Random questions Flashcards
4 presenting features of necrotising enterocolitis and 1 finding with abdominal X-ray?
Abdominal distension, faeces with red specks, vomiting, feeding intolerance
Gas cysts in Bowel wall
Scoring system for DVT/PE
Wells score
Parklands formula is used to?
IV fluid required for burn resus in first 24 hours
What is a red risk child who is ill? (2)
Action taken? (1)
Temperature above 38 degrees, below 3 months old —> same day paediatric assessment
What valve abnormality is associated with polycystic kidney disease?
Mitral valve prolapse
Best investigation for anal fistula?
Pelvic MRI
Lichen sclerosus first line management? (1)
Topical steroid (clobetasol propionate)
Common cause of pneumoturia?
Colovesical fistula
2 investigations for >60 y.o. with hypercalcaemia or leucopenia with spinal mass to find what?
Bence-Jones urine test and protein electrophoresis within 48 hours
for multiple myeloma
What drug causes red man’s syndrome and how to resolve?
Vancomycin, stop and commence at lower rate once symptoms (erythema, pruritus) has died down
When should babies sit up? When to refer?
7-8 months, refer if still not able at 12 months
Clinical features of polymyalgia rheumatica? (3)
Polyarthalgia, fever, morning stiffness in proximal muscles
What condition does polymalgia rheumatica associated with? (1)
Temporal arteritis
Antibiotic for community-acquired pneumonia?
If staphylcocci suspected what to add?
Amoxicillin
Flucloxacillin
Antibiotic for hospital-acquired pneumonia depending on time period? (2)
Co-amoxiclav (within 5 days)
Cephalosporin or quinolone (past 5 days)
Antibiotic for atypical pneumonia?
Clarithromycin
First line treatment for menorrhagia?
Mirena coil (IUD)
Complication of chest draining pleural effusion? (1)
Re-expansion pulmonary oedema
Imaging for pleural effusion? (2)
PA x-ray
Ultrasound
Management of pleural effusion? (1)
US guided pleural aspiration (thoracentesis)
Transudate vs exudate?
Criteria used to differentiate?
Transudate (low protein - clear)
Exudate (protein high - cloudy)
Light’s criteria
Features of bronchiolitis? (4)
dry cough, wheeze, child under 2, coryzal prodrome
Common pathogen of bronchiolitis?
RSV (respiratory syncytial virus)
When to give prophylaxsis in HIV patient and what drug is commonly used? (2)
CD4+ count below 200/mm3 (can cause pneumonia - pneumocystis jirovecii)
Co-trimoxazole
