Paediatric Cardiology and Gastro
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Questions and Answers

Which type of congenital heart disease is characterized by a continuous machine murmur?

  • Tetralogy of Fallot
  • Atrial Septal Defect (ASD)
  • Transposition of the Great Arteries
  • Patent Ductus Arteriosus (PDA) (correct)
  • What is the most common acyanotic congenital heart defect?

  • Atrial Septal Defect (ASD)
  • Ventricular Septal Defect (VSD) (correct)
  • Coarctation of the Aorta
  • Pulmonary Stenosis
  • Which medication is typically used to manage cyanotic congenital heart defects?

  • Aspirin
  • Alprostadil (Prostaglandin E1) (correct)
  • Digoxin
  • Ibuprofen
  • Which congenital heart defect is associated with 'boot-shaped heart' on CXR?

    <p>Tetralogy of Fallot (C)</p> Signup and view all the answers

    What is the primary feature of Transposition of the Great Arteries?

    <p>Cyanosis and Tachypnoea (D)</p> Signup and view all the answers

    Which of the following statements about innocent murmurs is incorrect?

    <p>They have a thrill associated with them. (C)</p> Signup and view all the answers

    What condition is characterized by an open duct between the pulmonary trunk and descending aorta?

    <p>Patent Ductus Arteriosus (PDA) (B)</p> Signup and view all the answers

    Which congenital heart defect typically presents first in newborns with significant cyanosis?

    <p>Transposition of the Great Arteries (D)</p> Signup and view all the answers

    What is the most common cause of secondary hypertension in children?

    <p>Renal parenchymal disease (B)</p> Signup and view all the answers

    At what age should an x-ray be performed for suspected idiopathic constipation?

    <p>4.5 months (A)</p> Signup and view all the answers

    Which clinical feature is NOT associated with Kawasaki disease?

    <p>Severe headache (A)</p> Signup and view all the answers

    What management is appropriate for a child with slipped capital femoral epiphysis?

    <p>Internal fixation (A)</p> Signup and view all the answers

    What condition is characterized by acute hip pain following a recent viral infection in children aged 3-8 years?

    <p>Transient synovitis (A)</p> Signup and view all the answers

    What complication is associated with untreated slipped capital femoral epiphysis?

    <p>Leg-length discrepancy (D)</p> Signup and view all the answers

    Which vaccine should be avoided in a child with an evolving neurological disorder?

    <p>DTP vaccine (C)</p> Signup and view all the answers

    What is a common radiological finding in a child with slipped capital femoral epiphysis?

    <p>Lateral view shows frog leg position (A)</p> Signup and view all the answers

    What is a contraindication for live vaccines?

    <p>Pregnancy or immunosuppression (A)</p> Signup and view all the answers

    Which physical examination finding is indicative of developmental dysplasia of the hip?

    <p>Asymmetrical knee height when knees are flexed (C)</p> Signup and view all the answers

    At what age should the first dose of the MMR vaccine be administered?

    <p>12-13 months (B)</p> Signup and view all the answers

    What is the commonest cause of jaundice in infants aged 2-14 days?

    <p>Physiological jaundice (A)</p> Signup and view all the answers

    Which of the following would NOT be a risk factor for sudden infant death syndrome?

    <p>Room sharing (A)</p> Signup and view all the answers

    What symptom is NOT associated with pyloric stenosis?

    <p>Acidic urine (B)</p> Signup and view all the answers

    Which condition is characterized by café-au-lait spots and precocious puberty?

    <p>McCune Albright syndrome (D)</p> Signup and view all the answers

    What is a possible consequence of childhood obesity?

    <p>Adolescent depression (B)</p> Signup and view all the answers

    What is the recommended management for microcephaly in children?

    <p>Underlying cause assessment (A)</p> Signup and view all the answers

    Which of the following is a key feature of shaken baby syndrome?

    <p>Retinal hemorrhage (A)</p> Signup and view all the answers

    How is a urinary tract infection typically investigated in children under 6 months of age?

    <p>Image studies like MCUG if atypical (B)</p> Signup and view all the answers

    What is a primary feature of pyloric stenosis in infants?

    <p>Dehydration due to vomiting (D)</p> Signup and view all the answers

    Flashcards

    Ventricular Septal Defect (VSD)

    An opening between the ventricles that allows blood to flow from the left ventricle to the right ventricle, causing oxygenated blood to mix with deoxygenated blood.

    Atrial Septal Defect (ASD)

    An opening between the atria that allows blood to flow from the left atrium to the right atrium, causing oxygenated blood to mix with deoxygenated blood.

    Patent Ductus Arteriosus (PDA)

    A persistent connection between the pulmonary trunk and the descending aorta that allows oxygenated blood from the aorta to flow back into the pulmonary circulation.

    Coarctation of the Aorta

    A narrowing of the aorta that restricts blood flow to the lower body.

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    Pulmonary Valve Stenosis

    A condition where the pulmonary valve is narrowed, obstructing blood flow from the right ventricle to the pulmonary artery.

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    Tetralogy of Fallot

    A condition where the blood flow from the right ventricle to the pulmonary artery is obstructed due to narrowing of the outflow tract from the right ventricle, and oxygenated blood from the aorta mixes with deoxygenated blood in the ventricle.

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    Transposition of the Great Arteries

    A condition where the aorta is positioned in front of the pulmonary artery, causing deoxygenated blood to be pumped to the body.

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    Tricuspid Atresia

    A condition where the tricuspid valve is absent or underdeveloped, resulting in blood flow from the right atrium to the right ventricle being restricted.

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    Aortic Stenosis in Children

    A condition in children where the aortic valve narrows, causing a heart murmur and potentially requiring balloon valvuloplasty if the pressure gradient exceeds 60 mmHg.

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    Renal Parenchymal Disease

    A common cause of secondary hypertension in children, often resulting from kidney problems.

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    Idiopathic Constipation in Infants

    Severe constipation in infants, often starting within a few weeks of birth. If it persists beyond 4.5 months, an X-ray is recommended over an ultrasound.

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    Ortolani Maneuver

    A clinical test that examines the hip joint for a specific type of dislocation. When the hip is dislocated, the head of the femur pops back into place with a 'click'.

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    Hypotonia in Infants

    A disorder causing muscle weakness and floppiness in infants, often associated with encephalopathy (brain dysfunction) in newborns. This can be a precursor to cerebral palsy.

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    Juvenile Idiopathic Arthritis (JIA)

    A type of arthritis that affects children with a fever of 38.5°C or higher, pain, and difficulty bearing weight. It is also characterized by elevated erythrocyte sedimentation rate (ESR) and white blood cell count (WCC).

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    Slipped Capital Femoral Epiphysis

    A disorder affecting the hip joint in adolescents, typically obese, causing pain in the hip, groin, thigh, and knee. It often presents with decreased internal rotation of the hip while flexing.

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    Transient Synovitis

    A common childhood condition characterized by a sudden onset of hip pain following a recent viral infection, usually in children aged 3-8 years. It often resolves on its own.

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    Kawasaki Disease

    A serious childhood illness characterized by high fever for more than 5 days, resistant to antipyretics, accompanied by symptoms like a strawberry tongue, cracked lips, and cervical lymph node swelling. It often also involves conjunctivitis and red palms and soles that subsequently peel.

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    Umbilical Hernia

    A common condition in infants, often associated with prematurity, Down syndrome, or certain genetic disorders. It is a bulge at the belly button that protrudes when the baby cries or coughs.

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    McCune-Albright Syndrome

    A condition characterized by precocious puberty, cafe-au-lait spots, polyostotic fibrous dysplasia (bone abnormalities), and short stature. It is caused by a random mutation.

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    Pyloric Stenosis

    A condition where the muscles of the pylorus (the lower part of the stomach) are thickened, blocking food from passing into the small intestine. This usually occurs in the first few weeks of life.

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    Shaken Baby Syndrome

    A serious condition caused by shaking a baby forcefully. It can lead to retinal hemorrhage, subdural hematoma, and brain damage.

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    Sudden Infant Death Syndrome (SIDS)

    The leading cause of death in infants under one year of age. It is a sudden, unexplained death with no obvious cause.

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    Urinary Tract Infection (UTI) in Children

    An infection of the urinary tract in children. In children over 6 months old, imaging is generally not needed unless other signs and symptoms are present, such as a seriously ill child, poor urine flow, abdominal or bladder mass, high creatinine levels, lack of improvement with antibiotics after 48 hours, or infection with bacteria other than E. coli.

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    Microcephaly

    A condition that causes microcephaly, a smaller than normal head circumference. It's usually diagnosed by 6 months of age.

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    Cafe-au-lait Spots

    A common childhood condition affecting the skin, characterized by large, light brown spots called cafe-au-lait spots.

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    Snoring in Children

    A condition that causes excessive snoring. It can be caused by issues such as hypothyroidism, Down syndrome, recurrent tonsillitis, nasal polyps, deviated septum, or hypertrophic nasal turbinates.

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    Newborn Jaundice

    A condition where the infant is born with jaundice (yellowing of the skin and eyes). There are different types of jaundice based on the age of onset, ranging from physiological jaundice (common in breastfed infants) to more serious conditions like biliary atresia.

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    Obesity in Children

    A common condition in children, often associated with lifestyle factors and other health issues.

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    Study Notes

    Paediatric Cardiology

    • Congenital heart defects (CHD) are common
    • Acyanotic defects include VSD, ASD, PDA, coarctation, and valve stenosis
    • Cyanotic defects include tetralogy of Fallot, transposition, and tricuspid atresia
    • Tetralogy of Fallot includes VSD, RVH, overriding aorta, and pulmonary stenosis
    • Transposition of the great arteries involves the aorta and pulmonary artery being switched
    • Symptoms of CHD can include poor feeding, shortness of breath, sweating, and hepatomegaly

    Paediatric Gastro

    • Idiopathic constipation is common in newborns
    • Meconium is the first bowel movement and should pass within 48 hours of birth
    • Faecal impaction occurs when stool becomes hard and compacted within the rectum
    • Intussusception is a condition where one part of the intestine telescopes into another part
    • Meckel's diverticulum is a congenital outpouching of the small intestine

    Paediatric General

    • Diarrhea is a common condition in children, often caused by rotavirus
    • Acute diarrhea is commonly caused by rotavirus, with symptoms of fever and vomiting
    • Chronic diarrhea can be caused by cow's milk intolerance and other food intolerances

    Paediatric Respiratory

    • Bronchiolitis is a common respiratory infection in infants and young children, usually caused by RSV
    • Symptoms of bronchiolitis include wheezing, coughing, and shortness of breath; usually resolves within 1 week
    • Croup is another respiratory illness, commonly caused by viral infection, characterised by a barking cough and stridor
    • Pneumonia is an infection in the lungs, and requires a doctor's consultation
    • Symptoms of pneumonia in children include fever, cough, shortness of breath, and chest pain

    Paediatric Dermatology

    • Eczema, also called atopic dermatitis, is a common chronic skin condition in children, usually caused by a combination of genetic and environmental factors, and presents itself as itchy red rash
    • Nappy rash can be caused by irritation, and includes candida or seborrheic dermatitis
    • Psoriasis often shows as a chronic skin disorder, presenting itself as red, scaly rashes

    Paediatric Neurology

    • Benign rolandic epilepsy typically affects children ages 4–12; and seizures usually occur at night.
    • Children with seizures may require an EEG test and/or imaging
    • Meningitis is inflammation of the lining surrounding the brain and spinal cord(meninges), can cause seizures.
    • Headache with severe symptoms require immediate medical attention

    Paediatric Endocrinology

    • Hypothyroidism in children is most often caused by an autoimmune thyroiditis condition
    • Symptoms include growth retardation, developmental delays, and lethargy

    Paediatric Oncology

    • Acute lymphoblastic leukemia (ALL) is the most common childhood cancer
    • Wilms' tumor is a kidney tumor, that occurs in children

    Paediatric Infectious Diseases

    • Chickenpox, measles, mumps, rubella, and scarlet fever are common childhood infections, often requiring parental monitoring

    Paediatric Musculoskeletal

    • Developmental dysplasia of the hip (DDH) is a common birth defect
    • Hip pain and disability can be caused by DDH; the severity can range from mild to severe

    Paediatric Ophthalmology

    • Retinoblastoma is a rare form of eye cancer in children
    • The most common eye sign is a ‘leukocoria’ – white pupil when examining the eye.
    • Most often diagnosed in infants - under the age of 3 years

    Paediatric Vascular

    • Undescended testicles (cryptorchidism) can often be fixed in children under the age of 12 months
    • Hypospadias is a birth defect where the urethra opening is on the underside of the penis

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    Description

    Explore the essential aspects of paediatric cardiology and gastroenterology with this comprehensive quiz. Topics covered include congenital heart defects and common gastrointestinal issues in children. Test your knowledge on conditions like tetralogy of Fallot, intussusception, and more.

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