Internationally Adopted Child

Question 1

A protein on the surface of hep B virus. The presence indicates that the person is infectious

Answer 1

HBsAg

Question 2

HBsAg - hep B surface antigen Anti-HBsAg - hep B surface antibody Anti-HBcAg - hep B core antibody

Answer 2

Hepatitis B Screening Panel

Question 3

Must be used to treat TB prior to US entry

Answer 3

Directly Observed Therapy

Question 4

The presence is generally interpreted as indicating recovery and immunity from hep B virus infection; also develops in person who has been successful vaccinated against hep B

Answer 4

Anti-HBs

Question 5

Number of sputum specimens that must be taken if CXR suggests TB; takes 6-8 weeks

Answer 5

3

Question 6

Number of months after arrival that infectious disease screening should be repeated

Answer 6

6

Question 7

Requires that medical records must have English translation no later than 2 weeks before adoption or 2 weeks before the date of travel to country of origin to complete adoption; may not withdraw referral until parents have 2 weeks to consider health and social needs of child

Answer 7

Hague Convention

Question 8

-100% of the population in developing countries is infected before the age of 10 with this illness. -Once infected, person sheds intermittently in their urine and body secretions for life -Screening of all internationally adopted children is an attempt to diagnose hearing loss and prevent spread to adoptive mother who may become pregnant

Answer 8

CMV

Question 9

Prevent disseminated TB but does not prevent infection itself; PPD should not be given to children with healing scar or immunization within 1 calendar year

Answer 9

BCG

Question 10

To enter the US, newly adopted children need only meet the requirements for this visa; once in US, no mandated standards for comprehensive health care

Answer 10

Permanent Residency Alien Visa

Question 11

Recommended vaccine series for all family members and close contacts of an internationally adopted child

Answer 11

Hepatitis A

Question 12

Screening test timeline: 1. CBC, UA, PPD with or with CSR, VDRL or serologic evaluation for syphilis, HIV x 1-2 screening tests, stool ova and parasite x 3

Answer 12

2-4 weeks

Question 13

mm for positive PPD

Answer 13

10 mm

Question 14

True or False If not immunization records are available or if records do not comply with schedule, the child is treated as if unimmunized

Answer 14

True

Question 15

Catch-up growth is seen within first year after placement

Answer 15

True