Well-child Flashcards

1
Q

What are the 3 measurement in childhood?

A

1- Head circumfrance (0-2y)
2- weight to hight (0-18m) - BMI (2y)
3- Blood pressure (3y)

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2
Q

Vision & hearing screening should be:

A
  • Vision: 3 years

- Hearing: 4 years

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3
Q

USPSTF recommendation for:

  • Dyslipidemia
  • HTN
  • Obesity

[child]

A
  • Dyslipidema & HTN: insuffiecent

- obesity: above yrs.

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4
Q

Hypertension screening by AAP:

A

At 3 years of age

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5
Q

Vision in USPSF screening, can’t be done after the age of:

A

4

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6
Q

Depression in AAP VS USPSTF

A
  • AAP: annually

- USPSTF: 12-18. Insuffiecent from 7-11

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7
Q

Because we are at high risk of dyslipidemia, we follow the AAP guidelines that states that screening in child should be:

A

At 6 - 8 - 10 years then annually.

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8
Q

Is there guidelines for screening for vitamin D in children?

A

No there isn’t

HOWEVER, we give 400IU for all children “AAP”

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9
Q

What if child is insufficient or deficient

A

5000 IU

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10
Q

When to consider child to have adquate vitamin D?

A

Above 30

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11
Q

What are the floride recommendations for children (oral and varnish)

A
  • Orally: at 6m if fluoride deficient area.

- varnish: at tooth eruption

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12
Q

When to preform developmental surveillance

A

9-18-30m

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13
Q

Immunization should be reviewd at which age?

A

Trick question. Each visit.

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14
Q

Lead poisoning screening in our hospital:

A

Annual from 3 years.
Usually: they come at school age

[AAP: 6m-6y if high risk]

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15
Q

What is the change that happened for BCG?

A

From birth&raquo_space; 6months

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16
Q

When to give measles vaccine?

A

At 9m

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17
Q

When to give MMR

A
  • 12m
  • 18m
  • 4-6yrs
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18
Q

When to give vericella vaccine

A
  • 18m

- 4-6 years

19
Q

HPV is the only vaccine that prevents against:

A

Cervical cancer

20
Q

HPV is given at:

A

11yrs - 12yrs.

21
Q

MCV4 is given at:

A

9-12m +18yrs ( the last one to be taken)

22
Q

HepA vaccine should be given at:

23
Q

What is the duration the can be given HPV from minimum to maximum catch-up dose.

A

9 years - up to - 18 years

24
Q

How many doses do i give of HPV in children?

A

Depending on age

  • 9 to 14: only 2
  • 15- 18: give 3
25
If it’s two doses of HPV, how long should they be spaced?
At least 5months apart. | [0-6 to 12m]
26
If it’s three doses of HPV, how long should they be spaced?
- between first & second: at least 1m - between second & third: at least 3m - between first & second: at least 5m [0 - 1 to 2m - 6m]
27
Counsiling at school aged children is
- diet & lifestyle modification - Screen time - sleep - safety
28
What is the role of screen time in children
Myopia, school preformance, decreased concentration, obesity, poor sleep quality, depression
29
How many hours should child sleep?
- 9 in older child | - 12in young child
30
Why sleep consultation should be done especially in school aged children?
Behavioral issues - difficulty concentration - obesity & high bp
31
screening in adolescence is every ..... years
4 years
32
Adolecents are aged
I0-19
33
Youth vs young ages
Youth: 15-24 Young: 10-24
34
Leading cause among adolecents
Motor vehicle accidents
35
When to consider child as obese
BMI more than 95 percentile
36
Screening in adolescence include:
- violence - obesity - depression - tobacco/alcohol/drug - sexual activity
37
Obesity recommendations by USPSTF
6m to 18 years
38
Role of family physician after detecting risk factors for violent behavior
- identify RF - connect w/parents - refer to: psychology - school-based programs - community groups
39
Depression according to USPSTF should be screened for at the age of
12 years
40
What is the though of USPSTF on counseling for - tobacco - alcohol - drug use
- recommended by USPSTF - no sufficient data - no sufficient data
41
Best tool for substance use screening
Craft
42
Screening for sexual diseases should be: “usually not in our community”
- HIV at 15years | - gonorrhea and chlymedia in females younger than 25
43
Screening for chlamydia is considered in:
Sexually active female