PED FINALS

  1. What is complication of measles (western med)? (P17) 

A: pneumonia, swollen sore throat and lost voice, mental disorder 

  1. Characteristics of skin lesions of chicken pox? (P21) 

A: watery blisters appearing first on the scalp & face then spreading to the torso  

  1. Affected organs of mumps (3 glands) (P23) 

A: parotid gland, sublingual and submandibular  

  1. Complication of mumps (P23) 

A: swollen testicles/ovaries, pancreatitis, meningitis  

  1. Infantile diarrhoea etiology (P26) 

A: External Cold, Heat, Dampness invading the body 

Improper Diet 

Def of SP & ST 

Yang Def of SP & KI 

  1. Red flag S&S in severe case of infantile diarrhoea? (P26 but no notes in the book) 

A: dehydration, no urine, lethargy, blood in the stool, abdominal pain, fever, rapid weight loss 

  1. Typical clinical manifestations of infantile malnutrition (P32) 

A: emaciation, sallow complexion, dried and withered hair, anorexia, decreased appetite, cry without energy 

  1. Pathogen of whooping cough (western med) (P83) 

A: Bordetella Pertusis Bacteria  

  1. Characteristic tongue appearance of scarlet fever (P87) 

A: red tongue  

  1. Clinical manifestations of allergic purpura (P57) 

A: sudden appearance of purpuric skin rash on the feet, legs, arms, buttocks. Most patients have fever and periarticular tenderness with swelling of the ankles, knees, hips, wrists and elbows. GI symptoms: colic and an tenderness. 20-50% of patients have hematuria and proteinuria.  

  1. Primary pathogenesis of allergic purpura (western med)  

A: chronic vasculitis 

  1. Edema - nephrotic syndrome. What is the diagnostic criteria for this syndrome? 

A: edema, hypoprotenemia, proteinuria ? 

  1. Characteristics of skin lesions in rubella 

A: appears on face, neck, body, face and no rash on palms - sand like light rash 

  1. Characteristic of cough sound in whooping cough (P83) 

A: whooping sound at the end of a series of coughs 

  1. Clinical manifestations of paediatric pneumonia   

A: cough (yellow sputum), fever, SOB, chest pain, difficulty breathing (in severe cases), flaring of nostrils, cyanosis of the lips 

  1. S&S in the pattern Wind Heat common cold 

A: severe fever, aversion to wind, sweating or scant sweatin2g, headache, nasal blocking, thick nasal discharge, sneezing, cough with white sticky or yellow sputum, red or swollen sore phylex, dry mouth with thirst, red tongue, thin white or yellow coating, floating rapid pulse 

  1. Prim evil causing infantile convulsion   

A: wind 

  1. Western med exam for paediatric epilepsy  

A: EEG 

  1. Typical manifestation of pediatric epilepsy  

A: sudden episodes of LOC, suddenly falling down with upward rolling back of eyes, limbs convulsion, white frothy saliva drooling from mouth, urinary incontinence, guttural noises 

  1. SP and ST Qi def in infantile diarrhoea - learn this 

A: chronic intermittent or lingering diarrhea, undigested food in stool, diarrhea after eating, light coloured stool with no foul odour, sallow yellow facial complexion, thin body, lassitude. T: pale with teeth marks, white cover, P: soft, soggy 

TP: fortify SP and ST, benefit qi 

Qi Wei Bai Zhu san 

  1. Which organ is primarily responsible for poor appetite? 

A: Spleen (and stomach?) 

  1. Main differentiation method for diagnosis of cough? (P8) 

A: int/ext 

  1. What is the primary pathogen for mumps? 

A: mump virus (wind warm toxin) 

  1. Abdominal pain - Cold Invading Pattern - study this 

A: acute and sudden abdominal pain that is better with heat, crying and pumping of legs to the abdomen, loose stool, cold hands and feet, white somber facial complexion, T: white greasy and slippery cover, P: deep, tight 

TP: warm middle, dispel cold 

Nourish Zang Organs powder 

  1. Infantile convulsion - to differentiate determine acute from chronic  

A: both manifest with muscular spasm of the limbs, jaw tetany, clouding of consciousness 

Difference - Acute: acute onset, high fever, nausea & vomiting, convulsions, often more serious. Chronic: slow onset, intermittent weak convulsions. Accompanied by def such as emaciations, pale complexion. T: pale  

  1. Technique applied on extra point Shixuan  

A: blood letting 

  1. Location of special point Ye niao dian? In enuresis chapter 

A: centre of the transverse crease on the palmar surface of the fingers or needle SP6 REN4 

  1. Which tissue/organ might be affected in pathology of allergic purpura? 

A: Skin, GI tract, Joint, Kidney 

  1. Key pathogenesis in allergic purpura (TCM)? 

A: Blood heat, qi def 

  1. Spontaneous sweating - clinical manifestations? (besides spontaneous sweating) 

A: depends on the pattern… 

Exterior Def fails to be consolidated - night sweats, worse with movement, tiredness, fatigue, pale complexion, cold limbs, easily catches colds 

Disharmony between Ying Wei - aversion to cold wind, tiredness, poor appetite 

Def of Qi & Yin - irritability, insomnia, profuse sweating after sleeping, dry mouth, heat sensation in the soles and palms 

  1. Wind Water pattern of edema - learn S&S 

A: initially edema starts from eyelids then involves four limbs, sudden onset, more facial edema, lustrous skin with good elasticity. In severe cases general body edema 

Also - aversion to wind, fever, cough, general body aches, scant urine or blood in the urine 

T: thin, white 

P: floating 

  1. Complication of scarlet fever in Western med 

A: acute nephritis, RA, HT issues 

  1. Know physiological characteristics of children and pathological changes/characteristics of children (P1) 

A: children’s internal organs are delicate 

KI qi not prosperous 

Develop quick 

Pure Yang constitution  

Wei qi is weak 

Disease transmit from one organ to another  

Recover quickly (zang organ qi is clear and pure) 

  1. Know the fontanelle - name of anterior fontanelle bone and when it is closed by? (P2-3) 

A: frontal and parietal bones. Closes 12-18 months  

  1. Which organ rules forehead?  

A: heart 

  1. What does red complexion indicate? 

A: Heat 

  1. Know the finger vessel - (P3-4)  

A:  

Depth: superficial = exterior; deep = interior 

Colour:  

Fresh red - ext wind/cold  

Purplish/red - interior heat 

Light red - def cold or qi and blood def 

Blue - pain or terror 

Bluish/purple - blood stasis, spasm, terror 

Light purple/reddish brown/red - normal 

Pale - def  

Shape:  

Single - mild 

Multi branch - serious  

Thicker than normal - excess 

Thinner than normal - def 

Location:  

Feng - mild/exterior pattern 

Qi - entered channel and more serious  

Ming - entered viscera, may be life threatening  

Tou - very dangerous  

  1. Common Cold in children  - What is the primarily evil of common cold? (P5) 

A: EPI Wind  

  1. Key S&S of Food Stag (P30) 

A: no desire for milk and food, indigestion after intake of food, ab distension and fullness, irregular BM 

  1. What points would you use for LR Qi Stag overacting on the ST in Infantile Vomiting? (P35) 

A: he said here choose the option which contains Liver points 

  1. In retarded development what are 5 slows? (P51) 

A: slow development in standing, slow movement, slow hair growth, slow growth of teeth, slow speech 

  1. What is primary pathogenesis of enuresis? (P54) 

A: BL fails to consolidate 

  1. In enuresis know SP & LU Qi def clinical S&S (P55) 

A: night time enuresis, lassitude, SOB, spontaneous sweating, white facial complexion, lack of appetite, loose stool, T: pale with white coating, P: weak 

  1. What is primary pathogen in oral thrush? (P61) 

A: western - oral candidiasis  

  1. What are key S&S of Food retention (P30) 

A: no desire for milk and food, indigestion after intake of food, abdominal distension and fullness, irregular bowel movement  

  1. what is key pathogenesis of pediatric epilepsy (P65) 

A: phlegm 

  1. how does the rubella virus affect the fetus? (P69) 

A: Congenital cataract (eyes), cleft lip (lips), Congenital deaf/mute (ear), Congenital heart disease (HT) 

  1. Organ related to disease of retarded development?  

A: Kidney 

  1. S&S of heat asthma in attacking stage (P72) 

A: wheezing with phlegm rattling in the throat, prolonged exhalation (LU Qi Excess), cough with yellow sticky sputum, fever red complexion, oppression and fullness in chest and diaphragm, thirst with desire for cold drinks, yellow, scant urination, dry stool or constipation, T: yellow greasy, P: slippery rapid 

  1. In Asthma which organs are affected in remission stage? (P71) 

A: LU, SP, KI