quesmed paeds

Question 1

when is desmopressin used in the mx of nocturnal enuresis

Answer 1

over the age of 7

otherwise its 3rd line after lifestyle measures and enuresis alarm

Question 2

when do hydroceles present at birth require surgical correction

Answer 2

1-2 years

Question 3

why do non resolving hydroceles require surgical correction

Answer 3

increased risk of indirect inguinal hernia

Question 4

most common cause of rectal bleeding in a child

Answer 4

meckels diverticulum

Question 5

child with UTI what scans are done

Answer 5

ultrasound 4-6 weeks later
DMSA 4-6 months later to look for vesicoureteric reflux

MCUG not needed if over 6 months as reflux nephropathy usually presents before then

Question 6

what condition does MCUG look for

Answer 6

reflux nephropathy

Question 7

what condition does DMSA look for

Answer 7

vesicoureteric reflux

Question 8

cradle cap rash mx

Answer 8

apply baby oil and brush hair then wash the oil off

Question 9

bronchiolitis mx

Answer 9

supportive

Question 10

bronchiolitis sx

Answer 10

recent coryzal illness
respiratory distress

Question 11

what resp rate is high

Answer 11

> 60

Question 12

intussusception first ix

Answer 12

ultrasound

Question 13

DMD inheritance pattern

Answer 13

x linked recessive

Question 14

biliary atresia sx

Answer 14

jaundice
pale stools dark urine
raised LFTs (bilirubin is conjugated)

Question 15

biliary atresia first line ix

Answer 15

cholangiography

Question 16

what organism causes croup

Answer 16

parainfluenza

Question 17

what organism causes bronchiolitis

Answer 17

RSV

Question 18

what do these organisms cause
RSV
parainfluenza
bortadella pertussis
heamophilus influenza b
cocksackie A
group A strep
parvovirus

Answer 18

RSV- bronchiolitis
parainfluenza- croup
bortadella pertussis- whooping cough
heamophilus influenza b- acute epiglottitis
cocksackie A- hand foot mouth
group A strep- scarlet fever
parvovirus- slapped check

Question 19

causes of conjugated high bilirubin

Answer 19

biliary atresia
cystic fibrosis

Question 20

what is waterhouse friedrichson syndrome

Answer 20

when meningitis results in massive adrenal haemorrhage and septic shock

Question 21

in strabismus which eye is covered up

Answer 21

the dominant one
the one with the squint is left so it can learn to fix correctly

Question 22

what is reyes syndrome

Answer 22

hepatic encephalopathy and liver failure after giving children aspirin

Question 23

cyanosis in TOF vs TGA

Answer 23

TGA= continuous
TOF= spells

Question 24

what valve abnormality is seen in tuners syndrome

Answer 24

bicuspid aortic valve

Question 25

fragile x syndrome sx

Answer 25

intellectual disability social anxiety features of ASD long face large ears large testes

Question 26

what ix is done for whooping cough

Answer 26

PCR

Question 27

fragile X syndrome gene

Answer 27

FMR1

Question 28

for children what is the first step in bls

Answer 28

5 rescue breaths

Question 29

what age UTI must be admitted to hospital

Answer 29

<3 months

Question 30

what is red flag for fever in a baby

Answer 30

>38 degrees <3 months

Question 31

edwards syndrome is trisomy

Answer 31

18

Question 32

features of edwards syndrome

Answer 32

low set ears omphalocele microcephaly overlapping digits

Question 33

mx pre septal cellulitis

Answer 33

oral abx does need IV or hospital stay

Question 34

other name for slapped cheek syndrome

Answer 34

fifth disease erythema infectiosum

Question 35

what translocation is seen in ALL

Answer 35

t 12:21

Question 36

most common complication of measles

Answer 36

acute otitis media

Question 37

scarlet fever mx

Answer 37

abx phenoxymethylpenicillin usually

Question 38

what is the first step when a baby who has just been delivered needs resus

Answer 38

clamping the cord

Question 39

what antibody is measured if someone has IgA deficiency and you suspect coealiacs

Answer 39

anti endomysial

Question 40

mx biliary atresia

Answer 40

kasai procedure bile ducts are removed and replaced with small bowel to allow bile drainage

Question 41

what complication occurs if SUFE is not treated

Answer 41

avascular necrosis of the femoral head

Question 42

double bubble sign

Answer 42

duodenal atresia

Question 43

what murmur does a VSD cause

Answer 43

pan systolic

Question 44

jaundice during what time period is always pathological

Answer 44

first 24hrs of life

Question 45

VSD murmur

Answer 45

pan systolic

Question 46

what type of bilirubin is raised in physiological jaundice

Answer 46

unconjugated

Question 47

school exclusion for measles

Answer 47

4 days after onset of rash

Question 48

pataus syndrome sx

Answer 48

microcephaly celft lip/palate polydactyly cardiac defects

Question 49

what is trisomy 13 18 21

Answer 49

13= pataus 18= edwards 21= downs

Question 50

what pulse should you feel for in a child <1 before starting CPR

Answer 50

brachial

Question 51

how is cows milk protein allergy treated

Answer 51

use hydrolysed formula

Question 52

is a baby is allergic to formula what do they have

Answer 52

cows milk protein allergy

Question 53

most likely cause of non palpable testes at birth

Answer 53

physiological delay

Question 54

what is seen in CXR in TTN

Answer 54

hyperinflated lungs and an air fluid level

Question 55

what happens to cholesterol levels in anorexia nervosa

Answer 55

they rise

Question 56

causative organism for rosela infantum

Answer 56

HHV 8

Question 57

how to manage a child who is unconscious and choking

Answer 57

5 rescue breaths

Question 58

how is perthes disease managed

Answer 58

conservatively bed rest analgesia

Question 59

mx of congenital inguinal hernia

Answer 59

refer for repair immediately

Question 60

what imaging is best to confirm pyloric stenosis

Answer 60

abdo ultrasound

Question 61

what imaging is best to confirm DDH

Answer 61

hip ultrasound

Question 62

what murmur do you get in ASD

Answer 62

pulmonary stenosis ejection systolic auscultated best at right upper sternal edge

Question 63

neonatal chest compression ratio

Answer 63

3:1

Question 64

scarlet fever mx

Answer 64

phenoxymethylpenicillin

Question 65

how are newborns with low APGAR scores ventilated

Answer 65

positive pressure first then intubated

Question 66

whats seen on x ray in rickets

Answer 66

wide epiphyseal plates

Question 67

how is whooping cough managed

Answer 67

macrolide if they present in the first 21 days

Question 68

how are infants with transient hypoglycaemia managed

Answer 68

IV dextrose