Paediatrics Flashcards

1
Q

What is the usual rate of asymptomatic nasopharyngeal carriage of meningococcus in the community?

A

Approximately 10% of people in the community carry meningococcus at the back of their nose and throat at any point in time. Smokers can have up to 50% nasal carriage.

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2
Q

Which relevant contacts should be contacted by the Health Department if someone is diagnosed with meningococcus?

A
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3
Q

What is the risk of the contacts contracting meningococcal disease?

A

Even without antibiotic treatment their risk of contracting disease is very low.

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4
Q

How infectious are patients with invasive meningococcal disease?

A

Patients with invasive meningococcal disease are not very efficient transmitters of the disease. Asymptomatic carriers are much more important as a source of infection.

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5
Q

What should the notifying doctor do to ensure contact tracing for relevant contacts?

A
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6
Q

Which 3 antibiotics can be used for prophylaxis of meningococcus? What are the common side effects of taking rifampicin?

A
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7
Q

When should children in Western Australia be vaccinated against meningococcal disease?

A
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8
Q

What are the rules regarding immunisation in WA? Do parents have to immunise their children?

A
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9
Q

What is involved in performing a population based risk/benefit assessment of vaccination safety for the purpose of policy and funding decisions?

A
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10
Q

Do medical practitioners in WA have a statutory obligation to report adverse events following immunisation (AEFIs)?

A
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11
Q

How should health professionals report an AEFI? Can a patient or parent report an AEFI? Which common, minor AEFIs do not need to be reported?

A
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12
Q

How should health professionals report an AEFI? Can a patient or parent report an AEFI? Which common, minor AEFIs do not need to be reported?

A
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13
Q

List the High-risk contacts for patients with meningococcal disease.

A
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14
Q

Who should get the MenACWY?

A
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15
Q

What socio-demographic factors contribute to ear disease in Aboriginal patients?

A
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16
Q

Outline the clinical, social and economic consequences of chronic otitis media on the individual.

A
17
Q

What are 8 individual based preventive options could potentially reduce the incidence of chronic otitis media in Aboriginal communities?

A
18
Q

What are some population-based preventive options could potentially reduce the incidence of chronic otitis media in Aboriginal communities?

A
19
Q

What prevalence of otitis media in a population indicates a massive public health problem?

A

The WHO recognises that a prevalence of otitis media of greater than 4% in a population indicates a massive public health problem.

20
Q

Rates of Otitis media in Aboriginal and Torres Strait Islander children?

A
21
Q

List 5 Socio-economic factors contributing towards otitis media?

A
22
Q

List 5 Primary preventive options to reduce the incidence of chronic otitis media in Aboriginal communities?

A
23
Q

List the factors that contribute to obesity and poor nutrition.

A
24
Q

List 8 sequelae of poor nutrition in childhood.

A
25
Q

Outline the Ottawa Charter for Health Promotion.
- 5 pre-requisites for health?
- 3 basic strategies for health promotion?
- 5 priority action areas?

A
26
Q

Identify 8 health promotion strategies that can be used to target obesity.

A
27
Q

Rates of obesity in Australian children and adolescents?

A

Obesity is an increasing problem in Australia and worldwide. Being overweight or obese increases a person’s risk of developing cardiovascular disease, hypertension and T2DM. In Australia in 2017-2018, approximately one in four children and adolescents were either overweight or obese.

28
Q

List 6 public health approaches to address obesity?

A
29
Q

What is involved in the adolescent assessment, including to determine her risks of self- harm?

A

Adolescence is a transitional phase between childhood and adulthood, historically spanning from the age of 12 to 18 years old. The HEEADSSS interview for psychosocial screening is an important part of the adolescent assessment. It is important to obtain this with the adolescent alone, which can be difficult to do.

30
Q

What advice should be given to the patient about confidentiality relating to the GP consultation?

A
31
Q

What are the mandatory reporting requirements for medical practitioners?

A
32
Q

Are there any requirements related to the sharing of private images online?

A
33
Q

What is the impact of cyber bullying on adolescent mental health?

A