Passmed (Paeds)

Question 1

What is a salmon pink rash asssociated with?

Answer 1

JIA

Question 2

In a neonate with resp distress what would tinkling sounds indicate?

Answer 2

Diaphragamtic hernia

Question 3

What is the managment (after anti-pyretics) for febrile seizures?

Answer 3

Same as status epilepticus (buccal midazolam or rectal diazopam)

Question 4

First line management for kawasaki?

Answer 4

IVIG & aspirin

Question 5

Which management for whooping cough

Answer 5

Prescribe oral clarithromycin

§

Question 6

Undescended testicles are associated with an increased risk of what?

Answer 6

infertility, torsion and testicular cancer

Question 7

investigation of choice for reflux nephropathy

Answer 7

Micturating cystography

Question 8

What is Osgood Shatters? Where is the pathology?

Answer 8

Common in overactive teenage kids. Inflammation at tibial tuberosity

Oh good my tendon shattered

Question 9

How can measles be differentiated from chicken pox?

Answer 9

Classically maculopapular - not vesicular!

Question 10

How can we differentiare rubella from chicken pox?

Answer 10

Classically presents as rash to start with ‘fine round spots’ and is not pruitic usually

Question 11

What is addisons disease? Diarrhoea or consptiation causing?

Answer 11

Primary adrenal insufficiency - causes diarrhoea, since low

Question 12

What is osteochondritis dissecans?

Answer 12

Where there is a fragment of bone in the knee; pain swelling & locking

Question 13

How do remember the fine motor skills of a child

Answer 13

Like a clock; 0-3 is follow 3-6 reaching, 6-9 is transfering 9-12 pincer

Question 14

Most common complication of measles?

Answer 14

Otitis media

Question 15

What hearing tests do newborns get if they fail otoacoustic emission?

Answer 15

Auditory brainstem response test

Question 16

Investigation for intussuception?

Answer 16

Ultrasound

Question 17

Which abx for pseudomanas in CF cases?

Answer 17

oral ciprofloxacin

Question 18

Even though we suspect transient synovitis why should we admit to the hospital for admission?

Answer 18

if fever, scared of septic arthritis

Question 19

What do we need to consider with babies born at breech?

Answer 19

6weeks Ultrasound for DDH

Question 20

Hearing taste done at schools?

Answer 20

Pure tone audiometry

Question 21

What should be given to any children who happen to have an asthma excaerbation?

Answer 21

Prednisolone for like 5 days

Question 22

What murmur is heard in tetralogy of fallot?

Answer 22

Ejection systolic

Question 23

How might coarctation of the aorta present?

Answer 23

Weak femoral pulses; tachypnoea; poor feeding

Question 24

What should be considered in an infant with lethargy, poor feeding and no fever?

Answer 24

Cold sepsis

Question 25

Ix of duchenne muscular dystrophy: gold standard?

Answer 25

Genetic testing

Question 26

Undescended testis - at what age to review for referral?

Answer 26

At 3 months

Question 27

SFE causes what type of loss of rotation?

Answer 27

Loss of internal rotation in flexion

Question 28

Classic triad of shaken baby syndrome?

Answer 28

RED: retinal haemorrhages, encephalopathy, subDural haemorrhages

Question 29

Edwards syndrome is trisomy 18. What are some features?

Answer 29

Rocker bottom feet, small chin.

Question 30

What is cryptorchidism

Answer 30

Hidden orchids, associated with hypospadias

Question 31

How to remember the language & hearing milestones?

Answer 31

7mth babbles, 18mth few words, 2 years sentences together

Question 32

With febrile seizures what can be offered for recurrent febrile convulsions?

Answer 32

Rectal diazepam or buccal midazolam