Revision Day

Question 1

What days of illness is bronchiolitis worst?

Answer 1

Days 3-5 worst

Lasts 10-14 days

Question 2

2 types of CMPI?

Answer 2

1) IgE mediated
- angiodema etc

2) Non-IgE mediated (more common):
- reflux, abdo discomfort, constipation, diarrhoea, atopic eczema
- <1yr of age

Mx –> hydrolysed feeds, slowly reintroduce milk e.g. malted milks

Question 3

Target feed for babies up to 6m (pre-weaning)?

Answer 3

Weight x 150 = total volume (mls) in 24h

E.g. 24h total volume for 3.5kg baby –> 525/ml

Question 4

Typical age that intussusception affects?

Answer 4

3m-2y

Question 5

When does malrotation present?

Answer 5

First few days of life - bilious vomiting, abdo distension etc

Question 6

Cardiac defect most associated with Trisomy 21?

Answer 6

AVSD

Question 7

What type of organism is Strep. pneumoniae?

Answer 7

Gram +ve diplococcus

Question 8

What can typically be seen on a CT/MRI in encephalitis?

Answer 8

Focal changes on temporal lobe

Question 9

Mx of encephalitis?

Answer 9

Aciclovir for HSV

Supportive for others

Question 10

HR & BP in raised ICP?

Answer 10

Low HR

High BP

Question 11

How can absence seizures be induced?

Answer 11

Hyperventilation

Question 12

What is Kawasaki disease?

Answer 12

Medium vessel vasculitis

Question 13

What investigation is required in Kawasaki’s?

Answer 13

Echo –> look for coronary artery aneurysm

Question 14

HSP triad?

Answer 14

1) abdo pain
2) rash
3) arthralgia

Question 15

Mx of HSP?

Answer 15

1) analgesia
2) steroids (abdo US first)

Question 16

2 complications of HSP?

Answer 16

• Intussusception
• Orchitis