Sick Child

Question 1

7 months old, only child.No immunisations as parents are sceptics
Mumrecently gone back to work full time as accountant, Charlie has started at nursery. The nursery has outbreak of D and V and their son has been vomiting for 2d, now easing, but diarrhoea ten times a day, no blood or mucus. Which 2 of the following would NOT be advised in this situation?

1 - encourage plenty of oral fluids including breast milk/substitutes
2 - supplement fluids with low osmolality
3 - encourage fruit juices and carbonated drinks where required
4 - encourage normal feeding including solids

Answer 1

3 - encourage fruit juices and carbonated drinks where required

4 - encourage normal feeding including solids

These can increase the risk of dehydration in diarrhoea

Question 2

7 months old, only child.No immunisations as parents are sceptics
Mumrecently gone back to work full time as accountant, Charlie has started at nursery. The nursery has outbreak of D and V and their son has been vomiting for 2d, now easing, but diarrhoea ten times a day, no blood or mucus. Which of the following would NOT be advised in this situation?

Question 3

Which of the following drug treatments are NOT recommended in children in primary care?

1 - ondesartan
2 - loperamide
3 - zine supplements
4 - probiotics
5 - all of the above

Answer 3

5 - all of the above

Question 4

Which 2 scoring systems can be used to identify if antibiotics need to be prescribed in a child with pharyngitis?

1 - Lights criteria
2 - Wells score
3 - Centor criteria
4 - Fever Pain score

Answer 4

3 - Centor criteria
4 - Fever Pain score

Question 5

In primary care what is the most appropriate method for assessing a childs temperature aged <4 weeks?

1 - electronic thermometer in the axilla
2 - infra-red tympanic thermometer
3 - rectal thermometer
4 - any of the above

Answer 5

1 - electronic thermometer in the axilla

Forehead chemical thermometers are unreliable.

Question 6

In primary care, all of the following can be used for assessing a childs temperature aged >4 weeks and less than 5, EXCEPT which one?

1 - electronic thermometer in the axilla
2 - infra-red tympanic thermometer
3 - rectal thermometer
4 - chemical dot thermometer in the axilla
5 - oral or rectal thermometer

Answer 6

5 - oral or rectal thermometer

DO NOT use a rectal thermometer in a child aged 0-5

Forehead chemical thermometers are unreliable.