passmed paeds Flashcards
hat does x linked recessive mean
from mother to son
can a man with x linked recessive condition pass to son
no
cyanotic chd presenting within 1st days of life vs 1-2 months
first days- Transposition of great arteries
1-2 months - TOF
Patau syndrome ,chromosome abnormality and features ?
13
polydactyl - extra fingers
low set ears
cleft palate
edwards syndrome , chromosome abnoramlity and features
trisomy 18
micrognathia
low set ears
rocker bottom feet
overlapping of fingers
how does mitochondrial inheritance work
only via the maternal blood line
tx for whooping cough and is it notifiable
azithromycin
yes
first sign of puberty in boys
increase testicular volume
progressive hip pain, limp and stiffness in 6 yr old child would indicate ?
perthes disease
salmon pink rash would indicate ?
juvenile idiopathic arthritis
what is caput succedaneum
puffy swelling that usually occurs overs the presenting part and crosses suture lines
after ventouse delivery
first line tx for threadworms
mebendazole
at what times would you assess apgar score
1 and 5 minutes
differentiating feature of epilepsy vs reflex anoxic seizures
reflex anocix seizures have a rapid recovery
child has outgoing personality , aortic stenosis ?
williamms
how would fragile x present
learning difficulties
macrocephaly
long face
long ears
webbed neck, pectus excavatum and short stature would indicate
noonan syndrome
PULMONARY STENOSIS
CLEFT PALATE, and posterior displacement of tongue
pierre robin syndrome
what screening tool would you use to test a newborns hearing
otoacoustic emission test
osgood schlatter disease occurs due to inflammation and swelling at what joint
tibial tuberosity
what is included in APGAR TESTING
pulse, rr,color, muscle tone, reflex irritability
what organism causes threadworms
enterobus vermicularis
what is the barlow manouvere
attempted dislocation of the femoral head
what is the ortolani manouvere
attempt to relocate a dislocated femoral head
what is a ci for lung transplant in CF patients
infection with burkholderia cepacia
first line mx for PDA in neonate
give indomethacin to the neonate
Prophylactic tx for sickle cell
Penicillamine
scarlet fever presentation
pale area around mouth
strawberry tongue
fine punctuate erythematous rash
abx of choice for whooping cough and guidelines
clarithromycin/ azithromycin within 21 days of symptom onset
what dermatological condition would have a sand paper like rash and what would you give
scarlet fever
oral pen for 10 days and can return to school after 24hrs
abx tx for meningitis for under 3months and over 3 months
under 3 months
IV CEFOTAXIME AND IV AMOX
over 3 months
IV cefotaxime
mollusc contagious is caused by what virus
pox virus
what would iron studies show for iron def anaemia
low transferrin , low ferritin, high TIBC
What are the features of beta thalassaemia major
raised Hba2 ad HBf
low Hba
what type of hearing loss occurs in glue ear
conductive
what is common complication of otitis media
mastoiditis
how would you differentiate between ALL and ITP
ALL - pancytopenia , x3 low
itp- recent inf and only low platelets
newborn child surveillance tests
NIPE
newborn hearing programme
first month surveillance tests
heel prick day 5-9
TYPES of cerebral palsy
spastic
dyskinetic
ataxic
mixed
what causes dyskinetic cerebral palsy
damage to basal ganglia and substantia nigra
foetal alcohol syndrome would present as
flattened phuiltrium
small eyes
lack of nose bridge
cardiac murmurs
medication for spasticity in cerebral palsyt
oral diazepam
baclofen
differentials for poor growth and loose stools
cows milk protein allergy
coeliac
gord
lactose intoleracde
intusussecption
investigation for CWPA
skin prick testing
first line management for cmpa
extensively hydrolysed formula milk
first line for viral induced wheeze
salbutamol
1st line and second line for adhd
methylphenidate
lisdexamfetamine
features of necrotising enterocolitis
abdo distension
vomitting
bloody stools
feeding intolerance
turners is linked to what cardiac condition
bicuspid aortic valve