Data

Question 1

GCS categories?

Answer 1

Eyes - 4
Verbal - 5
Motor - 6

Question 2

GCS eyes score?

Answer 2

1 - No response
2 - Opens to pain
3 - Opens to speech
4 - Opens eyes spontaneously

Question 3

GCS verbal score?

Answer 3

1 - No response
2 - Incomprehensible sounds
3 - Inappropriate words
4 - Confused
5 - Oriented to time and place

Question 4

GCS motor score?

Answer 4

1 - No response
2 - Abnormal extension
3 - Abnormal flexion
4 - Flexion withdrawal from pain
5 - Moves to localised pain
6 - Obeys commands

Question 5

AF stroke risk score?

Answer 5

CHADVASC 
Age 65-74 (1) 75+ (2)
Sex Female (1)
History of: 
CHF (1)
Diabetes (1)
HTN (1)
Stoke/TIA (2)
Vascular (MI etc) (1) 

If male and score is 1 consider anticoagulating
if 2 or more anticoagulate

Question 6

Risk of anticoagulation score?

Answer 6

HASBLED
HTN - uncontrolled >160 (1)
Abnormal renal or liver function (1)
Stroke (1) 
Bleeding tendency (1) 
Labile INRs (1) 
Elderly (>65y) (1)
Drugs (antiplatelets) or alcohol (1) 

Score or 3 or higher is a high risk of bleeding

Question 7

Vaccinations at 8 weeks?

Answer 7

1st dose 6 in 1 (diphtheria, hep B, haemophilus influenzae B, polio, tetanus, whooping cough)
1st dose Rotavirus
1st MenB

Question 8

Vaccinations at 12 weeks?

Answer 8

2nd dose 6 in 1
2nd dose rotavirus
pneumococcal

Question 9

Vaccinations at 16 weeks?

Answer 9

3rd dose 6 in 1

2nd dose Men B

Question 10

Vaccinations at 1 year?

Answer 10

haemophilus influenzae B/Men C 1st dose
MMR 1st dose
Pneumococcal 2nd dose
MenB (3rd dose)

Question 11

Vaccinations at 3 years and 4 months?

Answer 11

MMR 2nd dose

4-in-1 pre-school booster

Question 12

Vaccinations at 12-13 years?

Answer 12

HPV

Question 13

Vaccinations at 14 years?

Answer 13

3 in 1 teenage booster

MenACWY

Question 14

Vaccinations from 16 weeks pregnant?

Answer 14

Whooping cough, flu vaccine

Question 15

Hepatitis serology:

HBsAg

Answer 15

Acute disease (6 months)

Question 16

Hepatitis serology:

Anti-HBs

Answer 16

Immunity

Question 17

Hepatitis serology:

Anti-HBc

Answer 17

IgM current disease

IgG persists

Question 18

Development
Gross motor skills: 
3 months? 
7-8 months? 
9 months? 
12 months?
13-15 months? 
2 years? 
3 years? 
4 years?

Answer 18

3 months: head supported
7-8 months: sits unsupported (refer after 12 mo)
9 months: crawls
12 months: cruises
13-15 months: walks (refer after 18 months)
2 years: runs
3 years: rides a rticycle
4 years: hops

Question 19

Development 
Fine Motor skills: 
3 months? 
6 months? 
9 months? 
12 months?
15 months: 
18 months: 
2 years: 
3 years: 
4 years:

Answer 19

3 months: reaches for object
6 months: holds in palmar grip
9 months: points with finger 
12 months: good pincer grip
15 months: tower of 2
18 months: tower of 3
2 years: tower of 6, copies vertical line
3 years: tower of 9, copies circle
4 years: copies cross

Question 20

Development: 
Speech and hearing:
3 months? 
6 months?
9 months?

Answer 20

3 months: turns towards sound
6 months: double syllables
9 months: mama and dada
12 months: knows and responds to name 
12-15 months: knows 2-6 words (refer after 18 months) 
2 years: combines 2 words
3 years: what who questions
4 years: how why when questions

Question 21

LFTs?

Answer 21

ALT- sign of hepatocellular injury
ALP - sign of cholestasis
If GGT is also raised with ALP highly indicative of cholestasis picture

If ALT> AST then chronic liver disease
if AST> ALT then acute hepatitis and cirrhosis