Community Paeds

Question 1

Vaccination schedule

Answer 1

Long

Question 2

At 5 days old children get a ‘heel prick’ what does this test for?

Answer 2

Cf 
MCADD
Sickle cell
Hypothyroid 
Phenylketonuria

Question 3

What are this national and local figures for being overweight or obese at reception vs year 6?

Answer 3

Reception - 22% national - 26% hackney

Year 6 - 34% national - 40% hackney

Question 4

What are the red flags for development?

Answer 4

Not able to reach for objects - 6m 
Not able to sit unsupported - 12 months 
No speech - 18m
Not walking - 18m
Not running - 2.5y

Question 5

What is the triad for autistic spectrum disorders?

Answer 5

Impaired interaction
Impaired communication
Impaired imagination

Question 6

What is the most common cause of motor impairment in children?

Answer 6

Cerebral palsy (cause 80% antenatal, 10% intrapartum, 10% postnatal)

Question 7

What are the types of cerebral palsy and how are they different?

Answer 7

Spastic (70%) increased tone

• hemiparesis - one side effected
• diplegic - both legs
• quadriplegic- all 4 limbs

Ataxic (10%)
- hypotonia with uncoordinated movements and tremor

Dyskinetic (10%)
- fluctuating tone leading to involuntary movements

Mixed (10%)

Question 8

Can premature babies receive vaccinations?

Answer 8

Yes

Normal schedule

Question 9

What are the classifications for IUGR?

Answer 9

Asymmetrical (hc>ac) or symmetrical
(Head circumference vs abdominal circumference)

Asymmetrical - later cause - placenta

Symmetrical- early - genetics or infections

Question 10

What does sga mean?

Answer 10

Small for gestational age

Can be normal, preterm or iugr

Question 11

What is bakers hypothesis?

Answer 11

Low birth weight babies - higher chance of CVD in later life

Question 12

Risks of SGA and premature babies?

Answer 12

NEC 
Rds
PDA
Infection 
Ivh/ pvlm 
Hydrocephalus 
Apnoea of premAturity (give caffine) 
Hypothermia 
Hypoglycaemia 
Fluid loss - sa to volume ratio/ iatrogenic