milestones, infection, vaccines

Question 1

sit without support?

Answer 1

7-8 months

Question 2

able to crawl?

Answer 2

9 months

Question 3

able to asquat to pick up a toy?

Answer 3

18 month

Question 4

Runs

Walks upstairs and downstairs holding on to rail

Answer 4

2 yrs

Question 5

Lying on abdomen, good head control

Answer 5

3m

Question 6

cerebral calcification, chorioretinitis and hydrocephalus - infection?

Answer 6

toxoplasmosis

Question 7

blunted upper incisor teeth, keratitis, saber shins, saddle nose and deafness

Answer 7

syphillis

Question 8

syphhilis SX?

Answer 8

blunted upper incisor teeth, keratitis, saber shins, saddle nose and deafness

Question 9

Rubella SX - child?

Answer 9

Sensorineural deafness
Congenital cataracts
Congenital heart disease (e.g. patent ductus arteriosus)
Glaucoma
Growth retardation
Hepatosplenomegaly
Purpuric skin lesions
‘Salt and pepper’ chorioretinitis
Microphthalmia
Cerebral palsy

Question 10

JAUNdice screen?

Answer 10

TORCH infections, FBC, blood groups, direct Coombs’ test, blood film, TORCH
screen, urine-reducing substances, urine dipstick/microscopy.

Question 11

combines 2 words?

vocab of 200 words?

short sentences - asks what/who/ colours/ counts to 10?

asks why/ when/how

Answer 11

2YO:
poiints to parts of body

2.5 yrs - 200 words

3YO

4YO

Question 12

6 in 1 vaccine. contains/. when?

4 in 1 contains? and when?

3 in 1 when?

Answer 12

tetanus, diptheria, polio, bordatella, HiB, hep B

at 2, 3, 4, months

4 in 1- Diptheria, tetanus, whooping cough, polio. at preschool 3-4 yrs +MMR

3 in 1 - tetaus diptheria, polio. at 13-18 yrs +MEN ACWY

Question 13

vaccine at 12-13 months?

Answer 13

HiB/ Men C, MMR, PCV, Men B

Question 14

when do they get men B vaccine?

Answer 14

2,4, 12 -12 months

Question 15

9 month old development?

Answer 15

crawl, a crude pincer grip. words like ‘mama’ or ‘dada’. Shyness around strangers

Question 16

When is rotavirus vaccine given?
when is it contraindicatiosn?

Answer 16

2 months and 3 months
can not be given after 15 weeks old due to risk of intussusception

Question 17

which vaccine is CI if allergy to eggs

Answer 17

yellow fever

Question 18

when to offer whooping cough vaccine to pregnant women?

Answer 18

GA 16-32

Question 19

When to exclude from school for mumps?

scarlet fever exclusion?

imwhooping cough?

Answer 19

5 days from onset of swellings

scarlet fever - 24 hrs of starting abx

whooping cough - 2 days from starting abx (clarithromycin) or 21 days of sc if no abx

Question 20

school exclusion for measles?

impetigo?

rubella?

Answer 20

4 days onset from rash

impetigo - until lesions healed/ crusted over or 48 hrs after starting abx

rubella - 5 days onset of rash

Question 21

measles complications?

Answer 21

otitis media: the most common complication
pneumonia: the most common cause of death
encephalitis: typically occurs 1-2 weeks following the onset of the illness)
subacute sclerosing panencephalitis: very rare, may present 5-10 years following the illness
febrile convulsions
keratoconjunctivitis, corneal ulceration
diarrhoea
increased incidence of appendicitis
myocarditis