PASTest 2

Question 1

social services referral

Answer 1

concerns about a child’s safety / well being

non urgent referral if you believe child / parent can do with additional support

Question 2

if you think child needs to be removed from the premises immediately

Answer 2

important to contact police

Question 3

swelling that extends beyond cranial sutures

Answer 3

cranial uss
to rule of sub galeal haemorrhage

Question 4

cause of jaundice due to diminished conjugation of bilirubin?

Answer 4

hypothyroidism

reduces bilirubin conjugation
gut motility
feeding

Question 5

epididymitis

Answer 5

caused by STI - chlamydia/ gonorrhoeae

Question 6

VSD -

Answer 6

echocardiography
surgical repair
sponatanous closure can occur in <1

Question 7

coarctation of aorta

Answer 7

strong brachial pulse
absent femoral
can be cyanotic

prostaglandin given to keep ductus arterosus open until repair

x ray shows rib notching

balloon angioplasty w / wo stenting

Question 8

tet of fallot
4 defects

what does heart look on xray?

Answer 8

pulmonary stenosis,
right ventricular hypertrophy, ventricular septal defect overriding aorta

boot shaped heart

Question 9

embryological mechanism behind Tet of Fallot?

Answer 9

anterosuperior displacement of infundibular septum

Question 10

febrile neutropenia

Answer 10

at risk of neutropenic sepsis
requires iv tazocin

pseudomonas risk in ALL pts

Question 11

complications of acute otitis media

Answer 11

tympanic membrane perforation
recurrence
temp hearing loss
mastoiditis
meninigitis

Question 12

how to manage an acute otitis media with complication

Answer 12

5 day oral amoxicillin
and review in 6 weeks

Question 13

Patients who require acute ENT referral for assessment - Acute otitis media

Answer 13

haemodynamically unstable or very unwell

3-6 months

> 39 degree temp

under 3 months

meninigitis
mastoiditis

Question 14

how to manage uncomplicated acute otitis media?

Answer 14

pain relief - paracetamol, nsaids

review
should resolve in 72 hours

Question 15

potter syndrome is?

Answer 15

oligohydramnios
pulmonary hypoplasia
utero-renal failure

Question 16

autosomal recessive PKD

Answer 16

perinatal or death by first year

decreased urine output- oligohydramnios

Question 17

infantile hemangioma management

Answer 17

medical photograph
reveiw in 3 months

2) oral/ topical beya blockers, steorids, surgical excision - timolol

Question 18

how many words should you know by 18 months

Answer 18

6-12 words

Question 19

examination signs of pneumonia

Answer 19

consolidation signs - tachypnoea
use of accessory muscles
cyanosis
bronchial breathing
reduced air entry
percussion notes - dull over area of consolidation

Question 20

ortolani manouvre

Answer 20

flex hips and knees of baby to 90 degrees
abduct legs

relocates dislocation if elicited during barlow manouvre

Question 21

ortolani test for?

Answer 21

posteriorly dislocated hip

Question 22

adducting hip while putting pressure on knee?

Answer 22

barlow manouvre