Paediatrics Development - Liam

Question 1

Feeding volumes for

• day 1, 2, 3, 4 and onwards

Answer 1

1 - 60ml/kg.day

2 - 90ml/kg/day

3 - 120ml/kg/day

4 and onwards - 150ml/kg/day

Question 2

When does weaning start

Answer 2

From 6 months (gradual transition from milk to normal foods)

Question 3

Failure to thrive

• pathology

Answer 3

Poor physical growth and development of child

Question 4

Failure to thrive

• causes

Answer 4

Inadequate nutritional intake

Difficulty feeding

Malabsorption

Increased energy requirements

inability to process nutrition

Question 5

Predicted female height

Answer 5

(Mother height + fathers height - 14) / 2

Question 6

Predicted male height

Answer 6

(mothers height + fathers height + 14cm) / 2

Question 7

Types of learning disabilities

Answer 7

• Dyslexia
• Dysgraphia
• Dyspraxia
• Auditory processing disorder
• Non-verbal learning disability
• Profound and multiple learning disabilities

Question 8

Dysplexia

Answer 8

Difficulty in reading, writing and spelling

Question 9

Dysgraphia

Answer 9

Difficulty writing

Question 10

Dyspraxia

Answer 10

Difficulty with physical coordination

Question 11

Auditory processing disorder

Answer 11

Difficulty processing auditory information

Question 12

Non-verbal learning difficulty

Answer 12

Difficulty processing non-verbal information

Question 13

Profound and multiple learning disability

Answer 13

Severe difficulties across multiple areas

Question 14

Learning disabilities classifcation

Answer 14

• IQ
  
  • Mild - 55 to 70
  • Moderate 45 to 55
  • Severe 25 to 40
  • Profound under 25

Question 15

What are the 4 key words of capacity

Answer 15

Understand

Retain

Weight up

Communicate

Question 16

Puberty start girls

Answer 16

8-14

Question 17

Puberty start boys

Answer 17

9-15

Question 18

Order of development in puberty for girls

Answer 18

Breast buds > pubic hair > period

Question 19

Order of development in puberty for boys

Answer 19

Enlargement of testes > penis ? darkening of scrotum > pubic hair > deepening of voice

Question 20

What scale used to determine pubertal stage

Answer 20

Tanner scale

Question 21

Hypogonadotrophic hypogonadism

Answer 21

Deficiency of LH and FSH

Question 22

Hypergonadotrophic hypogonadism

Answer 22

Lack of response to LH and FSH by gonads

Question 23

Hypogonadotropic hypogonadism

• cause

Answer 23

GH deficiency

Hypothyroidism

Hyperprolactinaemia

Question 24

Hypergonadotropic hypogonadism

• cause

Answer 24

Damage to gonads like testicular torsion, cancer, infection

Congenital absence

Kleinfelters

Turners

Question 25

When can 16 year olds make decisions about treatment

Answer 25

They have Gullick competence - no lower age limit

Question 26

5 Frazer guidelines for contraception

Answer 26

1. They are mature and intelligent enough to understand the treatment 2. They can’t be persuaded to discuss it with their parents or let the health professional discuss it 3. They are likely to have intercourse regardless of treatment 4. Their physical or mental health is likely to suffer without treatment 5. Treatment is in their best interest