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Medical Technology Laws and Bioethics > Newborn Screening Act > Flashcards

Newborn Screening Act Flashcards

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USMLE® Step 1 flashcards
1
Q

The process of collecting a few drops of blood from the newborn onto an appropriate collection card and performing biochemical testing for determining if the newborn has a heritable condition (conditions result to mental retardation, physical deformity, and death).

A

Newborn Screening

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2
Q

A simple, non-invasive procedure to find-out if a baby has a congenital metabolic disorder that may lead to mental retardation and or death if left untreated. Newborn screening tests are done by measuring metabolites and enzyme activity in whole blood samples collected on specialized filter paper.

A

Newborn Screening

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3
Q

How is newborn testing performed?

A

By performing the heel-prick method

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4
Q

Who may collect samples for newborn screening?

A
  • Physician
  • Nurse
  • Midwife
  • Medical Technologist
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5
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

First organizational meeting attended by representatives from different PPS and POGS accredited hospitals in Metro Manila.

A

February 22, 1996

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6
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Creation of the NBS Study group composed of Pediatric and OB-Gynecology consultants from participating hospitals.

A

April 02, 1996

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7
Q

The NBS study group created in April 02, 1996 was named _________.

A

Philippine Newborn Screening Project

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8
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Commencement of the Philippine Newborn Screening Project in 24 participating hospitals (18 private and 6 government).

A

June 27, 1996

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9
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Coordination with the New South Wales Newborn Screening Program in Australia for test performance and analysis.

A

June 1996 - September 1997

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10
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Start of operation of the Newborn Screening Laboratory at the National Institutes of Health, UP Manila.

A

September 18, 1997

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11
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Issuance of the Presidential Proclamation No. 540, Subject: “Declaring the First Week of October of each year as “National Newborn Screening Awareness Week.”

A

January 20, 2004

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12
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Enactment of Republic Act 9288 known as the Newborn Screening Act of 2004

A

April 07, 2004

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13
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Signing of the Implementing Rules and Regulations of the Newborn Screening Act.

A

October 07, 2004

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14
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Inclusion of Maple Syrup Urine Disease (MSUD) in the NBS Panel of Disorders.

A

January 2012

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15
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Expanded Newborn Screening – inclusion of more than 20+ disorders in the NBS Panel of Disorders.

A

December 2014

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16
Q

MILESTONES IN THE HISTORY OF NEWBORN SCREENING IN THE PHILIPPINES

Administrative Order No. 2014-0045-A, all infants born in accredited facilities shall be tested for ENBS test only.

A

March 29, 2019

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17
Q

RA 9288

A

Newborn Screening Act of 2004

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18
Q

RA 9288 is the fusion of _________.

A

Senate No. 2707 + House No. 6625

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19
Q

When was Senate No. 2707 approved?

A

February 2, 2004

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20
Q

When was House No. 6625 approved?

A

February 5, 2004

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21
Q

When was RA 9288 approved?

A

April 7, 2004

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22
Q

RA 9288 was signed by ________.

A

Pres. Gloria Macapagal-Arroyo

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23
Q

PD 540

A

Newborn Screening Week

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24
Q

RA 9288 consists of how many sections?

A

19

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25
Q

RA 9288 consists of how many articles?

A

5

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26
Q

What are the articles under RA 9288?

A
  • General Provisions
  • Definition of Terms
  • Newborn Screening
  • Implementations
  • Final Provisions
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27
Q

What are the sections under General Provisions?

A

Sections 1, 2, 3

28
Q

What are the sections under Definition of Terms?

A

Section 4

29
Q

What are the sections under Newborn Screening?

A

Sections 5, 6, 7, 8, 9

30
Q

What are the sections under Implementation?

A

Sections 10, 11, 12, 13, 14, 15, 16

31
Q

What are the sections under Final Provisions?

A

Sections 17, 18, 19

32
Q

When is Newborn Screening Week celebrated?

A

Every first week of October

33
Q

Elements of Newborn Screening

A
  • Comprehensive
  • Integrative
  • Sustainable
  • Collaborative
34
Q

The monitoring of a newborn with a heritable condition for the purpose of ensuring that the newborn patient complies fully with the medicine or dietary prescriptions.

A

Follow-up

35
Q

These are hospitals, health infirmaries, health centers, lying-in centers or puericulture centers with obstetrical and pediatric services, whether public or private.

A

Health Institutions

36
Q

These are physicians, nurses, midwives, nursing aides and traditional birth attendants.

A

Health Practitioners

37
Q

It is any condition that can result in mental retardation, physical deformity or death if left undetected and untreated and which is usually inherited from the genes of either or both biological parents of the newborn.

A

Heritable condition

38
Q

It means the National Institute of Health

A

NIH

39
Q

It means a child from the time of complete delivery to 30 days old.

A

Newborn

40
Q

It means a facility equipped with a newborn screening laboratory that complies with the standards established by the NIH and provides all required laboratory tests and recall/follow-up programs for newborns with heritable conditions.

A

Newborn Screening Center

41
Q

It means the various means of providing parents or legal guardians information about newborn screening.

A

Parent Education

42
Q

It means a procedure for locating a newborn with a possible heritable condition for purposes of providing the newborn with appropriate laboratory to confirm the diagnosis and, as appropriate, provide treatment.

A

Recall

43
Q

It means the provision of prompt, appropriate and adequate medicine, medical, and surgical management or dietary prescription to a newborn for purposes of treating or mitigating the adverse health consequences of the heritable condition.

A

Treatment

44
Q

Performance of Newborn Screening

Newborn screening is performed after ________ of life but not later than __________ from complete delivery of the newborn.

A

24 hours, but not later than 3 days

45
Q

Performance of Newborn Screening

Newborn in intensive care

A

May be exempted from the 3-day requirement, but must be tested by 7 days of age

46
Q

When are newborn screening results available?

A

7 working days from the time samples are received

47
Q

The ____ and the ____ shall require health institutions to provide newborn screening system as a condition for licensure or accreditation.

A

DOH and Philippine Health Insurance Corporation (PHIC)

48
Q

The _____ shall be the lead agency on implementing RA 9288.

A

DOH

49
Q

The DOH shall develop the implementing rules and regulations for the immediate implementation of a nationwide screening program within ____________ from the enactment of this act.

A

180 days

50
Q

The DOH shall coordinate with the _______ for implementation of the newborn screening program.

A

Department of the Interior and Local Government (DILG)

51
Q

The DOH shall coordinate with the _______ for the accreditation of Newborn Screening Centers and preparation of defined testing protocols and quality assurance programs.

A

NIH Newborn Screening Reference Center

52
Q

The advisory committee on newborn screening is an integral part of the _____ of the DOH.

A

Office of the Secretary

53
Q

Chairman of the Advisory Committee

A

Secretary of Health

54
Q

Vice Chairperson of the Advisory Committee

A

Executive Director of the NIH Members

55
Q

Meeting for the Advisory Committee

A

Atleast twice a year

56
Q

The _____ shall serve as the Secretariat of the Committee.

A

NIH

57
Q

The _____ shall establish a Newborn Screening Reference Center, which shall be responsible for the national testing database and case registries, etc.

A

NIH

58
Q

The ________ shall be responsible for drafting and ensuring good laboratory practice standards for newborn screening databases.

A

NIH Newborn Screening Reference Center

59
Q

The _______ shall maintain a national databasse of patients tested and a registry for each condition.

A

NIH Newborn Screening Reference Center

60
Q

The most common etiology of congenital hypothyroidism is the _____.

A

Thyroid Dysgenesis

61
Q

A group of disorders resulting from enzymatic defects in the biosynthesis of sterols.

A

Congenital Adrenal Hyperplasia (CAH)

62
Q

A disorder of aromatic amino acid metabolism in which phenylalanine cannot be converted to tyrosine due to a deficiency or absence of the enzyme phenylalanine hydroxylase.

A

Phenylketonuria (PKU)

63
Q

A disease due to a defect or deficiency of the branced chain ketoacid dehydrogenase complex.

A

Maple Syrup Urine Disease

64
Q

An x-linked disorder found in both sexes but more males are affected.

A

Glucose-6-PD Deficieny (G6PD)

65
Q

The most common clinical manifestation of G6PD deficiency is ______.

A

Hemolytic Anemia

66
Q

A rare genetic metabolic disorder that is inherited in an autosomal recessive manner.

A

Galactosemia

67
Q

It is an inborn error of carbohydrate metabolism characterized by elevated levels of galactose due to enzyme deficiencies.

A

Galactosemia

Medical Technology Laws and Bioethics (11 decks)

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