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Exam Revision > Child Health 2 > Flashcards

Child Health 2 Flashcards

1
Q

injections at 2 months

A

diphtheria, polio, pertussis, tetanus, Haemophilus influenza B (DTap/IPV/Hib)
PCV (pneumococcal)
rotavirus
Men B

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2
Q

injections at 3 months

A

DTap/IPV/Hib
Men C
rotavirus

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3
Q

injections at 4 months

A

DTap/IPV/Hib
PCV
Men B

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4
Q

Injections around 1st bday

A

Hib/Men C booster
PCV
MMR
Men B

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5
Q

injections 3-5 years

A

DTap/IPV booster

MMR

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6
Q

injections 13-15 years

A

Men C booster

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7
Q

injections 13-18 years

A

tetanus, diphtheria, polio booster

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8
Q

when are the PCV vaccines given

A

2 months
4 months
around 1st bday

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9
Q

when are the DTap/IPV/Hib vaccines given

A

2 months,
3 months,
4 months
3-5 years booster

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10
Q

when are MMR injections given

A

around 1st bday

3-5 years

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11
Q

when are rhesus -ve mothers offered prophylactic anti- D

A

28 + 34 weeks

15000 units

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12
Q

what events in pregnancy would a rhesus -ve mother get anti-D

A

ectopic pregnancy
amniosentisis
trauma e.g. any vaginal bleeding/miscarriage

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13
Q

dose of anti-D given after delivery to rhesus -ve mother

A

500 units

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14
Q

when should anti-D not be given after delivery

A

if Coombs test +ve / infant bilirubin raised

it is too late

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15
Q

main cause of hip pain in children

A

transient synovitis

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16
Q

what precedes transient synovitis

A

URTI

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17
Q

main clinical sign in SUFE

A

loss of INTERNAL rotation

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18
Q

tx of SUFE

A

pin in femoral head

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19
Q

what is perthes disease + who gets it

A

idiopathic osteochondrosis of femoral head

small hyperactive boys 4-9 years old

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20
Q

tx perthes

A

regular Xray + no physical activity

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21
Q

extra thigh/groin skin fold

A

DDH

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22
Q

Ix septic arthritis

A

joint aspiration

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23
Q

Ix perthes

A

X ray

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24
Q

Ix osteomyelitis

A

MRI

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25
Q

difference in presentation of osteomyelitis and septic arthritis

A

osteomyelitis - subacute, tenderness, pain on movement

septic arthritis- acute, pain on movement + at rest, limited range of motion, fever

26
Q

Tx DDH

A

pavlik harness 6 weeks

27
Q

when should a baby be able to control its head in the vertical

A

6 weeks

28
Q

when should a baby have no head lag

A

3 months

29
Q

when should a baby have a social smile

A

6 weeks

30
Q

when should a baby babble + scream when annoyed

A

6 months

31
Q

when should a baby push to prone + have a palmar grasp

A

6 months

32
Q

when should a baby be able to play peak a boo + is wary of strangers

A

9 months

33
Q

when should a baby point with their index finger

A

9 months

34
Q

what should a baby be able to do at 1 year old

A 
begin to walk
bang toys together
recognise own name 
first word 
drink from a cup
35
Q

when can a child feed with a spoon

A

18 months

36
Q

how many words should a child know at 18 months

A

5-20 + can point to body parts

37
Q

when can a child go up and down stairs with alternating feet

A

3 years

38
Q

when can a child draw a circle

A

3 years

39
Q

social, play, hearing + language development of a 3 year old

A

vivid play + understands sharing
washes hands
asks lots of questions

40
Q

when does a child hop

A

4 years

41
Q

when can a child tell stories

A

4 years

42
Q

when does a baby follow torch with eyes

A

6 weeks

43
Q

what level of tower can a child build at
18 months
2 years
3 years

A

12 months - 3 bricks
2 years- 6 bricks
3 years- 9 bricks

44
Q

when should a child be able to follow instructions

A

2 years

45
Q

when should a child have a pincer grip

A

12 months

46
Q

when can a child feed with a spoon

A

18 months

47
Q

when can a child dress and undress

A

4 years

48
Q

when can a child ride a trike

A

2 years

49
Q

vomiting, abdo distension, poor feeding, gas cysts on XR

A

Necrotising enterocolitis

50
Q

asthma pathway in children

A

SABA
SABA + ICS
SABA + ICS + Leukotriene receptor antagonist
SABA + ICS + LABA

51
Q

Kawasaki disease

A

immune mediated, formation of coronary aneurysms

52
Q

symptoms of Kawasaki disease

A

fever for 5 days +

  • rash, blanching maculopapular
  • conjunctivitis
  • cracked lips, red pharynx
  • cervical lymphadenopathy
  • erythema/oedema of hands + feet
53
Q

Components of APGAR

A 
appearance 
pulse rate
grimace
activity 
respiration
54
Q

scoring for appearance

A 
0 = blue/pale all over
1 = blue extremities 
2 = pink all over
55
Q

scoring for pulse rate

A 
0 = no pulse 
1 = <100
2= > 100
56
Q

scoring for grimace

A 
0= no response to stimulation 
1 = grimace/weak cry when stimulated
2= cries/pulls away when stimulated
57
Q

scoring for activity

A 
0= no activity 
1= some flexion of the limbs
2= flexed limbs that resist extension
58
Q

scoring for respiration

A 
0 = absent breathing 
1= irregular breathing/gasping 
2= regular breathing, strong cry
59
Q

when is APGAR performed

what is a normal score

A

1 min + 5 mins after birth

>7/8

60
Q

double bubble sign

A

duodenal atresia

61
Q

presentation of cephalohaematoma

A

complication of instrumental delivery

  • 24-48 hours post birth
  • clear edges that end at suture lines
  • discolouration of the swollen site due to presence of coagulated blood – may need transfusion/phototherapy if significant
62
Q

presentation of caput succedaneum

A

complication of instrumental delivery
- soft puffy swelling
extends across midline + over suture lines

Exam Revision (32 decks)

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