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Finals question bank > quesmed paeds > Flashcards

quesmed paeds Flashcards

1
Q

when is desmopressin used in the mx of nocturnal enuresis

A

over the age of 7

otherwise its 3rd line after lifestyle measures and enuresis alarm

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2
Q

when do hydroceles present at birth require surgical correction

A

1-2 years

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3
Q

why do non resolving hydroceles require surgical correction

A

increased risk of indirect inguinal hernia

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4
Q

most common cause of rectal bleeding in a child

A

meckels diverticulum

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5
Q

child with UTI what scans are done

A

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

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6
Q

what condition does MCUG look for

A

reflux nephropathy

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7
Q

what condition does DMSA look for

A

vesicoureteric reflux

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8
Q

cradle cap rash mx

A

apply baby oil and brush hair then wash the oil off

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9
Q

bronchiolitis mx

A

supportive

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10
Q

bronchiolitis sx

A

recent coryzal illness
respiratory distress

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11
Q

what resp rate is high

A

> 60

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12
Q

intussusception first ix

A

ultrasound

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13
Q

DMD inheritance pattern

A

x linked recessive

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14
Q

biliary atresia sx

A

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

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15
Q

biliary atresia first line ix

A

cholangiography

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16
Q

what organism causes croup

A

parainfluenza

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17
Q

what organism causes bronchiolitis

A

RSV

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18
Q

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

A

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

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19
Q

causes of conjugated high bilirubin

A

biliary atresia
cystic fibrosis

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20
Q

what is waterhouse friedrichson syndrome

A

when meningitis results in massive adrenal haemorrhage and septic shock

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21
Q

in strabismus which eye is covered up

A

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

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22
Q

what is reyes syndrome

A

hepatic encephalopathy and liver failure after giving children aspirin

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23
Q

cyanosis in TOF vs TGA

A

TGA= continuous
TOF= spells

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24
Q

what valve abnormality is seen in tuners syndrome

A

bicuspid aortic valve

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25
Q

fragile x syndrome sx

A

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

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26
Q

what ix is done for whooping cough

A

PCR

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27
Q

fragile X syndrome gene

A

FMR1

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28
Q

for children what is the first step in bls

A

5 rescue breaths

29
Q

what age UTI must be admitted to hospital

A

<3 months

30
Q

what is red flag for fever in a baby

A

> 38 degrees
<3 months

31
Q

edwards syndrome is trisomy

A

18

32
Q

features of edwards syndrome

A

low set ears
omphalocele
microcephaly
overlapping digits

33
Q

mx pre septal cellulitis

A

oral abx
does need IV or hospital stay

34
Q

other name for slapped cheek syndrome

A

fifth disease
erythema infectiosum

35
Q

what translocation is seen in ALL

A

t 12:21

36
Q

most common complication of measles

A

acute otitis media

37
Q

scarlet fever mx

A

abx
phenoxymethylpenicillin usually

38
Q

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

A

clamping the cord

39
Q

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

A

anti endomysial

40
Q

mx biliary atresia

A

kasai procedure

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

41
Q

what complication occurs if SUFE is not treated

A

avascular necrosis of the femoral head

42
Q

double bubble sign

A

duodenal atresia

43
Q

what murmur does a VSD cause

A

pan systolic

44
Q

jaundice during what time period is always pathological

A

first 24hrs of life

45
Q

VSD murmur

A

pan systolic

46
Q

what type of bilirubin is raised in physiological jaundice

A

unconjugated

47
Q

school exclusion for measles

A

4 days after onset of rash

48
Q

pataus syndrome sx

A

microcephaly
celft lip/palate
polydactyly
cardiac defects

49
Q

what is trisomy
13
18
21

A

13= pataus
18= edwards
21= downs

50
Q

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

A

brachial

51
Q

how is cows milk protein allergy treated

A

use hydrolysed formula

52
Q

is a baby is allergic to formula what do they have

A

cows milk protein allergy

53
Q

most likely cause of non palpable testes at birth

A

physiological delay

54
Q

what is seen in CXR in TTN

A

hyperinflated lungs and an air fluid level

55
Q

what happens to cholesterol levels in anorexia nervosa

A

they rise

56
Q

causative organism for rosela infantum

A

HHV 8

57
Q

how to manage a child who is unconscious and choking

A

5 rescue breaths

58
Q

how is perthes disease managed

A

conservatively
bed rest
analgesia

59
Q

mx of congenital inguinal hernia

A

refer for repair immediately

60
Q

what imaging is best to confirm pyloric stenosis

A

abdo ultrasound

61
Q

what imaging is best to confirm DDH

A

hip ultrasound

62
Q

what murmur do you get in ASD

A

pulmonary stenosis

ejection systolic auscultated best at right upper sternal edge

63
Q

neonatal chest compression ratio

A

3:1

64
Q

scarlet fever mx

A

phenoxymethylpenicillin

65
Q

how are newborns with low APGAR scores ventilated

A

positive pressure first
then intubated

66
Q

whats seen on x ray in rickets

A

wide epiphyseal plates

67
Q

how is whooping cough managed

A

macrolide if they present in the first 21 days

68
Q

how are infants with transient hypoglycaemia managed

A

IV dextrose

69
Q
A

Finals question bank (8 decks)

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