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Family Medicine > Well-child > Flashcards

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:

A

18-24m

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
Q

If it’s two doses of HPV, how long should they be spaced?

A

At least 5months apart.

[0-6 to 12m]

26
Q

If it’s three doses of HPV, how long should they be spaced?

A
  • between first & second: at least 1m
  • between second & third: at least 3m
  • between first & second: at least 5m

[0 - 1 to 2m - 6m]

27
Q

Counsiling at school aged children is

A
  • diet & lifestyle modification
  • Screen time
  • sleep
  • safety
28
Q

What is the role of screen time in children

A

Myopia, school preformance, decreased concentration, obesity, poor sleep quality, depression

29
Q

How many hours should child sleep?

A
  • 9 in older child

- 12in young child

30
Q

Why sleep consultation should be done especially in school aged children?

A

Behavioral issues - difficulty concentration - obesity & high bp

31
Q

screening in adolescence is every ….. years

A

4 years

32
Q

Adolecents are aged

A

I0-19

33
Q

Youth vs young ages

A

Youth: 15-24
Young: 10-24

34
Q

Leading cause among adolecents

A

Motor vehicle accidents

35
Q

When to consider child as obese

A

BMI more than 95 percentile

36
Q

Screening in adolescence include:

A
  • violence
  • obesity
  • depression
  • tobacco/alcohol/drug
  • sexual activity
37
Q

Obesity recommendations by USPSTF

A

6m to 18 years

38
Q

Role of family physician after detecting risk factors for violent behavior

A
  • identify RF
  • connect w/parents
  • refer to: psychology - school-based programs - community groups
39
Q

Depression according to USPSTF should be screened for at the age of

A

12 years

40
Q

What is the though of USPSTF on counseling for

  • tobacco
  • alcohol
  • drug use
A
  • recommended by USPSTF
  • no sufficient data
  • no sufficient data
41
Q

Best tool for substance use screening

A

Craft

42
Q

Screening for sexual diseases should be: “usually not in our community”

A
  • HIV at 15years

- gonorrhea and chlymedia in females younger than 25

43
Q

Screening for chlamydia is considered in:

A

Sexually active female

Family Medicine (15 decks)

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