Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

1. Pediatrics > Preventive Pediatrics > Flashcards

Preventive Pediatrics Flashcards

1
Q

[Prev/CCHD]

Criteria for not passing CCHD? (3)

A
  1. SpO2 ≤ 89% in either the right hand or foot
  2. SpO2 90-94% in either the right hand or foot on 2 consecutive measurements separated by 1 hour
  3. ≥ 4% difference in SpO2 between right hand and foot on 2 consecutive measurements separated by 1 hour
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

[Pre/Eye]

Visual acuity cutoff for referral in preschoolers (<5 years)?

A

20/50
(Rule of 8, age + acuity ≤ 8, ie. age 3 + 5: acuity 20/50)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

[Prev/Eye]

Visual acuity cutoff for referral in schoolers and above (≥ 5 years)?

A

20/30
(Reaching 20/20 by 5-7 years old)
(Rule of 8, age + acuity ≤ 8, ie. age 3 + 5: acuity 20/50)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

[Prev/Hearing]

Infant hearing screening < ___ month
Hearing loss diagnosis < ___ months
Intervention (early intervention service) < ___ months

A

Infant hearing screening < 1 month
Hearing loss diagnosis < 3 months
Intervention (early intervention service) < 6 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

[Prev/BP]

Normal, elevated, stage 1 and 2 BP range (1-13 years of age)?

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

[Prev/Lead]

Ages for universal lead screening?

A

2 screening
1 and 2 years of age

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

[Prev/Lead]

Repeat interval for elevated lead level? (2)

A

5-14 μg/dL, repeat in 1-3 months
15-44 μg/dL, repeat in 1-4 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

[Prev/Lead]

If lead level is > ___ μg/dL,
then start treatment of ____
and do ____ test for pica

A

≥ 45 μg/dL
Chelation therapy
Plain abdominal x-ray (lower level with pica)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

[Prev/Lipid]

Routine screening ages for Dyslipidemia? (2)

A

(2 routine screening, as needed for high risk)
9-11 years old
17-21 years old

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

[Prev/Lipid]

Indication for statin therapy (age >10)? (2)

A
  1. After dietary change, LDL > 190 mg/dL
  2. LDL > 250 mg/dL, needs referral
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

[Prev/STD]

STD screening for men who have sex with men (2)

A

Annual HIV, syphilis, Urine chlamydia and gonorrhea

Depending on sexual practices, annual screening for
Rectal chlamydia and gonorrhea
Oropharyngeal gonorrhea (no pharyngeal chlamydia)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

[Prev/STD]

HIV screening recommendation?

A

Once between 15-18 years of age
(As needed for high risk)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

[Prev/Colic]

Definition of colic?

A

Normal infant < 3 months of age
Lasting >3 hours a day
At least 3 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

[Prev/Colic]

When colic usually resolves?

A

3-4 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

[Prev/Vaccine/Catchup]

Catchup vaccination schedule for Hib/PCV? (2)

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

[Prev/Vaccine/Schedule]

Toddler vaccines and maximum age eligible for vaccines?

Rota: __
DTap: __
Hib/PCV: __

A

Rota 8 months
DTap 7 years
Hib/PCV 5 years

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

[Prev/Vaccine/Schedule]

Regular 2, 4, 6 months vaccination schedule?

A

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

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

[Prev/Vaccine/Schedule]

Regular 12 months, 15 months, 18 months vaccines schedule?

A

12 months: Hib, PCV, MMRV, Hep A #1
15 months: DTap
18 months: Hep A #2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

[Prev/Vaccine/Schedule]

Regular 4 year, 11 year, 16 year vaccination schedule?

A

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)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

[Prev/Vaccine]

Subcutaneous injection vaccination?

A

MMRV
IPV

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

[Prev/Vaccine]

Which vaccination required evaluated before vaccination?
Egg allergy

A

Yellow fever

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

[Prev/Vaccine]

Which vaccination required evaluated before vaccination?
Hypersensitivity to yeast

A

Hep B

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

[Prev/Vaccine]

Which vaccination required evaluated before vaccination? (3)
Gelatin

A

MMRV, yellow fever, inactivated influenza

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

[Prev/Vaccine]

Which vaccine can suppress tuberculin skin test reactivity and how long wait?

A

MMR
TST 4-6 weeks after MMR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
# [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
26
# [Prev/Vaccine] Pediatrix combination?
DTap-IPV-HepB
27
# [Prev/Vaccine] Pentacel combination?
DTap-IPV-Hib
28
# [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)
29
# [Prev/Vaccine] Absolute contraindication for DTaP vaccine? (2)
History of encephalopathy within 7 days of dosing Immediate anaphylactic reaction with previous dose
30
# [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)
31
# [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
32
# [Prev/Vaccine/Schedule] Tdap vaccination routine schedule?
11-12 years of age Every 10 years
33
# [Prev/Vaccine/Catchup] Tdap schedule for Unimmunized ≥ 7 years?
Unimmunized (no 5 completion) 1st Tdap 0, 2nd Tdap or Td in 4 weeks, 3rd Tdap or Td in 6 months
34
# [Prev/Vaccine/Wound&DTap] When to give DTap with clean minor wounds? (2)
Tetanus doses < 3 or unknown Tetanus doses ≥ 3 but ≥ 10 years since the last dose
35
# [Prev/Vaccine/Wound&DTap] Tetanus vaccines and TIG indication for dirty wound?
Tetanus vaccines < 3 doses or unknown
36
# [Prev/Vaccine/Wound&DTap] Tetanus vaccines indication for dirty wound?
Tetanus vaccines ≥ 3 doses AND ≥ 5 years since last dose
37
# [Prev/Vaccine/CIx] Absolute contraindication for MMR? (3)
History of anaphylactic reaction to MMR, neomycin or gelatin Severe immunodeficiency Pregnancy
38
# [Prev/Vaccine] Minimum age for MMR when close contact of MMR
6 months (Not included for routine 2 dose series)
39
# [Prev/Vaccine/Catchup] Catchup vaccine interval for Varicella by age?
2 dose series < 13 years: 3 months apart ≥ 13 years: 4 weeks apart
40
# [Prev/Vaccine/Hib] Hib vaccination schedule for Children < 24 months of age with invasive Hib infection?
Same schedule for unimmunized Hib < 15 months: 3-4 doses 15 ≤ < 5 years: 1 dose ≥ 5 years: none
41
# [Prev/Vaccine/HepB] Infants born to Hep B _positive_ mother Initial treatment and follow up?
Hep B vaccine and HBIG ≤ 12 hours of life HBsAg and anti-HBs at 9-12 months of age
42
# [Prev/Vaccine/HepB] Infants born to Hep B _unknown_ mother Initial treatment and follow up?
Hep B vaccine ≤ 12 hours of life HBIG if positive no later than 7 days if > 2 kg Hep B vaccine and HBIG ≤ 12 hours of life if < 2 kg
43
# [Prev/Vaccine/PCV] Disorders associated with increased risk of invasive pneumococcal disease? (6)
Sickle cell, other hemoglobinopathies, funtional/anatomic asplenia Cochlear implant CSF leak HIV Chronic cardiac/pulmonary/kidney disease DM, mallignancy
44
# [Prev/Vaccine/PCV] PCV vaccination schedule for high-risk fully immunized patients?
PCV13 completion < 15 month or 2 doses >15 mo - 6 yo PPSV23 at 2 years of age (at least 8 weeks apart from PCV13) 2nd dose at 5 years for sickle cell, hemoglobinopaties, functional/anatomic asplenemia (no 2nd dose for chronic cardiac/pulmonary/kidney, CSF leak, cochlear implants)
45
# [Prev/Vaccine/MCV] Minimal age for Men B vaccine?
≥ 10 years for high risk (Routine 16-23 years)
46
# [Prev/Vaccine/MCV] MCV vaccine schedule for high risk?
- 2 months - 6 years of age: 2 doses at 2 years (8-12 weeks apart) Booster at three years after primary immunization repeat boosters every 5 years thereafter - ≥ 7 years of age: every 5 years after primary series
47
# [Prev/Vaccine/Rota] Initiation age and maximum of Rota vaccine? Starting at ___ weeks No initiation after ___ weeks No Rota vaccine after ___ months of age
Starting at _6_ weeks No initiation after _15_ weeks No Rota vaccine after _8_ months of age (6 weeks ≤ < 15 weeks (14 weeks and 6 days))
48
# [Prev/Vaccine/Rota] Contraindication of Rota vaccine? (3)
1. History of intussusception 2. SCID 3. Severe allergy to the vaccine or its component
49
# [Prev/Vaccine/Flu] Maximum age required initial 2-dose series for influenza vaccine?
< **9** years: needs 2 dose series (≥ 9 years 1 annual dose)
50
# [Prev/Vaccine/Flu] Contraindication of influenza vaccine (1)?
Anaphylactic reaction after previous influenza vaccination (Egg allergy is not contraindication)
51
# [Prev/Sunscreen] Minimal age for sunscreen? Minimal age for DEET (insect repellent)
Sunscreen: 6 months DEET: 2 months
52
# [Prev/BP] Indications to measure blood pressure before 3 years old? (6)
1. Obesity, Diabetes 2. Kidney: Renal disease, Recurrent UTI, renal/urologic malformations, Family history of congenital renal disease 3. Heart: Aortic arch obstruction, Those taking medications known to cause hypertension, Congenital heart disease (repaired or unrepaired) 4. Prematurity: <**32** weeks, SGA, VLBW, NICU stay or umbilical artery line 5. Transplant 6. Other systemic illnesses associated with HTN (eg, NF, TSC, sickle cell disease
53
# [Prev/BP] Which gestational age of prematurity requires early blood pressure monitoring?
<**32** weeks
54
# [Prev/Immigration] Initial laboratory test for all immigrant child? (9)
1. CBC 2. Lead (0-16 year old, now and 3-6 months later) 3. Quantiferon (first line, tuberculin skin test second line) 4. HIV (Ab for >18 months, RNA test for <18 mo) 5. Syphilis 6. Hep B surface antigen 7. Hep C antibody 8. Strongyloides serology 9. Ova and parasite stool test (2-3 samples in 2-3 occasion) or presumptive treatment +/- NBS (<12m), TFT (<6yr), Preg/GC/CT (F>13 yr)
55
# [Prev/Immigration] Newborn screening test for immigrant child if the child is less than ___ months old
Newborn screening test for immigrant child if the child is less than _12_ months old
56
# [Prev/Immigration] TSH and fT4 test for immigrant child if age is less than ___ years old
TSH and fT4 test for immigrant child if age is less than _6_ years old
57
# [Prev/Immigration] Laboratory test for Adolescent immigrant child (2)?
1. Pregnancy test for female 2. GC/CT for all
58
# [Prev/Immigration] Schistosoma serology for immigrant child from ___
Schistosoma serology for immigrant child from _Sub-saharan Africa_
59
# [Prev/Immigration] Presumptive treatment for soil-transmitted helminth (worm) infection First line: ___ Second line: ___
First line: Albendazole once (contraindicated in pregnancy or allergy) Second line: Pyrantel pamoate for 3 days
60
# [Prev/Immigration] Presumptive treatment for Strongyloidiasis: ___ Schistosomiasis: ___
Strongyloidiasis: _Ivermectin (StrongyLiver)_ Schistosomiasis: _Praziquantel_
61
# [Prev/Foster] Routine visit intervals for a child under foster care Every month till ___ months Every 3 months till ___ months Every 6 months till age ___ years old
Every month till _6_ months Every 3 months till _24_ months Every 6 months till age _21_ years old
62
# [Prev/Vaccine/Live] Patients being treated with ≥ __ mg/kg/day or max ___ mg/day of corticosteroid for more than ___ days should receive live-virus vaccines no earlier than ___ weeks
Patients being treated with ≥ _2_ mg/kg/day or _20_ mg/day of corticosteroid For more than _14_ days should receive live-virus vaccines No earlier than _4_ weeks
63
# [Prev/Vaccine/Live] Contraindication for intranasal live attenuated influenza vaccine (LAIV)? (5)
1. Asthma 2-4 yo or wheezing within 12 months 2. Chronic heart/kidney disease, diabetes 3. Cochlear implant, CSF leak, immunosuppressive therapy 4. Daily salicylate therapy 5. Household with immunocompromised
64
# [Prev/Vaccine/Live] MMR and Varicella vaccine should be administered ___ months after immunoglobulin (IVIG) therapy. If MMR and Varicella vaccination given ___ weeks before IVIG, vaccine needs to be repeated.
MMR and Varicella vaccine should be administered _8_ months after immunoglobulin (IVIG) therapy. (11 months for IVIG for Kawasaki) If MMR and Varicella vaccination given _2_ weeks before IVIG, vaccine needs to be repeated.
65
# [Prev/Vaccine] Which vaccine needs to be stored frozen (-50C to -15C) (freezer vaccine)? (1)
Varicella
66
# [Prev/Vaccine/Varicella] Evidence of immunity for varicella vaccine? (3)
1. Documentation of 2 doses series 2. Antibodies or confirmation of disease (PCR) 3. Physician documentation reported varicella infection
67
# [Prev/Vaccine/Sickle] Additional vaccination for sickle cell disease? (2)
(PCV13 completion of 4 doses) 1. PPSV23 at ≥ 2 years of age (8 weeks apart from the last PCV13 and after PCV13 completion 4 doses) 2nd PPSV23 5 years after 1st dose 2. MenACWY: if < 24 months: Menveo 2, 4, 6, 12 months (Only Menveo approved <24 months) if ≥ 24 months: 2 doses of any MenACWY 8 weeks apart
68
# [Prev/Vaccine/Varicella] Varicella vaccination is indicated when ____ patient exposed without history of ____ within ___ days of exposure
1. All unimmunized or ≥ _12_ months old and incomplete vaccination 2. No prior history of natural infection 3. Within 3 days of exposure
69
# [Prev/Vaccine/Varicella] Varicella immunoglobulin (VARIZIG) indication after exposure? (3)
1. Immunocompromized 2. Infant of mother with varicella infection 5 days prior, 2 days after delivery 3. Non-immune pregnant women
70
# [Prev/Vaccine/Schedule] Vaccination minimal interval Hep B DTap/IPV Hib/PCV
Hep B **4** week/**8** week/**16** week DTap/IPV **4** week/**4** week/**6** month Hib/PCV **4** week/**4** week/**8** week (> 15 mo 1 dose, > 5 yo no dose)
71
# [Prev/Vaccine/Catchup] Catchup vaccine for unimmunized? > 7 yo: __ 5-7 yo: __ 2-5 yo: __
> 7 yo: Hep B, Tdap, IPV, MMRV, Hep A, HPV, MenACWY 5-7 yo: Dtap instead of Tdap 2-5 yo: Hib/PCV one dose
72
# [Prev/Vaccine/Schedule] Vaccination minimal interval MMR Hep A MenACWY
MMR 4 week Hep A 6 month MenACWY 8 week
73
# [Prev/Vaccine/Schedule] Regular MenACWY schedule?
First 13-15 yo Second 16-18 yo (One dose if first received > 16 yo)
74
# [Prev/Carseat] Rear car seat till <____ lb, or as long as possible Forward facing at least ___ age, and ___ lb Belt-positioning at least ___ age
1. rear-facing car safety seats as long as possible, < _40_ lb 2. forward-facing car safety seats from the time they outgrow rear-facing, at least 4 years of age, > _40_ lb 3. belt-positioning booster seats from the time they outgrow forward-facing seats, at least _8_ years of age
75
# [Prev/Vaccine/Live] Live vaccines? (6)
BCG Intranasal influenza Yellow MMRV Rotavirus Oral poliovirus
76
# [Prev/Vaccine/Live] Contraindicated vaccines for family with immunocompromised patient?
Intranasal influenza Oral poliovirus (MMRV, rota is okay since live attenuated)
77
# [Prev/Foster] Foster parents do or do NOT have authorization to provide consent for medical decisions?
Foster parents do NOT have authorization Birth parents need to consent or social service grant consent
78
# [Prev/Media] AAP recommendation for media consumption by age? < 18 months: ___ 18-24 months: ___ 2-5 years old: ___ >6 years old: ___
< 18 months: no screen media 18-24 moths: high-quality media with parents 2-5 years: < 1 hours with high-quality media > 6 years: consistent limit on media

1. Pediatrics (22 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions