Paeds 5

Front 1

What is a toddler fracture

Back 1

Spiral fracture of distal tibia

Trauma does not have to be big

Very common

If they can still walk, the fracture is stable enough that no harm will come of walking

Not always visible on X-ray so must repeat in 7-10 days

Front 2

What fracture is one that doesn't go all the way through

Back 2

Greenstick

Front 3

What fracture is an incomplete disruption causing periosteal haematoma only

Back 3

Buckle fracture

Front 4

Which salter harris fractures may appear normal on X-ray

Back 4

1 and 5

Front 5

Which salter Harris fractures require surgery usually

Back 5

3-5

Front 6

Why is it important to determine whether a child with SUFE can walk

Back 6

90% have stable growth plate and can walk but 10% have unstable growth plate. Half of those kids get osteonecrosis

Front 7

What view of hip do you want for SUFE

Back 7

Frog leg view

Front 8

What is the galleazi sign

Back 8

Testing for DDH

Flex knees up to torso. If not level, DDH

Front 9

Limp with mild fever. Pain on movement. Sudden onset. Not septic arthritis

Back 9

Transient synovitis

Front 10

What's Gorlings Syndrome

Back 10

Inherited tendency to develop many BCCs in teenage years

Front 11

What is Conors questionnaire for

Back 11

ADHD

Front 12

What are risk factors for ADHD

Back 12

FH

Antenatal drugs and smoking

Problems with birth and LBW

Prematurity

Severe neglect and deprivation

Front 13

What are associations of ADHD

Back 13

learning difficulty, anxiety, depression, conduct disorder, tics

Front 14

What tests do you need to do to rule out different is in ADHD

Back 14

TFTs

Hearing

Epilepsy (ask about seizures)

Ask about caffeine and illegal drugs

Front 15

How long do the pillars of ADHD need to be around for a diagnosis

Back 15

>6m

Inattention, impulsivity, hyperactivity

Front 16

When you start a patient in ritalin (methylphenidate) why do you need to check BP and FH of CVD

Back 16

Because HTN is a SE

Front 17

Why should children take drug holidays from ritalin

Back 17

Because it stunts growth so they need time to catch up

Front 18

What's the second live treatment for ADHD

Back 18

Amoxetine

Front 19

What is weird about Rett syndrome (X-linked)

Back 19

It's only in GIRLS!

Looks like autism with choreoathetosis

Front 20

What are the two pillars of autism?

Back 20

Restrictive, repetitive interests

Impaired communication (includes social issues)

Front 21

By what age must you start exhibiting weird behaviours to be autistic

Back 21

3

Front 22

What is EIBI and what do you use it for

Back 22

Early intensive behavioural intervention

Autism

Front 23

What medication might help for aggression/repetitive behaviours in Autism?

Back 23

Risperidone

Front 24

Long face, tongue fasciculations, cataracts, chest wall deformities, carp-shaped mouth

Back 24

Congenital myotonic dystrophy

Autosomal Dominant trinucleotide repeat

Front 25

What's the life expectancy in Duchennes

Back 25

Teens

Front 26

How can we decrease incidence of gastroenteritis in children

Back 26

Get your child their vaccines as there's one for rotavirus

Front 27

What is the shortest distance between salbutamol puffs allowed in order to send a child home

Back 27

4h

Front 28

How long do you give pred after an asthma attack

Back 28

3 days

Front 29

What might rectal prolapse in an infant be a sign of

Back 29

CF!

Front 30

Why would you do a slit lamp in Marfans

Back 30

Lens dislocation

Front 31

What colour are stretch marks on Cushing's

Back 31

Violaceous

Unlike obesity ones which are pink

Front 32

When does the anterior fontanelle close

Back 32

18-24 months

Front 33

Up to what age can use use a Pavlik harness and not surgery for DDH.

Most will have stabilised on their own by 6weeks, that's why you rescan at 6 weeks

Back 33

4-5 months

Front 34

Increased levels of what are found in a child with metastatic neuroblastoma

Back 34

Neuron-specific enolase (NSE)

Front 35

What type of scan would be helpful if you suspected bone Mets in a child with neuroblastoma

Back 35

MIBG scan (taken up by catecholaminergic cells)

Front 36

What cardiac abnormality do you get in fragile X Syndrome

Back 36

Mitral valve prolapse

Front 37

When do children with Turners get AS

Back 37

As an adult

Their bicuspid aortic valve causes this but it takes time

Front 38

What do you give for bacterial meningitis prophylaxis

Back 38

Single dose rifampicin or ciprofloxacin

Front 39

What do you give for bacterial meningitis prophylaxis

Back 39

Single dose rifampicin or ciprofloxacin

Front 40

What must you do at follow up after bacterial meningitis

Back 40

Treat for sensorineural HL

Front 41

BenPen doses in GP meningococcal septicaemia

Back 41

Children younger than 1 year of age — 300 mg.Children 1–9 years of age — 600 mg.Adults and children 10 years of age or older — 1200 mg.

Front 42

What is the empirical Tx for a neonate with suspected meningitis

Back 42

IV cefotaxime AND amoxicillin (because it might be listeria)

Front 43

What does listeria look like under the microscope

Back 43

Gram positive (purple) rod!

Front 44

If a baby is in a neonatal unit CSF shows a Gram-positive infection, how do you adjust your ABx

Back 44

You don't (stick with cefuroxime and amoxicillin) and wait for CSF CULTURE

Front 45

If CSF culture shows GBS, how do you adjust your ABx

Back 45

Give BenPen and gentamicin

Front 46

What's the management for ASD

Back 46

Surveillance

Should close spontaneously if small

They get heart problems in their 30s

Front 47

What's kussmaul breathing and when might you see it

Back 47

In metabolic acidosis (esp DKA, renal failure), breathing is first rapid and shallow but as acidosis worsens, breathing gradually becomes deep, labored and gasping - Kussmaul breathing

Front 48

Side effects of ritalin

Back 48

Decreased appetite Anxiety, insomnia, tics HTN Seizures Growth suppression

Front 49

Monitoring for ritalin

Back 49

IS THERE ANY FH OF CVD? (as a SE is HTN) - Height and weight, BP, Liver function (LFT blood test) - These would require a 3 monthly check up - We also encourage drug holidays after discussion with your doctor

Front 50

What is ebsteins anomaly and what drugs cause it

Back 50

Paroxetine

Lithium

Front 51

What is the mainstay of treatment of Kawasaki's

Back 51

IVIg! (Single dose)

And aspirin

Front 52

What age do you need to be for enuresis to be an issue

Back 52

5 or more

Front 53

What should your first thoughts for a child aged 5 or more who wets the bed

Back 53

DM

Constipation

UTI

Front 54

What do you increase the risk of when you give empirical ABx to a preterm neonate beyond 5d

Back 54

NEC

Front 55

Under what % of normal fluid intake is deemed inadequate in bronchiolitis

Back 55

Under 75%!!!