Yearclub revision session Flashcards

1
Q

what type of developmental delay would autism come under

A

deviation

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2
Q

what type of virus is measles caused by

A

RNA virus a Paramyxovirus

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3
Q

kolpik spots and rash starting behind ears

A

measles

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4
Q

what is caused by togavirus

A

rubella

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5
Q

rubella is high risk to foetus during what weeks of pregnancy

A

8-10 weeks gestation

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6
Q

what is the cause of chickenpox

A

varicella zoster

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7
Q

what can calm the itch of chickenpox

A

calamine lotion

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8
Q

strawberry tongue is a sign of what

A

scarlet fever

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9
Q

mumps cause

A

paramyxovirus

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10
Q

another name for erythema infectiosum

A

slapped cheek

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11
Q

hand foot and mouth virus

A

coxsackie virus A16

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12
Q

stridor heard on inspiration

A

partial upper airway obstruction

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13
Q

stridor heard on expiration

A

obstruction below level of larynx

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14
Q

1st line croup treatment

A

oral dexamethasone

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15
Q

severe croup treatment

A

nebulised adrenaline

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16
Q

thumb print sign on xray

A

epiglottitis

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17
Q

genetics of CF

A

autosomal recessive
CFTR gene mutation - chromosome 7

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18
Q

neonates not passing meconium within 24hrs could be sign of CF, true or false

A

true

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19
Q

slipped upper femoral epiphyses typical patient

A

obese young (pre-pubescent) boys

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20
Q

CRP levels in transient synovitis of hip

A

normal

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21
Q

risk factors for DDH

A
  • family history
  • downs syndrome
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22
Q

what is perthes disease

A

avascular necrosis of femoral head

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23
Q

typical perthes disease patient

A

young active boy

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24
Q

hanging rope sign

A

perthes disease

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25
Q

transient synovitis of hip follows what?

A

URTI

26
Q

treatment of transient synovitis of hip

A

nothing its self limiting - unless its sepsis!

27
Q

xray abnormal klein line suggests what

A

slipped upper femoral epiphyses

28
Q

what is kocher criteria for

A

septic arthritis

29
Q

septic arthritis management

A

urrent irrigation + debridement
IV antibiotics and cover gram positive (flucloxacillin)

30
Q

GORD in kids, why

A

immature lower oesophageal sphincters

31
Q

what age would you expect GORD to have resolved by

A

1 year

32
Q

pyloric stenosis main symptom

A

projectile vomiting not long after feeding

33
Q

pyloric stenosis what is going on

A

progressive hypertrophy of pyloric sphincter muscle leads to gastric obstruction

34
Q

red current jelly stool

A

intussusception

35
Q

malrotation with volvulus sign

A

green vomit

36
Q

malrotation with volvulus management

A

emergency surgery

37
Q

necrotising enterocolitis sign in stool

A

blood in stools

38
Q

lower GI bleed in newborn

A

necrotising enterocolitis

39
Q

lower GI bleed in 1 month to a year

A

intussusception

40
Q

innocent murmur in baby

A
  • systolic murmur
  • venous hum - disappears when child lies down
41
Q

pathological murmurs in baby

A
42
Q

ventricular septal defect presentation

A
  • failure to thrive
  • heart failure features such as hepatomegaly, tachypnoea, pallor
  • pansystolic murmur
43
Q

small ventricular septal defect management

A

if small it may close itself

44
Q

atrial septal defect

A

ejection systolic murmur
something else???

45
Q

coarctation of the aorta presentation in infancy

A

heart failure

46
Q

coarctation of the aorta management in neonates

A

IV prostaglandins
definitive is surgery

47
Q

patent ductus arteriosus management

A

indomethacin or ibuprofen

48
Q

machinery murmur

A

patent ductus arteriosus

49
Q

tetralogy of fallot

A
  • ventricular septal defect
  • right ventricular hypertrophy
  • right ventricular outflow obstruction, pulmonary stenosis
  • overriding aorta
50
Q

duchennes muscular dystrophy what gene

A

DMD gene is not working correctly

51
Q

duchennes muscular dystrophy genetics

A

x linked recessive

52
Q

febrile convulsions differentials

A

CNS infections
trauma/NAI
metabolic: low glucose/mg/ca
CNS lesions: brain tumour

53
Q

jaundice under 24hrs most common cause

A

ABO incompatibility

54
Q

jaundice in over 2 weeks old

A

biliary atresia
pale stool and dark urine (conjugated hyperbilirubin)

55
Q

3 types of jaundice

A

pre-hepatic
hepatic
post-hepatic

56
Q

gilbert’s syndrome

A

liver is unable to process bilirubin properly.

57
Q

what condition is biliary atresia associated with

A

trisomy 21

58
Q

if mother is rhesus negative and baby is positive, what management is needed

A

the mum is given anti D immunoglobulin injection

59
Q

meningitis most common causes

A

strep pneumonia
H influenzae
N. meningitis

60
Q

encephalitis triad

A

fever
headache
altered behaviour
flu like

61
Q

encephalitis symptoms

A

lethargy
poor feeding
bulging fontanelle
jaundice
purpuric rash

62
Q

main virus causing encephalitis

A

HSV