passmed paeds Flashcards

1
Q

hat does x linked recessive mean

A

from mother to son

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2
Q

can a man with x linked recessive condition pass to son

A

no

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3
Q

cyanotic chd presenting within 1st days of life vs 1-2 months

A

first days- Transposition of great arteries
1-2 months - TOF

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4
Q

Patau syndrome ,chromosome abnormality and features ?

A

13
polydactyl - extra fingers
low set ears
cleft palate

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5
Q

edwards syndrome , chromosome abnoramlity and features

A

trisomy 18
micrognathia
low set ears
rocker bottom feet
overlapping of fingers

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6
Q

how does mitochondrial inheritance work

A

only via the maternal blood line

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7
Q

tx for whooping cough and is it notifiable

A

azithromycin
yes

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8
Q

first sign of puberty in boys

A

increase testicular volume

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9
Q

progressive hip pain, limp and stiffness in 6 yr old child would indicate ?

A

perthes disease

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10
Q

salmon pink rash would indicate ?

A

juvenile idiopathic arthritis

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11
Q

what is caput succedaneum

A

puffy swelling that usually occurs overs the presenting part and crosses suture lines

after ventouse delivery

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12
Q

first line tx for threadworms

A

mebendazole

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13
Q

at what times would you assess apgar score

A

1 and 5 minutes

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14
Q

differentiating feature of epilepsy vs reflex anoxic seizures

A

reflex anocix seizures have a rapid recovery

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15
Q

child has outgoing personality , aortic stenosis ?

A

williamms

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16
Q

how would fragile x present

A

learning difficulties
macrocephaly
long face
long ears

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17
Q

webbed neck, pectus excavatum and short stature would indicate

A

noonan syndrome
PULMONARY STENOSIS

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18
Q

CLEFT PALATE, and posterior displacement of tongue

A

pierre robin syndrome

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19
Q

what screening tool would you use to test a newborns hearing

A

otoacoustic emission test

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20
Q

osgood schlatter disease occurs due to inflammation and swelling at what joint

A

tibial tuberosity

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21
Q

what is included in APGAR TESTING

A

pulse, rr,color, muscle tone, reflex irritability

22
Q

what organism causes threadworms

A

enterobus vermicularis

23
Q

what is the barlow manouvere

A

attempted dislocation of the femoral head

24
Q

what is the ortolani manouvere

A

attempt to relocate a dislocated femoral head

25
Q

what is a ci for lung transplant in CF patients

A

infection with burkholderia cepacia

26
Q

first line mx for PDA in neonate

A

give indomethacin to the neonate

27
Q

Prophylactic tx for sickle cell

A

Penicillamine

28
Q

scarlet fever presentation

A

pale area around mouth
strawberry tongue
fine punctuate erythematous rash

29
Q

abx of choice for whooping cough and guidelines

A

clarithromycin/ azithromycin within 21 days of symptom onset

30
Q

what dermatological condition would have a sand paper like rash and what would you give

A

scarlet fever
oral pen for 10 days and can return to school after 24hrs

31
Q

abx tx for meningitis for under 3months and over 3 months

A

under 3 months
IV CEFOTAXIME AND IV AMOX

over 3 months
IV cefotaxime

32
Q

mollusc contagious is caused by what virus

A

pox virus

33
Q

what would iron studies show for iron def anaemia

A

low transferrin , low ferritin, high TIBC

34
Q

What are the features of beta thalassaemia major

A

raised Hba2 ad HBf
low Hba

35
Q

what type of hearing loss occurs in glue ear

A

conductive

36
Q

what is common complication of otitis media

A

mastoiditis

37
Q

how would you differentiate between ALL and ITP

A

ALL - pancytopenia , x3 low
itp- recent inf and only low platelets

38
Q

newborn child surveillance tests

A

NIPE
newborn hearing programme

39
Q

first month surveillance tests

A

heel prick day 5-9

40
Q

TYPES of cerebral palsy

A

spastic
dyskinetic
ataxic
mixed

41
Q

what causes dyskinetic cerebral palsy

A

damage to basal ganglia and substantia nigra

42
Q

foetal alcohol syndrome would present as

A

flattened phuiltrium
small eyes
lack of nose bridge
cardiac murmurs

43
Q

medication for spasticity in cerebral palsyt

A

oral diazepam
baclofen

44
Q

differentials for poor growth and loose stools

A

cows milk protein allergy
coeliac
gord
lactose intoleracde
intusussecption

45
Q

investigation for CWPA

A

skin prick testing

46
Q

first line management for cmpa

A

extensively hydrolysed formula milk

47
Q

first line for viral induced wheeze

A

salbutamol

48
Q

1st line and second line for adhd

A

methylphenidate
lisdexamfetamine

49
Q

features of necrotising enterocolitis

A

abdo distension
vomitting
bloody stools
feeding intolerance

50
Q

turners is linked to what cardiac condition

A

bicuspid aortic valve

51
Q
A