Child & Family Health

Question 1

Edward’s Chromosome

Answer 1

18

Question 2

ADHD Triad

Answer 2

Hyperactive
Inattentive
Impulsive

Question 3

ADHD Management

Answer 3

Methylphenidate

Atomoxetine

Question 4

Autism Triad

Answer 4

Communication
Social Interaction
Flexibility of Thought

Question 5

Asperger’s

Answer 5

Form of autism where there is only a problem with social communication

Question 6

Complication of the Rotavirus Vaccination

Answer 6

Intusseption

Question 7

Child pulls legs up to body screaming, after the episode passes is limp

Answer 7

Intusseption

Question 8

Increased tone in lower limbs, brisk reflexes

Answer 8

Cerebral Palsy

Question 9

Three marks of a shaken child

Answer 9

Bilateral retinal haemorrhage
Subdural Haemorrhage
Encephalopathy

Question 10

Walking
Median Age
Limit Age

Answer 10

MA: 13 months
LA: 18 months

Question 11

Social Smile
Median Age
Limit Age

Answer 11

MA: 6 weeks

Limit Age: 8 weeks

Question 12

Crawling Age

Variations of Crawling

Answer 12

4-point crawl = 10 months

Variants: bottom shuffle, backward torpedo

Question 13

4 Areas of Development

Answer 13

Gross motor
Fine motor and vision
Language and hearing
Social behaviour and play

Question 14

4 Primitive Reflexes

Answer 14

ATNR
Sucking and rooting
Palmar and plantar grasp
Moro

Question 15

Regression of Skills and Condition

Answer 15

Loss of skills - red flag

= Rett’s syndrome

Question 16

Presentation of Duchenne Muscular Dystrophy

Answer 16

• See an increasing lumbar lordosis
  > compensates for pelvic girdle muscle weakness
• Also calf psuedohypertrophy

Question 17

Manoeuvre to test for DMD

Answer 17

= Gower’s manoeuvre

• Will engage to compensate for pelvic girdle weakness
• Manoeuvre is a measure of the weakness

Question 18

Treatment of HIV

Answer 18

2 NRTIs + 1 NNRTI/protease inhibitor

NRTI = nucleoside reverse transcriptase inhibitor

Question 19

Testing for TB in children

Answer 19

• Children don’t really produce sputum
  > acid-fast bacilli = low yield
  = USE gastric aspirate to test

Question 20

Most severe infective agent in malaria

Answer 20

P. falciparum

Question 21

Process of maturation in the brain

Answer 21

Back to front: the frontal cortex is the last to mature

- Important for executive functions

Question 22

Problems with Neural Tube Development

Answer 22

= anencephaly and spina bifida

Question 23

Anatomical Differences in the infant upper airway

Answer 23

High, anterior larynx

Floppy epiglottis

Question 24

Blood volume of infants

Answer 24

80ml/kg

Question 25

Vomiting green bile in child

Answer 25

Malrotation
= the bowel can twist and cut of blood supply
- Originates from issue with embryological development

Question 26

Average age for entering puberty

Answer 26

Girls = 11 years old
Boys = six months later

Question 27

Definition of True Central Precocious Puberty

Answer 27

< 8 years for girls

< 9 years for boys

Question 28

Pubertal Delay Defintion

Answer 28

= absence of 2y sexual development in a girl aged 13 or boy aged 14

Question 29

Age of Vaccinations

Answer 29

8 weeks
12 weeks
16 weeks
1 year old 
3 years, 4 months

Question 30

8 week vaccination

4 types

Answer 30

1. Diptheria
 Tetanus
 Pertussis 
 Polio 
 H. influenza Type B
2. Pneumococcal disease
3. Meningococcal Type B
4. Rotavirus

Question 31

12 weeks vaccination

2 types

Answer 31

1. Diptheria
 Tetanus
 Pertussis 
 Polio
 H. influenza Type B
2. Rotavirus

Question 32

16 weeks vaccination

3 types

Answer 32

1. Diptheria 
 Tetanus 
 Pertussis
 Polio
 H. influenza Type B
2. Meningococcal Type B 
3. Pneumococcal disease

Question 33

1 year vaccinations

4 types

Answer 33

1. H. influenza Type B
 Men C
2. Pneumococcal disease
3. MMR
4. Meningococcal Type B

Question 34

3 year, 4 month vaccinations

2 types

Answer 34

1. Diptheria
 Tetanus
 Pertussis
 Polio
2. MMR