Development/screening/well visits

Question 1

developmental / behavioral health screening tools

Answer 1

ASQ-SE
-Parents/caregivers complete the “Ages and Stages Questionnaires – Social/Emotional” (ASQ-SE) at ages 9 month, 18 month, and 24 month well-child visits to screen developmental milestone attainment.

MCHAT
-Modified Checklist for Autism in Toddlers (MCHAT) at the 18 month and 24 month well-child visits to screen for autism.

PHQ-2 / PHQ-9
-Mothers complete the Patient Health Questionnaire-2 (PHQ-2) at the 1 month, 2 month, 4 month, and 6 month well-child visit to screen for post-partum depression. Teens 12 years and older also complete this questionnaire to screen for depression and anxiety.

Question 2

ASQ-SE

What is it and when is it used?

Answer 2

Ages and Stages Questionnaires - Social / Emotional
(developmental milestones)

9 months, 18 month, 24 month well child visits

Question 3

MCHAT

What is it and when is it used?

Answer 3

Modified Checklist for Autism in Toddlers

18 months, 24 month well child visits

Question 4

PHQ-2 / PHQ-9

What is it and when is it used?

Answer 4

Patient Healthcare Questionnaire 2 and 9

Mothers complete PHQ2 at 1 month, 2 month, 4 month, 6 month well child visits to screen for post partum depression

Teens 12 yrs + complete to screen for depression/axiety

Question 5

Pediatric BMI ranges in growth charts

Answer 5

BMI <5th percentile for age is underweight.

BMI 5th to 85th percentile for age is healthy weight.

BMI >85th to 95th percentile for age is overweight, and BMI >95th percentile for age is obese.

Question 6

Formal vision screening starts at the ____ well-child visit

Answer 6

3 year

Question 7

Patients _____ and older undergo hearing screening in a quite room via pure tone audiometry, in which tones across the human speech spectrum (250 to 8,000 Hz) are presented at the lower limits of normal hearing (20 dB in children)

Answer 7

4 years

Question 8

Developmental milestone surveillance should occur at every well-child visit for____ years.

Answer 8

0-5

Question 9

Developmental milestones are grouped into 5 categories

Answer 9

(1) communication skills, (2) social skills, (3) cognitive skills, (4) gross motor skills, (5) fine motor skills.

Question 10

For patients ____ and up, part of the social history should be conducted without the parent/caregiver in the room.

Answer 10

11 years

Question 11

Eye movements in children should be conjugated (no more strabismus) by ____ months

Answer 11

4 months

Question 12

PE maneuvers used to assess for hip displasia

Answer 12

Barlow and Ortolani

Question 13

All children are screened for anemia at____ of age, when they are transitioning from _______ A value less than_____ indicates anemia and should be treated with oral iron replacement therapy.

Answer 13

12 months

an infant to toddler diet and have relatively low iron consumption.

10 mg/dL

Question 14

All children are screened for environmental lead poisoning at _____ of age. Children with Medicaid are screened again at ______. Children with a blood lead level above _______ need to be referred to the county health department for assistance with environmental lead hazard management.

Answer 14

12 months

24 months of age

5 mcg/dL

Question 15

Cholesterol screening should be done around _____ of age. It can be done anytime before or after that as well, if indicated. Children 18 years and younger should have a total cholesterol under ______

Answer 15

10 years

170 mg/dL