Child and Adolescent Health

Question 1

Review dosing, pharmacodynamics and pharmacokinetics of commonly used drugs.

Answer 1

A

Question 2

Understand the relative efficacy and safety of commonly used drugs.

Answer 2

A

Question 3

Understand the rationale behind the use of commonly used drugs.

Answer 3

A

Question 4

Understand the potential risks of the commonly used drugs.

Answer 4

A

Question 5

Develop an understanding of commonly used intravenous fluids, their composition and indications.

Answer 5

A

Question 6

Become aware of what drug alternatives and complimentary therapies are sought by parents.

Answer 6

A

Question 7

Revise that drug pharmacology shows significant variations across ages.

Answer 7

A

Question 8

Revise that specific therapeutic approaches differ in neonates, children and teenagers even within the same diagnostic conditions, e.g. treatment of UTIs.

Answer 8

A

Question 9

Explore safe drug and IV fluid prescribing in children, through case-based examples.

Answer 9

A

Question 10

Demonstrate the ability to accurately prescribe appropriate drugs and fluids based on weight and illness.

Answer 10

A

Question 11

Understand the significance of medication errors and the systems to prevent them, and recognise an individual’s responsibility in ensuring medication safety.

Answer 11

A

Question 12

Appreciate that there are normal variations in growth and feeding and deviations from percentiles on growth charts are not always indicative of pathology.

Answer 12

A

Question 13

Understand normal infant crying patterns and describe an approach to infant irritability.

Answer 13

A

Question 14

Understand the importance of investigating the unwell infant with fever and no focus for it.

Answer 14

A

Question 15

Appreciate the risk of serious bacterial infection in children.

Answer 15

A

Question 16

Appreciate the undifferentiated presentation of acutely unwell infants with fever.

Answer 16

A

Question 17

Assess the infant with fever and appreciate when investigations are appropriate.

Answer 17

A

Question 18

Explain the principles of managing fever with no focus in various age groups.

Answer 18

A

Question 19

Understand the differential diagnosis for fever and rash in a child.

Answer 19

A

Question 20

Understand risks for unvaccinated child/ a child partially treated on antibiotics/ pregnant mothers/ immunocompromised siblings.

Answer 20

A

Question 21

Explain the principles of taking temperate in different age groups.

Answer 21

A

Question 22

Appreciate perceptions of fever in the community.

Answer 22

A

Question 23

Provide general fever advice.

Answer 23

A

Question 24

Describe acute management of typical febrile convulsions and be able to educate parents about them.

Answer 24

A

Question 25

Understand the methods of urine collection in infants and diagnosis of urinary tract infection (UTI).

Answer 25

A

Question 26

Explain treatment options of UTI depending on age and severity of illness.

Answer 26

A

Question 27

Appreciate need for investigation of UTIs in particular situations.

Answer 27

A

Question 28

Build on knowledge of developmental evaluation.

Answer 28

A

Question 29

Be familiar with the investigation of children with developmental delay.

Answer 29

A

Question 30

Understand the features and presentations of specific language delay, global developmental delay and autism.

Answer 30

A

Question 31

Understand the role of multidisciplinary input to assessment and treatment.

Answer 31

A

Question 32

Understand the role of the doctor in helping meet the needs of families when a child has a developmental disability.

Answer 32

A

Question 33

Gain understanding of the supports and services for families.

Answer 33

A

Question 34

Outline the key principles of empathic practice.

Answer 34

A

Question 35

Demonstrate an ability to understand the perspective of the patient and their family.

Answer 35

A

Question 36

Demonstrate an ability to engage in reflective practice.

Answer 36

A

Question 37

Have an approach to the assessment of pain in infants, children and adolescents.

Answer 37

A

Question 38

Understand the various pain management techniques that can be safely utilised in neonates, children and teenagers, across various contexts.

Answer 38

A

Question 39

Be able to develop a pain management plan for a child with acute pain.

Answer 39

A

Question 40

Appreciate the specific challenges around procedural pain management.

Answer 40

A

Question 41

Have an approach to chronic or persistent pain in children and teenagers.

Answer 41

A

Question 42

Demonstrate how to best administer salbutamol, depending on age of patient.

Answer 42

A

Question 43

Demonstrate how to use an epipen correctly.

Answer 43

A

Question 44

Educate families/patients on asthma management at home including: - provision of a written asthma management plan - treatment of the current exacerbation of asthma as well as future symptoms - ways to optimise asthma control including appropriate use of preventers.

Answer 44

A

Question 45

Describe the symptoms/signs of anaphylaxis and explain when an epipen should be prescribed.

Answer 45

A

Question 46

Describe the key signs of critically unwell children.

Answer 46

A

Question 47

Describe the assessment and management of 'deteriorating child', prior to becoming critically unwell.

Answer 47

A

Question 48

Discuss some of the broader issues such as stabilisation and transfer of sick children and managing family and staff when dealing with critically unwell children.

Answer 48

A

Question 49

Consolidate knowledge around the assessment and management of a child or teenager presenting in DKA.

Answer 49

A

Question 50

Outline the key principles of a paediatric history, including those components unique to paediatrics.

Answer 50

A

Question 51

Demonstrate an ability to take an accurate and comprehensive history from a child and their caregiver.

Answer 51

A

Question 52

Demonstrate an ability to adapt the content and technique of history taking to fit a child's age and developmental stage.

Answer 52

A

Question 53

Take a history from a child presenting with a gastrointestinal problem.

Answer 53

A

Question 54

Perform a gastrointestinal examination including hydration assessment.

Answer 54

A

Question 55

Make an appropriate assessment of hydration status based on history and examination.

Answer 55

A

Question 56

Formulate a differential diagnosis for gastrointestinal presentations in different age groups.

Answer 56

A

Question 57

Demonstrate an understanding of the principles of safe fluid replacement in paediatric presentations.

Answer 57

A

Question 58

Appreciate the role of imaging in assessing gastrointestinal presentations in paediatrics.

Answer 58

A

Question 59

Examine the inguinoscrotal region and genitals to identify: - undescended testis - likely causes of acutely painful scrotum - likely causes of painless, swollen scrotum - likely causes of a groin lump

Answer 59

A

Question 60

Understand the way to examine the penis to recognise the common problems, including hypospadias.

Answer 60

A

Question 61

Examine the abdomen of a baby or child to identify the cause of an abdominal mass or abdominal pain.

Answer 61

A

Question 62

Take a paediatric cardiac history and understand aspects of the history specific to children.

Answer 62

A

Question 63

Conduct a cardiac examination on an infant, child and adolescent and be able to identify significant abnormal findings.

Answer 63

A

Question 64

Formulate a differential diagnosis for abnormal findings on a cardiac examination/history.

Answer 64

A

Question 65

Demonstrate an understanding of the role of investigations in cardiac presentations in children and adolescents.

Answer 65

A

Question 66

Appreciate the variation in vital signs with age and be able to measure them accurately.

Answer 66

A

Question 67

Safely perform a paediatric ear, nose and throat exam with minimal distress to the child.

Answer 67

A

Question 68

Identify normal middle ear anatomy and common middle ear pathology on otoscopy.

Answer 68

A

Question 69

Identify normal oral/pharyngeal anatomy and the diagnostic features of common presentations.

Answer 69

A

Question 70

Take a history from parents regarding a child's developmental milestones.

Answer 70

A

Question 71

Perform a developmental assessment focusing on expected gross motor, fine motor, language and social skills in an infant, toddler or preschool aged child.

Answer 71

A

Question 72

Perform a neurological examination on a younger child.

Answer 72

A

Question 73

Perform a gait examination on a child.

Answer 73

A

Question 74

Take a history from a child presenting with a limp or difficulty walking.

Answer 74

A

Question 75

Perform a gait examination in a child with a limp or difficulty walking.

Answer 75

A

Question 76

Make an appropriate assessment of a child with a limp to differentiate musculoskeletal and neurological causes.

Answer 76

A

Question 77

Formulate a differential diagnosis for musculoskeletal causes of limp.

Answer 77

A

Question 78

Appreciate the initial management and investigations that may be required.

Answer 78

A

Question 79

Describe the contents of the Child Infant Health Record.

Answer 79

A

Question 80

Confidently and competently handle infants.

Answer 80

A

Question 81

Perform a systematic newborn examination on an infant, including hip examination.

Answer 81

A

Question 82

Detect major abnormalities and appreciate common variations of normal.

Answer 82

A

Question 83

Take a paediatric respiratory history.

Answer 83

A

Question 84

Conduct an opportunistic respiratory examination on an infant, child and adolescent.

Answer 84

A

Question 85

Recognise acute respiratory distress and assess its severity in different age groups.

Answer 85

A

Question 86

Formulate a differential diagnosis for acute respiratory distress in different age groups.

Answer 86

A

Question 87

Demonstrate an understanding of the role of investigations in respiratory presentations in children and adolescents.

Answer 87

A

Question 88

Appreciate the variation in vital signs with age and be able to measure them accurately.

Answer 88

A

Question 89

Engage with young people in a consultation and sensitively deal with parents.

Answer 89

A

Question 90

Discuss confidentiality with young people.

Answer 90

A

Question 91

Take a psychosocial screen from adolescents and arrive at an overall assessment of risk.

Answer 91

A

Question 92

Bring the interview to an appropriate close with feedback and negotiation of a management plan.

Answer 92

A

Question 93

Establish rapport with a child and his/her family in a manner in which the child and family feel comfortable.

Answer 93

A

Question 94

Converse with preschool and primary school aged children using appropriate language.

Answer 94

A

Question 95

Explain a simple plan to a child in a way which they are able to follow.

Answer 95

A

Question 96

Develop an understanding of appropriate management of children for procedures including the use of positions of comfort, distraction techniques and age appropriate descriptions of procedures.

Answer 96

A

Question 97

Gain an understanding of the patient journey for common paediatric surgical conditions.

Answer 97

A

Question 98

Describe the principles of management of an unconscious child.

Answer 98

A

Question 99

Recognise the signs of airway obstruction and develop strategies to manage airway obstruction.

Answer 99

A

Question 100

Describe the symptoms and signs of the sick child.

Answer 100

A

Question 101

Outline the principles of monitoring (including pulse oximetry, capnography).

Answer 101

A

Question 102

Discuss the basic principles of paediatric acute pain management.

Answer 102

A

Question 103

Have heard multiple examples of innocent murmurs.

Answer 103

A

Question 104

Have heard multiple examples of pathological murmurs.

Answer 104

A

Question 105

Have developed skills in recognising the difference between pathological and non-pathological (innocent) murmurs.

Answer 105

A

Question 106

Utilise the Murmur Recognition Program to revise skills, once they've completed the full online teaching session.

Answer 106

A