Rita's Screening Questions

Question 1

At what age do you begin BP screening?

a) 2 yo
b) 3 yo
c) 4 yo

Answer 1

b) 3 yo

Question 2

Which test is most likely to yield the best results?

a) A highly sensitive test with high specificity
b) A moderately sensitive test with low specificity
c) A low sensitive test with high sensitivity

Answer 2

a) A highly sensitive test with high specificity

Question 3

What are the current CDC recommendations concerning the frequency of routine screening for lead poisoning?

a) Routine screening in symptomatic children
b) Routine screening in children 12 and 24 months in children with risk factors
c) Routine screening at 6 and 36 months in children in low risk

Answer 3

b) Routine screening in children 12 and 24 months in children with risk factors

Question 4

When does the normal child have visual acuity approximating that of the adult 20/20?

a) 3-4 months
b) 18-24 months
c) 2-3 years
d) 5-6 years

Answer 4

d) 5-6 years

Question 5

What is the most reliable method of screening for hip dysplasia in a 2 month old?

a) Ortolani
b) Xray of hip
c) Ultrasound of hip
d) Leg length comparison

Answer 5

c) Ultrasound of hip
- -> until 4 mos

ortolani: for PE

Question 6

At what age do you screen for anemia in children?

a) age 6 month
b) age 1 year
c) age 5 year
d) age 10 year

Answer 6

b) age 1 year

Question 7

What is the most common cause of an Asian 2yo with an asymmetrical light reflex?

a) pseudo strabismus
b) strabismus
c) nystagmus
d) normal exam

Answer 7

b) strabismus

Question 8

Which of the following should be included as part of a routine screening for a school aged child with Down syndrome?

a) islet cell antibody (ICA)
b) X-ray of hip
c) thyroid stimulating hormone (TSH)
d) anti-tissue Transglutaminase antibody (tTG)

Answer 8

c) thyroid stimulating hormone (TSH)

islet cell antibody (ICA): sign of diabetes

anti-tissue Transglutaminase antibody (tTG): w/diarrhea, unknown anemia

Question 9

At what age do you start fluorides?

a) 3 months
b) 6 months
c) 9 months
d) 12 months

Answer 9

b) 6 months

Question 10

What symptom does teething cause?

a) fever
b) vomiting
c) diarrhea
d) drooling

Answer 10

d) drooling

Question 11

At what age do you screen for iron deficiency?

a) 3 mos
b) 8 mos
c) 12 mos

Answer 11

c) 12 mos

Question 12

What do you do with a patient with a BP who is on the 95th percentile?

a) treat for hypertension
b) refer to cardiology
c) repeat in 1 week
d) refer to nephrology

Answer 12

c) repeat in 1 week

Question 13

You are seeing a sexually active 16yo female. She reports one male sexual partner in the past 4 years. What screening should be done?

a) HIV
b) HIV and NAAT rectal test for Chlamydia and GC
c) Urine NAAT for chlamydia and GC
d) Urine NAAT for Chlamydia and GC with HIV test

Answer 13

d) Urine NAAT for Chlamydia and GC with HIV test

Question 14

Which of the following needs a test for syphilis?

a) A 15 yo homosexual male with 3 sexual partners
b) A 15yo female with a hx of 7 sexual partners
c) A 11 yo with a hx of one sexual partner
d) A 18yo male who is heterosexual and has had 5 sexual partners

Answer 14

a) A 15 yo homosexual male with 3 sexual partners