Podcast
Questions and Answers
Which of the following is typically the FIRST developmental skill observed in infants?
Which of the following is typically the FIRST developmental skill observed in infants?
- Posture and Movement (correct)
- Hearing and Speech
- Social Behaviour
- Vision and Manipulation
At what age do infants typically begin to show a preference for watching faces?
At what age do infants typically begin to show a preference for watching faces?
- 8 weeks
- 6 months
- 12 months
- 2 months (correct)
At what age do children usually start to use a spoon and fork effectively?
At what age do children usually start to use a spoon and fork effectively?
- 2 years
- 9 months
- 3 years (correct)
- 12-15 months
What is the optimal age at which infants typically start localizing sounds?
What is the optimal age at which infants typically start localizing sounds?
At what age should you expect a child to start using single word labels?
At what age should you expect a child to start using single word labels?
Which factor is LEAST likely to be a primary cause for developmental concerns in toddlers?
Which factor is LEAST likely to be a primary cause for developmental concerns in toddlers?
What percentage of children in the UK are affected by asthma?
What percentage of children in the UK are affected by asthma?
Which statement accurately reflects the nature of Upper Respiratory Tract Infections (URTIs) in children?
Which statement accurately reflects the nature of Upper Respiratory Tract Infections (URTIs) in children?
What is the MOST accurate definition of otitis media (OM)?
What is the MOST accurate definition of otitis media (OM)?
What is a common symptom of acute suppurative otitis media?
What is a common symptom of acute suppurative otitis media?
All of these answers are TRUE of chronic otitis media with effusion ('Glue Ear'), EXCEPT:
All of these answers are TRUE of chronic otitis media with effusion ('Glue Ear'), EXCEPT:
Which of the following is NOT associated with chronic otitis media with effusion?
Which of the following is NOT associated with chronic otitis media with effusion?
What is the MOST reliable indicator to differentiate between viral and bacterial tonsillitis?
What is the MOST reliable indicator to differentiate between viral and bacterial tonsillitis?
Which pathogen is MOST commonly associated with viral tonsillitis in preschool children?
Which pathogen is MOST commonly associated with viral tonsillitis in preschool children?
Which of the following is the leading cause of death in children under 5 years worldwide?
Which of the following is the leading cause of death in children under 5 years worldwide?
What is the MOST common viral cause of bronchiolitis?
What is the MOST common viral cause of bronchiolitis?
What age group is MOST commonly affected by bronchiolitis?
What age group is MOST commonly affected by bronchiolitis?
Which genetic characteristic is associated with Cystic Fibrosis?
Which genetic characteristic is associated with Cystic Fibrosis?
In developed countries, what is the primary cause of mortality associated with cystic fibrosis?
In developed countries, what is the primary cause of mortality associated with cystic fibrosis?
What specific physiological process is impaired in the exocrine organs of individuals with cystic fibrosis?
What specific physiological process is impaired in the exocrine organs of individuals with cystic fibrosis?
Which sample collection method is used to perform initial diagnosis of Cystic Fibrosis?
Which sample collection method is used to perform initial diagnosis of Cystic Fibrosis?
What diagnostic test is used to assess chloride levels in patients suspected of having cystic fibrosis?
What diagnostic test is used to assess chloride levels in patients suspected of having cystic fibrosis?
An infant at 8 weeks observes a bright object about 30cm away from their face with a convergent gaze. Which developmental skill is being observed?
An infant at 8 weeks observes a bright object about 30cm away from their face with a convergent gaze. Which developmental skill is being observed?
A 10-month-old infant consistently fails to transfer objects from one hand to the other and cannot sit unsupported for more than a few seconds. Which of the following is the MOST appropriate initial action?
A 10-month-old infant consistently fails to transfer objects from one hand to the other and cannot sit unsupported for more than a few seconds. Which of the following is the MOST appropriate initial action?
A 3-year-old child consistently uses single-word utterances and struggles to follow simple two-step instructions. The parents report no known hearing or neurological issues. Which of the following underlying conditions should be MOST immediately investigated?
A 3-year-old child consistently uses single-word utterances and struggles to follow simple two-step instructions. The parents report no known hearing or neurological issues. Which of the following underlying conditions should be MOST immediately investigated?
Which of the following is considered a key domain of developmental skills in children?
Which of the following is considered a key domain of developmental skills in children?
What is a typical characteristic of posture and movement development in infants?
What is a typical characteristic of posture and movement development in infants?
At what age range do infants typically start to smile in response to a parent's face?
At what age range do infants typically start to smile in response to a parent's face?
A child is observed to join words together at 2 years old, which of the following developmental milestones is the child achieving?
A child is observed to join words together at 2 years old, which of the following developmental milestones is the child achieving?
What is the implication of the statement 'great variation - talk of usual not normal' in the context of developmental skills?
What is the implication of the statement 'great variation - talk of usual not normal' in the context of developmental skills?
According to the information provided, what percentage of children in the UK are affected by asthma?
According to the information provided, what percentage of children in the UK are affected by asthma?
What is the MOST common causative agent of bronchiolitis?
What is the MOST common causative agent of bronchiolitis?
Which physiological process is directly compromised in the exocrine organs of patients with cystic fibrosis, leading to the disease's characteristic symptoms?
Which physiological process is directly compromised in the exocrine organs of patients with cystic fibrosis, leading to the disease's characteristic symptoms?
A child with chronic otitis media with effusion ('Glue Ear') is MOST likely to exhibit which of the following symptoms?
A child with chronic otitis media with effusion ('Glue Ear') is MOST likely to exhibit which of the following symptoms?
How is Cystic Fibrosis typically initially diagnosed?
How is Cystic Fibrosis typically initially diagnosed?
Which age group is MOST typically affected by bronchiolitis?
Which age group is MOST typically affected by bronchiolitis?
What is the typical age at which a child can chew lumpy food?
What is the typical age at which a child can chew lumpy food?
At what age do children typically start using sentences?
At what age do children typically start using sentences?
What does the presence of white exudate on the tonsils indicate?
What does the presence of white exudate on the tonsils indicate?
Which of the following is a common symptom of acute suppurative otitis media?
Which of the following is a common symptom of acute suppurative otitis media?
What is the MOST appropriate next step when any 'milestones' are delayed?
What is the MOST appropriate next step when any 'milestones' are delayed?
Which of the following is a key aspect of vision and manipulation skill development in infants?
Which of the following is a key aspect of vision and manipulation skill development in infants?
Which factor is MOST likely to contribute to chronic otitis media with effusion ('Glue Ear')?
Which factor is MOST likely to contribute to chronic otitis media with effusion ('Glue Ear')?
What is the primary reason acute lower respiratory tract infections are a major concern in children under 5 worldwide?
What is the primary reason acute lower respiratory tract infections are a major concern in children under 5 worldwide?
What best describes the underlying mechanism by which cystic fibrosis affects the body’s exocrine glands?
What best describes the underlying mechanism by which cystic fibrosis affects the body’s exocrine glands?
A 6-month-old infant consistently exhibits 'head lag' when pulled from a supine to a sitting position. As a healthcare provider, which of the following actions is MOST appropriate?
A 6-month-old infant consistently exhibits 'head lag' when pulled from a supine to a sitting position. As a healthcare provider, which of the following actions is MOST appropriate?
A 4-year-old child presents with recurrent tonsillitis. Viral cultures are positive for adenovirus. Which recommendation is MOST appropriate?
A 4-year-old child presents with recurrent tonsillitis. Viral cultures are positive for adenovirus. Which recommendation is MOST appropriate?
Imagine a study examining the incidence of respiratory syncytial virus (RSV) in infants in different regions with varying air quality. Which study design would BEST isolate the impact of air quality on RSV incidence, while controlling for socioeconomic factors?
Imagine a study examining the incidence of respiratory syncytial virus (RSV) in infants in different regions with varying air quality. Which study design would BEST isolate the impact of air quality on RSV incidence, while controlling for socioeconomic factors?
A researcher is designing a study to evaluate the effectiveness of a new physiotherapy program designed to accelerate the achievement of posture and movement milestones in premature infants. To ensure the MOST rigorous and unbiased results, which study design element is MOST crucial?
A researcher is designing a study to evaluate the effectiveness of a new physiotherapy program designed to accelerate the achievement of posture and movement milestones in premature infants. To ensure the MOST rigorous and unbiased results, which study design element is MOST crucial?
An extremely astute neonatologist observes that, contrary to established norms, a small cohort of infants reliably vocalize differentiated cries—indicating hunger, discomfort, or social interaction—within the first week of life. Assuming meticulous methodology and rigorous exclusion of confounding factors, which of the following inferences, while speculative, is the MOST defensible, aligning with biological plausibility and evolutionary principles?
An extremely astute neonatologist observes that, contrary to established norms, a small cohort of infants reliably vocalize differentiated cries—indicating hunger, discomfort, or social interaction—within the first week of life. Assuming meticulous methodology and rigorous exclusion of confounding factors, which of the following inferences, while speculative, is the MOST defensible, aligning with biological plausibility and evolutionary principles?
What is the recommended frequency of physiotherapy for managing cystic fibrosis?
What is the recommended frequency of physiotherapy for managing cystic fibrosis?
Which type of dietary supplement are commonly used in the management of Cystic Fibrosis?
Which type of dietary supplement are commonly used in the management of Cystic Fibrosis?
What late complication in the biliary system can occur in patients with cystic fibrosis?
What late complication in the biliary system can occur in patients with cystic fibrosis?
Older cystic fibrosis patients, who do not gain weight, are susceptible to which of the following conditions?
Older cystic fibrosis patients, who do not gain weight, are susceptible to which of the following conditions?
Foetal Alcohol Syndrome is an example of which of the following causes of learning disability?
Foetal Alcohol Syndrome is an example of which of the following causes of learning disability?
Meningitis is an example of which of the following causes of learning disability?
Meningitis is an example of which of the following causes of learning disability?
NAI (Non-Accidental Injury) is an example of which of the following causes of learning disability?
NAI (Non-Accidental Injury) is an example of which of the following causes of learning disability?
Which of the following statements BEST characterizes paediatric medical emergencies in a dental setting?
Which of the following statements BEST characterizes paediatric medical emergencies in a dental setting?
In the context of paediatric medical emergencies, what does the 'ABCDE approach' refer to?
In the context of paediatric medical emergencies, what does the 'ABCDE approach' refer to?
What is a key difference between cardio-pulmonary arrest in children compared to adults?
What is a key difference between cardio-pulmonary arrest in children compared to adults?
Following basic life support guidelines, what is the immediate next best step after finding an unresponsive child?
Following basic life support guidelines, what is the immediate next best step after finding an unresponsive child?
What is the correct definition of when a child becomes an infant, according to the provided content?
What is the correct definition of when a child becomes an infant, according to the provided content?
What is a normal upper limit for the respiratory rate of an 8-month-old infant?
What is a normal upper limit for the respiratory rate of an 8-month-old infant?
What is the lower limit for the normal pulse rate at rest in a 1-year-old child?
What is the lower limit for the normal pulse rate at rest in a 1-year-old child?
In the context of assessing a child's disability during a medical emergency, what is an important consideration?
In the context of assessing a child's disability during a medical emergency, what is an important consideration?
During the 'Exposure' phase of a paediatric medical assessment, what is the priority?
During the 'Exposure' phase of a paediatric medical assessment, what is the priority?
When should emergency services be contacted during paediatric basic life support?
When should emergency services be contacted during paediatric basic life support?
To what depth should the chest be compressed during CPR on a child?
To what depth should the chest be compressed during CPR on a child?
During infant CPR, should you use one or two fingers to complete compressions?
During infant CPR, should you use one or two fingers to complete compressions?
Following the use of paediatric pads on an Automated External Defibrillator (AED) on a child, what is an appropriate energy dose to administer? (J = Joules, Kg = Kilograms)
Following the use of paediatric pads on an Automated External Defibrillator (AED) on a child, what is an appropriate energy dose to administer? (J = Joules, Kg = Kilograms)
Which of the following statements is correct regarding the use of adult AED pads on children?
Which of the following statements is correct regarding the use of adult AED pads on children?
When a child has an inhaled foreign body, which of the following is NOT recommended?
When a child has an inhaled foreign body, which of the following is NOT recommended?
What modifications should be made to adult guidelines when managing choking in children older than 1 year?
What modifications should be made to adult guidelines when managing choking in children older than 1 year?
During the management of an infant with an airway obstruction, how should the infant be positioned?
During the management of an infant with an airway obstruction, how should the infant be positioned?
An extremely prematurely born infant shows no signs of preference for human voices over environmental sounds, even after several weeks of exposure. Assuming all potential biases and confounding factors have been meticulously controlled, which of the following highly speculative hypotheses is MOST defensible, aligning with known neurological development and evolutionary constraints?
An extremely prematurely born infant shows no signs of preference for human voices over environmental sounds, even after several weeks of exposure. Assuming all potential biases and confounding factors have been meticulously controlled, which of the following highly speculative hypotheses is MOST defensible, aligning with known neurological development and evolutionary constraints?
What is a critical aspect of the daily management of cystic fibrosis?
What is a critical aspect of the daily management of cystic fibrosis?
Which type of supplementation is essential in managing malabsorption in cystic fibrosis patients?
Which type of supplementation is essential in managing malabsorption in cystic fibrosis patients?
What is a potential consequence of biliary complications in cystic fibrosis?
What is a potential consequence of biliary complications in cystic fibrosis?
Older cystic fibrosis patients who struggle to maintain their weight are at risk of developing which metabolic condition?
Older cystic fibrosis patients who struggle to maintain their weight are at risk of developing which metabolic condition?
Which of the following conditions is categorized as a pre-natal cause of learning disability?
Which of the following conditions is categorized as a pre-natal cause of learning disability?
Which of the following is classified as a peri-natal factor contributing to learning disabilities?
Which of the following is classified as a peri-natal factor contributing to learning disabilities?
Which of the following exemplifies a post-natal cause of learning disability?
Which of the following exemplifies a post-natal cause of learning disability?
Why are paediatric medical emergencies in a dental setting considered particularly critical?
Why are paediatric medical emergencies in a dental setting considered particularly critical?
In paediatric medical emergencies, what is the primary focus of the 'ABCDE approach'?
In paediatric medical emergencies, what is the primary focus of the 'ABCDE approach'?
What is a key distinction in cardio-pulmonary arrest between children and adults?
What is a key distinction in cardio-pulmonary arrest between children and adults?
What is the FIRST critical step after confirming an unresponsive child?
What is the FIRST critical step after confirming an unresponsive child?
According to the material, at which age does a child transition from infancy to childhood?
According to the material, at which age does a child transition from infancy to childhood?
What is considered the upper limit of the normal respiratory rate for a 9-month-old infant?
What is considered the upper limit of the normal respiratory rate for a 9-month-old infant?
What is the lower limit of the typical resting pulse rate for a 1-year-old child?
What is the lower limit of the typical resting pulse rate for a 1-year-old child?
During the 'Disability' assessment in a paediatric emergency, what is a key consideration?
During the 'Disability' assessment in a paediatric emergency, what is a key consideration?
During the 'Exposure' phase of a paediatric medical assessment, what is the primary goal?
During the 'Exposure' phase of a paediatric medical assessment, what is the primary goal?
During paediatric basic life support, when is it MOST appropriate to contact emergency services?
During paediatric basic life support, when is it MOST appropriate to contact emergency services?
Which method is recommended for chest compressions during infant CPR?
Which method is recommended for chest compressions during infant CPR?
Following the use of paediatric pads on an Automated External Defibrillator (AED) on a child, what is the recommended initial energy dose to administer?
Following the use of paediatric pads on an Automated External Defibrillator (AED) on a child, what is the recommended initial energy dose to administer?
What is the correct protocol when using adult AED pads on a child under 8 years old?
What is the correct protocol when using adult AED pads on a child under 8 years old?
Which intervention is CONTRAINDICATED when managing a child suspected of having an inhaled foreign body?
Which intervention is CONTRAINDICATED when managing a child suspected of having an inhaled foreign body?
What adaptation from adult guidelines is necessary when managing choking in children older than 1 year?
What adaptation from adult guidelines is necessary when managing choking in children older than 1 year?
How should an infant with an airway obstruction be positioned to perform back blows?
How should an infant with an airway obstruction be positioned to perform back blows?
A clinical trial is conducted on a new physiotherapy regimen to improve lung function in CF patients. Despite rigorous adherence to the protocol, a subgroup of patients shows no improvement. Further investigation finds that these patients consistently skip their pancreatic enzyme supplements. Which of the following statistical methods could BEST isolate the true effect of the physiotherapy, accounting for the confounding effect of enzyme non-adherence?
A clinical trial is conducted on a new physiotherapy regimen to improve lung function in CF patients. Despite rigorous adherence to the protocol, a subgroup of patients shows no improvement. Further investigation finds that these patients consistently skip their pancreatic enzyme supplements. Which of the following statistical methods could BEST isolate the true effect of the physiotherapy, accounting for the confounding effect of enzyme non-adherence?
What is the recommended first action for an infant experiencing Foreign Body Airway Obstruction (FBAO)?
What is the recommended first action for an infant experiencing Foreign Body Airway Obstruction (FBAO)?
If back blows fail to dislodge a foreign body in an infant, what is the next recommended step?
If back blows fail to dislodge a foreign body in an infant, what is the next recommended step?
In what position should an infant be placed when administering back blows for a foreign body airway obstruction?
In what position should an infant be placed when administering back blows for a foreign body airway obstruction?
When managing a case of infant FBAO, at what point should emergency services be contacted?
When managing a case of infant FBAO, at what point should emergency services be contacted?
If an infant with FBAO becomes unconscious, what is the immediate next step?
If an infant with FBAO becomes unconscious, what is the immediate next step?
What is the correct dose of adrenaline (epinephrine 1 in 1000 solution) for a child over 12 years of age during resuscitation?
What is the correct dose of adrenaline (epinephrine 1 in 1000 solution) for a child over 12 years of age during resuscitation?
What is the appropriate dose of buccal midazolam for a 7-year-old child experiencing a seizure?
What is the appropriate dose of buccal midazolam for a 7-year-old child experiencing a seizure?
What is the recommended dose of adrenaline (epinephrine 1 in 1000 solution) for a 4-year-old child in anaphylaxis?
What is the recommended dose of adrenaline (epinephrine 1 in 1000 solution) for a 4-year-old child in anaphylaxis?
What is the correct dose of buccal midazolam for a 15-month-old infant experiencing a prolonged seizure?
What is the correct dose of buccal midazolam for a 15-month-old infant experiencing a prolonged seizure?
Why is it important to 'look after' relatives during a paediatric medical emergency?
Why is it important to 'look after' relatives during a paediatric medical emergency?
What is a key consideration when relatives are present during paediatric emergencies?
What is a key consideration when relatives are present during paediatric emergencies?
In the context of paediatric medical emergencies, why is it important to have modified drug doses readily available?
In the context of paediatric medical emergencies, why is it important to have modified drug doses readily available?
Which statement best reflects the principles of managing paediatric medical emergencies compared to adult emergencies?
Which statement best reflects the principles of managing paediatric medical emergencies compared to adult emergencies?
Which of the following is a potential sign of ADHD in children?
Which of the following is a potential sign of ADHD in children?
Which of the following is a potential sign of ADHD in adults?
Which of the following is a potential sign of ADHD in adults?
ADHD is sometimes associated with which of the following disorders?
ADHD is sometimes associated with which of the following disorders?
What type of medication is often the first-line treatment for ADHD?
What type of medication is often the first-line treatment for ADHD?
Which of the following is a non-stimulant medication used in the management of ADHD?
Which of the following is a non-stimulant medication used in the management of ADHD?
According to the summary information provided, what is a trend observed in the population?
According to the summary information provided, what is a trend observed in the population?
Which factor is MOST closely associated with the changes in bodily structure and function during aging?
Which factor is MOST closely associated with the changes in bodily structure and function during aging?
Which of the following best describes dementia?
Which of the following best describes dementia?
What is the Mini-Mental State Examination (MMSE) used for?
What is the Mini-Mental State Examination (MMSE) used for?
What does a Mini-Mental State Examination (MMSE) score of less than 25 suggest?
What does a Mini-Mental State Examination (MMSE) score of less than 25 suggest?
What is the significance of slow, repetitive speech in the context of dementia?
What is the significance of slow, repetitive speech in the context of dementia?
During the management of foreign body airway obstruction (FBAO) in an infant, where should the healthcare provider position the infant?
During the management of foreign body airway obstruction (FBAO) in an infant, where should the healthcare provider position the infant?
If an infant is experiencing foreign body airway obstruction (FBAO), what is the correct sequence of actions?
If an infant is experiencing foreign body airway obstruction (FBAO), what is the correct sequence of actions?
What should you do if an infant with foreign body airway obstruction (FBAO) becomes unresponsive during your attempts to clear the airway?
What should you do if an infant with foreign body airway obstruction (FBAO) becomes unresponsive during your attempts to clear the airway?
When should emergency services be contacted during the management of an infant with foreign body airway obstruction (FBAO)?
When should emergency services be contacted during the management of an infant with foreign body airway obstruction (FBAO)?
What is the correct dose of adrenaline (epinephrine 1 in 1000 solution) for a 5-year-old child during resuscitation?
What is the correct dose of adrenaline (epinephrine 1 in 1000 solution) for a 5-year-old child during resuscitation?
What is the appropriate dose of buccal midazolam for a toddler, approximately 2 years old, experiencing a prolonged seizure?
What is the appropriate dose of buccal midazolam for a toddler, approximately 2 years old, experiencing a prolonged seizure?
During a resuscitation, what is the recommended dose of adrenaline (epinephrine 1 in 1000 solution) for a 9-year-old child?
During a resuscitation, what is the recommended dose of adrenaline (epinephrine 1 in 1000 solution) for a 9-year-old child?
What dose of buccal midazolam should be administered to an 8-month-old infant experiencing a seizure?
What dose of buccal midazolam should be administered to an 8-month-old infant experiencing a seizure?
Why is it important to address the needs and concerns of relatives during a paediatric medical emergency?
Why is it important to address the needs and concerns of relatives during a paediatric medical emergency?
In the context of paediatric medical emergencies, why is it essential to have modified drug doses readily available?
In the context of paediatric medical emergencies, why is it essential to have modified drug doses readily available?
What is the MOST important distinction in managing paediatric medical emergencies compared to adult emergencies?
What is the MOST important distinction in managing paediatric medical emergencies compared to adult emergencies?
Which of the following behavioural patterns might suggest ADHD in a child?
Which of the following behavioural patterns might suggest ADHD in a child?
Which presentation is more commonly associated with ADHD in adults?
Which presentation is more commonly associated with ADHD in adults?
Attention deficit hyperactivity disorder (ADHD) can often be seen alongside what other condition?
Attention deficit hyperactivity disorder (ADHD) can often be seen alongside what other condition?
What class of medications is typically considered first-line treatment for managing ADHD?
What class of medications is typically considered first-line treatment for managing ADHD?
Which of the following medications is classified as a non-stimulant and used in the treatment of ADHD?
Which of the following medications is classified as a non-stimulant and used in the treatment of ADHD?
What demographic trend is currently being observed in many developed countries?
What demographic trend is currently being observed in many developed countries?
During aging, changes in bodily structure and function are most closely tied to:
During aging, changes in bodily structure and function are most closely tied to:
Which of the following statements BEST describes dementia?
Which of the following statements BEST describes dementia?
What is the primary purpose of administering the Mini-Mental State Examination (MMSE)?
What is the primary purpose of administering the Mini-Mental State Examination (MMSE)?
In the context of assessing a patient for dementia using the Mini-Mental State Examination (MMSE), what does a score of less than 25 typically suggest?
In the context of assessing a patient for dementia using the Mini-Mental State Examination (MMSE), what does a score of less than 25 typically suggest?
In the context of dementia, what is the significance of observing slow, repetitive speech in a patient?
In the context of dementia, what is the significance of observing slow, repetitive speech in a patient?
A 10-year-old child in anaphylaxis requires adrenaline (epinephrine). What dosage of a 1 in 1000 solution should be administered?
A 10-year-old child in anaphylaxis requires adrenaline (epinephrine). What dosage of a 1 in 1000 solution should be administered?
During bag-mask ventilation, an astute and experienced paramedic notices an unusual degree of chest wall rigidity in a 7-year-old child who is otherwise exhibiting signs congruent with severe bronchospasm. Auscultation reveals markedly diminished bilateral breath sounds, and SpO2 remains critically low despite optimized ventilation. What rare—yet potentially catastrophic—etiology should the paramedic MOST urgently consider, given the totality of these atypical findings, and irrespective of prior medical history?
During bag-mask ventilation, an astute and experienced paramedic notices an unusual degree of chest wall rigidity in a 7-year-old child who is otherwise exhibiting signs congruent with severe bronchospasm. Auscultation reveals markedly diminished bilateral breath sounds, and SpO2 remains critically low despite optimized ventilation. What rare—yet potentially catastrophic—etiology should the paramedic MOST urgently consider, given the totality of these atypical findings, and irrespective of prior medical history?
An eminent researcher, investigating the cognitive trajectories of centenarians, discovers a statistically significant association between persistent engagement in complex Sudoku puzzles after age 95 and a markedly reduced incidence of late-onset vascular dementia. Which of the following statements, while inherently speculative and requiring extensive validation, represents the MOST defensible interpretation of this preliminary finding, grounded in established neurobiological principles and gerontological theory?
An eminent researcher, investigating the cognitive trajectories of centenarians, discovers a statistically significant association between persistent engagement in complex Sudoku puzzles after age 95 and a markedly reduced incidence of late-onset vascular dementia. Which of the following statements, while inherently speculative and requiring extensive validation, represents the MOST defensible interpretation of this preliminary finding, grounded in established neurobiological principles and gerontological theory?
What is the typical effect of treatments for Alzheimer's Dementia?
What is the typical effect of treatments for Alzheimer's Dementia?
Which of the following symptoms is commonly associated with Alzheimer's dementia?
Which of the following symptoms is commonly associated with Alzheimer's dementia?
Lewy Body Dementia is characterised by the presence of Lewy bodies in which areas?
Lewy Body Dementia is characterised by the presence of Lewy bodies in which areas?
Which of these is a distinctive symptom of Fronto-temporal Dementia, that is NOT typically seen in Alzheimer's Disease?
Which of these is a distinctive symptom of Fronto-temporal Dementia, that is NOT typically seen in Alzheimer's Disease?
Which of the following is linked to dementia?
Which of the following is linked to dementia?
What score on the Mini-Mental State Examination (MMSE) strongly suggests dementia?
What score on the Mini-Mental State Examination (MMSE) strongly suggests dementia?
Beyond memory loss, what other cognitive deficit is associated with dementia?
Beyond memory loss, what other cognitive deficit is associated with dementia?
In older adults, what could indicate frailty?
In older adults, what could indicate frailty?
What physiological change is typically associated with decreased functional capacity in older adults?
What physiological change is typically associated with decreased functional capacity in older adults?
What is a common feature associated with reduced homeostatic reserve in older adults?
What is a common feature associated with reduced homeostatic reserve in older adults?
An elderly patient who experiences a sudden drop in blood pressure upon standing is MOST likely experiencing:
An elderly patient who experiences a sudden drop in blood pressure upon standing is MOST likely experiencing:
What is a typical characteristic of disease presentation in older adults?
What is a typical characteristic of disease presentation in older adults?
Which of the following is a key feature that describes the 'Giants of Geriatrics'?
Which of the following is a key feature that describes the 'Giants of Geriatrics'?
Which of the following is a dental consideration when treating older adults?
Which of the following is a dental consideration when treating older adults?
A dental practitioner is reviewing an elderly patient's medications and notices a prescription for warfarin. This raises concern for:
A dental practitioner is reviewing an elderly patient's medications and notices a prescription for warfarin. This raises concern for:
Which area is NOT a key part of the National Service Framework 2001?
Which area is NOT a key part of the National Service Framework 2001?
Which of the following is a form of elder abuse?
Which of the following is a form of elder abuse?
What is the appropriate action if you suspect elder abuse?
What is the appropriate action if you suspect elder abuse?
What is a potential problem with medication in older adults?
What is a potential problem with medication in older adults?
Why might lower doses of medication be needed for older adults , compared to younger adults?
Why might lower doses of medication be needed for older adults , compared to younger adults?
An elderly patient consistently forgets to take their prescribed medication. What is an appropriate action?
An elderly patient consistently forgets to take their prescribed medication. What is an appropriate action?
What should you do to avoid adverse drug interactions?
What should you do to avoid adverse drug interactions?
What is a common adverse effect of sedatives in older adults?
What is a common adverse effect of sedatives in older adults?
Which factor is MOST crucial to consider when prescribing medications for geriatric patients to mitigate potential risks and ensure optimal therapeutic outcomes?
Which factor is MOST crucial to consider when prescribing medications for geriatric patients to mitigate potential risks and ensure optimal therapeutic outcomes?
Which of the following can result from disability in old age?
Which of the following can result from disability in old age?
What pathological process is associated with Alzheimer's dementia?
What pathological process is associated with Alzheimer's dementia?
Treatments for Alzheimer's dementia typically aim to:
Treatments for Alzheimer's dementia typically aim to:
Which of these is a common symptom of Alzheimer's Dementia?
Which of these is a common symptom of Alzheimer's Dementia?
Lewy Body Dementia is characterised by Lewy bodies, which can be found in which areas?
Lewy Body Dementia is characterised by Lewy bodies, which can be found in which areas?
Which of the following is a distinctive symptom of Fronto-temporal Dementia, and not typically seen in Alzheimer's Disease?
Which of the following is a distinctive symptom of Fronto-temporal Dementia, and not typically seen in Alzheimer's Disease?
Which condition is NOT typically associated with causing dementia?
Which condition is NOT typically associated with causing dementia?
On the Mini-Mental State Examination (MMSE), what score presents a strong indication of dementia?
On the Mini-Mental State Examination (MMSE), what score presents a strong indication of dementia?
In addition to memory loss, what other key cognitive deficit is associated with dementia?
In addition to memory loss, what other key cognitive deficit is associated with dementia?
Which of the following is associated with frailty?
Which of the following is associated with frailty?
Reduced cardio-respiratory reserve would lead to:
Reduced cardio-respiratory reserve would lead to:
Which of the following is a characteristic feature associated with reduced homeostatic reserve in older adults?
Which of the following is a characteristic feature associated with reduced homeostatic reserve in older adults?
Postural hypotension is MOST associated with:
Postural hypotension is MOST associated with:
Which of the following BEST describes disease presentation in older people?
Which of the following BEST describes disease presentation in older people?
What is a key 'Giant of Geriatrics' that describes multifactorial conditions?
What is a key 'Giant of Geriatrics' that describes multifactorial conditions?
Why is it important to conduct medication reviews in elderly patients, particularly when they are on medication such as Warfarin?
Why is it important to conduct medication reviews in elderly patients, particularly when they are on medication such as Warfarin?
Which key principle was included in the National Service Framework 2001?
Which key principle was included in the National Service Framework 2001?
Which of the following constitutes elder abuse?
Which of the following constitutes elder abuse?
If there's a suspicion of elder abuse, what action is legally appropriate?
If there's a suspicion of elder abuse, what action is legally appropriate?
Which of the following is a frequently encountered problem with medication in older adults?
Which of the following is a frequently encountered problem with medication in older adults?
Why are lower doses needed for older adults?
Why are lower doses needed for older adults?
An elderly patient displays poor compliance despite taking medication. What is an appropriate consideration?
An elderly patient displays poor compliance despite taking medication. What is an appropriate consideration?
What should be considered when prescribing medication to an elderly patient to avoid adverse drug interactions?
What should be considered when prescribing medication to an elderly patient to avoid adverse drug interactions?
Which parameter needs to be considered when prescribing medications for older adults?
Which parameter needs to be considered when prescribing medications for older adults?
By what age would a child typically be expected to walk?
By what age would a child typically be expected to walk?
What is the optimal age for an infant to localize sounds and turn to hear them?
What is the optimal age for an infant to localize sounds and turn to hear them?
At what age do infants generally begin to use single-word labels?
At what age do infants generally begin to use single-word labels?
What percentage of children in the UK are estimated to have asthma?
What percentage of children in the UK are estimated to have asthma?
What is the MOST common cause of death in children under the age of 5 on a worldwide scale?
What is the MOST common cause of death in children under the age of 5 on a worldwide scale?
What is the genetic pattern associated with Cystic Fibrosis?
What is the genetic pattern associated with Cystic Fibrosis?
What is the primary physiological defect in cystic fibrosis?
What is the primary physiological defect in cystic fibrosis?
Which sample, collected at 5 days old, is initially used for Cystic Fibrosis diagnosis?
Which sample, collected at 5 days old, is initially used for Cystic Fibrosis diagnosis?
According to the information provided, at what age do children typically start using sentences?
According to the information provided, at what age do children typically start using sentences?
What is the MOST likely causative agent of viral tonsillitis in preschool children?
What is the MOST likely causative agent of viral tonsillitis in preschool children?
According to the content, what is the typical age at which a child can chew lumpy food?
According to the content, what is the typical age at which a child can chew lumpy food?
What is the frequency of physiotherapy in the daily management of cystic fibrosis?
What is the frequency of physiotherapy in the daily management of cystic fibrosis?
Which supplementation is commonly used in the management of cystic fibrosis patients?
Which supplementation is commonly used in the management of cystic fibrosis patients?
What is the immediate next step, following basic life support guidelines, after finding an unresponsive child?
What is the immediate next step, following basic life support guidelines, after finding an unresponsive child?
During infant CPR, how compressions are completed?
During infant CPR, how compressions are completed?
How should an infant with an airway obstruction be positioned when administering back blows for a foreign body airway obstruction?
How should an infant with an airway obstruction be positioned when administering back blows for a foreign body airway obstruction?
According to source NICE 2024, the dose of buccal midazolam should be administered to an 8-month-old infant experiencing a seizure?
According to source NICE 2024, the dose of buccal midazolam should be administered to an 8-month-old infant experiencing a seizure?
Which of the following potential signs may indicate that an adult has ADHD?
Which of the following potential signs may indicate that an adult has ADHD?
On the Mini-Mental State Examination (MMSE), a maximum score of 30 can be achieved, what do the results suggest if a patient only scores less than 25.
On the Mini-Mental State Examination (MMSE), a maximum score of 30 can be achieved, what do the results suggest if a patient only scores less than 25.
According to doses of Adrenaline (Epinephrine 1 in 1000 solution) in child resuscitation, what does would you administer to someone over 12 years old?
According to doses of Adrenaline (Epinephrine 1 in 1000 solution) in child resuscitation, what does would you administer to someone over 12 years old?
Which statement is absolutely correct regarding the effects of treatments for Alzheimer's Dementia?
Which statement is absolutely correct regarding the effects of treatments for Alzheimer's Dementia?
Lewy Body Dementia is characterised by the presence of Lewy bodies, where can these be found?
Lewy Body Dementia is characterised by the presence of Lewy bodies, where can these be found?
A unique sign of Fronto-temporal Dementia, distinctive and not typically seen in Alzheimer's Disease, is:
A unique sign of Fronto-temporal Dementia, distinctive and not typically seen in Alzheimer's Disease, is:
Apart from memory loss, what other deficiency is closely associated with dementia?
Apart from memory loss, what other deficiency is closely associated with dementia?
A minor insult can lead to the risk of a severe deterioration in health is closely associated with:
A minor insult can lead to the risk of a severe deterioration in health is closely associated with:
In older adults, reduced cardio-respiratory reserves can lead to:
In older adults, reduced cardio-respiratory reserves can lead to:
Which area is NOT a key element of National Service Framework 2001?
Which area is NOT a key element of National Service Framework 2001?
What should you do to avoid dangerous drug interactions in a patient aged 75?
What should you do to avoid dangerous drug interactions in a patient aged 75?
Which of the following BEST describes the pattern of body control development in infants?
Which of the following BEST describes the pattern of body control development in infants?
A child who is 18 months old cannot yet walk. What is the MOST appropriate course of action?
A child who is 18 months old cannot yet walk. What is the MOST appropriate course of action?
At what age do infants USUALLY develop a mature grasp?
At what age do infants USUALLY develop a mature grasp?
When assessing tonsillitis in children, what should you know about white exudate on the tonsils?
When assessing tonsillitis in children, what should you know about white exudate on the tonsils?
Which is the MOST common causative organism in bronchiolitis?
Which is the MOST common causative organism in bronchiolitis?
Which of the following is TRUE regarding the incidence of cystic fibrosis?
Which of the following is TRUE regarding the incidence of cystic fibrosis?
What is the underlying cause of the various complications seen in cystic fibrosis?
What is the underlying cause of the various complications seen in cystic fibrosis?
What is the MOST likely cause of death in countries with developed healthcare systems with patients who have cystic fibrosis?
What is the MOST likely cause of death in countries with developed healthcare systems with patients who have cystic fibrosis?
What test is PRIMARILY used as an initial diagnostic tool for cystic fibrosis?
What test is PRIMARILY used as an initial diagnostic tool for cystic fibrosis?
What is the standard treatment approach for managing cystic fibrosis?
What is the standard treatment approach for managing cystic fibrosis?
What pulmonary complication is MOST likely to occur in the later stages of cystic fibrosis?
What pulmonary complication is MOST likely to occur in the later stages of cystic fibrosis?
Adult patients with Cystic Fibrosis who are failing to gain weight are most at risk of developing:
Adult patients with Cystic Fibrosis who are failing to gain weight are most at risk of developing:
Which of these conditions would be categorised an a pre-natal cause of learning disability?
Which of these conditions would be categorised an a pre-natal cause of learning disability?
Which of the following conditions happening at the time of birth would be classified as a peri-natal cause of learning disability?
Which of the following conditions happening at the time of birth would be classified as a peri-natal cause of learning disability?
Which of the following is an example of a post-natal cause of learning disability?
Which of the following is an example of a post-natal cause of learning disability?
Why is the immediate management of a paediatric medical emergency in a dental setting particularly crucial?
Why is the immediate management of a paediatric medical emergency in a dental setting particularly crucial?
What is the PRIME focus of the 'ABCDE approach' in paediatric medical emergencies?
What is the PRIME focus of the 'ABCDE approach' in paediatric medical emergencies?
How does cardio-pulmonary arrest in children DIFFER from that in adults?
How does cardio-pulmonary arrest in children DIFFER from that in adults?
What is the MOST appropriate action after finding a child unresponsive?
What is the MOST appropriate action after finding a child unresponsive?
According to the standard age definitions used in paediatrics, when does 'infancy' end?
According to the standard age definitions used in paediatrics, when does 'infancy' end?
What upper limit is considered normal for the respiratory rate of a 6-month-old infant at rest?
What upper limit is considered normal for the respiratory rate of a 6-month-old infant at rest?
What is the LOWER limit considered normal for the pulse rate at rest in a 6-month-old infant?
What is the LOWER limit considered normal for the pulse rate at rest in a 6-month-old infant?
During the 'Disability' stage of a paediatric medical emergency assessment, what is a KEY consideration?
During the 'Disability' stage of a paediatric medical emergency assessment, what is a KEY consideration?
During the 'Exposure' phase of a paediatric medical assessment, what is the MOST important factor?
During the 'Exposure' phase of a paediatric medical assessment, what is the MOST important factor?
When should you call emergency services during paediatric basic life support?
When should you call emergency services during paediatric basic life support?
During CPR for an infant, to what depth should the chest be compressed?
During CPR for an infant, to what depth should the chest be compressed?
How many fingers should be used to perform chest compressions during CPR on an infant?
How many fingers should be used to perform chest compressions during CPR on an infant?
Following the use of paediatric pads on an Automated External Defibrillator (AED), what is an appropriate initial energy dose to administer?
Following the use of paediatric pads on an Automated External Defibrillator (AED), what is an appropriate initial energy dose to administer?
When can adult AED pads be used on a child?
When can adult AED pads be used on a child?
Which of the following is CONTRAINDICATED when managing a child suspected of having an inhaled foreign body?
Which of the following is CONTRAINDICATED when managing a child suspected of having an inhaled foreign body?
How should an infant with an airway obstruction be positioned to perform back blows effectively?
How should an infant with an airway obstruction be positioned to perform back blows effectively?
What dose of adrenaline (epinephrine 1 in 1000 solution) is appropriate for a child aged 7 during an anaphylactic reaction?
What dose of adrenaline (epinephrine 1 in 1000 solution) is appropriate for a child aged 7 during an anaphylactic reaction?
What is the appropriate dose of buccal midazolam for a 6-month-old infant experiencing a prolonged seizure?
What is the appropriate dose of buccal midazolam for a 6-month-old infant experiencing a prolonged seizure?
In paediatric medical emergencies, why is providing support and information to relatives considered beneficial?
In paediatric medical emergencies, why is providing support and information to relatives considered beneficial?
During a paediatric medical emergency, why is it especially important to have drug doses modified for children readily on hand?
During a paediatric medical emergency, why is it especially important to have drug doses modified for children readily on hand?
Which of the following behavioural features is MOST commonly associated with ADHD in children?
Which of the following behavioural features is MOST commonly associated with ADHD in children?
Which other disorder is ADHD sometimes associated with?
Which other disorder is ADHD sometimes associated with?
Which medication is often used as a first-line treatment for ADHD?
Which medication is often used as a first-line treatment for ADHD?
What is a significant demographic trend observed in many developed countries?
What is a significant demographic trend observed in many developed countries?
Which statement BEST describes dementia?
Which statement BEST describes dementia?
In the context of assessing a patient for dementia, what does a Mini-Mental State Examination (MMSE) score of less than 25 typically mean?
In the context of assessing a patient for dementia, what does a Mini-Mental State Examination (MMSE) score of less than 25 typically mean?
In the context of dementia, what might slow, repetitive speech indicate?
In the context of dementia, what might slow, repetitive speech indicate?
What is the primary goal of treatments for Alzheimer's dementia?
What is the primary goal of treatments for Alzheimer's dementia?
Which of the following is a characteristic symptom commonly associated with Alzheimer's dementia?
Which of the following is a characteristic symptom commonly associated with Alzheimer's dementia?
Where are Lewy bodies typically found in Lewy Body Dementia?
Where are Lewy bodies typically found in Lewy Body Dementia?
Which symptom is MOST characteristic of Fronto-temporal Dementia, yet NOT typically observed in Alzheimer's Disease?
Which symptom is MOST characteristic of Fronto-temporal Dementia, yet NOT typically observed in Alzheimer's Disease?
Which factor could be linked to causing dementia?
Which factor could be linked to causing dementia?
What score would STRONGLY indicate dementia on the Mini-Mental State Examination (MMSE)?
What score would STRONGLY indicate dementia on the Mini-Mental State Examination (MMSE)?
Beyond memory loss, what other cognitive deficit is notably associated with dementia?
Beyond memory loss, what other cognitive deficit is notably associated with dementia?
Which of the following could MOST accurately describe or suggest frailty?
Which of the following could MOST accurately describe or suggest frailty?
What is a common characteristic associated with reduced homeostatic reserve in older adults?
What is a common characteristic associated with reduced homeostatic reserve in older adults?
Reduced blood pressure control would lead to:
Reduced blood pressure control would lead to:
How does disease present itself in older people?
How does disease present itself in older people?
Which key considerations, referred to as the 'Giants of Geriatrics', are essential for a comprehensive, multidisciplinary approach to care for the elderly?
Which key considerations, referred to as the 'Giants of Geriatrics', are essential for a comprehensive, multidisciplinary approach to care for the elderly?
What is the MOST common aetiology in cases of cardio-pulmonary arrest in children?
What is the MOST common aetiology in cases of cardio-pulmonary arrest in children?
Assuming no prior intervention, what is the correct compression-to-ventilation ratio during one-person CPR for a child?
Assuming no prior intervention, what is the correct compression-to-ventilation ratio during one-person CPR for a child?
What is a key consideration during the 'Exposure' phase of a paediatric medical assessment following the ABCDE approach?
What is a key consideration during the 'Exposure' phase of a paediatric medical assessment following the ABCDE approach?
A 6-year-old child requires adrenaline (epinephrine) during resuscitation. What is the appropriate dose of a 1 in 1000 solution (1mg/mL) to administer?
A 6-year-old child requires adrenaline (epinephrine) during resuscitation. What is the appropriate dose of a 1 in 1000 solution (1mg/mL) to administer?
A 3-year-old child is having a prolonged seizure. What dose of buccal midazolam should be administered?
A 3-year-old child is having a prolonged seizure. What dose of buccal midazolam should be administered?
When managing a case of infant FBAO, after delivering five back blows and noting continued obstruction, what is the MOST appropriate next step?
When managing a case of infant FBAO, after delivering five back blows and noting continued obstruction, what is the MOST appropriate next step?
A child presents with symptoms suggestive of ADHD; history taking reveals potential issues with organisation, time management and struggles with focusing and completing tasks as well as relationship struggles. What form of management would be MOST appropriate in such cases?
A child presents with symptoms suggestive of ADHD; history taking reveals potential issues with organisation, time management and struggles with focusing and completing tasks as well as relationship struggles. What form of management would be MOST appropriate in such cases?
An elderly patient presents with a non-specific presentation and complex array of symptoms. Considering the 'Giants of Geriatrics', which of the following is LEAST likely to be relevant in this patient's care?
An elderly patient presents with a non-specific presentation and complex array of symptoms. Considering the 'Giants of Geriatrics', which of the following is LEAST likely to be relevant in this patient's care?
An 80-year-old patient is prescribed a new medication. Which altered pharmacokinetic parameter could MOST significantly affect drug levels in such a patient?
An 80-year-old patient is prescribed a new medication. Which altered pharmacokinetic parameter could MOST significantly affect drug levels in such a patient?
Which of the following describes the typical pattern of body control development in infants?
Which of the following describes the typical pattern of body control development in infants?
At what age is it MOST appropriate to start using chest thrusts instead of abdominal thrusts for infants?
At what age is it MOST appropriate to start using chest thrusts instead of abdominal thrusts for infants?
What is the correct method for opening the airway of a child during bag-mask ventilation?
What is the correct method for opening the airway of a child during bag-mask ventilation?
Which of the following is the appropriate chest compression depth during CPR on a child?
Which of the following is the appropriate chest compression depth during CPR on a child?
What is the appropriate rate of chest compressions for infants?
What is the appropriate rate of chest compressions for infants?
Which is the appropriate first step to managing unresponsiveness/lack of normal breathing in pediatric BLS?
Which is the appropriate first step to managing unresponsiveness/lack of normal breathing in pediatric BLS?
What is the MOST common cause of cardio-pulmonary arrest in children?
What is the MOST common cause of cardio-pulmonary arrest in children?
What is the MOST appropriate action when a child is known to have an inhaled foreign body?
What is the MOST appropriate action when a child is known to have an inhaled foreign body?
What should be done first if an infant has a foreign body airway obstruction?
What should be done first if an infant has a foreign body airway obstruction?
An infant is being given back blows to clear a foreign body airway obstruction. How should they be positioned?
An infant is being given back blows to clear a foreign body airway obstruction. How should they be positioned?
At what point is it most important to call emergency services when managing a child with a foreign body airway obstruction?
At what point is it most important to call emergency services when managing a child with a foreign body airway obstruction?
What is the correct first action if you find an infant with FBAO unconscious?
What is the correct first action if you find an infant with FBAO unconscious?
For a child over 12, what is the amount of adrenaline (epinephrine 1 in 1000 solution) to be given during resuscitation?
For a child over 12, what is the amount of adrenaline (epinephrine 1 in 1000 solution) to be given during resuscitation?
A 7-year-old child is experiencing a prolonged seizure. Which of the following dosages of buccal midazolam is MOST appropriate?
A 7-year-old child is experiencing a prolonged seizure. Which of the following dosages of buccal midazolam is MOST appropriate?
What dosage of adrenaline (epinephrine 1 in 1000 solution) should be administered to a 4-year-old child experiencing anaphylaxis?
What dosage of adrenaline (epinephrine 1 in 1000 solution) should be administered to a 4-year-old child experiencing anaphylaxis?
What dose of buccal midazolam should be given to a 15-month-old infant who's having a prolonged seizure?
What dose of buccal midazolam should be given to a 15-month-old infant who's having a prolonged seizure?
Why is it important to provide support to family members during paediatric emergencies?
Why is it important to provide support to family members during paediatric emergencies?
Why is important to have modified drug doses readily available during paediatric emergencies?
Why is important to have modified drug doses readily available during paediatric emergencies?
Pediatric medical emergencies differ from those in adults because:
Pediatric medical emergencies differ from those in adults because:
Which of the following social difficulties may indicate ADHD in children?
Which of the following social difficulties may indicate ADHD in children?
What characterizes the presentation of ADHD in adults?
What characterizes the presentation of ADHD in adults?
Which co-existing mental health condition is commonly associated with ADHD?
Which co-existing mental health condition is commonly associated with ADHD?
Methylphenidate (Ritalin) falls into what class of medications?
Methylphenidate (Ritalin) falls into what class of medications?
What type of medication is considered a non-stimulant when managing ADHD?
What type of medication is considered a non-stimulant when managing ADHD?
What demographic shift is being observed in many developed nations?
What demographic shift is being observed in many developed nations?
Changes in the structure and function of the body during aging are MOST closely linked to?
Changes in the structure and function of the body during aging are MOST closely linked to?
The Mini-Mental State Examination (MMSE) is PRIMARILY used for what purpose?
The Mini-Mental State Examination (MMSE) is PRIMARILY used for what purpose?
During cognitive assessment using the Mini-Mental State Examination (MMSE), a score less than 25 typically suggests:
During cognitive assessment using the Mini-Mental State Examination (MMSE), a score less than 25 typically suggests:
During assessment, what indicates that the patient may have demential?
During assessment, what indicates that the patient may have demential?
During management of a child with foreign body airway obstruction (FBAO), where should the healthcare provider be positioned?
During management of a child with foreign body airway obstruction (FBAO), where should the healthcare provider be positioned?
What sequence of management steps should be performed for a child displaying foreign body airway obstruction (FBAO)?
What sequence of management steps should be performed for a child displaying foreign body airway obstruction (FBAO)?
What action should be taken if you are attempting to clear an infant with foreign body airway obstruction (FBAO) but they become unresponsive?
What action should be taken if you are attempting to clear an infant with foreign body airway obstruction (FBAO) but they become unresponsive?
What is the appropriate action to take if elder abuse is suspected?
What is the appropriate action to take if elder abuse is suspected?
Why are lower medication doses a common consideration for older adults compared to younger adults?
Why are lower medication doses a common consideration for older adults compared to younger adults?
What is a possible solution to improve poor patient compliance with medications?
What is a possible solution to improve poor patient compliance with medications?
In order to avoid adverse drug interactions, what principle should be considered when prescribing medication to an elderly patient?
In order to avoid adverse drug interactions, what principle should be considered when prescribing medication to an elderly patient?
What is of MOST importance when prescribing medications for older adults?
What is of MOST importance when prescribing medications for older adults?
Which is a direct consequence of disability in old age?
Which is a direct consequence of disability in old age?
Treatments for Alzheimer's dementia primarily aim to:
Treatments for Alzheimer's dementia primarily aim to:
Which symptom is frequently observed in patients with Alzheimer's Dementia?
Which symptom is frequently observed in patients with Alzheimer's Dementia?
Lewy Body Dementia is distinguished by the presence of Lewy bodies in what regions of the brain?
Lewy Body Dementia is distinguished by the presence of Lewy bodies in what regions of the brain?
What distinctive symptom differentiates Fronto-temporal Dementia from Alzheimer's Disease?
What distinctive symptom differentiates Fronto-temporal Dementia from Alzheimer's Disease?
Slow, progressive memory loss, aphasia, apraxia, and visuospatial deficits are MOST characteristic of which stage of Alzheimer's disease?
Slow, progressive memory loss, aphasia, apraxia, and visuospatial deficits are MOST characteristic of which stage of Alzheimer's disease?
What is the significance of Incontinence, Immobility, Instability and Intellectual Impairment?
What is the significance of Incontinence, Immobility, Instability and Intellectual Impairment?
In elderly adults, what physiological factor leads to decreased funtional capacity?
In elderly adults, what physiological factor leads to decreased funtional capacity?
What is a key characteristic of reduced homeostatic reserve in older people?
What is a key characteristic of reduced homeostatic reserve in older people?
What is postural hypotension MOST associated with?
What is postural hypotension MOST associated with?
What is a key principle to keep in mind when considering developmental skills in children?
What is a key principle to keep in mind when considering developmental skills in children?
From which direction does body control typically develop in infants?
From which direction does body control typically develop in infants?
What feature characterises vision and manipulation skill development in infants?
What feature characterises vision and manipulation skill development in infants?
At what age do children typically start using a spoon and fork effectively?
At what age do children typically start using a spoon and fork effectively?
Which of the following is a common 'main cause' for developmental concerns in toddlers?
Which of the following is a common 'main cause' for developmental concerns in toddlers?
What should you check regarding immunisations during a consultation with a child?
What should you check regarding immunisations during a consultation with a child?
Upper Respiratory Tract Infections (URTIs) account for approximately what portion of children's visits to general practitioners?
Upper Respiratory Tract Infections (URTIs) account for approximately what portion of children's visits to general practitioners?
Which statement is most accurate regarding tonsillitis?
Which statement is most accurate regarding tonsillitis?
Which of the following is correct in the treatment of Cystic Fibrosis?
Which of the following is correct in the treatment of Cystic Fibrosis?
What is the implication of biliary complications in Cystic Fibrosis?
What is the implication of biliary complications in Cystic Fibrosis?
Older cystic fibrosis patients not gaining weight may need what?
Older cystic fibrosis patients not gaining weight may need what?
Which of the following statements best describes the typical course of paediatric medical emergencies, particularly in a dental setting?
Which of the following statements best describes the typical course of paediatric medical emergencies, particularly in a dental setting?
In the 'ABCDE approach' to paediatric medical emergencies, what does 'A' stand for?
In the 'ABCDE approach' to paediatric medical emergencies, what does 'A' stand for?
Cardio-pulmonary arrest in children is generally attributed to:
Cardio-pulmonary arrest in children is generally attributed to:
After finding an unresponsive child during basic life support, what should you do next?
After finding an unresponsive child during basic life support, what should you do next?
According to age definitions, what is the age range for infants?
According to age definitions, what is the age range for infants?
What is the upper limit of the normal respiratory rate for a child under 1 year of age?
What is the upper limit of the normal respiratory rate for a child under 1 year of age?
What might be a normal pulse rate for a 9-month old infant?
What might be a normal pulse rate for a 9-month old infant?
Which statement is correct during the 'Exposure' phase of a paediatric medical assessment?
Which statement is correct during the 'Exposure' phase of a paediatric medical assessment?
During paediatric basic life support, when should emergency services be contacted?
During paediatric basic life support, when should emergency services be contacted?
To what depth should the chest be compressed during CPR administrations on a child?
To what depth should the chest be compressed during CPR administrations on a child?
How many fingers should be used to administer chest compressions to an infant?
How many fingers should be used to administer chest compressions to an infant?
What is the recommended method for removing a foreign body from a child, older than 1 year, who is choking?
What is the recommended method for removing a foreign body from a child, older than 1 year, who is choking?
If initial back blows are unsuccessful in dislodging a foreign body in an infant with airway obstruction, what is the IMMEDIATE next step?
If initial back blows are unsuccessful in dislodging a foreign body in an infant with airway obstruction, what is the IMMEDIATE next step?
If an infant experiencing foreign body airway obstruction (FBAO) becomes unresponsive during attempts to clear the airway, what should be the immediate next step?
If an infant experiencing foreign body airway obstruction (FBAO) becomes unresponsive during attempts to clear the airway, what should be the immediate next step?
What is the correct dose of adrenaline (epinephrine 1 in 1000 solution) for a child aged between 6 months and 6 years during resuscitation?
What is the correct dose of adrenaline (epinephrine 1 in 1000 solution) for a child aged between 6 months and 6 years during resuscitation?
Following a prolonged seizure, what is the appropriate dose of buccal midazolam for a child aged 5-9 years?
Following a prolonged seizure, what is the appropriate dose of buccal midazolam for a child aged 5-9 years?
Why is it essential to look after relatives during a paediatric medical emergency?
Why is it essential to look after relatives during a paediatric medical emergency?
Why is it important to have modified drug doses readily available during paediatric medical emergencies?
Why is it important to have modified drug doses readily available during paediatric medical emergencies?
According to the summary information provided, what is observed in the population?
According to the summary information provided, what is observed in the population?
At what age would a baby typically begin to show a social smile in response to interaction?
At what age would a baby typically begin to show a social smile in response to interaction?
A child who is 14 months old is NOT yet walking. What should be considered?
A child who is 14 months old is NOT yet walking. What should be considered?
Which of the following is the MOST common causative agent of acute suppurative otitis media?
Which of the following is the MOST common causative agent of acute suppurative otitis media?
Adenovirus is commonly associated with which of the following?
Adenovirus is commonly associated with which of the following?
What is the underlying cause of the physiological changes seen in Cystic Fibrosis?
What is the underlying cause of the physiological changes seen in Cystic Fibrosis?
The 'Guthrie card' test, used in the diagnosis of Cystic Fibrosis, is performed by collecting what type of sample?
The 'Guthrie card' test, used in the diagnosis of Cystic Fibrosis, is performed by collecting what type of sample?
A 7-year-old child is brought into a clinic. Their parent reports that they seem to be unable to focus for long periods of time, are badly disorganised and have trouble listening to instructions. What might this suggest?
A 7-year-old child is brought into a clinic. Their parent reports that they seem to be unable to focus for long periods of time, are badly disorganised and have trouble listening to instructions. What might this suggest?
Which of the following medication types is likely to be used as first line treatment for ADHD?
Which of the following medication types is likely to be used as first line treatment for ADHD?
In the ABCDE approach to paediatric medical emergencies, what is the PRIMARY concern during the 'Breathing' assessment?
In the ABCDE approach to paediatric medical emergencies, what is the PRIMARY concern during the 'Breathing' assessment?
What is the BEST course of action when faced with a case of suspected elder abuse?
What is the BEST course of action when faced with a case of suspected elder abuse?
Flashcards
Developmental Skills
Developmental Skills
Skills such as posture, movement, vision, manipulation, hearing, speech and social behaviour.
Top-Down Control
Top-Down Control
Body control develops from the head down, demonstrated by 'head lag' in newborns.
Walking Age
Walking Age
Typically, infants begin to walk between 12 to 15 months of age.
Infant Vision
Infant Vision
Signup and view all the flashcards
Facial Preference
Facial Preference
Signup and view all the flashcards
Grasping Development
Grasping Development
Signup and view all the flashcards
Sound Localization
Sound Localization
Signup and view all the flashcards
Single Word Usage
Single Word Usage
Signup and view all the flashcards
Two-Word Sentences
Two-Word Sentences
Signup and view all the flashcards
Sentence Formation
Sentence Formation
Signup and view all the flashcards
Social Smiling
Social Smiling
Signup and view all the flashcards
Chewing Lumpy Food
Chewing Lumpy Food
Signup and view all the flashcards
Utensil Use
Utensil Use
Signup and view all the flashcards
Otitis Media (OM)
Otitis Media (OM)
Signup and view all the flashcards
Acute Suppurative Otitis Media
Acute Suppurative Otitis Media
Signup and view all the flashcards
Chronic Otitis Media with Effusion
Chronic Otitis Media with Effusion
Signup and view all the flashcards
Conductive Hearing Loss
Conductive Hearing Loss
Signup and view all the flashcards
Viral Tonsillitis
Viral Tonsillitis
Signup and view all the flashcards
Bronchiolitis
Bronchiolitis
Signup and view all the flashcards
Respiratory Syncytial Virus (RSV)
Respiratory Syncytial Virus (RSV)
Signup and view all the flashcards
Cystic Fibrosis
Cystic Fibrosis
Signup and view all the flashcards
Cystic Fibrosis
Cystic Fibrosis
Signup and view all the flashcards
Sweat test - chloride level
Sweat test - chloride level
Signup and view all the flashcards
Developmental Variation
Developmental Variation
Signup and view all the flashcards
Global Developmental Delay
Global Developmental Delay
Signup and view all the flashcards
Immunization Status
Immunization Status
Signup and view all the flashcards
Upper Respiratory Infections (URTIs)
Upper Respiratory Infections (URTIs)
Signup and view all the flashcards
Otitis Media
Otitis Media
Signup and view all the flashcards
Streptococcal Tonsillitis
Streptococcal Tonsillitis
Signup and view all the flashcards
Lower Respiratory Infections
Lower Respiratory Infections
Signup and view all the flashcards
Chloride transport in CF
Chloride transport in CF
Signup and view all the flashcards
Guthrie Card Test
Guthrie Card Test
Signup and view all the flashcards
Physiotherapy for CF
Physiotherapy for CF
Signup and view all the flashcards
Enzyme Supplements
Enzyme Supplements
Signup and view all the flashcards
CF Dietary Supplements
CF Dietary Supplements
Signup and view all the flashcards
NG or Gastrostomy feeding
NG or Gastrostomy feeding
Signup and view all the flashcards
Biliary complications/ CF
Biliary complications/ CF
Signup and view all the flashcards
CF and Diabetes
CF and Diabetes
Signup and view all the flashcards
Pre-natal Learning Disability
Pre-natal Learning Disability
Signup and view all the flashcards
Peri-natal Learning Disability
Peri-natal Learning Disability
Signup and view all the flashcards
Post-natal Learning Disability
Post-natal Learning Disability
Signup and view all the flashcards
Paediatric dental emergencies
Paediatric dental emergencies
Signup and view all the flashcards
Children Cardio-Pulmonary Arrest
Children Cardio-Pulmonary Arrest
Signup and view all the flashcards
Paediatric CPR
Paediatric CPR
Signup and view all the flashcards
Infant age
Infant age
Signup and view all the flashcards
Child Age
Child Age
Signup and view all the flashcards
Infant Respiratory Rate
Infant Respiratory Rate
Signup and view all the flashcards
3 months - 2 years Pulse Rate
3 months - 2 years Pulse Rate
Signup and view all the flashcards
2-10 years Pulse Rate
2-10 years Pulse Rate
Signup and view all the flashcards
Paediatric assessment
Paediatric assessment
Signup and view all the flashcards
Paediatric patient Exposure
Paediatric patient Exposure
Signup and view all the flashcards
Call 999 Paediatric
Call 999 Paediatric
Signup and view all the flashcards
CPR ventilations
CPR ventilations
Signup and view all the flashcards
CPR Alone
CPR Alone
Signup and view all the flashcards
Chest compressions
Chest compressions
Signup and view all the flashcards
Paediatric AED Usage
Paediatric AED Usage
Signup and view all the flashcards
Foreign Body Removal
Foreign Body Removal
Signup and view all the flashcards
Choking guidelines for children
Choking guidelines for children
Signup and view all the flashcards
Infant choking response
Infant choking response
Signup and view all the flashcards
Infant positioning
Infant positioning
Signup and view all the flashcards
FBAO
FBAO
Signup and view all the flashcards
Infant Back Blows
Infant Back Blows
Signup and view all the flashcards
Infant Chest Thrusts
Infant Chest Thrusts
Signup and view all the flashcards
CPR
CPR
Signup and view all the flashcards
Infant Positioning for FBAO
Infant Positioning for FBAO
Signup and view all the flashcards
Adrenaline (Epinephrine)
Adrenaline (Epinephrine)
Signup and view all the flashcards
Buccal Administration
Buccal Administration
Signup and view all the flashcards
Epilepsy
Epilepsy
Signup and view all the flashcards
ADHD Stimulant Medications
ADHD Stimulant Medications
Signup and view all the flashcards
Atomoxetine
Atomoxetine
Signup and view all the flashcards
Management - Children ADHD
Management - Children ADHD
Signup and view all the flashcards
Management - Adults ADHD
Management - Adults ADHD
Signup and view all the flashcards
ADHD Diagnosis
ADHD Diagnosis
Signup and view all the flashcards
Dementia
Dementia
Signup and view all the flashcards
Mini-Mental State Examination Score
Mini-Mental State Examination Score
Signup and view all the flashcards
Dementia - Assessment
Dementia - Assessment
Signup and view all the flashcards
Infant Inter-scapular Blows
Infant Inter-scapular Blows
Signup and view all the flashcards
Infant Chest Thrust Procedure
Infant Chest Thrust Procedure
Signup and view all the flashcards
Adrenaline (Epinephrine) doses
Adrenaline (Epinephrine) doses
Signup and view all the flashcards
Epilepsy Buccal dose
Epilepsy Buccal dose
Signup and view all the flashcards
A(D)HD
A(D)HD
Signup and view all the flashcards
ADHD Management
ADHD Management
Signup and view all the flashcards
Ageing definition
Ageing definition
Signup and view all the flashcards
Dementia Indicators
Dementia Indicators
Signup and view all the flashcards
Alzheimer's Dementia
Alzheimer's Dementia
Signup and view all the flashcards
Early-Onset Dementia
Early-Onset Dementia
Signup and view all the flashcards
Dementia Risk Factors
Dementia Risk Factors
Signup and view all the flashcards
Amyloid Deposition
Amyloid Deposition
Signup and view all the flashcards
Dementia Treatments
Dementia Treatments
Signup and view all the flashcards
Vascular Dementia
Vascular Dementia
Signup and view all the flashcards
Sudden-Onset Dementia
Sudden-Onset Dementia
Signup and view all the flashcards
Lewy Body Dementia
Lewy Body Dementia
Signup and view all the flashcards
Fronto-temporal Dementia
Fronto-temporal Dementia
Signup and view all the flashcards
Frailty
Frailty
Signup and view all the flashcards
Functional Decline
Functional Decline
Signup and view all the flashcards
Reduced Homeostatic Reserve
Reduced Homeostatic Reserve
Signup and view all the flashcards
Atypical Presentation
Atypical Presentation
Signup and view all the flashcards
Multiple pathologies and interactions
Multiple pathologies and interactions
Signup and view all the flashcards
Giants of Geriatrics
Giants of Geriatrics
Signup and view all the flashcards
Dental Relevance (Geriatrics)
Dental Relevance (Geriatrics)
Signup and view all the flashcards
National Service Framework 2001
National Service Framework 2001
Signup and view all the flashcards
Elder Abuse
Elder Abuse
Signup and view all the flashcards
Safeguarding Elder Adults
Safeguarding Elder Adults
Signup and view all the flashcards
Problems With Medication
Problems With Medication
Signup and view all the flashcards
Pharmacokinetics
Pharmacokinetics
Signup and view all the flashcards
Possible Poor Compliance
Possible Poor Compliance
Signup and view all the flashcards
Drug Prescriptions in Older People
Drug Prescriptions in Older People
Signup and view all the flashcards
Increased Risk of Adverse effects
Increased Risk of Adverse effects
Signup and view all the flashcards
Vascular Dementia (Prevalence)
Vascular Dementia (Prevalence)
Signup and view all the flashcards
Fronto-temporal Dementia Characteristics
Fronto-temporal Dementia Characteristics
Signup and view all the flashcards
Frailty Risks
Frailty Risks
Signup and view all the flashcards
Decreased Functional Capacity
Decreased Functional Capacity
Signup and view all the flashcards
Reduced Homeostatic Reserve risks
Reduced Homeostatic Reserve risks
Signup and view all the flashcards
Atypical Disease Presentation
Atypical Disease Presentation
Signup and view all the flashcards
Elder Abuse Forms
Elder Abuse Forms
Signup and view all the flashcards
Pharmacokinetics in Frailty
Pharmacokinetics in Frailty
Signup and view all the flashcards
Reasons for Poor Compliance
Reasons for Poor Compliance
Signup and view all the flashcards
Adverse effects
Adverse effects
Signup and view all the flashcards
Mini-Mental State Examination
Mini-Mental State Examination
Signup and view all the flashcards
Alzheimer's Symptoms
Alzheimer's Symptoms
Signup and view all the flashcards
Lewy Body Dementia - Characteristics
Lewy Body Dementia - Characteristics
Signup and view all the flashcards
Dementia - other causes
Dementia - other causes
Signup and view all the flashcards
Decreased functional capacity
Decreased functional capacity
Signup and view all the flashcards
Multiple pathology
Multiple pathology
Signup and view all the flashcards
Dental relevance
Dental relevance
Signup and view all the flashcards
Safeguarding
Safeguarding
Signup and view all the flashcards
Drug prescriptions
Drug prescriptions
Signup and view all the flashcards
Summary
Summary
Signup and view all the flashcards
Dementia - Alzheimer's
Dementia - Alzheimer's
Signup and view all the flashcards
Drug Prescriptions and Interactions
Drug Prescriptions and Interactions
Signup and view all the flashcards
Characteristics of Disease in Older People
Characteristics of Disease in Older People
Signup and view all the flashcards
Paediatric inter-scapular blows
Paediatric inter-scapular blows
Signup and view all the flashcards
Paediatric chest thrust procedure
Paediatric chest thrust procedure
Signup and view all the flashcards
Increase in diagnoses in adults
Increase in diagnoses in adults
Signup and view all the flashcards
Posture and Movement
Posture and Movement
Signup and view all the flashcards
Acute Lower Respiratory Tract Infections
Acute Lower Respiratory Tract Infections
Signup and view all the flashcards
Paediatric Basic Life Support
Paediatric Basic Life Support
Signup and view all the flashcards
Potential ADHD Signs - Adult
Potential ADHD Signs - Adult
Signup and view all the flashcards
Life Expectancy
Life Expectancy
Signup and view all the flashcards
Geriatric Syndromes
Geriatric Syndromes
Signup and view all the flashcards
Forms of Elder Abuse
Forms of Elder Abuse
Signup and view all the flashcards
Problems with Medication - Geriatrics
Problems with Medication - Geriatrics
Signup and view all the flashcards
Possible Poor Compliance (Geriatrics)
Possible Poor Compliance (Geriatrics)
Signup and view all the flashcards
Possible Solutions
Possible Solutions
Signup and view all the flashcards
Reduced Homeostatic Reserve (Geriatrics)
Reduced Homeostatic Reserve (Geriatrics)
Signup and view all the flashcards
Problems in the lungs
Problems in the lungs
Signup and view all the flashcards
Study Notes
Developmental Skills
- Developmental skills include posture and movement.
- Vision and manipulation, specifically hand-eye coordination, contributes to developmental skills.
- Hearing and speech are considered developmental skills.
- Social behavior is also a developmental skill to consider.
- There is great variation in development, so it's better to talk of "usual" not "normal".
Posture and Movement
- Body control develops from top down.
- Newborn babies exhibit 'head lag'.
- Walking is usually achieved by 12-15 months.
Vision and Manipulation
- At 8 weeks, a baby observes a dangling toy or bright object 30 cm from the face with a convergent gaze.
- From 2 months, a baby prefers watching a face.
- Grasping is developed by 12 months.
Hearing and Speech
- Localization of sound occurs; turning to hear it is optimal at 7 months.
- Single word labels begin from one year.
- Speech develops around two years, where words are joined to convey ideas.
- By 3 years, sentences are formed.
Social Behaviour
- At 4-8 weeks, babies smile in response to a parent's face.
- By 9 months, babies will chew lumpy food, though some may start earlier.
- The use of a spoon and fork begins around 3 years.
- Toilet training is a key aspect of social behavior.
Main Causes for Developmental Concern
- Delays in all 'milestones' can be cause for concern.
- Delay in walking can be cause for concern.
- Delays in speech can be cause for concern.
- Social or behavioral problems can be cause for concern.
Immunisations
- Checking if immunizations are up-to-date is important.
Respiratory infection in Childhood
- URTIs account for almost half of children's visits to GPs.
- Up to 15% in the UK have asthma, with incidence increasing.
Upper Respiratory Tract Infections
- Most URTIs are viral, but it is difficult to tell.
Otitis Media (OM)
- Otitis media characterized as an acute infection of the middle ear.
Acute Suppurative Otitis Media
- Acute Suppurative Otitis Media is characterized by Irritability.
- Acute Suppurative Otitis Media is characterized by Pain.
- Acute Suppurative Otitis Media is characterized by Pyrexia.
- Acute Suppurative Otitis Media is characterized by Hearing loss.
- Acute Suppurative Otitis Media is characterized by Discharge.
- Systemic illness
Chronic Otitis Media with Effusion ('Glue Ear')
- Chronic Otitis Media with Effusion is multifactorial.
- Chronic Otitis Media with Effusion can be caused by Eustachian insufficiency.
- Environmental factors are a cause Chronic Otitis Media with Effusion.
- Chronic Otitis Media with Effusion can be caused by immunity.
- Social class is a factor on whether you develop Chronic Otitis Media with Effusion.
- Allergy plays a role in causing Chronic Otitis Media with Effusion.
- Childhood screening is helpful to identify cases of 'Glue Ear'.
- Pure tone audiometry helps detect Chronic Otitis Media with Effusion.
- It is Endemic in children under 5.
- Conductive hearing loss is associated with with Chronic Otitis Media with Effusion.
- A Language delay is associated with Chronic Otitis Media with Effusion.
- Behavioural issues are associated with Chronic Otitis Media with Effusion.
- Recurrent infections may present with Chronic Otitis Media with Effusion.
- There is a risk of Poor school performance with Chronic Otitis Media with Effusion.
Tonsillitis
- white exudate on the tonsil cannot distinguish viral from bacterial infection
- Viral tonsillitis (often caused by adenovirus) is more common in pre-school children.
- Streptococcal tonsillitis is more common in school-age children.
- There are NICE Guidelines available.
Acute Lower Respiratory Tract Infections
- Acute lower Respiratory Tract infections are the most common cause of death in children under 5 years worldwide.
- Mortality is low in the UK.
- Largely confined to those in with pre-existing cardio-respiratory disease.
Bronchiolitis
- Bronchiolitis is an acute viral infection of airways under 1 mm in diameter.
- It mainly affects children under 1.
- Respiratory Syncytial Virus (RSV) is most common in cases of Bronchiolitis.
- Bronchiolitis usually occurs in winter epidemics and is often mild and self-limiting.
Cystic Fibrosis
- Cystic Fibrosis is Responsible for the majority of deaths in 'developed' countries from lung disease in childhood.
- Incidence of Cystic Fibrosis is around 1 in 2500 live births.
- Cystic Fibrosis is Autosomal recessive.
- Most deaths are from respiratory failure.
Diagnosis Of Cystic Fibrosis
- Diagnosis is with a Dried blood spot sample collected on the 'Guthrie card' at 5 days old.Tests are performed at the same time a tests for phenylketonuria and hypothyroidism.
- Later tests 'Sweat Test' (chloride level) are performed.
Management Of Cystic Fibrosis
- Daily there is Physiotherapy.
- Pancreatic enzyme supplements.
- There are Vitamin, dietary supplements and dietary supplementation and, in some cases a [Nasogastric or gastrostomy feeding].
Cystic Fibrosis con't
- Multi-system disorder affecting lung, sweat glands, GIT, pancreas reproductive system.
- Failure of chloride transport into the lumen of affected exocrine organs.
- Water is drawn from lumen into cells, dehydrating mucus and impairing action of cilia promoting bacterial colonisation.
Later Developments Of Cystic Fibrosis
- Complications in the biliary system may lead to biliary cirrhosis, portal hypertension and oesophageal varices.
- Older CF patients who do not gain weight may have diabetes mellitus and need regular insulin.
Causes of Learning Disability
- Prenatal.
- Peri-natal.
- Post- natal.
Pre-Natal causes of Learning Difficulties
- In-Utero Infections
- Fetal Alcohol Syndrome
- Chromosomal disorders e.g Down Syndrome, Turner's Syndrome.
- Single gene defects e.g Neurofibromatosis, Metabolic disorders.
Peri-natal causes of Learning Difficulties
- Complications of extreme prematurity .
- Birth trauma, Severe asphyxia.
- Bilirubin induced neurological damage (Kernicterus).
- Hypoglycaemia
- Meningitis.
- Hydrocephalus.
Post Natal causes of Learning Difficulties
- NAI/Accidental trauma.
- Prolonged convulsion .
- Infection of CNS .
- Environmental (malnutrition).
Paediatric Medical Emergencies
- Medical Emergencies are rare in dentistry.
- Medical Emergencies in this patient group can deteriorate rapidly.
- Always use the ABCDE approach in Medical Emergencies.
- They often Get well early.
Cardio-Pulmonary Arrest
- Cardio-Pulmonary Arrest is more likely to be due to airway/breathing problems.
- Initial oxygenation/ventilation important.
Age Definitions
- In Paediatrics INFANTS are defined as less than 1 year.
- In Paediatrics CHILD is 1 year to puberty.
Breathing
- Expect higher respiratory rates
- Under 1 year the infant must be up to 40 breaths/minute
Circulation
- Normal Pulse rates for 3 months - 2 years is 100-180 bpm.
- Normal Pulse rates or 2-10 years olds is 60-140 bpm.
Disability
- They may be a 'Floppy' child.
- Ask the parent's opinion.
Exposure
- Minimise heat loss.
- Check for rashes.
- Take the axillary temperature.
Infant First Aid
- Call CPR 999 if child not breathing normally.
- Give 5 initial ventilations before chest compressions.
- If alone, CPR for 1 minute before 999, but never be!
Chest Compression
- Compress chest to one third of depth.
- Use 2 fingers on infants.
- Use one or two hands on a child.
Use of AED
- Using an AED in paediatrics is rare.
- Usually airway/ventilation problems resolve issues.
- Most supply paediatric pads.
- 50-75 J (2-4 J/Kg) may be delivered.
- Adult pads can be used if attenuated for children under 8 years old.
Inhaled Foreign Body
- Avoid blind 'finger sweeps'
Choking In Infant
- Adult guidelines suitable for children over 1 year of age.
- Chest thrusts instead of abdominal thrusts for infants.
Infant with airway obstruction with foreign body
- Place infant across lap with head lower than chest.
Infant with FBAO
- Place infant across lap with head lower than chest.
- Give 5 sharp inter-scapular blows.
- If this fails, try 5 chest thrusts with the patient supine, but with their head lower than their chest, one every 3 seconds.
- You must repeat the above process.
- Call 999/Emergency Services early.
- If unconscious, start CPR.
Adrenaline Dosing
- The dose for Over 12s is 500 micrograms.
- The dose for a 6-12 year old is 300 micrograms.
- The dose for 6 month - 6 year olds is 150 micrograms.
- The dose for Under 6 month olds is 100 micrograms.
Epilepsy Dosing
- Via Buccal administration.
- The dose for 1-2 month old babies = 300 μg/kg.
- The dose for a 3 -11 month old baby is 2.5mg.
- The dose for a 1 - 4 year old child 5mg.
- The dose for a 5 - 9 year old child is 7.5mg.
- The for Over 10 year olds dose is 10mg.
- Source: NICE 2024
Relatives
- The Presence of Relatives is Beneficial.
- However They Need to be 'looked after'.
Summary of Paediatric Medical Emergencies:
- Follow the Same resuscitation principles.
- Paediatric medical emergencies are Even more rare than adult medical emergencies!
- Have modified drug doses to hand.
A(D)HD
- Affects behaviour but some cases are more noticeable than others.
- Cause is not really known and May have a familial element.
- Patients with A(D)HD have a 'Micro-focusing' capability.
- Patients May be restless and have trouble concentrating.
ADHD
- Many ADHD cases are diagnosed under 12 years of age.
- There has been an Increasing number of diagnoses made in adults.
- A(D)HD symptoms can Sometimes improve with age.
- A(D)DH Can be associated with other disorders, such as anxiety and depresion.
Potential Signs – Children with ADHD:
- Difficulty Getting your child to sleep at night.
- Difficulty Getting ready for school on time without assistance.
- Difficulty Listening to and carrying out instructions.
- Being (dis)organised.
- Finding Social occasions difficult.
- Finding Shopping difficult.
Potential Signs - Adult ADHD:
- Difficulty with Organisation and time management.
- Difficulty Following instructions.
- Difficulty Focusing and completing tasks.
- Difficulty Coping with stress.
- Feeling restless or impatient.
- Feeling Impulsiveness and risk taking. Some adults may also have issues with relationships or social interaction.
Management - Children with ADHD:
- Provide Educational support.
- Provide Support for parents (families).
- Take Medication.
Management - Adults with ADHD:
- Offer Medication.
- Counselling.
- CBT is Useful.
- DBT is Useful.
Medication for ADHD:
- First line is a stimulant based drug eg methylphenidate (trade name ‘Ritalin') and amphetamine.
- These Medications Work faster than non-stimulant medications.
- Non - stimulant Medications includes Atomoxetine (norepinephrine modulator).
- Other non - stimulant Medications include alpha agonists.
Older Patients
- Life expectancy is increasing.
- There are Proportionately more older people.
Ageing
- Ageing is the gradual development of changes in structure and function that are not due to preventable disease or trauma, and is associated with decreased functional capacity and an increased probability of death.
- The incidence of many diseases increases with age.
Dementia - Different Types
- Ensure that treatable factors have been dealt
- There is A syndrome of global cognitive impairment without impaired consciousness
- Affects memory and cognition
- There will have often been signs several months (or years) before
Dementia
_ Dementia is Sometimes associated with personality change
- Presenting it can be expressed by Slow, repetitive speech
- Onset is Unusual under 55 years
Dementia - Assessment
- Using Mini-Mental State Examination
- There are Several questions with a maximum score of 30
- Score of <25 suggests dementia
Dementia Cont'd
- You may see Alzheimer’s Dementia.
- Onset may be from 40 years of age.
- Risk factors are gene defects.
- There is Deposition of amyloid in cortex.
- You may see Specific treatments - tend to slow progression rather than cure.
Dementia - Alzheimer’s
- Can cause Failing memory
- Spatial disorientation
- Changed behaviour
- Hallucinations, delusions of persecution
- Eventually lose interest
Dementia -Vascular Dementia
- (around 25% of cases)
- Multiple small strokes
- Showing a Sometime sudden onset
Dementia - Lewy Body Dementia- common form
-
Is from Lewy Bodies in neo-cortex and brainstem
-
Results in Cognitive impairment, hallucinations, Parkinsonism
Dementia - Fronto-temporal Dementia
- From Atrophy of frontal and temporal Lobes without the pathological findings seen inAlzheimer’s Disease
- This leads to Personality changes, disinhibition
- And Does not affect spatial orientation
Dementia - Other Causes
- Alcohol abuse
- Huntingdon’s
- Parkinson’s Disease
Frailty
-
Frailty is Related to ageing
-
And From A minor insult can lead to the risk of severe a deterioration in health
-
Because Of a Loss of in-built reserves
-
Meaning it Affects multiple systems
Diseases caused by Decreased Functional Capacity
- Muscle strength
- Cardio-respiratory reserve reduced
- Cognitive capacity decreased
- Bladder capacity/sphincter strength impaired
Diseases caused by Reduced Homeostatic Reserve
-
This means postural stability reduced
-
And Thermo-regulation – increased risk of hypothermia
-
Plus Cognitive reserve reduced – delirium
-
All leading to Metabolic homeostasis – hypercapnia, hyponatraemia, hyperglycaemia
Reduced Homeostatic Reserve
-
This also means Blood pressure control – risk of postural hypotension
-
Increased risk of infection
-
Along side Renal reserve – AKI/CKI
Characteristics of Disease in Older
People
-
These might have a Non-specific (and be occult) presentation
-
They Show Multiple pathology and interactions
-
They Can affect function and independence
-
And They Impaired homeostasis, resistance and
-
This Means there is a poor recovery
Giants of Geriatrics.’ Needed: Multidisciplinary Approach
- Instability
- Immobility
- Incontinence
- Intellectual impairment
- Isolation
- Iatrogenesis These are happening because of Multiple causes, that Coexist and interact, making them Embarrassing that Leads to limiting, isolating
Impact on Dental services
-
You may get Increased bleeding risk, due to tissue fragility
-
The patient may Have Possible difficulty lying flat
-
The patient may Find it hard Tolerating long procedures
-
As well as Difficulty complying with medication, and other instructions
-
They may have an Increased risk with sedatives and anaesthetics
National Service Framework 2001
-
There is a Respect for the individual: by rooting out discrimination and person-centred care
-
Focus is to Make provision for Intermediate care between primary and hospital care services
-
This means there is a Provision of evidence-based specialist care
-
In order to allow for Promotion of an active and healthy lifestyle for older people
Problems
- Neglect
- Physical abuse
- Emotional
- and Financial
- As well as Sexual
Safeguarding needed
-
Safeguarding is Everybody’s business
-
But there is Less often publicised compared to child abuse
-
This means you need toReport concerns to Social Services or to the patients GP
Problems with Medication
-
There may be Issues complying with the prescribed Medication
-
Plus There may be Different pharmacokinetics, leading to drug action/interactions
-
Including Adverse effects
Impact on Pharmacokinetics and Drug action
-
As Patients often more sensitive, we should Consider lower doses
-
This may causes Gi tract- Causing Reduced absorption
-
Or the Kidneys, and liver to function with Reduced excretion
-
Not to forgot that the Altered protein binding leads to changes to albumin e.g. LA, and the drug Warfarin
How you can identify and improve compliance.
- Possible Causes of Poor Compliance are: poor explanation, Side effects, Running out of prescriptions.
- Additionally There may be No noticeable benefit, the Patient Scared by package leaflet, or if There is Impaired mental physical function
- By Using Careful explanation you can Improve solutions, using things like Writing things down, taking note of Beware of impaired vision. As well Use of dosing boxes and Speak to relative/carer/GP and Keep an eye on the patient.
- and if all fails you can offer Aids
Considerations for Drug Prescriptions and
Interactions
- So Do not prescribe unless sure of current medications but also the possible effect with known disorders
- Therefore check for the effect of Between Drug combinations
Studying That Suits You
Use AI to generate personalized quizzes and flashcards to suit your learning preferences.