passmed paeds

Question 1

hat does x linked recessive mean

Answer 1

from mother to son

Question 2

can a man with x linked recessive condition pass to son

Answer 2

no

Question 3

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

Answer 3

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

Question 4

Patau syndrome ,chromosome abnormality and features ?

Answer 4

13
polydactyl - extra fingers
low set ears
cleft palate

Question 5

edwards syndrome , chromosome abnoramlity and features

Answer 5

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

Question 6

how does mitochondrial inheritance work

Answer 6

only via the maternal blood line

Question 7

tx for whooping cough and is it notifiable

Answer 7

azithromycin
yes

Question 8

first sign of puberty in boys

Answer 8

increase testicular volume

Question 9

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

Answer 9

perthes disease

Question 10

salmon pink rash would indicate ?

Answer 10

juvenile idiopathic arthritis

Question 11

what is caput succedaneum

Answer 11

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

after ventouse delivery

Question 12

first line tx for threadworms

Answer 12

mebendazole

Question 13

at what times would you assess apgar score

Answer 13

1 and 5 minutes

Question 14

differentiating feature of epilepsy vs reflex anoxic seizures

Answer 14

reflex anocix seizures have a rapid recovery

Question 15

child has outgoing personality , aortic stenosis ?

Answer 15

williamms

Question 16

how would fragile x present

Answer 16

learning difficulties
macrocephaly
long face
long ears

Question 17

webbed neck, pectus excavatum and short stature would indicate

Answer 17

noonan syndrome
PULMONARY STENOSIS

Question 18

CLEFT PALATE, and posterior displacement of tongue

Answer 18

pierre robin syndrome

Question 19

what screening tool would you use to test a newborns hearing

Answer 19

otoacoustic emission test

Question 20

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

Answer 20

tibial tuberosity

Question 21

what is included in APGAR TESTING

Answer 21

pulse, rr,color, muscle tone, reflex irritability

Question 22

what organism causes threadworms

Answer 22

enterobus vermicularis

Question 23

what is the barlow manouvere

Answer 23

attempted dislocation of the femoral head

Question 24

what is the ortolani manouvere

Answer 24

attempt to relocate a dislocated femoral head

Question 25

what is a ci for lung transplant in CF patients

Answer 25

infection with burkholderia cepacia

Question 26

first line mx for PDA in neonate

Answer 26

give indomethacin to the neonate

Question 27

Prophylactic tx for sickle cell

Answer 27

Penicillamine

Question 28

scarlet fever presentation

Answer 28

pale area around mouth strawberry tongue fine punctuate erythematous rash

Question 29

abx of choice for whooping cough and guidelines

Answer 29

clarithromycin/ azithromycin within 21 days of symptom onset

Question 30

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

Answer 30

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

Question 31

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

Answer 31

under 3 months IV CEFOTAXIME AND IV AMOX over 3 months IV cefotaxime

Question 32

mollusc contagious is caused by what virus

Answer 32

pox virus

Question 33

what would iron studies show for iron def anaemia

Answer 33

low transferrin , low ferritin, high TIBC

Question 34

What are the features of beta thalassaemia major

Answer 34

raised Hba2 ad HBf low Hba

Question 35

what type of hearing loss occurs in glue ear

Answer 35

conductive

Question 36

what is common complication of otitis media

Answer 36

mastoiditis

Question 37

how would you differentiate between ALL and ITP

Answer 37

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

Question 38

newborn child surveillance tests

Answer 38

NIPE newborn hearing programme

Question 39

first month surveillance tests

Answer 39

heel prick day 5-9

Question 40

TYPES of cerebral palsy

Answer 40

spastic dyskinetic ataxic mixed

Question 41

what causes dyskinetic cerebral palsy

Answer 41

damage to basal ganglia and substantia nigra

Question 42

foetal alcohol syndrome would present as

Answer 42

flattened phuiltrium small eyes lack of nose bridge cardiac murmurs

Question 43

medication for spasticity in cerebral palsyt

Answer 43

oral diazepam baclofen

Question 44

differentials for poor growth and loose stools

Answer 44

cows milk protein allergy coeliac gord lactose intoleracde intusussecption

Question 45

investigation for CWPA

Answer 45

skin prick testing

Question 46

first line management for cmpa

Answer 46

extensively hydrolysed formula milk

Question 47

first line for viral induced wheeze

Answer 47

salbutamol

Question 48

1st line and second line for adhd

Answer 48

methylphenidate lisdexamfetamine

Question 49

features of necrotising enterocolitis

Answer 49

abdo distension vomitting bloody stools feeding intolerance

Question 50

turners is linked to what cardiac condition

Answer 50

bicuspid aortic valve