Placement

Question 1

What is tuberosclerosis?

Answer 1

Neurocutaneous disorder in a child of benign tumours on skin and brain that causes seizures

Question 2

What is a normal head circumference at birth?

Answer 2

35 +/-2

Question 3

How quickly does head circumference grow in the first 3 months

Answer 3

2cm/month

Question 4

How quickly does head circumference grow in the next 3 months after the first 3

Answer 4

1cm/month

Question 5

How much does head circumference grow per month after the first 6 months up to a year?

Answer 5

0.5cm/month

Question 6

How big should a babys head be at 2 years? (always consider baseline normal)

Answer 6

48cm

Question 7

Age can diagnose astham from

Answer 7

4 years, otherwise known as frequent wheezers

Question 8

When do you need to do blood cultures after giving antibiotics to a baby?

Answer 8

48 hours

Question 9

Differentials for seizures that are non specific in a two year old

Answer 9

Shudders - not sure about cause but pattern noticed in non epileptic children

Question 10

Can an EEG be normal with epilepsy?

Answer 10

Yes - has to have had extremely frequent seizures before or be havng a seizure during for abnormal brain wave activity to show up

Question 11

Headache red flags paeds

Answer 11

<4 years
Headahce features (see other flashcard)
Ass vomitting
Significant change in established headache or progressive worsening
Focal neurological signs
New onset seizures
Developmental regression
Meningitis features
Significant head injury
Systemic disorder - haem, malignancy, rheumatoid, immuno, HPTN
Meds 0 anticoags, antiplatelets
Ventriucloperitoneal shunt

Question 12

Red flag headache features

Answer 12

Early morning
Wakes from sleep
Triggered by cough, sneeze, change in posture
Sudden onset and severe
Occipital

Question 13

Secondary seizure causes

Answer 13

Hyponatraemia
Hypoglycaemic
Hypocalcaemia
ICH
Meningitis/encephalitis
Toxins
Reflex anoxic seizure
Febrile