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Phase 3a need to know > need to know > Flashcards

need to know Flashcards

1
Q

Which immunisations do you receive at 8 wks (2 months)?

A

6 in 1: DTaP, Hib, polio and Hep B
Men B
Rotavirus

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2
Q

Which immunisations do you receive at 12 wks (3 months)?

A

6 in 1: DTaP, polio, Hep B and Hib
Pneumococcal
Rotavirus

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3
Q

Which immunisations do you receive at 16 wks (4 months)?

A

6 in 1: DTaP, polio, Hib and Hep B

Men B

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4
Q

Which immunisations do you receive at 1 year?

A 
Hib
Men C
Men B
Pneumococcal and 
MMR
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5
Q

Which immunisations do you receive at 3/4 years?

A

MMR
DTaP
Polio

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6
Q

Which immunisations do you receive at 12/13?

A

HPV - 16 and 18 against cervical cancer, 6 and 11 against genital warts

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7
Q

Which immunisations do you get at 14?

A

Diptheria
Tetanus
Polio
Men ACYW

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8
Q

Which nerve supplies sensation to the head?

A

Trigeminal

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9
Q

What do the 3 branches of the trigeminal nerve supply?

A

V1. Opthalmic- lateral aspect of the forehead
V2. Maxillary- the cheek
V3. Mandibular- the lower jaw

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10
Q

What does C2 supply sensation to?

A

The occipital protuberance

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11
Q

What does C3 supply sensation to?

A

Supraclavicular fossa

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12
Q

What does C4 supply sensation to?

A

Acromiocalvicular joint

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13
Q

What does C5 supply sensation to?

A

Lateral deltoid

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14
Q

What does C6 supply sensation to?

A

The palmar side of the thumb

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15
Q

What does C7 supply sensation to?

A

The palmar side of the middle finger

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16
Q

What does C8 supply sensation to?

A

The palmar side of the little finger

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17
Q

What does T1 supply sensation to?

A

The medial aspect of the antecubital fossa

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18
Q

What does T10 supply sensation to?

A

Belly button (belly butTEN!!)

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19
Q

What does L1 supply sensation to?

A

Inguinal area and the very top of the medial thigh

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20
Q

What does L2 supply sensation to?

A

Middle and lateral aspect of the anterior thigh

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21
Q

What does L3 supply sensation to?

A

The medial epicondyle of the femur

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22
Q

What does L4 supply sensation to?

A

The medial malleolus

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23
Q

What does L5 supply sensation to?

A

The dorsum of the foot and the third metatarsophalangeal joint

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24
Q

What does S1 supply sensation to?

A

bottom of the foot and heel

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25
Q

What does S2 supply sensation to?

A

Bits of the bum

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26
Q

What does S3 supply sensation to?

A

Most of the bum (sitting bits)

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27
Q

What does S4 supply sensation to?

A

Perianal area

s1= stand, s3= sit, s4= shit

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28
Q

What does C4 supply motor to?

A

Shoulder shrugs

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29
Q

What does C5 supply motor to?

A

Shoulder abduction, external rotation

Elbow flexion

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30
Q

What does C6 supply motor to?

A

Wrist extension

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31
Q

What does C7 supply motor to?

A

Elbow extension and wrist flexion

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32
Q

What does C8 supply motor to?

A

Thumb extension and finger flexion

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33
Q

What does T1 supply motor to?

A

Finger abduction

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34
Q

What does L2 supply motor to?

A

Hip flexion

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35
Q

What does L3 supply motor to?

A

Knee extension

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36
Q

What does L4 supply motor to?

A

Ankle dorsiflexion

37
Q

What does L5 supply motor to?

A

Big toe extension

38
Q

What does S1 supply motor to?

A

Ankle plantar flexion

39
Q

What does S4 supply motor to?

A

Bladder and rectum

40
Q

When should a child sit without support?

A

6-8m

Age limit is 9m

41
Q

When should a child crawl?

A

8-9m

42
Q

When should a child cruise around furniture?

A

10m

43
Q

When should a child walk unsteadily (holding one hand)?

A

12 months

Limit age: 18m

44
Q

When should a child be able to walk steadily?

A

13-15 months

45
Q

When should a child be able to run and jump?

A

2.5 years

46
Q

When should a child be able to follow a moving object (fixing and following)?

A

6 weeks

47
Q

When should a child reach out for toys?

A

4 months

48
Q

When should a child develop a palmar grasp?

A

4-6 months

49
Q

When should a child transfer toys from one hand to another?

A

7 months

50
Q

When should a child have a mature pincer grip

A

10 months

51
Q

When should a child make marks/ scribble with a crayon?

A

1 year

52
Q

When should a child make a tower of 3 cubes?

A

18m

53
Q

When should a child make a tower of 8 blocks?

A

3 years

54
Q

When should a child be able to ride a bike?

A

5 years

55
Q

When should a child be able to hop?

A

4 years

56
Q

When should a child laugh and squeal?

A

3-4 months

57
Q

When should a child use sounds discriminately “dada, mama”?

A

7-10 months

58
Q

When should a child say one clear word?

A

12 months

59
Q

When should a child say 6-10 words?

A

18 months

60
Q

When should a child say simple sentences and name body parts?

A

2 years

61
Q

When should a child have mainly understandable speech?

A

3 years

62
Q

When should a child know colours?

A

4 years

63
Q

When should a child know the meaning of a lake?

A

5 years

64
Q

When should a child smile responsively?

A

6 weeks

Limit is 8 wks

65
Q

When should a child start to finger feed?

A

6-8 months

66
Q

When should a child wave bye bye?

A

10-12 months

67
Q

When should a child be able to use a fork?

A

12 months

68
Q

When should a child be able to engage in symbolic play?

A

18-24 months

Limit: 2-2.5 years

69
Q

When should a child be able to start toilet training?

A

2 years

70
Q

When should a child be able to undress?

A

2 years

71
Q

When should a child be able to name a friend and play with others?

A

3 years

72
Q

When should a child be able to dress without help?

A

4 years

73
Q

What are the FeverPAIN criteria?

A 
Fever- during the 24 previous
Pus on tonsils
Attend rapidly (within 3 days of Sx)
Severely Inflamed tonsils
No cough or coryza
74
Q

What do the FeverPAIN score correlate to?

A 
0-1 = unlikely streptococcal
2-3= 34-40% change (delayed px?)
4-6= likely (antibiotics)
75
Q

Which congenital heart defects present with breathlessness?

A

VSD
PDA
ASD

76
Q

Which congenital heart defects present with cyanosis?

A

Tetralogy of fallot

TGA

77
Q

Which congenital heart defects present with breathlessness and cyanosis?

A

ASD complete

78
Q

Which congenital heart defects present with an asymptomatic murmur?

A

Pulmonary stenosis

Aortic stenosis

79
Q

Which congenital heart defects present with outflow obstruction in a sick neonate?

A

Coarctation of the aorta

80
Q

What does an innocent murmur sound like?

A

Soft blowing murmur
Systolic murmur only
Left Sternal edge

81
Q

What heart murmur is heard in heart failure?

A

Galloping

82
Q

What heart murmur is heard in ASD?

A

with a partial ASD it is an apical pansystolic murmur

In true ASD it is an ejection systolic murmur

83
Q

What heart murmur is heard in small VSD?

A

Loud pansystolic murmur at the left lower sternal edge

84
Q

What heart murmur is heard in a large VSD?

A

Soft pansystolic or no murmur

85
Q

What heart murmur is heard in PDA

A

Continuous murmur beneath the left clavicle

86
Q

What are the features of the tetralogy of fallot?

A

Large VSD
Overriding of the aorta
Pulmonary stenosis
Right ventricular hypertrophy

87
Q

What heart murmur is heard in transposition of the great arteries?

A

Systolic murmur

88
Q

How often should lithium levels be measured?

A

1 week after a change in dose
Every 3 months in the first year (carry on if risk factors present), then every 6 months after
Kidney and thyroid function should be checked every 6 months

Phase 3a need to know (1 decks)

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