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Paeds SAQspreventive-and-community-paediatrics

Paeds SAQs · preventive-and-community-paediatrics

Sun protection and skin cancer prevention — formative SAQs

Formative SAQs on layered childhood photoprotection, indoor tanning and vitamin D counselling.

20 marks30 min1 min readVerification in progress

Target exams

RACP General PaediatricsMRCPCH ClinicalABP General Pediatrics
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Study tools

Target exams

RACP General PaediatricsMRCPCH ClinicalABP General Pediatrics
Prompt
Sun protection counselling and skin-cancer prevention

SAQ 1 (10 marks)

Parents of a fair 8-year-old plan an all-day beach sports carnival. They say SPF 50 sunscreen applied once in the morning “should cover it.” [1]

  1. List the layered photoprotection measures you will recommend beyond a single sunscreen application. (4) [1] [4]
  2. Explain two technique errors that make sunscreen fail in real life. (3) [4]
  3. How will you answer their plan to “get a base tan” on a tanning bed the week before? (3) [3] [9]

Model answer

Layered plan: shade structures/umbrellas; timing of intense exposure away from peak UV when feasible; clothing (rash vest, dense weave) and hat covering ears/neck; sunglasses; broad-spectrum sunscreen on remaining exposed skin with reapplication after water/towelling/prolonged exposure. [1] [4]

Technique failures: too little product; missed sites (ears, neck, feet); no reapplication after swimming; relying on SPF number alone without broad-spectrum coverage or clothing. [4]

Indoor tanning: no safe paediatric use; associated with higher melanoma odds; a base tan does not prevent DNA damage — advise against salons and offer non-UV alternatives if appearance is the driver. [3] [9]

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References6ShowHide
  1. [1]Section on Dermatology, Balk SJ Ultraviolet radiation: a hazard to children and adolescents Pediatrics, 2011.PMID 21357336
  2. [2]Balk SJ Ultraviolet radiation: a hazard to children and adolescents Pediatrics, 2011.PMID 21357345
  3. [3]Balk SJ Counseling on Sun Protection and Indoor Tanning Pediatrics, 2017.PMID 29127209
  4. [4]Balk SJ Sun Protection Pediatrics in review, 2023.PMID 37002351
  5. [5]Green AC Reduced melanoma after regular sunscreen use: randomized trial follow-up Journal of clinical oncology, 2011.PMID 21135266
  6. [9]Colantonio S The association of indoor tanning and melanoma in adults: systematic review and meta-analysis Journal of the American Academy of Dermatology, 2014.PMID 24629998
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