PCB Paeds Quiz

Which among the following is not expected in a 3 year old:

• Build a tower of 9 cubes

• Tricycle riding

• Hop 5 steps on one foot

• Draw a circle

What is the corrected age of an infant who was born at 28 weeks gestation and is seen at 26 weeks chronological age?

• 26 weeks

• 22 weeks

• 18 weeks

• 14 weeks

Answer explanation

The infant is born prematurely, 12 weeks before 40 weeks gestation. Therefore although their chronological age is 26 their corrected age is 14 as this accounts for the number of weeks premature they are.

The most appropriate course of action for a 6 year old child not previously investigated whose  height has dropped from 50th to 2nd centile,  weight  increased  from 50th to 99.6th centile after ensuring accuracy is:

• referral to a local paediatrician

• Offer advice re healthy eating and exercising and arrange a review of growth parameters in 6 months

• Reassure and not arrange a formal review

• Referral to a local weight management scheme

Answer explanation

This pattern of growth suggests a potential endocrinological cause. This needs to be referred to paediatric services to be investigated. Remember any child which cross 2 centile lines needs investigation to understand why.

Introduction of solids should ideally be started at:

• 4 months

• 6 months

• 8 months

• 10 months

Answer explanation

Age alone however does not indicate whether a child is ready to start solids. Other considerations include their ability to sit unaided, hand to mouth action and head control.

Which one of the following does not have parental responsibility:

• The child's mother

• Adoptive parents

• A child's father post divorce

• The child's foster mother

Which one of the following is now both targeted and universal in the UK immunisation schedule:

• Pertussis

• Pneumococcus

• Hepatitis B

• Haemophilus influenza B

Which of the following statements is untrue:

• Colic normally starts when a baby is a few weeks old

• Colic often occurs in the late afternoon or evening

• Colic is a common problem affecting up to one in five babies

• Colic is more common in bottle fed babies

Which one of the following is not part of the routine examination of a 6-8 week infant:

• Ophthalmoscopic examination of the eyes looking for a red reflex

• Measurement of length

• Measurement of head circumference

• Examination of the scrotum for testicular descent in boys

Which one of the following would be regarded as a "red flag" rather than normal development:

• Developing hand dominance at 9 months

• Sitting without support at 6 months

• Mouthing objects at 12 months

• Imitating every day activities at 18 months

How long should a child stay away from nursery/school after a bout of gastroenteritis (from last episode of diarrhoea)?

• 24 hours

• 12 hours

• 36 hours

• 48 hours