Paeds Year 4

Question 1

How to calculate maintenance fluid over 24 hrs?

Answer 1

• First 0 - 10 kg = 100ml/kg/day
• 2nd 10kg (10 - 20kg) = 50ml/kg/day
• Rest of weight is 20ml/kg/day

Question 2

What is antisocial personality disorder known as in kids?

Answer 2

Conduct disorder

Question 3

When can a child return to school in Fifth syndrome?

Answer 3

Once rash appears
(“slapped cheek syndrome” - Parvovirus B19)

Question 4

What is the management of pyloric stenosis?

Answer 4

Laprascopic pyloromyotomy

Question 5

What are the causative organisms of meningitis in baby less or equal to 3 months and kids younger than 6?

Answer 5

Neonate
- GBS
- E coli
- Listeria

1 month and older:
- N Meningitidis
- Hib
- Strep pneumoniae

Question 6

AntiBs given to babies less than 3 months with meningitis?

Answer 6

IV amoxicillin (or ampicillin) + IV cefotaxime

Question 7

Why is amoxicillin or ampicillin given in adjunct with a cefotaxime in babies less than 3 months old?

Answer 7

To cover gram +ve organisms such as (GBS, E coli and listeria)

Question 8

Achondroplasia affects what gene?

Answer 8

Fibroblast growth factor receptor 3 (FGFR-3) gene

Question 9

What organism may cause patients to adopt a classic ‘tripod’ position (easier to breathe if they are leaning forward and extending their neck in a seated position)?

Answer 9

Hib - acute epiglottitis

Question 10

What is most commonly seen on X-ray in Perthes disease?

Answer 10

• Femoral head collapse
• Fragmentation suggestive of osteonecrosis

Question 11

What childhood devvelopmental condition cvause otitis media and lymphoedema?

Answer 11

Turners

Question 12

If a child is < 3 months and > 38 degC what is the option for management?

Answer 12

Refer immeaditely to hospital

Question 13

What organism causes Roseola infantum?

Answer 13

HHV-6

Question 14

erythema infectiosum can also be called another 2 names and is associuated with what organism?

Answer 14

• Fifth disease
• Slapped cheek syndrome
• Parvovirus B19

Question 15

Precocious puberty at what age in boys and girls?

Answer 15

• Boys - 9
• Girls - 8

Question 16

How is pertusis detected?

Answer 16

Nasal swab

Question 17

A perforated ear drum and no infection what is the management?

Answer 17

Conservative

Question 18

When does malrotation vs intestinal atresia present?

Answer 18

• Malrotation 3 - 7 days after birth
• Intestinal atresia within 24hrs

Question 19

At what age can children smile?

Answer 19

6 weeks

Question 20

Knee pain and stiff hip in fat child?

Answer 20

sufe

Question 21

APGAR

Answer 21

• Appearance (Blue -> pink)
• Pulse ( 0 - 100 - >100)
• Grimace/ reflex (floppy - Max response to stimulation)
• Activity (absent - flexed - active)
• Resp (Absent -Slow cry - Vigorous cry)

Question 22

What is the most common cause of respiratory distress in a newborn?

Answer 22

Transient tachypnoea of newborn

Question 23

What childhood developmental condition has low set ears?

Answer 23

Edwards syndrome (trisomy 18)

Question 24

What condition shows Gower’s sign (uses hands to get up from floor in an abnormal way)?

Answer 24

Muscular dystophy

Question 25

How is muscular dystrophy inherited?

Answer 25

X-linked rec
- Females can still show some symptoms

Question 26

Osteomyelitis effects where in children vs adults?

Answer 26

Children metaphysis and adults epiphysis

Question 27

Osteogeneis Imperfecta defect in what?

Answer 27

Type 1 collagen synthesis

Question 28

What drug is given as prophylaxis for bronchiolitis?

Answer 28

Palivizumab

Question 29

Dimercaptosuccinic acid (DMSA) scintigraphy scan checks for what and is done when?

Answer 29

4 months after UTI
- Checks for renal scarring

Question 30

Micturating cystourethrogram (MCUG) checks what?

Answer 30

Abnormal bladder function

Question 31

What symptoms in HSP are present?

Answer 31

• Joint pain
• Abdo pain
• Purpuric rash on extensor surfaces and buttocks
• Recent viral infection
• Haematuria on dipstick