Random

Question 1

What does onion peel/skin on x ray suggest?

Answer 1

Osteosarcoma/Ewings sarcoma

Question 2

Aggressive chemo

Answer 2

Neutropenia - febrile
Fertility long term problems
Nausea
Extremely tired

Question 3

Features of Edwards syndrome

Answer 3

micrognathia, low-set ears, rocker bottom feet and overlapping of fingers
Trisomy 18

Question 4

Edwards syndrome signs in utero

Answer 4

Cardiac malformations
Choroid plexus cysts
Neural tube defects
Abnormal hand and feet position: clenched hands, rocker bottom feet and clubbed feet
Exomphalos
Growth restriction
Single umbilical artery
Polyhydramnios
Small placenta

Question 5

What is the first line treatment for acute stress disorder?

Answer 5

ideal first-line for an acute stress disorder is trauma-focused cognitive behavioural therapy.

Question 6

What differentiates PTSD from acute stress disorder

Answer 6

PTSD - Only can be diagnosed from 4 weeks (esp if dissociation continues)
ASD -intrusive thoughts e.g. flashbacks, nightmares
dissociation e.g. ‘being in a daze’, time slowing
negative mood
avoidance
arousal e.g. hypervigilance, sleep disturbance

Question 7

What does normal paCO2 suggest in asthma attack

Answer 7

Life threatening

Question 8

Management for ashtma attack

Answer 8

administering oxygen, inhaling short-acting beta-agonists, systemic corticosteroids, and closely monitoring the child’s clinical status and PaCO2 levels.

Question 9

Red flags in children

Answer 9

Moderate or severe chest wall recession
Does not wake if roused
Reduced skin turgor
Mottled or blue appearance
Grunting

Question 10

Amber flags in children

Answer 10

Nasal flaring
Lung crackles on auscultation
Not responding normally to social cues
Reduced nappy wetting
Dry mucous membranes
Pallor reported by parent or carer