Babies, Kids And Mums Flashcards
The father of a 3-year-old child wants some advice on what medication to give as the child has not gone to the toilet for 3 days and is distressed. The child normally empties their bowels daily and this has occurred on and off since the start of nappy training 4 weeks ago.
Which one of the following is the most appropriate treatment in this case?
- Glycerol suppositories
- Lactulose
- Pear juice
- Phosphate enema
- Senna liquid
Lactulose
An anxious mother brings her 4-year-old son in to your community pharmacy. He has just started nursery and has developed a dry, irritating cough over the last day or two. There is no fever and no family history of asthma.
Which of the following are you most likely to recommend?
- advise pholcodine paediatric linctus, one 5 mL spoonful when required
- advise simple linctus, one 5 mL spoonful when required
- reassure that the symptoms are likely to subside over the next few days, but if they get worse to see the GP
- refer to the GP for a non-urgent appointment for a review
- refer to the GP for an urgent appointment
Reassure that the symptoms are likely to subside over the next few days, but if they get worse to see the GP
You are asked by the mother of a 12-week-old baby if there is anything she can take to relieve her back pain, which started three days previously after a yoga class. She is breastfeeding her baby.
Which advice is most appropriate for this patient?
- aspirin should be avoided due to the possibility of Reye’s syndrome
- ibuprofen should be avoided in breastfeeding due to the possibility of gastrointestinal disturbances
- opioid analgesia is safe in pregnancy and breastfeeding
- the amount of paracetamol transferred in breast milk is small but will produce an adverse response in the infant, so avoid
- there is insufficient evidence on the safety of drugs in breastfeeding, so she should avoid taking any analgesia
aspirin should be avoided due to the possibility of Reye’s syndrome
Six-year-old child with congenital hypothyroidism has her dose of levothyroxine increased. The mother is concerned that the child is experiencing side-effects.
Which one of the following side-effects listed below is most likely to be observed in this child?
- Constipation
- Diarrhoea
- Lethargy
- Muscle cramps
- Weight gain
Diarrhoea
Mum comes to your Pharmacy with a one year old baby and ask advice regarding vaccinations. Her baby is due to receive the MMR vaccine next week. It is described as a live vaccine in the leaflet which her health visitor gave her and she is a little concerned.
Which of the following statements is correct?
- Booster injections are required every two years to sustain immunity from live vaccines
- Children and adults with impaired immune response should not receive the live vaccines
- If a child has already received a measles vaccine, they should not receive the MMR live vaccine
- If the child has any minor illness than the vaccination should be postponed
- Live vaccines produce a longer lasting immunity than that as a result from natural immunity
Children and adults with impaired immune response should not receive blood vaccines 
I’m on brings her two-year-old child in who has been experiencing diarrhoea since last night. The child is relatively lively and there is no accompanying vomiting.
What is the most appropriate action?
- Recommend loperamide to be given after each loose stool and plenty of fluids
- Recommend oral rehydration therapy to avoid dehydration and refer to the GP if no improvement after 48 hours
- Recommend or rehydration therapy to avoid dehydration and refer to the GP if no improvement after four days
- Recommend plenty of fluids and to eat plain food
- Refer to the GP immediately
Recommend or a rehydration therapy to avoid dehydration and refer to the GP if no improvement after 48 hours
Young Mum ring Sophie pharmacy for advice about a 12 month old baby. She thinks he may be showing signs of meningitis.
Which of the following symptoms is not a sign of meningitis in infants?
- A rash which blanches white with pressure
- Bulging fontanelle
- Cold extremities
- Excessive sleepiness or irritability and high-pitched cry
- Stiff or jerky, particularly head and neck area
A rash, which blanches white with pressure
You receive a request for a sugar-free analgesic preparation for a child.
Which of these ingredients would be considered a sugar-free ?
- agave nectar
- Fructose
- Glucose
- Sorbitol
- Sucrose
Sorbitol
A two year-old child with chickenpox requires treatment for related pyrexial symptoms. The child has no other medical conditions and no other symptoms.
Which of the following is the most appropriate treatment option for their symptoms?
- Aspirin 300 mg dispersible tablets – half tablet, three times daily
- Calamine, an aqueous cream – apply when required
- Chlorphenamine maleate, 2 mg/5 mL syrup - 2. 5 mL every 4 to 6 hours.
- Ibuprofen, 100 mg/5 mL suspension – 5 mL three times daily
- paracetamol, 120 mg/5 mL suspension – 7.5 mL four times daily
Paracetamol, 120 mg/5 mL suspension – 7.5 mL four times daily.
A 30-year-old woman is four months pregnant and presents a prescription for mebendazole. Mebendazole should not be used in the first trimester of pregnancy and use in the second or third trimester can be considered if necessary, but this is ‘off label’.
Which of the following is the most appropriate definition of “off label”?
- Off label medication can only be prescribed by a doctor
- Patient should not be told that the treatment is off label
- There is insufficient evidence to support the medication use for this purpose
- The medication is being used outside the terms of the license
- The patient takes the medication at their own risk
The medication is being used outside the terms of the license
Three-year-old child with battens disease (a neurodegenerative disorders) has been admitted to the ward. He receives a nutritionally complete, enteral feet through a percutaneous endoscopic gastrostomy tube due to unsafe swallowing and risk of aspiration. They are receiving Paediasure (a complete liquid feed, providing 1 kcal per millilitre)
