Recall nonsense

Question 1

School exclusion: Scarlet Fever

Answer 1

24 hours after antibiotics started

Question 2

School exclusion: Whooping cough

Answer 2

2 days after commencing antibiotics (or 21 days from onset of symptoms if no antibiotics )

Question 3

School exclusion: Measles

Answer 3

4 days from onset of rash

Question 4

School exclusion: Rubella

Answer 4

5 days from onset of rash

Question 5

School exclusion: Mumps

Answer 5

5 days from on-set of swelling

Question 6

School exclusion: Impetigo

Answer 6

Until lesions are crusted and healed, or 48 hours
after commencing antibiotic treatment

Question 7

Common conditions which do NOT require exclusion from school

Answer 7

Conjunctivitis
Fifth disease (slapped cheek)
Roseola
Infectious mononucleosis
Head lice
Threadworms
Hand, foot and mouth

Question 8

Antenatal care:

8 - 12 weeks (ideally < 10 weeks):

10 - 13+6 weeks:

11 - 13+6 weeks:

Answer 8

Booking visit

Early scan to confirm dates, exclude multiple pregnancy

Down’s syndrome screening including nuchal scan

Question 9

Antenatal care:
What happens at booking visit:

Answer 9

Booking visit
general information e.g. diet, alcohol, smoking, folic acid, vitamin D, antenatal classes
BP, urine dipstick, check BMI

Booking bloods/urine
FBC, blood group, rhesus status, red cell alloantibodies, haemoglobinopathies
hepatitis B, syphilis
HIV test is offered to all women
urine culture to detect asymptomatic bacteriuria

Question 10

Antenatal care:
18 - 20+6 weeks:

28 weeks

34 weeks

36 weeks

Answer 10

Anomaly scan

Routine care: BP, urine dipstick, SFH
Second screen for anaemia and atypical red cell alloantibodies. If Hb < 10.5 g/dl consider iron
First dose of anti-D prophylaxis to rhesus negative women

Second dose of Anti-D (depending on local guidelines)

Question 11

Vaccination schedule:

At birth

3 months

4 months

12-13 months

3-4 years

12-13 years

13-18 years

Answer 11

AB) BCG (if no risk factors)

3) 6 in 1 plus hepatitis B)
Oral rotavirus vaccine
PCV

4) 6-1 vaccine’ (diphtheria, tetanus, whooping cough, polio, Hib and hepatitis B)
Men B

12) Hib/Men C
MMR
PCV
Men B

3-4 years: 4-in-1 pre-school booster’ (diphtheria, tetanus, whooping cough and polio)
MMR

12-13 years: HPV

13-18 years: ‘3-in-1 teenage booster’ (tetanus, diphtheria and polio)
Men ACWY

Question 12

What is in the 6 in 1 vaccine:

Answer 12

Diphtheria, tetanus, whooping cough, polio, Hib and hepatitis B)