Quiz 5: Diarrhoea
Please choose the one, most correct answer to each question or statement.
- Diarrhoea is diagnosed when:
    
- Stools are passed every day.
 - At least 3 loose and watery stools are passed in a day.
 - The stools smell offensive.
 - The stools contain blood.
 
 - What commonly causes diarrhoea?
    
- Round worms.
 - Eating too much.
 - Thrush.
 - Rota virus.
 
 - Diarrhoea is regarded as persistent when the stools are still loose after:
    
- 48 hours.
 - 5 days.
 - 2 weeks.
 - 1 month.
 
 - Diarrhoea is common in children:
    
- With malnutrition.
 - Who are obese and eat too much.
 - Who are breastfed.
 - Who are taking an iron supplement.
 
 - What is dysentery?
    
- Loose stools containing blood and mucus.
 - Loose stools containing blood only.
 - Loose stools containing mucus only.
 - Very watery stools.
 
 - Typhoid is caused by:
    
- Rota virus.
 - Shigella.
 - Salmonella.
 - E. coli.
 
 - What is a common sign of dehydration?
    
- A slow heart rate (bradycardia).
 - Slow, regular breathing.
 - A full fontanelle.
 - Decreased skin turgor.
 
 - Children with ‘some’ dehydration:
    
- Are usually lethargic and refuse to drink fluids.
 - Are restless and irritable.
 - Have severely decreased skin turgor.
 - Have lost more than 10 kg body weight.
 
 - A normal capillary filling time is:
    
- Less than 1 second.
 - Less than 3 seconds.
 - Less than 10 seconds.
 - Less than 1 minute.
 
 - What sign suggests that the diarrhoea may have a surgical cause?
    
- Marked abdominal distension.
 - Cramping abdominal pains.
 - Mucus in the stool.
 - Pyrexia (fever).
 
 - When a child has diarrhoea:
    
- Breastfeeding should be continued.
 - All milk feeds should be stopped as they make diarrhoea worse.
 - No solids should be given.
 - The child should only be given water or weak tea.
 
 - What is the management of a child with acute diarrhoea?
    
- Start oral rehydration solution.
 - Start antibiotics.
 - Give an antidiarrhoeal agent such as codeine.
 - Give an antiemetic to stop vomiting.
 
 - Children with mild diarrhoea and ‘no visible’ dehydration:
    
- Should all be taken to a clinic for management.
 - Can be managed at home.
 - Should be admitted to hospital as the diarrhoea may become worse.
 - Must be seen by a doctor.
 
 - How should a sugar and salt solution be made?
    
- Add 1 teaspoon of salt and 1 teaspoon of sugar to 1 litre of water.
 - Add 4 teaspoons of sugar and a pinch of salt to 1 litre of water.
 - Add 8 teaspoons of sugar and half a teaspoon of salt to 1 litre of water.
 - Add 10 teaspoons of sugar and 1 teaspoon of salt to 1 litre of water.
 
 - How should oral rehydration solution given?
    
- Give a cup full after every stool.
 - Give a cup full after each vomit.
 - Give frequent, small amounts.
 - Give as much as the child asks for every 2 hours.
 
 - What is the treatment of diarrhoea with severe dehydration?
    
- Rush the child to hospital so that an intravenous infusion can be started.
 - Start a nasogastric infusion if an intravenous infusion cannot be started immediately.
 - Give the child as much oral rehydration fluid as possible.
 - Start intravenous antibiotics.
 
 - Why do children commonly get diarrhoea?
    
- Because infants are fed pasteurised cow’s milk.
 - Because chlorinated tap water is used to make up formula feeds.
 - Because feeding bottles are not cleaned properly.
 - Because solid foods are introduced too soon.
 
 - How can the risk of diarrhoea be reduced, especially in poor homes?
    
- Add sugar to the feeds.
 - Use a cup rather than a bottle to give feeds.
 - Give formula feeds rather than breastmilk.
 - Reduce the amount of milk powder when mixing formula feeds.
 
 - How can a safe water supply be obtained?
    
- By allowing the water to stand for an hour before using it.
 - By adding bleach or boiling the water.
 - By using river rather than dam water.
 - By cooling the water in a fridge.
 
 - When building a simple pit toilet:
    
- It is best to build the pit toilet close to the house.
 - The pit must not be dug too deep.
 - The pit should be as wide as possible.
 - Throwing in lime, ash or soil will help to control flies.