Public health deck 6

Question 1

What is the purpose of the NICE traffic light system in paediatrics?

Answer 1

Clinical risk score designed to assist with the assessment and management of febrile children

Question 2

What will be assessed in the paediatric NICE traffic light system?

Answer 2

Colour
Activity
Respiratory
Circulation and hydration
Temp, rigor, swell, rash, neck stiffness, seizure

Question 3

Green light child on NICE traffic light score? Manage how:

Answer 3

Home and safety net

Question 4

Amber light child on NICE traffic light score? Manage how:

Answer 4

Refer to paeds or specialist for further investigation or manage at home and safety net

Question 5

Red light child on NICE traffic light score? Manage how:

Answer 5

Urgent referral to see specialist

Question 6

What is safety netting?

Answer 6

Verbal or written advice warning about S&S. Arranged follow-up. Liaise with other HC professionals to ensure direct access should child require it.

Question 7

What are x3 notifiable diseases in paeds?

Answer 7

Meningitis.
Diphtheria.
Measles.
Mumps.
Meningococcal septicaemia.
Rubella.
Smallpox.
Scarlet fever.
Tetanus.
Whooping cough

Question 8

Who x3 may be less likely to receive vaccines?

Answer 8

1. Homeless
2. Refugees/asylum seekers
3. Children in care
4. Gypsy

Question 9

What may contribute to excessive energy intake being promoted?

Answer 9

1. Genetics
2. Employment
3. Advertisements
4. Characteristics of food
5. Reduced physical activity
6. Sleep
7. Psychological factors

Question 10

Define malnutrition:

Answer 10

Deficiencies, excesses or imbalances in a person’s intake of energy and/or nutrients

Question 11

Which medical conditions may require nutritional support?

Answer 11

Cancer, CF, coeliac disease, IBD, T1DM, T2DM

Question 12

Why is breastfeeding beneficial?

Answer 12

More likely to accept novel food post weening
Less fussy eaters in childhood
More likely to have diet rich in fruit and veg

Question 13

If associations are not causal what might they be due to?

Answer 13

1. Confounding factors
2. Chance
3. Bias
4. Reverse causation

Question 14

Vaginal grey/white discharge offensive odour, which organism?

Answer 14

Bacterial Vaginosis (Gardnerella Vaginalis)

Question 15

Yellow/green frothy discharge with an offensive odour and pruritus and/or dysuria may be a sign of infection with which organism?

Answer 15

Trichomonas

Question 16

Fraser guidelines?

Answer 16

Criteria to judge whether a young person has the competence to make a decision about contraception without parental consent