Pediatric and Adolescent Hx

Question 1

routine pediatric hx

Answer 1

well -child

Question 2

focused pediatric hx

Answer 2

problem-oriented

Question 3

observation in a pediatric hx

Answer 3

child’s activity/ developmental skills, level of discomfort or lack of it, interactions with parent/caregiver, siblings, and you

Question 4

routine pediatric visit timeline

Answer 4

birth, 3-7 days, 1, 2,4,6,9,12,15,18, 24,30 months and annually thereafter from 3+

Question 5

essentials of routine peds hx

Answer 5

prenatal/birth hx, PMH, immunizations, FH, SH, development, diet, meds, drug allergies

Question 6

prenatal/birth hx

Answer 6

prenatal care and screening, pregnancy health, illness during pregnancy, meds or drugs during pregnancy, form of delivery and/or complications, birth weight, estimated gestational age, problems as a neonate

Question 7

PMH - peds

Answer 7

congenital anomalies, chronic conditions, serious illnesses and/or injuries, hospitalizations, surgeries

Question 8

immunization status

Answer 8

up-to-date?, parental concerns, serious adverse reactions

Question 9

vaccine refusal

Answer 9

acknowledge why, educate on risks, benefits, and responsibilities during an outbreak, document - patient education and refusal

Question 10

SH - peds

Answer 10

where does child live? who lives with them? who cares for them? smokers, pets, and safety

Question 11

Developmental Hx

Answer 11

developmental milestones, social habits, school progress

Question 12

developmental surveillance

Answer 12

routine - AAP - 9,18,30 months, autism -18 and 24 months

Question 13

Peds - diet

Answer 13

breastfeeding/formula, solids, fruits and veggies, table food, beverages and snacks

Question 14

Meds

Answer 14

OTC, herbal meds or home remedies, prescriptions meds

Question 15

Problem-focused visit peds

Answer 15

1-2 issues, HPI - I&O, activity, behavior, PMH as relevant, meds and effects, known ill contacts, ask for input

Question 16

School / Sports physical

Answer 16

PMH - illnesses/injuries, hospitalizations, surgeries, head trauma, FH - sudden death and hyperlipidemia, menarche and LMP

Question 17

Adolescent interview structure

Answer 17

1. adolescent and parent 2. adolescent alone 3. adolescent + parent

Question 18

Lipid screening

Answer 18

1. 9-11 years old, 2. 17-21, 3. as needed or with risk factors

Question 19

Adolescent psychosocial history

Answer 19

Home, Education/Employment, Eating, Activities, Drugs, Sexuality, Suicide/depresion/self-image, Safety

Question 20

mature minor doscrine

Answer 20

protects clinicians providing confidential health care to minors in situations not legally addressed, risk must be minimal, tx must be mainline and you must document the adolescent’s capacity to make informed decisions on and emotional and intellectual level