Vaccines and general

Question 1

What 3 vaccines are given to adults, what age?

Answer 1

> 65
Flu (anually)
PCV (Pneumococcal vaccine)
Shingles

Question 2

When are vaccines given <1y?

Answer 2

8 weeks (2 months)
12 weeks (3 months)
16 weeks (4 months)
12 months

Question 3

what vaccines are given at 8 weeks (2 months) ?

Answer 3

6 in 1 (first dose)
Oral rotavirus
Men B

Question 4

what vaccines are given at 12 weeks (3 months) ?

Answer 4

6 in 1 (second dose)
Oral rotavirus (2nd dose)
PCV (Pneumococcal vaccine)

Question 5

what vaccines are given at 16 weeks (4 months) ?

Answer 5

6 in 1 (3rd dose)
Men B (2nd dose)

Question 6

what vaccines are given at 12 months ?

Answer 6

HiB/Men C
(haemophilus influenza type B / meningitis C)
MMR
PCV (2nd dose)
Men B (3rd dose)

Question 7

What is offered between ages 2-8/15?

Answer 7

annual influenza

Question 8

What vaccines are given at 3y 4 months?

Answer 8

4 in 1
MMR

Question 9

what vaccine is given at 12-13y?

Answer 9

HPV

Question 10

What vaccines are given between 13-18y?

Answer 10

3 in 1
Men ACWY (up to age 25)

Question 11

What does the 6 in 1 vaccine contain?

Answer 11

Diptheria
Hep B
HiB
Polio
Tetanus
Whooping Cough

Question 12

What does the 4 in 1 vaccine contain (pre school booster)?

Answer 12

Diptheria
Polio
Tetanus
Whooping cough

Question 13

What does the 3 in 1 vaccine contain (teenage booster)?

Answer 13

Diptheria
Polio
Tetanus

Question 14

Which vaccines are live attenuated and live?

Answer 14

MMR = live attenuated
Rotavirus = live

Question 15

what type of vaccine is HPV?

Answer 15

Non infectious recomb

Question 16

When is Guthrie heel prick done?

Answer 16

day 5-9 after birth

Question 17

What 4 diseases does it test for?

Answer 17

Cystic fibrosis

Congenital hypothyroid

Sickle cell anemia

Metabolic (eg. phenylketonuria, MCADD, maple syrup urine disease, IVA, GA1, HCU)

Question 18

What do they look for in the heel prick to test for CF?
Fraction of babies with CF?

Answer 18

serum immunoreactive trypsin
1/2500

Question 19

What do they look for in the heel prick to test for Congenital hypothyroid?
Fraction of babies with Congenital hypothyroid?

Answer 19

TSH
1/2000-1/3000

Question 20

What do they look for in the heel prick to test for Sickle cell anemia?
Fraction of babies with SCA?

Answer 20

BLOOD FILM
270 babies/yr

Question 21

What do they look for in the heel prick to test for phenylketonuria?
Fraction of babies with phenylketonuria?

Answer 21

PKU urine test
1/10,000

Question 22

If someone is choking, what is an effective and active way to help them?

Answer 22

encourage coughing

Question 23

If coughing hasn’t helped with the choking, what can be done next?
how is it done on <1y and >1y?

Answer 23

5x back blows (hit back)
then
5x:
<1 chest thrusts
>1y abdo thrusts

Question 24

if someone is unresponsive, what is done first?

Answer 24

HELP called first

Question 25

If a neonate is unresponsive, what are the 4 steps?

Answer 25

1. warm + dry baby 2. neutral airway 3. 5 rescue breaths (+ palpable brachial/femoral pulse) 4. 3:1 compression: breath (lower 1/3 sternum, 2 thumb encircling technique)

Question 26

If a child is unresponsive, what are the 3 steps?

Answer 26

1. head tilt, chin lift (jaw thrust) 2. 5 rescue breaths (+ pulses) 3. 15:2 compr:breaths 9lower 1/2 sternum) <5y = fingers >5y = like adult

Question 27

What type of fluid is given to a child?

Answer 27

0.9% saline + 5% dextrose + 20mmol/L KCL in a 1l bag

Question 28

How much fluid is given for maintenance of a <10kg child per day and per hour?

Answer 28

100ml/kg/day 4ml/kg/hr

Question 29

How much fluid is given for maintenance of a 10kg-20kg child per day and per hour?

Answer 29

1000ml + 50ml/kg/day 40ml + 2ml/hr/kg (over 10kg)

Question 30

How much fluid is given for maintenance of a >20kg child per day and per hour?

Answer 30

1500ml + 20ml/kg/day 60ml + 1ml/hr/day

Question 31

M + F rarely need over how many L fluid for maintenance?

Answer 31

M 2.5L+ F 2L+

Question 32

How much fluid is Given in shock, maximum amount and what happens then?

Answer 32

10ml/kg boluses, repeatable up to 40ml/kg total, then ITU called Don't subtract from maintenance

Question 33

What is the equation to work out how much fluid to give for dehydration?

Answer 33

Well weight x % dehydration x 10 Added to maintenance

Question 34

How do you work out % dehydration?

Answer 34

(well-current/well) x 100

Question 35

what do the % mean for % dehydration?

Answer 35

5% = mild 7% = mod 10% = mottled blue

Question 36

What fluids are given to neonates instead?

Answer 36

10% dextrose instead of 5 daily fluids

Question 37

How much fluid are neonates given days 1-4?

Answer 37

Day 1 = 60ml/kg/day Day 2 = 90ml/kg/day Day 3 = 120ml/kg/day Day 4 = 150ml/kg/day (max) titrated down from here

Question 38

What motor milestones are achieved at: 6wks 6 months 9 months 12 months 15 months 18 months

Answer 38

6 wks = head prone 6m = sit unsupported 9m = crawl 12m = unsteady walk 15m = steady walk 18m = run

Question 39

What vision + fine motor milestones are achieved at: 6wks 6 months 9 months 12 months

Answer 39

6wks = fix and follow 6m = palmar grasp 9m = object permanence 12m = mature pincer

Question 40

What hearing, speech and language milestones are achieved at: 6wks 6 months 9 months 12 months

Answer 40

6wks = startle to loud sound 6m = coo alone 9m = MAMA-DADA discriminately 12m = 2-3 non M-D words

Question 41

What social, environmental and behavioural milestones are achieved at: 6wks 6 months 9 months 12 months

Answer 41

6wks = social smile 6m = shakes rattle 9m = stranger fear 12m = waves bye

Question 42

When is hand preference chosen by a child? what is a Ddx if a child hasn't done that in the time?

Answer 42

<12m cerebral palsy - refer paeds assessment

Question 43

In a premature baby <2y, what do you need to correct?

Answer 43

correct age to gestational age

Question 44

In the healthy child program, how many post natal reviews does a baby have, until what age? what can these reviews be?

Answer 44

5 postnatal reviews (until 5y) NIPE (72hrs post birth) 6-8 wk check Immunisations school nurses

Question 45

What is the Resp Rate (RR) ranges for: <1wk 1wk - 3 months 3m - 2yr 2-10yr 10-12yr

Answer 45

<1wk = 40-60 1wk - 3 months = 30-50 3m - 2yr = 30-40 2-10yr = 14-24 10-12yr = 12-20 (+ onwards)

Question 46

What are the Heart rate (HR) ranges for? <1y 1-2y 2-5y 5-12y

Answer 46

<1y = 110-160 1-2y = 95-140 2-5y = 80-120 5-12y = 60-100 (+ onwards)