Studied by 11 peopleFood
Any raw, cooked or processed edible substance
Adultered food
Food that contains any poisonous or deleterious substance
Food materials
Are food left over, kitchen cooking waste
Readily perishable foods
Any food of such type or in such condition as may spoil
Dairies
Establishment for the production, sale and distribution of milk/milk products
Food establishment
An establishment where food and drinks are manufactured
Food cart
A non enclose movable stand
Food stall
A permanently constructed food booth
Grocery
Where staple food articles are handled and sold
Sari sari store
A convenient store
Appliances
Includes the whole or part of any utensil, machinery and apparatus intended for making and preparing of any food
Single service apparatus
Readily destructible materials after used
Caterer
Any person, firm or corporation operating a kitchen for the preparation of food and drink for sale
Food handler
Any person who handles, stores with any eating or cooking utensil
Misbranding
All possible condition of fraud, mislabeled goods
Sanitize
An effective bactericidal treatment to render surface of utensils and equipments
Vermin
A group of insect or small animals
7°C
Readily perishable food shall be stored ____
Below 7°C
Food to be seed cold shall be kept ____
Not below 60°C
Food to be served hot shall be kept ____
Not more than -12°C
Frozen food shall be kept at____
0-3°C
Meat and fish shall be stored ____
5-7°C
Milk and milk product shall be stored___
7-10°C
Fruits and vegetables shall be stored___
10-15°C
Dry storage ____
20 FC
Where food is prepared
5 FC
Where food is consumed
100 FC
Requires discrimination of fine detail
50 FC
Require discrimination of details
10 FC
Not involving discrimination of fine details
5 FC
Not requiring critical seeing
0.005 cu.m /s/person
Natural air supply in work room
0.015cu.m/s/person
Work rooms in which the work is demanding
6
Mechanical ventilation for toilets must be changed not less than ____times / hr
1.02 M/s
Air velocity
26.67°C
Ideal temp. In workplace
12 sq.ft
Area / below 25 person
11 Sq. Ft
Area / 25-74 person
10 Sq. Ft
Area/ 75-149 person
9 Sq. Ft
Area / 150-500 persob
8 Sq. Ft
Area/ more than 500
Hot water; 77°C
At least 30 s in a clean ___ at least ____
50-100 ppm
At least one minute in lukewarm _____ chlorine solution
77°C; 15mins
Steam cabinet at least ____ for ____ mins
82°C; 20mins
Open hot air cabinet at ____ for ____
12.5ppm
Water with iodine ____ for 1 min
Once every 3 mos.
Class A establishment
Once every 2 mos.
Class B establishment
Once every mos
Class C establishment
At least once a week
Market establishment
At least ince every six months
Other food establishment
Class A
50 seating capacity
Class B
30 seating capacity
Class C
10 seating capacity
Class A and B
Conpulsory air conditioning
915m
Areas which are ___ above sea level are exempted in air conditioning
15 sq.m
Groceries has min area of ___
8 sq.m
Sari sari store has area of ___
9.3 sq.m - 3.06 sq.m
Baking room has ___ and ___
What ages does the AAP and Bright Futures recommend children to be regularly scheduled for health supervision visits?
12, 15, 18, 24 and 30 months followed by annual visits at age 3 and 4
What is being addressed during health supervision visits from age 1-4?
Concerns and questions from parents Child's growth and development Comprehensive physical exam preformed Provide guidance about healthy habits/behaviors, social competence of caregivers, family relationships and community interactions
What is one of the biggest concerns of prevention of children in the age group 3-4 years old?
Preventing obesity, most children begin upward trajectory during this time
How often do you need to provide regular, scheduled visits for health supervision from ages 5-10?
AAP and Bright Futures recommend annual health supervision visits
Should you include the child in the discussions involving health, safety, development and guidance?
Yes, older children enjoy talking directly with the examiner
About 12-20% of children from age 5-10 have what type of condition?
Some form of chronic physical, developmental or mental condition
What is the order of examination in a child compared to an adult?
It is the same as it is in an adult. Examine painful areas last and if child resists part of examination, you can return back to it at the end
How do you optimally measure height in children older than 2 years?
Standing, with wall-mounted stadiometers Heels, back and head against a wall or back of stadiometer.
What is short stature?
Subnormal height for age
What can cause short stature?
Can be a normal variant or caused by endocrine or other diseases
What are normal variants of short stature?
Familial short stature and constitutional delay
What are other diseases that can cause short stature?
Growth hormone deficiency Endocrine diseases Gastrointestinal disease Renal or metabolic disease Genetic syndromes
How much should children grow after age 2?
At least 5 cm per year
How should a child be weighed ?
In their underwear or in a gown on a stand-up scale (as long as they can stand)
Do you need to continue to measure head circumference?
No, after 24 months it is no longer necessary unless genetic or CNS disorder suspected
What are etiologies of failure to thrive?
Psychosocial, interactional, gastrointestinal and endocrine disorders
Can you use BMI in a child to assess for subsequent health risks from obesity?
Yes, there are age and sex-specific charts available for children over 2
Children that have exogenous obesity tend to be short or tall for their age? Endocrine causes are short/tall?
Exogenous=tall for age Endocrine=short for age
Underweight BMI group
<5th percentile
Healthy weight BMI group
5-85th percentile
Overweight BMI group
85-95th percentile
Obese BMI group
95th percentile
When do children most commonly have high blood pressure?
When crying, exercise and anxiety
What is the most frequent cause of an elevated blood pressure in children?
Improperly performed examination (incorrect cuff size) Also-White coat hypertension
How do you select the appropriate BP cuff for a child?
The same way you would an adult-Wide enough to cover 2/3 of the upper arm or leg
What is an alternative way to measure blood pressure in a "chubby infant" where the Korotkoff sounds are difficult to hear?
Use palpation to determine systolic blood pressure systolic BP is approx 10mmHg LOWER by palpation than auscultation
What is the difference in blood pressure reading from the thigh compared to the arm?
The thigh are approx 10mmHg HIGHER than those from the upper arm
If your patient has the same blood pressure when measured in the upper arm as well as in the thigh what should you be suspecting?
Coarctation of the aorta
What are some pharmacological reasons a child may have transient hypertension?
They are on medication for ADHD or asthma medication
What are causes of secondary HTN in children?
Renal, endocrine, neurologic disease; vascular causes, drugs or medications and psychologic causes
Blood pressure category <90th percentile
Normal
Blood pressure category 90-95th percentile
Prehypertensive
Blood pressure category >95th percentile
HTN
What is stage 1 HTN in children?
95th percentile to 5mm Hg above 99th percentile
What is stage 2 HTN in children?
99th percentile plus 5 mm Hg
Is it extremely important to dx a child with HTN after one noted elevated reading?
No, it is important NOT to falsely label a child or adolescent as having HTN
What is the range and average heart rate of a child 1-2 years old?
Average=110 Range= 70-150
What is the range and average heart rate of a child 2-6 years old?
Average=103 Range= 68-138
What is the range and average heart rate of a child 6-10 years old?
Average=95 Range= 65-125
What will you physical signs will you note in a child with bronchiolitis or pneumonia?
Rapid respirations (up to 80-90/min) ALSO increased work of breathing-grunting, nasal flaring, use of accessory muscles
How do you observe respiration in a young child?
Observe for TWO 30 second intervals or over 1 min, prior to stimulating them. Can directly ascultate the chest but may agitate the child
Note
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