past paper stuff Flashcards
How do you manage testicular torsion
exploratory laparotomy
what mechanism does semi circular bruises occur to
non accidental injury
inverted ankles and plantar flexed sign
talipes equinovarus
kid with speech problems, who do you refer to?
Speech and language therapy (SALT)
child development team
12 year old and 13 year old having sex, who do you refer to
safeguarding lead
- Kid with diarrhoea for the last few months with pieces of vegetables undigested, otherwise healthy
Toddler’s diarrhoea
6 year old kid with Down’s syndrome with bilious vomiting and distended abdomen, patent anus. what is the diagnosis
duodenal atresia
- Girl goes to Pakistan. Develops macular rash. High fever for 5 days. HR was 70bpm. Cause?
typhoid
- Cannot examine ear directly, lump behind ear causing ear to stick out
mastoiditis
- Kid with 2cm mass (inframandibular) on left side, painful – blood film shows: toxic left shift with reactive neutrophilia.
lymphadenitis
not glandular fever as the mass would not be painful
- Child with 6 month history of loose stools. Passed one hard blood streaked stool 10 days ago. What investigation?
Colonoscopy, stool mc&s, anti TTG, No investigation needed
Anti TTG
- Girl with abdominal pain only when going to school, not weekends
functional abdominal pain
What is molluscum contagiosum and how do you manage
reassure
- You are in GP, Child with mild croup comes in?
dexamethasone + reassess in 48 hours
What murmur do you hear in TOF
harsh systolic ejection murmur on left sternal border
what does crescendo-decrescendo mean
ejection
- How should you give influenza vaccine to kid who is allergic to eggs?
hospital IM injection
- Sickle cell anaemia patient with Hb of 40 and low reticulocyte count with Howell-Jolly bodies
aplastic crisis - parvovirus B19
- Kid take medication for UTI, becomes anaemic and jaundiced, irregularly contracted cells and polychromasia
G6PD deficiency
triggers haemolysis
- Maternal T1DM increases risk of what condition in newborn?
neonatal hypoglycaemia
in acute asthma attack, how much salbutamol do you give
1 puff every 30-60 seconds up to 10 puffs
definitive diagnosis for cystic fibrosis
sweat chloride test
- Kid with pellet stools, and loose stool sometimes
Overflow diarrhoea secondary to constipation
- Maintenance fluid to give to kid with diabetes mellitus
In DKA: 0.9% saline, not in DKA: 0.9% saline with 5% dextrose