TOTW #21 - Paediatrics Start QuizPage 1 of 28 Which of the following is not a priority sign when triaging sick children? A sick infant aged less than 2 months A child reported to have swallowed kerosene A child with a temperature of 38.5 degrees and above A polytrauma paediatric patient Page 2 of 28 When managing a patient older than 1 month of age who has a history of diarrhoea and vomiting, what is the fluid of choice? Normal saline Ringers lactate 5% Dextrose Albumin Page 3 of 28 What is the first-line antimalarial drug of choice for a paediatric patient who is unable to eat or drink? Artesunate Artemether + Lumefantrine Quinine Dihydroartemisinin Piperaquine Page 4 of 28 Which of the following is not one of the 10 steps for management of severe acute malnutrition for children aged from 6 to 59 months? Administer 5mls/kg 10% dextrose if glucose level is <3mmol/l Administer IV penicillin or ampicillin AND gentamicin Provide a caring and stimulating environment for the child Administer furosemide for edema Page 5 of 28 Which one of the following is a contraindication for a lumbar puncture in a child with a history of fever and a stiff neck? Child experiencing convulsions Child requires CPR Child’s pupils respond poorly to light Child has a skin infection at the lumbar puncture sight Page 6 of 28 The following patient presented to the paediatric clinic. What is your diagnosis? Acute malnutrition Malaria Rickets Eczema Page 7 of 28 Which congenital heart defect is characterized by cyanosis that worsens with crying and relieved by squatting? Tetralogy of Fallot Ventricular septal defect (VSD) Coarctation of the aorta Transposition of the great arteries Page 8 of 28 Which is the first-line treatment for uncomplicated acute otitis media in children younger than 6 months? Amoxicillin Ceftriaxone Azithromycin Observation without antibiotics Page 9 of 28 Which is a characteristic feature of Kawasaki disease? Erythema marginatum rash Strawberry tongue Painless arthritis Target-like skin lesions Page 10 of 28 Which vaccine is administered to protect against Haemophilus influenzae type b (Hib) infection? MMR vaccine DTaP vaccine Hib vaccine Varicella vaccine Page 11 of 28 Which of the following conditions is characterized by a sudden onset of high fever, irritability, bulging fontanelle, and a high-pitched cry in a young infant? Meningitis Gastroenteritis Bronchiolitis Urinary tract infection (UTI) Page 12 of 28 You are observing a 15 month old toddler, he was able to do all the following except? Walk alone Make a tower of 3 cubes Respond to their name Identify 1 or more parts of a body Page 13 of 28 The age at which an infant achieves early head control with bobbing motion when pulled to sit is: 2 months 3 months 4 months 6 months Page 14 of 28 The age at which an infant can reach an object, grasp it and bring it to their mouth and seem excited when they see food is: 4 months 5 months 6 months 8 months Page 15 of 28 After the first year of life, the most common cause of death in children is mainly: Non-accidental injuries Accidents Drowning Burns Page 16 of 28 The most common cause of under 5 mortality in the developing world is: Diarrhoeal disease Pneumonia Malaria Neonatal disease Page 17 of 28 The skull tends to assume a square or boxlike shape in: Kleinfelter syndrome Neurofibromatosis Storage disorder Chronic subdural hemorrhages Page 18 of 28 Dandy walker syndrome is characterised by the following except: Cystic dilatation of the fourth ventricle Herniation of the cerebellar tonsils through the foramen magnum Hypoplasia of the cerebellar vermis Hydrocephalus Page 19 of 28 Causes of communicating hydrocephalus include: Achondroplasia Aqueductal stenosis Chiari malformation Dandy-walker malformation Page 20 of 28 Minor risk factors for the recurrence of febrile seizures include the following except: Complex febrile seizure Age <1 year Family history of febrile seizures Male gender Page 21 of 28 Absence seizures are most often initially treated with: Ethosuximide Valproate Lamotrigine Acetazolamide Page 22 of 28 A three year old child is rushed into A&E with a fever which has been present for three days. His father reports that the fever started with a cough, which has since resolved but states that he has noticed a rash all over the child’s body. Upon examination you find a floppy, unresponsive child with enlarged cervical lymph nodes, red, dry palms, red eyes and lips. His tongue has a wrinkly appearance that resembles the skin of a strawberry. The skin on the soles of his feet are very red and starting to peel off. What is the diagnosis? Sjogren syndrome Kawasaki disease Henoch schonlein pupura Chicken pox Page 23 of 28 Which of the following is not a feature of laryngomalacia? Presents at birth Gets better at 3-4 months Always examined through microlaryngoscopy Causes insp. stridor Page 24 of 28 Deficit in weight for height in a 3 year old child indicates: Acute malnutrition Chronic malnutrition Underweight A and B Page 25 of 28 All the following methods are used in the diagnosis of HIV in a 2 month child except: DNA-PCR Viral culture HIV ELISA p24 antigen assay Page 26 of 28 Speech retardation may be considered if the child does not talk by: 12 months 18 months 24 months 36 months Page 27 of 28 In neonatal resuscitation, naloxone is contraindicated if the mother is on: Amphetamine Cocaine Methadone Phencyclidine Page 28 of 28 This image shows a child with a congenital anomaly in the feet? What is the name of the anomaly? What is the name of the technique used to correct it? Club foot, ponsetti method Macrodactyly, ORIF Tarsal coalition, ponsetti method Flat foot, ORIF Multiple Authors | WebsiteTOTW #26 - MicrobiologyTOTW #25 - PsychiatryTOTW #24 - BiochemistryTOTW #23 - Haematology Previous Post TOTW #20 - Physiology Next Post TOTW #22 - Embryology