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Question 1

Beyond pear-drop breath what other kind of breathing is associated with DKA?

Answer 1

Kussmaul’s breathing - deep and laboured

Question 2

Nitrates are not always indicated in acute HF despite the POND mnemonic. In what situations should they be used?

Answer 2

• MI also occuring
• Severe HTN
• valvular disease

Question 3

In what situations do you use CPAP vs BiPAP?

Answer 3

CPAP - Type 1 resp failure
BiPAP - Type 2 resp failure

Question 4

What is the IM adrenaline doses for children?

Answer 4

<6 months - 100-150 micrograms
6mnths - 6yrs - 150 micrograms
6-12 yrs - 300 micrograms
>12 yrs - 500 micrograms

really just remember
12+ = adult dose
6-12 = 300 micrograms
<6 = 150 micrograms

Question 5

At what age do most kids no longer suffer from febrile convulsions?

Answer 5

5 years

Question 6

If camplyobacter infection becomes severe and indicates increased treatment what is it managed with?

Answer 6

Clarithromycin

If you want rid of campers - put some mycin their tent

Question 7

Match each of the following testicular lump buzzwords to their condition:
- bag of worms
- transilluminates + fluid-filled + able to get above it
- transilluminate
- painful swelling
- tender + seperate to testicle + able to get above it

Answer 7

1. variocele - dilation of the pampiform plexus
2. hydrocele (accumulation of fluid in tunica vaginalis)
3. spermatocele
4. epidiymo-orchitis
5. epididymal cyst

Question 8

Painful swelling of the testicles = epididymo-orchitis - most often caused by infection. How is it managed?

Answer 8

Ceftriaxone + doxycylcine

Question 9

Mangement of testicular torision is emergency surgery. But what kind?

Answer 9

Bilateral orchidopexy - fixation of bost testes

Question 10

How do testicular lumps present?

What invx is done?

Answer 10

Painless lumps
Lumpy - sometimes with loss of sensation over the area
~gynaecomstia

Testicular USS