passmed 15/01/24

Question 1

child under 3 presents with an acute limp what is most appropriate next step?

Answer 1

urgent paeds assessment

Question 2

perthes disease?

xray changes?

Answer 2

avascular necrosis of femoral head
widening of joint space
sub chondral linear lucency

Question 3

kawasaki disease

mx?

Answer 3

fever 5 days
strawberry tongue and lymphadenopathy

aspirin
iv immunoglobulin

Question 4

mx of scarlet fever

Answer 4

oral penicillin 10 days

Question 5

measles complication?

Answer 5

otitis media
pneumonia
encephalitis
SSPE (later on)

Question 6

measles rash

Answer 6

prodrome phase

koplik spots buccal mucosa
mamculopapular ears > body
blotchy and confluent

Question 7

meningitis in <3 mx?

why is second Iv drug given in this age group?

Answer 7

IV cefotaxime
and IV amoxicillin
risk of listeria infection

Question 8

DDH
screening at 6 weeks?
risk factors

Answer 8

breech babies
oligohydramnios
birth weight >5
first degree hx

USS of pelvis

Question 9

mx of DDH

Answer 9

spontaneoulsy by 3-6 weeks
pavlik harness
surgery

Question 10

benign rolandic epilepsy

EEG findings?

Answer 10

4-12 years old
childhood epilepsy
partial seizures during sleep
centrotemporal spikes

Question 11

west syndrome?

Answer 11

first yera of life - sudden involuntary contractions of the head / neck / trunk

Question 12

juvenile myoclonic epilepsy

Answer 12

myoclonic and generalised tonic - clonic seizures

Question 13

kawasaki disease
crash

complication

Answer 13

high fever unresponsive to meds
strawberry tongue and desquamation of extremities

conjunctivitis
rash
adenopathy
strawberry tongue
hands and feet
burn >5

coronary artery aneurysm

Question 14

hypoglycaemia of neonate
symptomatic or very low glucose?

Answer 14

admit to neonatal unit and infuse 10% dextrose

Question 15

neontal hypoglycaemia

Answer 15

<2.6 mmol/l