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| (@PasTest Main Navigation Home ‘Suibscrintions > MRCPCH 1 + Question Bromser + Timed Test + Mock Exam «+ Random Questions + Past Papers 4+ My Performance online extras ubrary community Hela PasTest Store iy Account Profile Newsletters| My Career and Exams onder History Leaming Goals ‘question Fiters Security Change Password Sign Out Question Browser: MRCPCH 1 “© question erowser| FP Exam Builder ©) Saved Exams ‘A Vicamin B22 8 Viearin K C2ine D Vitamin et Erolate EVitsmin G Vitamin 86 H biotl Topper 3 vitamin 83 Which ofthe above defences exolains each ofthe felowing chnical scenaries? Each option ray be used once, more than once or not a at Scenario 1 ‘A 3-day-old baby boy was brought to hospital as his mether neted that blood \was coming out of his umbilicus vitamin 63 «Your answer vitamin K Correct answer X incorrect \itamin k deficiency is rare in neonates but causes haemorthagic disease of the nevbom. Bleecing can oceur rom the Umblicus snd cause intracranial bleeds, This can be prevented by the acministration of IM vitamin Just after Binh, Scenario 2 ‘A S-month-old gil admitted with chronic diarthoea and recurrent infections. on examination, she had 2 perioral rash anda whe tongue. vitamin 81 4 Your anewer Zine 4 Correct answer X Incorrect ‘his desorbes acrodermatitis enteropathica (zine deficiency). Presentation induces 3 history oF © chrenie darthoes, © pefianal and perioral rashes or lesions, © reddish hair and alopecia 5 Saulsrchanges 2.9. Blephants, conjunctivss, phataphabia and comeal dystrophy The white tongue is due to asseciated Candida infections. Scenario 3 10-year-old gi known to suffer from Crohn's csease presented with pallor and penpheral neuropathy. Folate < Your answer Visamin 8:2 4 Comact answer X Incorrect \itemin 812 is usually absorbed in the terminal cum, which in Crohn's Gisease patients can ba inlammed and ulcerated, Vitamin 512 deficiency wil cause a macrocitic anaemia. 2OLL PasTest Led | About nkact Us | Holo Session Progress Questions correc: 15 Questions Incorrect 79 Questions Total 4 Questions Percentage 15% Responses Correct 100 Responses Incorrect 154 Responses Total = 254 Responses Percentage 39% More | (@PasTest Main Navigation Home ‘Suibscrintions > PRCPCH 1 + Question Browser Timed Test + Mock Exam «+ Random Questions + Past Papers 4+ My Performance + eLechiras Online Extras ubrary community Hele Pastest Store iy Account Profie Newsletters| My Career and Exams onaer Hhstory Leaming Goals {question Fiters security ‘Change Password Sign Out Question Browser: MRCPCH 1 Saas oo ESE (STE Feet imeel 1H Normal schodule with substitution of single vaccines for MIR (measles, mumps, rubela) 1 Normal schedule without Mlk 43 Normal schedule without MMR or BCS For each ofthe folowing chitéren, choose the mest agproorate immunisation potcy from tne above Ist. Each Kem may oe used once, more man once or not ata Scenario 1 ‘Achilé born in the UK with vertically acquired human immunodeficiency virus (Hiv) infection. NRormal schedule with separate pertussis vaccine 4 Your answer Normal schedule without HMR or BCG < Correct answer X Incorrect Some experts advise that measles vaccine can be given f the child has 2 Bu count > 200. Mumps and rubslis vaccines can be given sina. Scenario 2 |Achild diagnosed on the autistic spectrum Formal schedule with separate pertussis vaccine 4 Your answer ‘Normal immunisation schedule D « Correct answer X Incorrect Autism is nat a contraindication to any immunisation. Scenario 3 Achild who has sickle call trait, Normal schedule without polio vaccine « Your answer ‘Normal immunisation schedule D « Comect answer X Incorrect Children with sickle call trait should receive the universal schedule. Those Wath Sekle call disease should receive the uncorgugated vaccine at age 2-3 Yeats, n aden to the conjugated vaccine as part of the universal Schedule (see htto://mwwammunisetion.nhs.ukvimmunisation_scredule). Note that BCS is NOT part ofthe Us universal schedule but may be offered in areas of high TE incidence. 2011 PasTest Lnd Js | Contact Us | Helo Session Progress Questions correct. = Questions Incorrect 2 Questions Total 2 Questions Percentage 0% Responses Correct. 4 Responses incomect 4 Responses Total 8 Responses Percentage 50% 2 More | (@PasTest Main Navigation Home ‘Suibscrintions > MRCPCH 1 + Question Bromser + Timed Test + Mock Exam «+ Random Questions «+ Past Papers 4+ My Performance online extras ubrary Community Hela PasTest Store iy Account Profile Newsletters| My Career and Exams naar History Leaming Goals ‘question Fiters Security Change Password Sign Out Question Browser: MRCPCH 1 “© question erowser| FP Exam Builder ©) Saved Exams Breastfeeding: Breastfeeding should be continued when 3 chi has = gastrantestnel infection breastfeeding, when maintained during ie 3 dianhoes, wil averthe risk of dehydration OTS @False < Correct Breastfeeding reduces the kelihood of cumulabve reproductive stress nthe mother and improves her ably to adequately cars for her @twe OFalse «Correct @Twue OFalse «Correct ca Exclysive braztfendng for 2-3 months FOMbiN tye Fae

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