1. Greater than 75% of children with meningitis have a preceding upper respiratory tract infection (TRUE)
2. Less than 5% of children with meningitis have seizures (FALSE- 20-30%)
3. Febrile seizures are always less than 5 minutes in duration (FALSE- up to 10 minutes)
4. Appendicitis is the commonest cause of surgical abdomen in under two year olds. (TRUE)
5. The history of bystanders is very reliable in their description of seizure activity and can be used to make the diagnosis.
(FALSE- in many instances the appearance of seizure activity will be described by bystanders, although what is being seen is the myoclonic activity which is the result of a hypoxic brain- video examples will be given at the GPCE)
6. Patients with aortic dissection can present with syncope as their only complaint (TRUE- Up to 12% of patients can present with syncope as their only complaint.
7. Mortality from missed cardiac causes of syncope is up to 30% (TRUE)
8. The following can be used as a straightforward risk stratifying rule for determining potential life threatening causes of syncope- choose one:
(a) The San Francisco Syncope Rule
(b) The Brugada Theorem
(c) The Ottowa Syncope Rule
(d) The Framingham Criteria
(e) None of the above
ANSWER is A. The San Francisco Syncope Rule and its variants will be reviewed and taught at the conference.
9. Which of the following is true? Abdominal pain in children can be caused by: (a) Mesenteric Adenitis
(b) Meckel’s Diverticulum
(c) Intussususception
(d) Pyloric Stenosis
(e) All of the above
ANSWER IS E ALL OF THE ABOVE
10. Which of the following conditions, that may be found by incidental ECG in a well patient, if not identified, is most likely to result in the patient suffering sudden cardiac death from arrhythmia?
(a) Wellen’s Syndrome
(b) Wolf Parkinson White Syndrome
(c) Dressler’s syndrome
(d) Brugada Syndrome
(e) All of the above
ANSWER is D- Brugada Syndrome