First Nations

Question 1

What are the 5 As for counselling on smoking cessation

Answer 1

Ask about tobacco use and environmental exposure to tobacco smoke.
Advise to quit.
Assess willingness to quit.
Assist with counselling, pharmacotherapy and local supportive resources.
Arrange follow-up.

Question 2

What is scabies associated with

Answer 2

Associated with poverty, overcrowding, malnutrition, reduced access to health care

Question 3

How to dx scabies

Answer 3

Skin scraping
Burrow ink test (cover burrow with ink and wipe with alcohol to look for burrow)
Dermatoscopy

Question 4

How to tx scabies

Answer 4

All household contacts must be treated at same time

5% Permethrin overnight (to face for infants); repeat in 1 week
(Only for > 3 months)
Itching may persist, but new lesions indicate ongoing infestation and need for retreatment

Question 5

Control measures for scabies

Answer 5

• treat all household members and close contacts at the same time as known case
• bed linens and clothing should be washed in hot water and dried in hot cycle
• return to child care/school after completing initial treatment series
• improve living situations

Question 6

What are the 6 Es of injury prevention

Answer 6

Education
Local education strategies, including CPR, swim lessons, water safety, fire prevention and emergency preparedness

Empowerment
Incorporate indigenous culture, language and beliefs and ensure local participation

Enabling
Easier access and affordable IP education and devices

Engineering
Design safer products and environments

Enforcement
Involve band council and community leaders to implement policy

Employment
Build capacity while implementing IP programs to enhance community involvement

Question 7

Risk factors for MRSA

Answer 7

overcrowding, 
frequent skin to skin contact, 
poor hygiene, 
lower SES, 
antibiotic exposure.

Question 8

biggest risk factor for early childhood caries

Answer 8

poverty

Question 9

Dosing for infants for Vit D?

for mothers?

Answer 9

200 IU/day for premature infants
400 IU/day for all infants < 1 year
800 IU/day from Oct – April if north of 55th parallel (Edmonton)

Consider 2000 IU/day in pregnant and BF women, especially in winter months with periodic check of 25-OH-Vit D and Calcium levels

Question 10

Who has Highest level of Vit D deficiency

Answer 10

among First Nations and Inuit

Question 11

Best way to measure Vit D levels

Answer 11

25(OH)D calcidDIol (inactive, stable form, derived from conversion in liver of D3
cholecalciferol)

Question 12

Physical features of FAS

Answer 12

short palpebral fissures, increases intercanthal distance, flat face with short nose, flat philtrum, thin upper lip