Other

Question 1

NIP non-indigenous

Answer 1

Birth: Hep B
2/12: Infanrix hexa, Rotavirus, Prevenar
4/12; Infanrix hexa, Rotavirus, Prevenar
6/12; Infanrix hexa, Prevenar (specific medical risk)
12/12; Nimenrix, Priorix, Prevenar
18/12; ActHib, Priorix-Tetra, Infanrix
4 years; Infanrix IPV, Pneumovax 23 (specific risk)
12-13yr; HPV, Boostrix
14-16; Nimenrix
>=70; Prevenar
70-79; zostavax
Pregnant; Boostrix
Influenza; 6/12-5yo, >=6/12 with medical risk, >=65yo, pregnant

Question 2

Falls prevention - history (elderly health check)

Answer 2

Frequency and nature of falls
Medication hx
Gait/balance issues
Foot pain/unsafe footwear
Home hazards
Bifocal vs multifocal spectacle use
Incontinence
Recent discharge from hospital
Chronic illness; CVA, MS, Parkinsons’, dementia

Question 3

Screening for dementia

Answer 3

> =65yo
Moderate risk; sx, Fhx dementia, head trauma hx, CVD risk, depression, ATSI
Case finding; history from pt, MMSE
Early intervention; regular exercise, cognitive training, mediterranean diet, smoking cessation, manage vascular risk

Question 4

Unfunded but recommended vaccines

Answer 4

dtPA in parents of infants <6/12
50 years and >65; dTpa
>60yo; zoster dose
MSM and IVDU: Hep A, B

Question 5

Redbook STD screening

Answer 5

ATSI; chlam/gon/syph/HIV - every 12/12
IVDU/sex workers; chlam/gon/syph/HIV 12/12
Asymp MSM: urine/throat/rectal chlam, throat/rectal gon, HIV/syph -> every 12/12 and 3-6/12 in higher risk men

Question 6

SNAP questions

Answer 6

Smoking
Nutrition
Alcohol
Physical activity

Question 7

Screening for vascular disease

Answer 7

CVD risk 2 yearly
BP from 18yo every 2 years (low risk), annual if high risk
Cholesterol; 5 yearly from 45yo, from 35yo if ATSI
AUSDRISK 3 yearly from >=40yo, >=18yo if ATSI
Renal; BP/ACR/eGFR every 1-2 years from 30 if risk factors for CKD or ATSI >30yo

Question 8

Glaucoma screening

Answer 8

Increase risk (FDR, Caucasian/Asian >=50yo, African >=40yo) -> ocular exam 5-10 years prior to age of onset in FDR
High risk >=50yo and DM, myopia, steroid use long term, BP issues, eye trauma -> individualised frequency

Question 9

Risk factors for incontinence

Answer 9

Prenatal/postnatal
Overweight women
Women with constipation
Frail elderly or RACF residents
Chronic disease; resp, cardiac, CVA, DM