PEADS 5

Question 1

haemolytic uraemia syndrome when
symptoms
rx

Answer 1

post infections, ECOLI 0157
bleeding - GI, intracranial, AKI

supportive, dialysis, Vit K

Question 2

HP peak
proceeded by what
symptoms/signs
rx

Answer 2

4-6yo
viral infection
purpuric rash with predominantly thighs and buttocks, and pain, joint pain, haematuria
self limiting, steroids if abd pain/renal involvement, 1% long term renal involvement

Question 3

hydospadias

Answer 3

abnormal uretheral opening
abnormal appearance abnormal urinary stream
surgical resection

Question 4

innocent murmur is where

Answer 4

systolic
left clavicular region
changes with posture

Question 5

coarctation of aorta associated with what
symptoms/signs
CXR, ECG
rx

Answer 5

turners. co exists with VSD
absent weak femoral pulses, htn in arms, HF
CXR rib notching RVH. ECG: RVH in neonates, LVH in older kids

prostaglandin E to keep duct open
balloon stenting dilatation

Question 6

tetralogy of fallot
symptoms
assoc with what 
ECG, CXR
rx

Answer 6

VSD, RVH, overriding aorta, RV outlaw tract obstruction

cyanotic disease, ejection systolic LSE, child may squat to receive increased venous pressure, clubbing

associated Di George

ECG: RAD CXR: small boot shaped heart

oxygen, morphine, propanol, surgical repair at 6 months

Question 7

transposition of great arteries CXR ECHO

rx

Answer 7

cyanosis
egg on side appearance of heart on CXR
balloon atrial septosomy - emergency

Question 8

rhabdomyosarcoma
symp
rx

Answer 8

tumours of skeletal tissue
lumps/pressure symp
surgery chemo/radio

Question 9

retinoblastoma is what
symp
rx

Answer 9

malignancy of retinal cells
absent red reflex, squint, visual symptoms
chemo, surgery

Question 10

downs signs

Answer 10

LD, dysmorphic features, brush field spots in iris, single palmer crease

Question 11

fragile X

Answer 11

x linked
second most commonest cause of LD after downs
decreased IQ, prom ears, enlarged testis

Question 12

congenital hypothyroid

Answer 12

letheragy, prolonged jaundice, enlarged tongue, failure to thrive, cretinism if unrx

Question 13

ASD

Answer 13

social interaction, coms, speech and language

Question 14

delayed puberty ages by
constitutional
malnutrition/chronic illness
endocrine

Answer 14

16y in boys 14 in girls
more common in boys. positive family history
CF, coeliac, CRF, anorexia
cushings, growth homrone defic, hypothyroid

Question 15

ix for delayed puberty

Answer 15

wrist XR for bone age, Res, TFTs, coeliac screen, chromosome analysis, GH, MRI

Question 16

precocious puberty when 
constitutional 
central 
peripheral 
ix

Answer 16

<8 in girls <9 in boys
breast development and pubic hair
intracranial tumour, infection irradiation, hydrocephalus
CAH, gonadal/GCT
bone age, FSH, LH, pelvic USS in girls, brain MRI