OTC

Question 1

Scarlett Fever symptoms?

Answer 1

pink red sandpaper rash on chest and stomach

strawberry tongue

Question 2

Treatment for scarlett fever?

Answer 2

10 days amoxicillin

refer

stay off school for 24 hours after treatment

Question 3

slapped cheek syndrome symptoms?

Answer 3

cold symptoms - most contagious period

rash - child is no longer contagious

Question 4

slapped cheek syndrome treatment?

Answer 4

refer these patients if they’ve come into contact: pregnant
anaemia
immunosuppressed

do not refer child

Question 5

Whooping cough symptoms?

Answer 5

cough with a whoop

very contagious

Question 6

whooping cough treatment?

Answer 6

refer to gp
refer to a and e if under 6

stay off school 5 days after starting treatment with antibiotics

Question 7

Cradle cap treatment?

Answer 7

baby shampoo
olive oil
capasal, nizoral

refer if wheeping

Question 8

Mebendazole counselling?

Answer 8

2+ years only (under two and pregnant recommend hygiene for 6 weeks)

Question 9

Meningitis symptoms?

Answer 9

non blanching rash
stiff neck
photophobia
cold hands and feet

unresponsive
difficult to wake
high pitch cry

A and E referral

Question 10

MMR symptoms?

Answer 10

Measles - rash behing ears and face, inside of cheeks then trunks and limbs

Mumps - Hamster face

Rubella - pink red macular non confluent rash

Question 11

MMR how long are they staying off school?

Answer 11

M - 4 DAYS AFTER RASH
M - 5
R - 6

Question 12

Chicken Pox (Varicella Zoster Virus) symptoms

Answer 12

small red spots to infectious blisters then crusts

fever sore throat up to 3 days before

Question 13

who to refer in chicken pox?

Answer 13

adult

under 4 months

Question 14

Treatment for chicken pox?

Answer 14

calamine lotion
crotamiton
chlorphenamine

paracetamol

Question 15

Tamsulosin requirements?

Answer 15

45-75 years
over 3 months presentation
give 2 weeks then further 4 weeks if helping
see gp in 6 weeks then every 12 months

Avoid in hypotension

Question 16

Scabies treatments?

Answer 16

Permethrin (2+): 8-12 hours then 7 days later

Malathion (6months): 24hours then 7 days later

treat everyone
return to school after first treatment

Question 17

Cystitis symptoms?

Answer 17

dysuria
incomplete emptying
urge frequency
dark cloudy smelly urine

Question 18

cystitis referral?

Answer 18

u16 and over 70
men
more than 2 in past 6 months (3 in a year)
duration over 48hours 
ADR: Allopurinol, cyclophos
diabetes, pregnancy

Question 19

cystitis treatments?

Answer 19

potassium citrate (not with hyperkaelimics)

sodium citrate (not with BP or lithium)

TWO DAYS !!!

Question 20

Amorolfine counselling?

Answer 20

18+
2 or less nails 
9 -12 months toes 
6 months nails 
once weekly 
avoid in pregnancy and breastfeeding

Question 21

Psoriasis symptoms?

Answer 21

silver scales
well defined edges
red plaques

Question 22

Tinea infections referall criteria?

Answer 22

face or scalp
broken skin
immunocompramised
2 weeks failed therapy