General Practice

Question 1

When is the first time the GP meets baby?

Answer 1

2 month vaccine

Question 2

When is the first time the GP meets baby?

Answer 2

2 month vaccine

Question 3

What happens at the 6-8 week screen?

Answer 3

Development check
Feeding check
Parental concerns addressed
Physical exam
ID check

Question 4

What kinds of things are checked in the physical exam?

Answer 4

Length, weight, heart, hips, eyes, genitalia

Question 5

What is a neonate?

Answer 5

Until 4 weeks

Question 6

What is an infant?

Answer 6

4/52 - 52/52

Question 7

Why would you be concerned if an infant looked pale?

Answer 7

Infants have higher Hb levels (12) and are not usually pale.

Question 8

How does respiratory distress present in children?

Answer 8

Intercostal and subcostal undraping

Accessory muscle use

Question 9

If central cyanosis is present in the lips what must the O2 sats be?

Answer 9

under 80%

Question 10

What is acrocyanosis?

Answer 10

Blu-ish discolouration of hands and feet when newborn is pink.
Normal.

Question 11

Some babies are born jaundice. What is the pathology behind this?

Answer 11

Can be normal.

Impossible to distinguish normal from pathological.

Question 12

What weight is normal for newborns?

Answer 12

Over 2500g (5.5lbs)

Question 13

What gestation is classed as pre-term?

Answer 13

Before 37 weeks

Question 14

What gestation is classed as post-term?

Answer 14

After 42 weeks

Question 15

What clinical assessment is made immediately after birth?

Answer 15

APGAR score

Question 16

What is measured within the APGAR score?

Answer 16

HR
Respiratory effort
Muscle tone
Reflex
Colour

Question 17

What is a normal APGAR score?

Answer 17

8-10

Question 18

What is vernix?

Answer 18

Cheesy-white substance over the baby when born

Question 19

What skin lesions are worrying?

Answer 19

Blisters or bullae

Question 20

What needs to be examined on baby’s head?

Answer 20

Head shape

Fontanelles for swellings or sinkings

Question 21

What is examined in the eyes?

Answer 21

Jaundice in sclera
Normal movement
Red eye reflex through opthalmascope

Question 22

What happens at the 6-8 week screen?

Answer 22

Development check
Feeding check
Parental concerns addressed
Physical exam
ID check

Question 23

What kinds of things are checked in the physical exam?

Answer 23

Length, weight, heart, hips, eyes, genitalia

Question 24

What is a neonate?

Answer 24

Until 4 weeks

Question 25

What is an infant?

Answer 25

4/52 - 52/52

Question 26

Why would you be concerned if an infant looked pale?

Answer 26

Infants have higher Hb levels (12) and are not usually pale.

Question 27

How does respiratory distress present in children?

Answer 27

Intercostal and subcostal undraping | Accessory muscle use

Question 28

If central cyanosis is present in the lips what must the O2 sats be?

Answer 28

Less than 80%

Question 29

What is acrocyanosis?

Answer 29

Blu-ish discolouration of hands and feet when newborn is pink. Normal.

Question 30

Some babies are born jaundice. What is the pathology behind this?

Answer 30

Can be normal. | Impossible to distinguish normal from pathological.

Question 31

What weight is normal for newborns?

Answer 31

Over 2500g (5.5lbs)

Question 32

What gestation is classed as pre-term?

Answer 32

Before 37 weeks

Question 33

What gestation is classed as post-term?

Answer 33

After 42 weeks

Question 34

What clinical assessment is made immediately after birth?

Answer 34

APGAR score

Question 35

What is measured within the APGAR score?

Answer 35

``` HR Respiratory effort Muscle tone Reflex Colour ```

Question 36

What is a normal APGAR score?

Answer 36

8-10

Question 37

What is vernix?

Answer 37

Cheesy-white substance over the baby when born

Question 38

What skin lesions are worrying?

Answer 38

Blisters or bullae

Question 39

What needs to be examined on baby's head?

Answer 39

Head shape | Fontanelles for swellings or sinkings

Question 40

What is examined in the eyes?

Answer 40

Jaundice in sclera Normal movement Red eye reflex through opthalmascope

Question 41

By what age in children are HR, RR and BP the same as adults?

Answer 41

12

Question 42

What can be said about the surface area:volume ratio in children?

Answer 42

High

Question 43

Bronchiolitis is the most common presentation. How is treated?

Answer 43

Supportive treatment

Question 44

What virus causes bronchiolitis?

Answer 44

RSV

Question 45

What needs to be taken into consideration when thinking about IV fluids or transfusions?

Answer 45

Blood volume is much smaller in infants so needs to be calculated carefully

Question 46

What type of bacteria is the common cause for sepsis?

Answer 46

Gram negatives e.g. strep B

Question 47

What is croup?

Answer 47

Laryngotracheobronchitis

Question 48

What is the treatment for croup?

Answer 48

Inhaled steroid treatment

Question 49

What are the symptoms of croup?

Answer 49

Barking cough Sore throat Stridor

Question 50

Children with what condition are more susceptible to pneumonias?

Answer 50

Cystic fibrosis

Question 51

What is the tumbler test?

Answer 51

A meningococcal rash will not disappear under a glass

Question 52

What kind of fit is associated with asystole?

Answer 52

reflex anoxic seizures

Question 53

What is the treatment for gastroenteritis?

Answer 53

Fluid resuscitation

Question 54

Which bacteria is the most common cause for a UTI in children?

Answer 54

E. Coli

Question 55

When do headaches become concerning? (5)

Answer 55

``` Headache on waking Worse on coughing or bending Associated vomiting Visual disturbance Gait disturbance ```

Question 56

What is the most common heart murmur in children?

Answer 56

Innocent heart murmur

Question 57

What type of immunologically mediated reaction is a food allergy?

Answer 57

Type 1

Question 58

What is the mean number of respiratory infections per year for a child under 2?

Answer 58

3 to 6