PEADS 2

Question 1

hypoglycaemia in neonates is what

causes

Answer 1

<=2.5/2.6

maternal DM, prem, small for gestation age, macrosomnia, sepsis, polycythaemia, CAH

Question 2

symptoms of neonatal hypoglycaemia

Answer 2

asymp, jitters, poor feeding, irritability, drowsiness, apnoea, seizures

Question 3

treatment of neonatal jaundice

cx

Answer 3

early and frequent milk feeds, IV dextrose

seizures, neuro impairment

Question 4

oesophageal atresia associate with what

symptoms

Answer 4

polyhydraminos - fetes can’t swallow amniotic fluid

excessive oral secretions, aspiration, regurg when fed, choking

Question 5

treatment of oesophageal atresia

treatment

Answer 5

CXR - NGT curled up

surgical repair

Question 6

causes for birth injuries

Answer 6

big baby, instrumental/difficult delivery

Question 7

Erbs

Answer 7

C5/C6
limp arm waiters tip
physio

Question 8

klumpke’s

Answer 8

c8/t1
wrist/hand muscle weakness
physio

Question 9

cephalhaematoma

Answer 9

subperiosteal bleed

Question 10

mumps is causes by what 
symptoms 
dx
rx
cx

Answer 10

paramyoxivirus
pyrexia, headache, parotid swelling
clinical 
supporting 
epidimo-orchitis, sub fertility, meningitis, pancreatitis

Question 11

measles cause
symp/signs
dx rx cx

Answer 11

paroxymyovirus
pyrexia, kopliks spots, buccal maculopapular rash everywhere
clinical supportive
pneurmonia gastroenteritis

Question 12

when is measles infectious

Answer 12

4 days before rash and 4 days after rash

Question 13

rubella causes by what
symptoms signs
cx

Answer 13

togavirus
low grade fever, non maculopapular fades by d3-d5
painful LD sub occipital and postauricular rash
arthritis, thrombocytopenia, encephalitis, myocarditis

Question 14

when is rubella infectious

Answer 14

7d before symptoms and after symptoms

Question 15

neonatal causes of meningitis
1m-6y
viral

Answer 15

GBS, EC, listeria
meningitis, pneumonia, HI
HSV, enterovirus, adenovirus

Question 16

symptoms/signs of meningitis

Answer 16

bulging fontanella, neck stiffness, poor feeding, fever, irritability

Question 17

ix for meningitis

complications

Answer 17

LP, CT

HL, hydrocephalus, epilepsy, developmental delay

Question 18

treatment for meningitis

Answer 18

under 3 months cefotaxime and amox
over 3m one dose of cefotaxime followed by ceftriaxone 6h later OD
dexamethasone IV 7d for meaning 14 pneumonia 10d for HI

Question 19

PA meningi

Answer 19

chloramphenicol - measure plasma concentration - aplastic anaemia

Question 20

meningococcal septicaemia symptoms/signs 
ix
rx
proph
cx

Answer 20

milk non spefici fever non blanching petechiea/purpura
FBC, CRP, meningococcal PCR
benxylpenicillin gent ceftriaxone. fluid and cardioresp support
for close contacts
necrosis of limbs, HL, neuro

Question 21

kawasaki is what

symptoms/signs

Answer 21

immune mediated inflammatory conditions coronary aneurysms japan
fever for 5 days and 4 of: rash, non purulent conjunctivitis, mucosal changes of mouth, cervical LD, erythema/oedema of hands/feet

Question 22

ix of kawasaki
rx
cx

Answer 22

increased CRP/ESR, thrombophilia, serial ECHOs as first can be normal
immunoglobulin, high dose aspirin
coronary heart diseas

Question 23

scarlet fever cause
symptoms 
who 
ix
rx

Answer 23

grou a haemolytic strep
fever malaise tonsilitis, red sandpaper rash, strawberry tongue
2-6 peak at 4yo
throat swab 
IV penicillin 10d PA azithromycin

Question 24

infectious scarlet fever

cx

Answer 24

children can go back to school after 24 hour ABs

otitis media, rheumatic fever 20d post, acute GN 10d post

Question 25

milia is what

Answer 25

small benign keratin filled cysts raised white spots

Question 26

slapped cheek syndrome also known as what
cause
symptoms
rx

Answer 26

erythema infectiousium
paravirus b19
mild feverish illness then rash - not palms/toes
self limiting

Question 27

infectiousness of slapped cheek syndrome

dagenours in who

Answer 27

not anymore when rash appears

pregnant woman esp <20 weeks

Question 28

impetigo caused by what
symptoms
rx

Answer 28

SA/group a strep
golden crusted lesions around mouth
topic fusidic acid
fluclox PO if outside of mouth

Question 29

impetigo infectons

Answer 29

can go back to school when lesions crusted over

or 24 hours of ABs

Question 30

thryglossal cyst where

Answer 30

anterior triangle

Question 31

branchial cyst is what

75% from what

Answer 31

unilateral
flutuant
2nd branchial cleft