Public health and ethics Flashcards

1
Q

infant mortality rate =

expressed as __

A

PRB of a child born in a specific yr/period dying before 1yo

deaths/1000 live births

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2
Q

5 top causes for under 5 mortality globally

A
premature complications
pneumonia
intrapartum complications
diarrhoea
congenital abnormalities
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3
Q

5 top causes for under 5 mortality in sub-Saharan Africa

A
pneumonia
premature complications
intrapartum
diarrhoea
malaria
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4
Q

neonate = __-__ days

A

0-27days

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5
Q

Rx which ___ matures lungs in premature babies

A

steroids

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6
Q

2 common causes of diarrhoea in under 5s =

A

E. coli

rotavirus

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7
Q

4 common causes of pneumonia in under 5s =

A

strep pneumonia
H. influenzae
RSV
PCP

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8
Q

Rx for diarrhoea in under 5s

A

ORS (oral rehydration solution)

zinc

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9
Q

if mother has HIV test baby at __++

A

birth
6wks
6wks after stop breastfeeding

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10
Q

if < 18m this is the screening test used for HIV

A

virological PCR for HIV D/RNA

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11
Q

if >18m this is the screening test for HIV

A

serological rapid antibody test

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12
Q

3 measures used to stage HIV

A

clinical staging 1-4
immunological (CD4 count)
viral load

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13
Q

treatment for HIV =

A
HAART
2 NRTIs (abacavir, lamivudine) + NNRTI (efavirenz >3yo)/protease inhibitor (kaletra <3yo)
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14
Q

treatment for IRIS (immune reconstruction inflammatory syndrome) - a complication of HIV =

A

NSAIDs

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15
Q

prophylaxis for HIV =

A

co-trimoxazole and routine vaccinations

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16
Q

Investigations for tuberculosis

A

acid fast bacilli (Zeihl-Neelson), interferon gamma release arrays, CXR, mantoux

17
Q

treat tb longer than normal if __/__/__

A

tb meningitis

spinal or osteo articular disease

18
Q

prevention of tb =

A

BCG

pre and post exposure isoniazid

19
Q

most severe form of malaria

A

P falciparum

crosses BBB

20
Q

investigations for malaria

A

blood film for microscopy/ rapid diagnostic test

21
Q

treatment for malaria =

A

ACT (artemisinin based combo therapy) for 3 days

severe = IM/IV until can take PO

22
Q

prevention of malaria =

A

LLIN (long lasting insecticidal nets)

23
Q

severe acute malnutrition
mid-arm circumference =
wt for ht =
both ___

A

MAC = <11.5mm

wt for ht =

24
Q

giving too much fluids too quickly in malnutrition =

A

heart failure