A 4-year-old boy is seen in GP with worsening of his asthma. He currently takes a salbutamol inhaler when necessary and regular beclomethasone inhaler, but his mother had noticed increased WOB over the past few weeks. What would be the next step in management?

A. Short course of prednisolone (30mg)

B. Increase dose of inhaled corticosteroid

C. Add leukotriene receptor agonist

D. Refer to a paediatrician

E. Add in a long-acting β2 agonist (LABA)

A 10-year-old girl comes to GP with her father. She has several sticky, honey-coloured crusts around her mouth. The girl denies any pain, but her father states she has scratching at them. Based on this history, what is the most appropriate antibiotic.

A. Amoxicillin

B. Doxycycline

C. Topical Fucidin

D. Flucloxacillin

E. Clarithromycin

A 3-year-old boy has been referred to paediatric admissions by his GP. His parents have noticed him limping when walking around the house for the past 2 days. There is no distress when sat, but has complained of pain. Parents deny any trauma. When further history taken, he has had a recent cold. On exam, patient is well, but there is decreased range of movement in the hip.

A. Septic Arthritis

B. Transient Synovitis

C. Perthes Disease

D. Juvenile Idiopathic Arthritis

E. Henoch-Schonlein Purpura

4) One of the most common causes of Cyanotic Congenital Heart Disease is Tetralogy of Fallot. There are 4 common features; Large Ventricular Septal Defect, overriding of the aorta, subpulmonary stenosis and what other feature?

A. Transposition of the great arteries

B. Atrial septal defect

C. Patent Ductus Arteriosus

D. Coarctation of aorta

E. Right ventricular hypertrophy

6) Parents bring their 3 month old to GP with a history of coryzal symptoms, which have been getting worse recently, leading to wheeze. The child was diagnosed with bronchiolitis. A Nasopharyngeal Aspirate was taken. Which is the most common pathogen causing bronchiolitis?

A. Adenovirus

B. Staph Aureus

C. Rhinovirus

D. Respiratory Syncytial Virus

E. Enterovirus

In a young child who has presented with UTI, what is the most important follow up first line investigation after the correct initial management has been put in place?

A. US Kidneys and Renal Tract

B. XR Abdomen

C. Micturating Cystourethrogram

D. CT KUB

E. Regular Urinalysis

Which of these diseases requires school exclusion in the UK?

A. Head Lice

B. Conjunctivitis

C. Impetigo

D. Infectious Mononucleosis

E. Threadworms

A 11-year-old male presented with acute painful swelling of his testicle. On examination, the scrotum is hot, red and swollen, with the testicle having a “transverse” position. The diagnosis of testicular torsion is made and he is sent to have emergency surgery. In what time frame from the acute event must surgery take place to get the best chance at recovering the testicle?

A. Within 12 hours

B. Within 24 hours

C. Within 6 hours

D. Within 10 hours

E. Within 48 hours

Alice, a 2 month old baby, is being investigated by paediatric cardiology for a congenital cardiac defect. In her initial bloods, the registrar notices hypocalcaemia and a low lymphocyte count. What is the most likely cause of her symptoms?

A) Microdeletion of 22q11 (DiGeorge Syndrome)

B) Trisomy chromosome 21(Down Sydrome)

C) Mutation in FBN1 gene (Marfan Syndrome)

D) Microdeletion of 7q11.23 (William’s Syndrome)

E) Monosomy X chromosome (Turners Syndrome)