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Passmed Paeds Y5 > Passmed 3 > Flashcards

Passmed 3 Flashcards

1
Q

What inf can piggyback on a chickenpox infections

A

Chickenpox increases the risk of invasive group A streptococcal soft tissue infections including necrotising fasciitis
(staph A)

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2
Q

What might cause a more severe form of bronchiolitis

A

Congen heart disease

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3
Q

What is a ‘tet’ spell

A

cyanosis and loss of consciousness following a period of upset - also ejection systolic murmer
asso with tetralogy of fallot

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4
Q

what intervention reduces the likelihood of significant hypoxic-ischaemic brain injury in newborns

A

therapeutic cooling

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5
Q

what virus causes croup

A

parainfluenza virus

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6
Q

when do febrile convulsions typically occur

A

6mo to 5y

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7
Q

what is the diagnostic inv for nec and what will it show

A

abdo xray

dilated loops, bowel wall oedema, intramural gas, football sign, rigler sign

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8
Q

when are APGAR scores measured

A

1, 5 and 10 mins of life

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9
Q

what will blood tests in pyloric stenosis show

A

hypochloraemic, hypokalaemic alkalosis

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10
Q

what is the inv of choice for VUR

A

micturating cysturethrogram

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11
Q

what s the most common complication and most common cause of death in measels

A 
complication = otitis media
death = pneumonia
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12
Q

what is ITP often preceded by

A

self limiting viral inf (eg glandular fever)

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13
Q

how may whooping cough present alternatively in young infants

A

young infants unable to take large breath required for whoop after fits

present with apnoea + the classic coryzal symptoms followed by violent coughing fits

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14
Q

what cardiac complication is associated with fragile X syndrome

A

mitral valve prolapse

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15
Q

how will fragile X syndrom present

A 
Learning difficulties
large low set ears, long thin face, high arched palate
macroorchidism
hypotonia
autism is more common
mitral valve prolapse
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16
Q

how will infantile colic present

A

characterised by bouts of excessive crying and pulling-up of the legs, often worse in the evening

17
Q

what is the gold standard for diagnosis of hirchsprungs disease

A

rectal biopsy

18
Q

what is a major risk factor for NRDS

A

prematurity

19
Q

what is a major risk factor for TTN

A

C sec

20
Q

what is a major risk factor for aspiration pneumonia

A

meconium staining of liquor

21
Q

what are the specific indicators of a life threatening asthma attack

A 
Cyanosis
Poor respiratory effort
Peak expiratory flow rate < 33%
Silent chest
Altered level of consciousness
normal pCO2
22
Q

main cause of large painless GI bleed in infants

A

Meckels diverticulum

23
Q

most common cause of headaches in kids

A

migraine

24
Q

what is assessed to give an apgar score

A 
pulse
resp effort
colour
muscle tone
reflex irritability
25
Q

what medication is given to maintain a patent ductus arteriosus and when is it given

A

prostaglandin E1 given in cyanotic congen heart disease

26
Q

when should a child with scarlet fever return to school

A

24 hrs after staring antibiotics

27
Q

If a child has a tet spell, what murmer will the likely have

A

mid-systolic ejection murmer

28
Q

How will DKA present on bloods

A

PH < 7.3 or bicarbonate < 15
Hyperglycaemia (>11)
Blood ketones >3

29
Q

what is the first line treatment for intersussception

A

Reduction using fluoroscopy with air

30
Q

how is NEC managed

A

laparotomy

31
Q

what is the treatment for hirschprungs

A

initially rectal washouts, then an anorectal pull through procedure

32
Q

what is the first line treatment of suspected mycoplasma pneumonia in children

A

erythromycin

33
Q

what is the typical history of bronchiolitis

A

increasing breathlessness, wheezing and reduced feeding, preceded by mild coryzal symptoms

34
Q

what are some red flags according to the NICE paediatric traffic light system

A 
resp rate >60
grunting
reduced skin turgor 
<3mo and temp >38
non blanching rash
bulging fontanelle
neck stiffness
status elipticus
35
Q

what is the most common cause of childhood hypothyroidism in the uk

A

AI thyroiditis

36
Q

what blood test finding would support a diagnosis of biliary atrasia

A

raised conjugated billirubin

Passmed Paeds Y5 (4 decks)

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