Post block assessment

Question 1

most common cause of bronchiolitis ?

Answer 1

RSV

Question 2

which antibodies can cross the placenta?

Answer 2

IgG

Question 3

At term, is the blood IgG higher in the mother or the fetus

Answer 3

fetus

Question 4

IgE reaction as for asthma, hay fever etc is which type of reaction? 1-4?

Answer 4

1 IgE

Question 5

3 types of lymphocytes? BOTTON

Answer 5

BTN b lymphocytes, T lymphocytes and NK cells

Question 6

what do lymphocytes have a unique ability to do?

Answer 6

kill other cells

Question 7

What does the HiB vaccine vaccinate against? and what is this a common cause of?

Answer 7

Haemophilus Influenza type B, common cause of epiglotitis

Question 8

most common cause of meningitis and septicaemia in children?

Answer 8

streptococcus pneumoniaie

Question 9

what vaccine is given to prevent whooping cough?

Answer 9

pertussis

Question 10

why should MMR vaccine not be given to a child who has a fever and is unwell?

Answer 10

symptoms or new symptoms developed could be attributed to MMR

Question 11

a child climbing out their cot and breaking arm at 9 months - concerning?

Answer 11

yes - would not expect a 9 year old to be able to get out of a cot

Question 12

what does a child with bruising need to be investigated for?

Answer 12

thrombocytopenia and leukaemia

Question 13

where is a common area of fracture for falling off a trampoline

Answer 13

supracondylar fracture

Question 14

sign diagnostic of a supracondylar fracture?

Answer 14

visible posterior fat pad

Question 15

average age for walking?

Answer 15

14.5 months in a boy, 13 months in girls

Question 16

what needs to be considered in boys who don’t walk until the second half of the second year?

Answer 16

duchennes muscular dystrophy

Question 17

what is the sign called for a boy who tried to get up and walk in duchennes?

Answer 17

powers sign

Question 18

is cows milk a good source of dietary iron?

Answer 18

no

Question 19

what is the principle symptom of anaemia in children?

Answer 19

pallor

Question 20

what is thrombocytopenia ?

Answer 20

low platelets

Question 21

Signs and symptoms of cardiopulmonary decompensation do not usually appear until the haemoglobin has decreased below ?

Answer 21

6

Question 22

The hallmark of iron deficient anaemia is? o o

Answer 22

a hypochromic microcytic blood film

Question 23

Consider other types of anaemia in children from asia, middle east and south east asia ?

Answer 23

thalassaemia

Question 24

what happens to ferritin levels in iron deficiency?

Answer 24

decreasd

Question 25

speckled features in eyes of children with downs?

Answer 25

brush field spots

Question 26

when should a child be able to use a spoon?

Answer 26

2

Question 27

when should a child be able to vocalise needs?

Answer 27

2

Question 28

the term neonate, what is the definition?

Answer 28

less than a month old

Question 29

innocent murmurs in children? SSS

Answer 29

soft
systolic
short
change on posture change