ANSWERS
Leading risk factors-disease burden - CORRECT ANSWER✅✅✅Tobacco
High blood pressure
Overweight/Obesity
Physical inactivity
High cholesterol
Alcohol
Low fruit and vegetable consumption
Advice:
Do not smoke
• Maintain a healthy weight
• Be active
• Eat a balanced and nutritious diet
• Limit alcohol consumption
• Be sun smart
• Protect against infection
Screening - CORRECT ANSWER✅✅✅Condition-important, recognises, natural hx
Test-simple, safe, validated
Treatment-effective
Outcome-improved mortality/morbidity/QOL
Consumers-informed.
1. Preventative prior to pregnancy - CORRECT ANSWER✅✅✅15-50y
SNAP
, folic acid-0.5-5mg, iodine-150mcg, nutrition, weight, immunisations, medications, oral health, PMHx,
glucose.
Reproductive plan and history
Family hx/genetics
Physical-Pap, BMI, BP.
Vaccines-MMR, Varicella, influenza, dtpa.
Torch infections
Fish-mercury
2. Genetic counselling - CORRECT ANSWER✅✅✅• diagnosis of a genetic condition
• family history of a genetic condition
• recurrence risk counselling (eg risk of recurrence in a future pregnancy)
• pregnancy counselling (eg preconception, consanguinity)
• prenatal screening and testing
• presymptomatic and predictive testing for adult-onset disorders (eg cancer)
• discussions surrounding genetic testing
• arranging of genetic testing.
CF, Down, Fragile X, Hbs/thalassemias, HHC, Breast/ovarian, Colon, FHH (Dutch lipid clinic network)
Use Family history screening questionnaire.
3. Preventative in children and young people - CORRECT ANSWER✅✅✅0-5y
Neonate-immunise, Vit K, metabolic screen, hearing, physical.
2m-3y-immunise, physical, health promotion-BF, injury, UV, physical-vision, BMI, lift the lip, sleep
6-13y, as above plus schooling.
14-19-immunise, growth/BMI, SNAP, sex, risk taking.
0-8 Parental evaluation of development status (PEDS) questionnaire