GENERAL

1. What could be the possible diagnosis for a child  with Diarrhoea?

2. When is a child considered to have diarrhoea? 

3. There are three categories under which childwith diarrhoea can fall. Which are these categories?

4. What are the points which you would assess in a child with diarrhoea?

DEHYDRATION

1. What are the classifications for Dehydration?

2. State the fluid deficit levels at which  dehydration occurs?

3. What are the criteria for classifying a child  as  

   • Severe Dehydration

   • Some Dehydration

   • No dehydration

4.  What action is taken for a childclassified as 

• Severe Dehydration

• Some Dehydration

• No dehydration

5.  How does one check for lethargy or 

     unconsciousness?

6.  When would you consider that a child has less 

     than normal movement?

5.  In whom is the clinical sign – ‘sunken eye’ 

     unreliable?

6. What is the standard procedure for skin pinch test?

7. When a skin pinch test is performed, what could be the results / outcomes of the test?

8. In whom is the skin pinch test unreliable?

9. How do you categorise the child’s reaction when offered to drink.

TREATMENT OF A CHILD WITH DEHYDRATION

1. What is the dose of doxycycline to be given to a child with cholera?

2. What is Plan C in Treatment of Severe Dehydration?

3. Which IV fluid is used in Plan C - management of severe dehydration?

4. In absence of Ringer lactate, which other fluid can be used?.

5. Why normal saline is not preferred for treatment of diarhoea?

6. What is the dose of IV Ringer lactate in management of severe dehydration?

7. What is Plan B in treatment of Some Dehydration?

8. What is Plan A treatment for a child with diarrhoea but No Dehydration?

9. What action is taken during the follow up care for the sick child with diarrhoea?

6. How is the child being administered Ringer Lactate monitored?

7. How much ORS should be given when rehydration is being done through nasogastric tube?

PERSISTENT DIARRHOEA

1. What is Persistent Diarrhoea?

2. Why is Persistent Diarrhoea important?

3. In which infants is Persistent Diarrhoea uncommon?

4. What is the classifications for Persistent Diarrhoea?

5. What are the criteria for classifying a child  as 

   • Severe Persistent Diarrhoea

   • Persistent Diarrhoea?

6. What action is taken for a young child classified as 

   • Severe Persistent Diarrhoea

   • Persistent Diarrhoea

DYSENTRY

1. What is Dysentery?

2. What could be the cause of blood in the stool of child?

3. In whom is dysentery more likely to be severe?

4. What action is taken for a child classified as Dysentery?

5. What is the dose of  Cefixime in the treatment of dysentery?

6. During the Follow up visit of the child with dysentery, what actions are taken?

7. Why should children with dysentery be treated for shigellosis?

ORAL REHYDRATION SOLUTION

1. What is the aim of oral rehydration therapy?

2. What is the scientific basis of oral fluid therapy?

3. Enlist types of ORS. 

4. What is the composition of Reduced Osmolarity ORS?

5. What is the role of various constituents of ORS?

6. What is the advantage of reduced osmolarity ORS?

7. What is the role of trisodium citrate in ORS? 

8. What are the advantages of rice based ORS?

9. What is Super ORS?

10. What is Super-Super ORS?

11. What are the advantages of administering ORS? 

12. Enumerate the conditions where ORS can be ineffective. 

13. How much ORS should be given to a child who is dehydrated?

14. How should the ORS be prepared?

15. How to give ORS to patient?

16. What are the general guidelines regarding how much ORS should be given  at home?

17. What if the child vomits after giving ORS?

18. Is there any harm in giving more than the estimated amount?

19. How will you make ORS at home?

20. What are the home available fluids?

21. When is ORS Day observed?

22. Which foods are to be avoided in diarrhoea?

INTRAVENOUS FLUIDS

1. When is IV fluids indicated?

2. Which IV fluids are recommended?

3. Why Ringer Lactate is a drug of choice for IV rehydration (IVR)?

4. What are the constituents of Diarrhoeal Treatment Solution (DTS)?

5. Why is Normal Saline considered a poor drug for IVR?

6. Why is plain glucose or dextrose not recommended?

7. What is the recommended dose of IV fluids?

8. How do you monitor the patient who is receiving IVF?

9. Within how many hours do the signs of dehydration generally disappear?

10. How will you know if too much IVF has been administered to the patient?

11. When will you know that the patient is adequately hydrated?

12. How much oral fluid should be given as a maintenance therapy?

ZINC SUPPLEMENTATION

1. What is the role of Zinc supplementation in diarrhoea?

2. What is the dose of Zinc for reducing the incidence of diarrhoea?

PREVENTION OF DIARRHOEA

1. What are the strategies for prevention of diarrhoea?

2. Give the schedule of Rotavirus vaccine

3. Why should the first dose of Rotavirus vaccine be not given after 12 weeks of age

4. What is the Integrated Global Action Plan for the Prevention and Control of Pneumonia  and Diarrhoea (GAPPD)?