Acute Paediatrics — Flashcards

Flashcard 141: What is the most common cause of meningitis in children from > 6 years? _____

Answer: Neisseria meningitidis (meningococcus)

Flashcard 142: School exclusion for scarlet fever? _____

Answer: 24 hours after commencing antibiotics

Flashcard 143: School exclusion for rubella? _____

Answer: 5 days from onset of rash

Flashcard 144: School exclusion for whooping cough (Pertussis) is for _____ after commencing antibiotics OR 21 days from onset of symptoms if not treated.

Answer: 48 hours

Extra: Whooping cough (Pertussis) is highly contagious. The exclusion period is aimed at preventing spread during the communicable stage. Prophylaxis may be required for high-risk household contacts.

Flashcard 145: What is the most common cause of meningitis from neonates to 3 months? _____

Answer: Group B Streptococcus

Flashcard 146: If the Apgar score is <7 at 5 minutes, assessment should be repeated every 5 minutes up to _____ minutes.

Answer: 20

Extra: Criteria for Apgar scoring: Appearance (Color), Pulse (Heart rate), Grimace (Reflex irritability), Activity (Muscle tone), and Respiration. Scores are typically taken at 1 and 5 minutes. If the 5-minute score is <7, continue scoring every 5 minutes up to 20 minutes.

Flashcard 147: Kawasaki disease presents with a _____-grade fever (39°C) that persists for ≥ 5 days and does NOT improve with antipyretics

Answer: high

Flashcard 148: School exclusion for mumps? _____

Answer: 5 days from swollen glands

Flashcard 149: What is the 3rd most common cause of meningitis from neonates to 3 months? _____

Answer: Listeria monocytogenes

Flashcard 150: School exclusion for impetigo? _____

Answer: Until all lesions have crusted over / 48 hours after commencing antibiotics