childhealth other

Question 1

baby normal temperature range

Answer 1

36.5-37.5

Question 2

signs of hypoglycaemia in baby. what is the 1st dign.

Answer 2

1st: jittery (most common)
sleepiness, seizures (rare),

Question 3

early jaundice (<24hrs) likely causes

Answer 3

infection/haemolysis

Question 4

late jaundice indicitive if

Answer 4

obstruction jaundice

Question 5

tachypnoea can indicate

Answer 5

sepsis, nas

Question 6

at what gestation is a healthy baby born

Answer 6

around 40 weeks

Question 7

at what weeks gestation born would surfactant deficient lung disease affect a child

Answer 7

SDLD occurs in those prematurely born before 31 weeks gestation

Question 8

how long does a child have to stay off school for after being diagnosed with hadn foot and mout disease

Answer 8

Hand foot and mouth disease does not require exclusion from a childcare setting or school

Question 9

when can a mother not breastfeed her baby

(4 points)

Answer 9

multi drug resistant tb

neonatal galactosaemia (autosomal recessive)

HIV

hsv on mums breasts

Question 10

what is the mechanism of inheritance of prada willi syndrome

Answer 10

genomic imprinting

(means that there is only one parental copy of a gene due to deletion etc of the other)

Question 11

what is the mechanism of inheritance of duchennes muscular dystophy

Answer 11

X-linked recessive

Question 12

What are the chances of a child having a autosomal recessive disorder if bith oarents are carriers

Answer 12

25%

Question 13

no vaccine general illness ysmptoms, no cough plus rash that starts on head and moves down to trunk

Answer 13

rubella

measles is a differential however with measles child would have a cough

Question 14

what is indicated by a child who cannot sit unsupported by 12 months and has a hand preference

Answer 14

cerebral palsy

Question 15

Neonate not passing meconium within 24hrs of birth

Answer 15

Cystic fibrosis

Question 16

What chromosome is cystic fibrosis found on

Answer 16

Chromosome 7

CFTR gene mutation

Question 17

antenatal causes of cerebral palsy

Answer 17

ToRCH (cb kids held torch in olympics)

Toxoplasmosis
Rubella
CMV
Herpes Simplex Virus

Question 18

dyskinetic cerebral palsy px

Answer 18

slow writhing, convuluted movements of fingers hands and toes

Question 19

ataxic cerebrla pals px

Answer 19

lack of voluntary muscle control

Question 20

most common causitive organism for UTI and describe the organism

Answer 20

E.coli
gram negative facultative anaerobic, rod shaped coliform bacteria

Question 21

most common causative organism for acute epiglottitis

Answer 21

haemophilus influenzae type B

Question 22

kawasaki disease vs scarlet fever

Answer 22

kawasaki rash is on soles of hands and feet which causes peeling

scarlet fever rash is small raised bumps and starts on chest and spreads to tummy

Question 23

causative cause for croup

Answer 23

parainfluenza virus

Question 24

what organism causes roseola infantum

Answer 24

human herpes virus 6

(hence the name 6th disease)

Question 25

micrognathia, rockerbottom feet, and overlapping of fingers

Answer 25

edwards syndrome

Question 26

edwards syndrome karyotype

Answer 26

trisomy 18

Question 27

causative organism for hand foot and mouth disease

Answer 27

cocksackie A16

Question 28

should children with impetigo be excluded from school

Answer 28

children should be excluded from school until the lesions are crusted and healed or 48 hours after commencing antibiotic treatment

Question 29

school exclusion for chickenpox? if so for how long

Answer 29

yes- until all lesions have crusted over (usually about 5 days)

Question 30

school exclusion for hand,foot and mouth disease? if so for how long

Answer 30

no school exclusion necessary

Question 31

define preterm, term and postterm

Answer 31

<37wks preterm
37-42wks term
>42 wks post term

Question 32

newborn baby has hypotonia and hypothermia

what is it

Answer 32

hypoxic ischaemic encephalopathy

Question 33

causes of neonatal jaundice <24 hrs

Answer 33

haemolysis
abo mismatch
rhesus

Question 34

when is neonatal jaundice obstructive

Answer 34

> 2 weeks after birth

Question 35

causes of obstructive neonatal jaundice

Answer 35

congenital biliary atresia

Question 36

what is hirschsprungs disease associated with

Answer 36

down syndrome

Question 37

autism presentation
vs aspergers

Answer 37

inflexible behaviour, lack of social skills, repetitive behaviour

aspergers is the same but with normal social communication

Question 38

adhd presentation

Answer 38

inattentive, impulsive , hyper-active, doesnt do well in school but has a lot of friends

Question 39

RAD inhibited px

Answer 39

history of being abused

unable to form relationships

Question 40

RAD disinhibited px

Answer 40

history of abuse

create inappropriate relationships

Question 41

conductive behaviour px

Answer 41

social/antisocial

disrupting the public, disrespecting other people

Question 42

pansystolic murmur in lower left sternal border

Answer 42

ventricular septal defect

Question 43

differentials for purpura

Answer 43

meninigitis - neurological symptoms

immune thrombocytopenia (low platelets)

hsp (IgA vasculitis) - abdominal pain, aki, sometimes post infection, joint pain