1.
Children presenting with constipation should be referred if their age is below: (Choose one correct answer)
Correct Answer
A. 1 year
Explanation
Children presenting with constipation should be referred if their age is below 1 year. This is because constipation in infants can be a sign of an underlying medical condition that requires further evaluation and management. It is important to identify and address any potential issues early on to prevent complications and ensure the child's well-being. Therefore, any child below the age of 1 year with constipation should be referred for further assessment and appropriate intervention.
2.
The following are described as normal bowel habits: (You may choose more than one correct amswer)
Correct Answer(s)
A. 1 movement a day
B. 3 movements a day
C. 3 movements a week
Explanation
The correct answer is 1 movement a day, 3 movements a day, and 3 movements a week. This is because normal bowel habits can vary from person to person. While some individuals may have one bowel movement a day, others may have three bowel movements a day. Additionally, some individuals may have three bowel movements a week and still have normal bowel habits. It is important to note that as long as the bowel movements are regular and not accompanied by any discomfort or other symptoms, they can be considered normal.
3.
A change in normal bowel habit accompanied by hard stools should be referred if ti lasts longer than: (Choose one correct answer)
Correct Answer
C. 2 weeks
Explanation
A change in normal bowel habit accompanied by hard stools should be referred if it lasts longer than 2 weeks. This is because a change in bowel habit, such as constipation, can be indicative of an underlying medical condition that may require further investigation or treatment. If the change in bowel habit persists for more than 2 weeks, it is important to seek medical advice to determine the cause and appropriate management.
4.
Constipation in children could be caused by:(You may choose more than one correct answer)
Correct Answer
C. Emotional causes
Explanation
Constipation in children can indeed be caused by emotional factors. Emotional causes refer to psychological or emotional stress or anxiety that can affect the normal functioning of the digestive system. Stress and anxiety can disrupt the normal bowel movements and lead to constipation. This can be particularly common in children who may experience emotional issues such as fear, anxiety, or trauma. It is important to address these emotional causes and provide appropriate support and intervention to help alleviate constipation in children.
5.
The following symptoms accompanying constipation warrant referral: (You may choose more than one correct answer)
Correct Answer(s)
A. Blood in faeces
B. Abdominal pain
C. Decreased appetite
Explanation
The symptoms of blood in faeces, abdominal pain, and decreased appetite are all concerning signs that may indicate a more serious underlying condition. Blood in the faeces can be a sign of gastrointestinal bleeding, which should be evaluated by a healthcare professional. Abdominal pain can be a symptom of various conditions such as intestinal obstruction or inflammation, and decreased appetite can be a sign of a gastrointestinal disorder or other systemic illness. Therefore, it is important to refer individuals experiencing these symptoms to a healthcare provider for further evaluation and appropriate management.
6.
Advice for constipation includes:(You may choose more than one correct answer)
Correct Answer
A. Increase fibre intake
Explanation
Increasing fiber intake is advised for constipation because fiber adds bulk to the stool and helps it move more easily through the digestive system. This can help prevent or relieve constipation by promoting regular bowel movements. Avoiding fatty food and spices may also be helpful as these can slow down digestion and contribute to constipation. However, avoiding fruit juices and carbonated drinks may not necessarily be directly related to constipation, as some fruit juices and carbonated drinks can actually have a mild laxative effect.
7.
The following products are licenced to be sold as non-prescription for a child aged 2 years: (You may choose more than one correct answer)
Correct Answer(s)
B. Glycerol
C. Lactulose
Explanation
Glycerol and lactulose are both non-prescription products that are licensed to be sold for a child aged 2 years. These products are commonly used as laxatives and are considered safe for children in the appropriate dosage. Isphagula husk, on the other hand, is not mentioned as a licensed product for children aged 2 years, so it is not a correct answer.
8.
The following advice should be given when dispensing lactulose:
Correct Answer(s)
B. Take with water
C. Take with meals
Explanation
The advice given when dispensing lactulose is to take it with water and with meals. Taking it with water ensures that it is properly swallowed and absorbed by the body. Taking it with meals helps to prevent any potential stomach upset or discomfort that may occur when taking the medication on an empty stomach.