Question 9: Which of the following is a Red Flag symptom in a child with 95% 22 61% feverish illness (which would cause you to refer to a paediatric specialist urgently)? Weak or high pitched cry. Question 10: Which of the following is a correct piece of advice for parents of a 95% 24 67% child with a fever (with no red or amber symptoms)? Look for signs of dehydration, non-blanching rash, encourage more fluids than usual and to seek further advice if they feel the child is getting worse. Question 11: A diagnosis of atopic eczema can be made when a child has an 95% 34 94% itchy skin condition and which of the following? History of dry skin in the last 12 months, visible flexural dermatitis involving skin creases and allergic rhinitis. Question 12: A referral to specialist dermatological advice is necessary if: 95% 34 94% Atopic eczema is associated with severe or recurrent infections. Question 13: Which of the following describes the correct management for a 2 year old with dry skin, and occasional 95% 23 64% appearance of red patches of itchy skin behind the knees? Emollients, mild topical corticosteroids only where and when the skin is red and itchy, and continue with emollients even when fully resolved. Question 14: Which of the following children is constipated? 95% 34 94% A 3 year old who passes 2 hard large stools per week, straining to do so and who has had constipation in the past. Question 15: When assessing a child, which of the following findings is a Red 95% 35 97% Flag indicating an underlying disorder rather than idiopathic constipation? Ribbon-shaped stool and abdominal distension with vomiting. Question 16: Which of the following describes the most appropriate dietary and 95% 36 100% lifestyle advice for parents of a 5 year old child with idiopathic constipation (in addition to management with laxatives)? Fluid intake of at least 1200ml as drinks daily, recommend foods such as fruit and vegetables, high-fibre bread and wholegrain cereals, daily physical activity and negotiated follow-up and support. Question 17: Are you aware of where to access the NICE guidelines quick 100% 29 81% reference guides? Yes
Question 9: Which of the following is a Red Flag symptom in a child with feverish illness (which would cause you to refer to a paediatric specialist urgently)? Weak or high pitched cry. 95% 22 61% Question 10: Which of the following is a correct piece of advice for parents of a child with a fever (with no red or amber symptoms)? Look for signs of dehydration, non-blanching rash, encourage more fluids than usual and to seek further advice if they feel the child is getting worse. 95% 24 67% Question 11: A diagnosis of atopic eczema can be made when a child has an itchy skin condition and which of the following? History of dry skin in the last 12 months, visible flexural dermatitis involving skin creases and allergic rhinitis. 95% 34 94% Question 12: A referral to specialist dermatological advice is necessary if: Atopic eczema is associated with severe or recurrent infections. 95% 34 94% Question 13: Which of the following describes the correct management for a 2 year old with dry skin, and occasional appearance of red patches of itchy skin behind the knees? Emollients, mild topical corticosteroids only where and when the skin is red and itchy, and continue with emollients even when fully resolved. 95% 23 64% Question 14: Which of the following children is constipated? A 3 year old who passes 2 hard large stools per week, straining to do so and who has had constipation in the past. 95% 34 94% Question 15: When assessing a child, which of the following findings is a Red Flag indicating an underlying disorder rather than idiopathic constipation? Ribbon-shaped stool and abdominal distension with vomiting. 95% 35 97% Question 16: Which of the following describes the most appropriate dietary and lifestyle advice for parents of a 5 year old child with idiopathic constipation (in addition to management with laxatives)? Fluid intake of at least 1200ml as drinks daily, recommend foods such as fruit and vegetables, high-fibre bread and wholegrain cereals, daily physical activity and negotiated follow-up and support. 95% 36 100% Question 17: Are you aware of where to access the NICE guidelines quick reference guides? Yes 100% 29 81%
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