polymorph nuclear leucocytes near base of crypts, crypt abscesses, no granulomas

Answer 14

Ulcerative colitis