Preventative Health

Question 1

Immunisations at 2+4months

Answer 1

Diptheria, tetanus, pertussis, Hep B, polio, HIB (Infranrix Hexa)
Rotavirus (rotarix)
Pneumococcal (prev13)
+- Men B (ATSI)

Question 2

Immunisations at 6mo

Answer 2

Diptheria, tetanus, pertussis, polio, Hep B, HIB (Infranrix Hexa)
+- prev13 + Men B for ATSI + high risk

Question 3

Immunisations at 12mo

Answer 3

Meningococcal ACWY (single dose)
MMR
Prev 13

Question 4

Immunisatons at 18mo

Answer 4

Haemophilus influenza B (Hib)
MMR-V - Priorix-Tetra or ProQuad
Dip/Tet/Pertussis - tripacel

Question 5

Immunisations at 4yo

Answer 5

Diptheria, tetanus, pertussis, polio - Infanrix IPV/Quadracel

Question 6

Immunisations at 12-13yo (~yr 7)

Answer 6

HPV - Gardasil
Diptheria, tetanus, pertussis - Boostrix

Question 7

Immunisations at 14-16yo (~yr10)

Answer 7

Meninococcal ACWY

Question 8

General population Breast screening reccomendations

Answer 8

2 yearly mammogram from 50-74

Question 9

Red flags for breast cancer screening + recommendation

Answer 9

Red flags:
- number of relatives: 2+
- degree of relative: 1st
- Age at Dx: <50
Only 1 RF = average risk
2 RF = mod risk

Question 10

Pt asking about breast screening. Mother with breast cancer at 45

Answer 10

-> Offer Annual mammograms from 40 for 1st deg <50
Rest of moderate risk (2 red flags) can have 2 yearly + consider referral to family cancer clinic

Question 11

General population bowel screening advice (2)

Answer 11

• 2 yearly FOBT from 45 - 74
• Atleast 2.5yrs of low dose aspirin from 45-70

Question 12

Bowel screening for different categories

Answer 12

Cat 1 - general 2yrly FOBT 45-74
Cat 2 - 5yrly cscope from 50, or 10yrs prior to earliest relative diagnosis (whichever earlier)

Question 13

2x vaccines that warrant allergist review prior to giving in history of egg allergy

Answer 13

Yellow fever + Q fever
- if anaphylaxis to eggs - split dosing under medical supervision
- if non anaphylaxis - normal single dose under medical supervision
-> Rest are safe

Question 14

Main risk factor to remember in colorectal cancer (1)

Answer 14

1st degree <60 = cat2/higher risk=scopes

Question 15

KFP: Approach to discussion about vaccine hesitancy with parent

Answer 15

1. Acknowledge that they want to make best decision for the child
2. Explain evidence of vaccine protecting against potentially deadly disease
3. Explain the known risks are mostly mild OR severe complications very rare
4. Offer another appointment to discuss