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TRUE/FALSE?
1. 4yo boy with known congenital adrenal insufficiency. 1/7 fever and diarrhoea. Not dehydrated, tolerating fluids by mouth. What is your advice?
A. Increase his hydrocortisone to 3 to 4 times the usual maintenance dose (given in three or four divided doses).
TRUE/FALSE?
1. 4yo boy with known congenital adrenal insufficiency with 1/7 of fever and diarrhoea. Not dehydrated, tolerating fluids by mouth. What is your advice?
B. Increase the dose of mineralocorticoid.
TRUE/FALSE?
1. 4yo boy with known congenital adrenal insufficiency with 1/7 of fever and diarrhoea. Not dehydrated, tolerating fluids by mouth. What is your advice?
C. No increase in medication warranted as the child is only moderately unwell.
TRUE/FALSE?
1. 4yo boy with known congenital adrenal insufficiency with 1/7 of fever and diarrhoea. Not dehydrated, tolerating fluids by mouth. What is your advice?
D. The child should be taken to ED if he develops vomiting and is not tolerating oral fluids or medication.
TRUE/FALSE?
2. In the situation of a baby born with a disorder of sex differentiation one must
always consider the possibility of congenital adrenal hyperplasia.
TRUE/FALSE?
3. Although a commonly used laboratory definition of hypoglycaemia is a blood
glucose level below 2.6, symptoms are common at levels below 3.3 and this level should prompt consideration of further evaluation.
TRUE/FALSE?
4. A blood sample for investigation of hypoglycaemia in a child may, for practical
reasons, be collected after stabilising the child and administering glucose.
TRUE/FALSE?
5. Hypocalcemia may present with seizures in the neonate or infant.
TRUE/FALSE?
6. Neonatal thyrotoxicosis never presents in the first two weeks of life.
