need to know Flashcards

(88 cards)

1
Q

Which immunisations do you receive at 8 wks (2 months)?

A

6 in 1: DTaP, Hib, polio and Hep B
Men B
Rotavirus

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2
Q

Which immunisations do you receive at 12 wks (3 months)?

A

6 in 1: DTaP, polio, Hep B and Hib
Pneumococcal
Rotavirus

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3
Q

Which immunisations do you receive at 16 wks (4 months)?

A

6 in 1: DTaP, polio, Hib and Hep B

Men B

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4
Q

Which immunisations do you receive at 1 year?

A
Hib
Men C
Men B
Pneumococcal and 
MMR
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5
Q

Which immunisations do you receive at 3/4 years?

A

MMR
DTaP
Polio

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6
Q

Which immunisations do you receive at 12/13?

A

HPV - 16 and 18 against cervical cancer, 6 and 11 against genital warts

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7
Q

Which immunisations do you get at 14?

A

Diptheria
Tetanus
Polio
Men ACYW

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8
Q

Which nerve supplies sensation to the head?

A

Trigeminal

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9
Q

What do the 3 branches of the trigeminal nerve supply?

A

V1. Opthalmic- lateral aspect of the forehead
V2. Maxillary- the cheek
V3. Mandibular- the lower jaw

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10
Q

What does C2 supply sensation to?

A

The occipital protuberance

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11
Q

What does C3 supply sensation to?

A

Supraclavicular fossa

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12
Q

What does C4 supply sensation to?

A

Acromiocalvicular joint

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13
Q

What does C5 supply sensation to?

A

Lateral deltoid

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14
Q

What does C6 supply sensation to?

A

The palmar side of the thumb

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15
Q

What does C7 supply sensation to?

A

The palmar side of the middle finger

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16
Q

What does C8 supply sensation to?

A

The palmar side of the little finger

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17
Q

What does T1 supply sensation to?

A

The medial aspect of the antecubital fossa

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18
Q

What does T10 supply sensation to?

A

Belly button (belly butTEN!!)

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19
Q

What does L1 supply sensation to?

A

Inguinal area and the very top of the medial thigh

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20
Q

What does L2 supply sensation to?

A

Middle and lateral aspect of the anterior thigh

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21
Q

What does L3 supply sensation to?

A

The medial epicondyle of the femur

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22
Q

What does L4 supply sensation to?

A

The medial malleolus

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23
Q

What does L5 supply sensation to?

A

The dorsum of the foot and the third metatarsophalangeal joint

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24
Q

What does S1 supply sensation to?

A

bottom of the foot and heel

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25
What does S2 supply sensation to?
Bits of the bum
26
What does S3 supply sensation to?
Most of the bum (sitting bits)
27
What does S4 supply sensation to?
Perianal area | s1= stand, s3= sit, s4= shit
28
What does C4 supply motor to?
Shoulder shrugs
29
What does C5 supply motor to?
Shoulder abduction, external rotation | Elbow flexion
30
What does C6 supply motor to?
Wrist extension
31
What does C7 supply motor to?
Elbow extension and wrist flexion
32
What does C8 supply motor to?
Thumb extension and finger flexion
33
What does T1 supply motor to?
Finger abduction
34
What does L2 supply motor to?
Hip flexion
35
What does L3 supply motor to?
Knee extension
36
What does L4 supply motor to?
Ankle dorsiflexion
37
What does L5 supply motor to?
Big toe extension
38
What does S1 supply motor to?
Ankle plantar flexion
39
What does S4 supply motor to?
Bladder and rectum
40
When should a child sit without support?
6-8m | Age limit is 9m
41
When should a child crawl?
8-9m
42
When should a child cruise around furniture?
10m
43
When should a child walk unsteadily (holding one hand)?
12 months | Limit age: 18m
44
When should a child be able to walk steadily?
13-15 months
45
When should a child be able to run and jump?
2.5 years
46
When should a child be able to follow a moving object (fixing and following)?
6 weeks
47
When should a child reach out for toys?
4 months
48
When should a child develop a palmar grasp?
4-6 months
49
When should a child transfer toys from one hand to another?
7 months
50
When should a child have a mature pincer grip
10 months
51
When should a child make marks/ scribble with a crayon?
1 year
52
When should a child make a tower of 3 cubes?
18m
53
When should a child make a tower of 8 blocks?
3 years
54
When should a child be able to ride a bike?
5 years
55
When should a child be able to hop?
4 years
56
When should a child laugh and squeal?
3-4 months
57
When should a child use sounds discriminately "dada, mama"?
7-10 months
58
When should a child say one clear word?
12 months
59
When should a child say 6-10 words?
18 months
60
When should a child say simple sentences and name body parts?
2 years
61
When should a child have mainly understandable speech?
3 years
62
When should a child know colours?
4 years
63
When should a child know the meaning of a lake?
5 years
64
When should a child smile responsively?
6 weeks | Limit is 8 wks
65
When should a child start to finger feed?
6-8 months
66
When should a child wave bye bye?
10-12 months
67
When should a child be able to use a fork?
12 months
68
When should a child be able to engage in symbolic play?
18-24 months | Limit: 2-2.5 years
69
When should a child be able to start toilet training?
2 years
70
When should a child be able to undress?
2 years
71
When should a child be able to name a friend and play with others?
3 years
72
When should a child be able to dress without help?
4 years
73
What are the FeverPAIN criteria?
``` Fever- during the 24 previous Pus on tonsils Attend rapidly (within 3 days of Sx) Severely Inflamed tonsils No cough or coryza ```
74
What do the FeverPAIN score correlate to?
``` 0-1 = unlikely streptococcal 2-3= 34-40% change (delayed px?) 4-6= likely (antibiotics) ```
75
Which congenital heart defects present with breathlessness?
VSD PDA ASD
76
Which congenital heart defects present with cyanosis?
Tetralogy of fallot | TGA
77
Which congenital heart defects present with breathlessness and cyanosis?
ASD complete
78
Which congenital heart defects present with an asymptomatic murmur?
Pulmonary stenosis | Aortic stenosis
79
Which congenital heart defects present with outflow obstruction in a sick neonate?
Coarctation of the aorta
80
What does an innocent murmur sound like?
Soft blowing murmur Systolic murmur only Left Sternal edge
81
What heart murmur is heard in heart failure?
Galloping
82
What heart murmur is heard in ASD?
with a partial ASD it is an apical pansystolic murmur | In true ASD it is an ejection systolic murmur
83
What heart murmur is heard in small VSD?
Loud pansystolic murmur at the left lower sternal edge
84
What heart murmur is heard in a large VSD?
Soft pansystolic or no murmur
85
What heart murmur is heard in PDA
Continuous murmur beneath the left clavicle
86
What are the features of the tetralogy of fallot?
Large VSD Overriding of the aorta Pulmonary stenosis Right ventricular hypertrophy
87
What heart murmur is heard in transposition of the great arteries?
Systolic murmur
88
How often should lithium levels be measured?
1 week after a change in dose Every 3 months in the first year (carry on if risk factors present), then every 6 months after Kidney and thyroid function should be checked every 6 months