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Childhood diseases

The College of Pharmacy Practice Credit for Learning: 2

Set out below is a series of multiple choice questions designed to test your understanding of the three articles in our series on childhood diseases (Gastrointestinal problems [July 8, p52], infections [July 15, p91] and skin problems [this week, p164]). All pharmacists are invited to complete the questions and send their answers, together with a stamped and addressed A5 (230 x 160mm) envelope, to: The College of Pharmacy Practice, Barclays Venture Centre, University of Warwick Science Park, Coventry CV4 7EZ, by August 21.
Results will be returned along with a certificate of completion which, for college members, will count towards continuing education requirements. The correct answers will be published in The Journal.
A provisional time of four hours is given for the articles relating to this Credit for Learning exercise.
Genus Pharmaceuticals will provide a £500 prize to the pharmacist who achieves the highest marks overall in the four Credit for Learning exercises published in 2000. There will be a runner up prize of £200.
Completion of Credit for Learning questions entitles pharmacy undergraduates to one point towards the professional development certificate, a joint initiative between the BPSA and the College of Pharmacy Practice.
While we will correct obvious errors, The Journal does not have the resources to enter into correspondence about answers to questions.
This web page is for information only. Answers should be submitted on the printed form.

The questions

Draw a ring around either T or F (T=true, F=false). There may be more than one true answer to each question.

1. In infant feeding: 
(a) Posseting is the repeated regurgitation of milk into the mouth after feedingT/F
(b) Posseting is normally regarded as a risk factor in the onset of gastro-oesophageal reflux diseaseT/F
(c) A bottle fed infant of 4kg will require around 600ml of formula feed per dayT/F
(d) Posseting usually resolves during the first six months of lifeT/F
(e) Enfamil AR has a lower sodium content than Infant GavisconT/F
2. In gastro-oesophageal reflux in infants: 
(a) There is a failure to gain weightT/F
(b) Projectile vomiting occursT/F
(c) Pain/distress is experienced on eatingT/F
(d) Mothers are advised to put their baby in a prone sleeping positionT/F
(e) Treatment might include an H2 antagonistT/F
3. Regarding colic and related problems: 
(a) Colic is much more common in bottle-fed babies than in breast-fed babiesT/F
(b) Controlled trials have shown dimeticone to be ineffective in relief of colicT/F
(c) Dicyclomine has been associated with seizures in infantsT/F
(d) There is evidence that intolerance to cow’s milk may produce colic in some infantsT/F
(e) There is little evidence to suggest gripe water is effective against trapped windT/F
4. In relation to diarrhoea in infants: 
(a) Most acute cases are bacterial or protozoal in aetiologyT/F
(b) It may be a presenting symptom of meningitisT/F
(c) Loperamide is often useful in more severe casesT/F
(d) In fluid replacement, glucose enhances sodium uptake in the small intestineT/F
(e) Hypertonic soft drinks are a useful alternative to glucose and electrolyte solution if the latter is unavailableT/F
5. In the treatment of childhood infections: 
(a) A child who contracts an acute viral infection every four to six weeks should be referred for assessment of their immune statusT/F
(b) The first dose of oral polio vaccine is normally administered at two months of ageT/F
(c) MMR is normally administered between four and 12 monthsT/F
(d) MCCV is administered between two and four monthsT/F
(e) BCG is given routinely to children in the UKT/F
6. In chickenpox in children: 
(a) There is an incubation period of between 10 and 21 days before spots appearT/F
(b) A child is infectious throughout the incubation periodT/F
(c) It may be fatal in the newbornT/F
(d) The fever usually precedes the rash by three or four daysT/F
(e) The rash occurs more on the head and trunk than on the limbsT/F
7. In childhood infections: 
(a) A measles rash typically lasts three daysT/F
(b) Erythema infectiosum in pregnant women carries no risk to the foetusT/F
(c) Scarlet fever is caused by Staphylococcus epidermidisT/F
(d) Meningococcal disease is characterised by a rash which does not blanch on pressure from a glassT/F
(e) Kawasaki disease may result in coronary artery aneurysmT/F
8. In respiratory infections in childhood: 
(a) Croup is normally associated with an underlying bacterial infectionT/F
(b) Broad spectrum antibiotics should be avoided in lower respiratory tract infectionsT/F
(c) Most children with viral bronchiolitis will require ribavirin therapyT/F
(d) Most infants with asthma do not require antibiotic treatment during acute episodesT/F
(e) Pertussis infection, once established, is unlikely to respond to antibiotic treatmentT/F
9. In relation to skin conditions in childhood: 
(a) Two thirds of common warts resolve spontaneously within two yearsT/F
(b) Cryotherapy is regarded as the most effective treatment of common wartsT/F
(c) Impetigo is generally caused by Staphylococcus aureus infectionT/F
(d) Children with Tinea corporis should be excluded from school until treatment is completedT/F
(e) Tinea capitis may be contracted from petsT/F
10. In treating childhood skin conditions: 
(a) Benzyl benzoate 25 per cent is a suitable treatment for scabiesT/F
(b) Topical corticosteroids for atopic eczema must continue to be applied to an affected area for at least five days after inflammation has settledT/F
(c) A five-year-old child is likely to need a prescription for between 550 and 600g of corticosteroid cream to allow twice daily application from head to toe for one monthT/F
(d) Secondary infection with Staphylococcus aureus in atopic eczema may require antibacterial treatmentT/F
(e) Greasy emollients are generally more effective than lighter emollients in childhood eczemaT/F

The College of Pharmacy Practice Credit for Learning: 2

Citation: The Pharmaceutical Journal URI: 20002369

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