Preventive Pediatrics Flashcards
[Prev/CCHD]
Criteria for not passing CCHD? (3)
- SpO2 ≤ 89% in either the right hand or foot
- SpO2 90-94% in either the right hand or foot on 2 consecutive measurements separated by 1 hour
- ≥ 4% difference in SpO2 between right hand and foot on 2 consecutive measurements separated by 1 hour
[Pre/Eye]
Visual acuity cutoff for referral in preschoolers (<5 years)?
20/50
(Rule of 8, age + acuity ≤ 8, ie. age 3 + 5: acuity 20/50)
[Prev/Eye]
Visual acuity cutoff for referral in schoolers and above (≥ 5 years)?
20/30
(Reaching 20/20 by 5-7 years old)
(Rule of 8, age + acuity ≤ 8, ie. age 3 + 5: acuity 20/50)
[Prev/Hearing]
Infant hearing screening < ___ month
Hearing loss diagnosis < ___ months
Intervention (early intervention service) < ___ months
Infant hearing screening < 1 month
Hearing loss diagnosis < 3 months
Intervention (early intervention service) < 6 months
[Prev/BP]
Normal, elevated, stage 1 and 2 BP range (1-13 years of age)?
Normal BP: both systolic BP and diastolic BP < 90th %
Elevated BP: SBP and/or DBP ≥ 90th percentile but
< 95th percentile, or 120/80 mmHg to < 95th percentile (whichever is lower)
Stage 1 HTN: SBP and/or DBP > 95th percentile to < 95th percentile + 12 mmHg, or 130/80 to 139/89 mmHg (whichever is lower)
Stage 2 HTN: SBP and/or DBP > 95th percentile + 12 mmHg, or > 140/90 mmHg (whichever is lower)
[Prev/Lead]
Ages for universal lead screening?
2 screening
1 and 2 years of age
[Prev/Lead]
Repeat interval for elevated lead level? (2)
5-14 μg/dL, repeat in 1-3 months
15-44 μg/dL, repeat in 1-4 weeks
[Prev/Lead]
If lead level is > ___ μg/dL,
then start treatment of ____
and do ____ test for pica
≥ 45 μg/dL
Chelation therapy
Plain abdominal x-ray (lower level with pica)
[Prev/Lipid]
Routine screening ages for Dyslipidemia? (2)
(2 routine screening, as needed for high risk)
9-11 years old
17-21 years old
[Prev/Lipid]
Indication for statin therapy (age >10)? (2)
- After dietary change, LDL > 190 mg/dL
- LDL > 250 mg/dL, needs referral
[Prev/STD]
STD screening for men who have sex with men (2)
Annual HIV, syphilis, Urine chlamydia and gonorrhea
Depending on sexual practices, annual screening for
Rectal chlamydia and gonorrhea
Oropharyngeal gonorrhea (no pharyngeal chlamydia)
[Prev/STD]
HIV screening recommendation?
Once between 15-18 years of age
(As needed for high risk)
[Prev/Colic]
Definition of colic?
Normal infant < 3 months of age
Lasting >3 hours a day
At least 3 weeks
[Prev/Colic]
When colic usually resolves?
3-4 months
[Prev/Vaccine/Catchup]
Catchup vaccination schedule for Hib/PCV? (2)
Hib
≥ 15 months < 5 year old -> one dose
≥ 5 year old -> no dose
PCV
12 - 23 months 2 doses, 8 weeks apart
2-5 years, 1 dose
≥ 5 year old -> no dose
[Prev/Vaccine/Schedule]
Toddler vaccines and maximum age eligible for vaccines?
Rota: __
DTap: __
Hib/PCV: __
Rota 8 months
DTap 7 years
Hib/PCV 5 years
[Prev/Vaccine/Schedule]
Regular 2, 4, 6 months vaccination schedule?
2 months: Hep B, DTap, IPV, Hib, PCV, Rota
4 months: (no Hep B), DTap, IPV, Hib, PCV, Rota
6 months: Hep B, Dtap, IPV, (no Hib if PedvaxHIB), PCV, (no Rota if Rotarix), first Flu
[Prev/Vaccine/Schedule]
Regular 12 months, 15 months, 18 months vaccines schedule?
12 months: Hib, PCV, MMRV, Hep A #1
15 months: DTap
18 months: Hep A #2
[Prev/Vaccine/Schedule]
Regular 4 year, 11 year, 16 year vaccination schedule?
4 year DTap, IPV, MMRV
11 year Tdap, HPV, Men A #1 (HPV #2 6 -12 months later)
16 year Men A #2, (+/- Men B #1 and #2 in a month)
[Prev/Vaccine]
Subcutaneous injection vaccination?
MMRV
IPV
[Prev/Vaccine]
Which vaccination required evaluated before vaccination?
Egg allergy
Yellow fever
[Prev/Vaccine]
Which vaccination required evaluated before vaccination?
Hypersensitivity to yeast
Hep B
[Prev/Vaccine]
Which vaccination required evaluated before vaccination? (3)
Gelatin
MMRV, yellow fever, inactivated influenza
[Prev/Vaccine]
Which vaccine can suppress tuberculin skin test reactivity and how long wait?
MMR
TST 4-6 weeks after MMR
[Prev/Vaccine]
When to give Hep B vaccine for preterm infants < 2 kg with mother of hep b negative?
1 month of choronological age
Or at hospital discharge if going home before 1 month
[Prev/Vaccine]
Pediatrix combination?
DTap-IPV-HepB
[Prev/Vaccine]
Pentacel combination?
DTap-IPV-Hib
[Prev/Vaccine]
How many doses of HPV vaccines per age?
9 - 15 years: 2 doses (0 and 6-12 months)
≥ 15 years: 3 doses (0, 1-2, and 6 months)
[Prev/Vaccine]
Absolute contraindication for DTaP vaccine? (2)
History of encephalopathy within 7 days of dosing
Immediate anaphylactic reaction with previous dose
[Prev/Vaccine]
Neurologic complications of DTaP vaccine? (2)
Guillain-Barre syndrome within 6 weeks after receiving a tetanus toxoid-containing vaccine
Seizures within 3 days of vaccination (no neurologic sequalae after vaccination)
[Prev/Vaccine]
Indication of DT vaccination? (2)
children > 1 year: routine immunization with DTaP has been deferred due to, for example, an evolving neurologic disorder or progressive developmental delay of unknown etiology
unimmunized 1-6 years of age with a medical contraindication to a pertussis-containing vaccine