Paeds

1. Child born with SOB, has some sort of skeletal dysplasia, born with short ribs and some changes seen within acetabulum (lots of weird selection of answers, all I’ve never heard of before, chose asphyxiating thoracic dystrophy/Jeune’s syndrome)

2. Long winded description of bowel obstruction which initially sounds like Hirschsprung’s with transition point at rectosigmoid junction, but the last sentence said that after barium enema the bowel obstruction has resolved (ie answer is most prob. meconium plug syndrome) – what do you do to diagnose this? (options included: laparoscopic biopsy at transition point, lap biopsy below transition point, suction biopsy at transition point, suction biopsy below transition point)

3. Neonate born with a small sinus at natal cleft, what to do next? (options: leave it alone, USS spine, USS brain and spine, MRI spine, MRI brain and spine)

4. Child fell on outstretched hand, has posterior fat pad, no other bony injury seen on plain film, most likely fracture? (supracondylar)

5. Hip alpha angle, measure from where to where? (ilium to bony acetabulum; there is a ‘ilium to fibrocartilaginous acetabulum’ option there to confuse you)

6. Prem baby born in resp distress, intubated for a few weeks, now getting more SOB, what X ray features would you see? (?PIE - air in perivascular space)

7. Which of these lines are in the wrong place and needs to be repositioned? (ECMO veno-venous line in IVC at level of T10, UAC at level of L4, UVC line at the level of T8)

8. Teenage CF patient with bowel obstruction symptoms – DIOS

9. Sturge-Weber syndrome (patient with port wine stain, what would be the expected CT head findings?)

10. Cyanotic baby, CXR showing pulmonary oligaemia, normal heart size – what is it? (2 or 3 of these sort of questions describing pulmonary vasculature and heart size on CXR)

11. Prem baby, USS brain description given, sounds like either germinal matrix haemorrhage or periventricular leucomalacia, what are the expected USS findings if repeated a few months later?

12. Persistent hypoplastic primary vitreous

13. Patent ductus arteriosus 14. 7 year old boy with bilateral testicular tumour (sounds like diffuse infiltration) but one testicle as a well defined mass, what is it? (options: lymphoma, germ cell tumour)

15. Testicular torsion

16. Which of the following best described features of enchondroma? (cant remember the selection)

17. Langerhans cell histiocytosis

18.