RACGP Flashcards
Dosage of Folate Supplementation in most women prior to conception and continuing for the first trimester
0.5 mg / day
Dosage of Folate Supplementation in high-risk women
5 mg/day
All women who are pregnant, breastfeeding or considering pregnancy should take
an iodine supplement of
150 μg each day
test for fragile X and karyotype/
Deoxyribonucleic acid (DNA)
good evidence* that introducing peanut into the diet of infants who already have severe eczema and/or
egg allergy before 12 months of age can reduce the risk of these infants developing peanut allergy
True or False?
True
Encourage dental hygiene twice a day: No toothpaste ______ what age? and low fluoride toothpaste up
to 5 years of age
<17 months of age
Encourage dental visits annually after, what age?
Encourage dental visits annually after 12 months of age
People ≥65 years of age
Screen for hearing
impairment (II, B)
How often?
Every 12 months
is the most common and curable STI in Australia.
Chlamydia
The most common adverse effect of radical prostatectomy
erectile dysfunction,
What tool to use that can help identify individuals who may require a
more detailed assessment of their family history of cancer, heart disease or diabetes ?
Family history screening questionnaire (FHSQ)
Men with infertility suspected or due to
congenital absence of the vas deferens are prone to increase probability for?
Cystic Fibrosis
What should be done to screen pregnant women for Down Syndrome?
Combined maternal serum and
ultrasound screening in first
trimester
Maternal serum screening in
second trimester
Non-invasive prenatal test (NIPT)
at First or Second trimester
What screen is used for pregant women who has significantly increased probabilty for Down Syndrome?
Combined maternal serum and
ultrasound screening in first
trimester*
Maternal serum screening in
second trimester†
(C)
Non-invasive prenatal test (NIPT)‡
Fetal diagnostic genetic testing
(C)
Offer referral for genetic
counselling
at First or Second trimeste
What Increases the probability for Fsragile X SYndrome?
These are children or adults of either sex with one or
more of the following features:
developmental delay including
intellectual disability of unknown cause
* autistic-like features
* attention deficit hyperactivity disorder
(ADHD)
* speech and language problems
* social and emotional problems, such as
aggression or shyness
* a female with a history of primary
ovarian insufficiency or premature
menopause (aged <40 years)
* adults with ataxia, balance problems
and parkinsonism
* relative with a fragile X mutation
What screening is used for Fragile X syndrome ?
Deoxyribonucleic acid (DNA)
test for fragile X and karyotype/
comparative genomic
hybridisation by microarray
for other possible causes of
developmental delay
Refer to genetic services for
genetic counselling and testing
at-risk family (I, A)
perform at:
Deoxyribonucleic acid (DNA)
test for fragile X and karyotype/
comparative genomic
hybridisation by microarray
for other possible causes of
developmental delay
Refer to genetic services for
genetic counselling and testing
at-risk family (I, A)
What is the screening test used for
Haemoglobinopathies and thalassaemias?
Test for mean corpuscular
volume (MCV), mean corpuscular
haemoglobin (MCH) and ferritin
Haemoglobin electrophoresis
(III, B)
Blood for deoxyribonucleic acid
(DNA) studies
Arrange partner testing if: MCV
≤80 fL and/or MCH ≤27 pg and/
or abnormal haemoglobin
How often?
Test couple for
carrier status prior to
pregnancy or in first
trimester
What is the *First trimester Down syndrome screening?
free beta human chorionic gonadotrophin (HCG), pregnancy associated plasma protein at 10–12 weeks (this also provides risk for
trisomy 18 and Edwards syndrome)
* nuchal translucency screen at 11 weeks, 3 days to 13 weeks, 6 days
* NIPT‡
from 10 weeks for trisomy 21, 18 and 13; not available for MBS rebate. Tests for fetal DNA in maternal blood
†
Second trimester serum screening:
* beta HCG, unconjugated oestriol, alpha-fetoprotein and inhibin A, ideally at 15–17 weeks; also gives risk for Edward syndrome and
neural tube defects (NTDs)
What is the screening tool for the prevention and early detection of tooth decay in children?
‘Lift the lip’ screening
What to encourage about dental hygiene on : <17 months of age> up
to 5 years of age
No toothpaste
and low fluoride toothpaste
twice a day
Screen for hearing
impairment (II, B) should be done with the elderly at what age and how often?
People ≥65 years of age
Every 12 months
What tool to use a to screen for visual impairment in the elderly?
Snellen chart
How does the hearing impairment screening being performed?
A whispered voice out of the field of vision (at 0.5 m) or finger
rub at 5 cm has a high sensitivity for hearing loss, as does a
single question about hearing difficulty
What are the other symptom for dementia?
Other symptoms may include a decline in thinking, planning and organising, and
reduced emotional control or change in social behaviour affecting daily activities.
Not everyone with dementia has memory problems as an initial symptom
