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6. Which is not true of choledochal cysts
- Diagnosis is by ERCP
- 2% risk of cancer
- Treatment includes roux-en-Y anastamosis
- May be picked up on antenatal USS
7. Which is not true of spinal muscular atrophy?
- Type 3 is most severe, type 1 usually learn to walk
- Death is from respiratory failure
- Anterior horn cell pathology
- Flaccid paralysis, areflexia, tongue fasciculation
8. Which is true of malrotation?
- AXR is diagnostic
- Appendix often removed during surgery
- Presenting age is 3mo-2yr
- Surgery consists of Norwood procedure
9. Which regarding complex regional pain syndrome is not true?
- May present in a wheelchair
- There is no physical change to the affected area
- Usually in adolescent females with associated stressors
- Hyperaesthesia and allodynia are common
10. Which is not true of T1D
- Good glycaemic control prevents complications
- Minimal insulin requirement shortly after presentation
- Low fibre diet is helpful
- Carb counting can be helpful to estimate insulin requirement
- Aim for BM 4-7 before meals using rapid-acting pre-prandially
- HbA1C measured 4/yr, aiming for < 48
11. Which is not an indication for biopsy with haematuria?
- Recurrent microscopic haematuria
- Persistently abnormal complement
- Signifiant persistent proteinuria
- Abnormal renal function
12. Which is not true of sarcoma?
- Can cause urinary obstruction
- Tumour margin is usually well-defined
- Head and neck most common
- 15% have mets at diagnosis
13. Which is not true of galactosaemia
- Diagnosed by enzyme levels
- Ovarian failure is a recognised long term consequence
- Galactose-free diet prevents all sequelae
- Complications include cataract
14. Which is not true of haematology?
- WCC is higher in neonates
- Preterm babies often have anaemia at birth
- HbF has higher O2 affinity
- Neonatal normal Hb value is >140
15. Which is not true of cerebral palsy?
- Postnatal issues can cause it
- 30% are due to hypoxia
- Cerebrovascular ischaemia is a common cause
- Cerebral dysgenesis is the most common cause
16. Which is true of precocious puberty in boys
- Gonadotrophin-independent = prepubertal testes
- Liver tumours secreting AFP are a cause
- Gonadal tumours never cause precocious puberty
- It is fairly normal and should only be investigated if abnormal sequence of development or other symptoms
17. Which is not true of asthma in children?
- Spirometry is not performed
- Diagnosis is clinically based
- Wheeze rarely occurs between exacerbations
- Peak flow can be used to monitor control
18. Which of these does not increase your APGAR score
- HR 100-140
- Pink in colour
- Resp rate < 40
- Strong cry when stimulated
19. Which is not an indication for dialysis in childhood AKI?
- Severe metabolic acidosis
- Moderate hyponatremia
- Pulmonary oedema
- Moderate hypokalemia
20. Which is not true of cystic fibrosis?
- Molecular genetics needed for diagnosis
- Immunoreactive trypsinogen is a screening test in newborns
- 90% have pancreatic insufficiency
- 95% die of respiratory failure