well child test 2

Question 1

what are the components to a well child visit

Answer 1

Measurements
Sensory screening
Developmental / behavioral health
History
Physical examination
Anticipatory guidance
Procedures
Oral health

Question 2

what screen do 12 yo and up fill out

Answer 2

depression and anxiety.

Question 3

when is screen for autism done

Answer 3

18 month and 24 month

Question 4

at what check ups is screening for post partum depression done

Answer 4

1 month, 2 month, 4 month, and 6 month

Question 5

when is the “Ages and Stages Questionnaires – Social/Emotional” done

Answer 5

ages 9 month, 18 month, and 24 month

Question 6

define normotension

Answer 6

. Normotension falls between the 50th and 90th percentiles, based on the child’s sex, age, and height.

Question 7

when do we start checking bp

Answer 7

Blood pressure starts to be measured at the 3 year old well-child visit.

Question 8

what ages do we check length, weight, and head circumference

Answer 8

0-2 yo

Question 9

when do we check weight, height, and bmi

Answer 9

2-20 yo

Question 10

what BMI percentile is under weight

Answer 10

<5th

Question 11

what is a healthy BMI range

Answer 11

5th to 85 th

Question 12

what is an overweight BMI

Answer 12

> 85th to 95th

Question 13

what is an obese BMI

Answer 13

> 95th

Question 14

what age do we start vision screen?

Answer 14

3yo

Question 15

at what vision do we refer

Answer 15

20/40

Question 16

do we refer color blindness?

Answer 16

yes ish

Question 17

what age do we usepure tone audiometry for testing

Answer 17

4 and up

Question 18

what do you do if they fail the first pure tone audiometry test

Answer 18

clean ears and repeat

refer is failed 2nd attempt

Question 19

Developmental milestone surveillance should occur at what ages

Answer 19

0-5 yo

Question 20

what makes up the Developmental milestones

come to find out it has nothing to do with mile long stones

Answer 20

(1) communication skills,
(2) social skills,
(3) cognitive skills,
(4) gross motor skills,
(5) fine motor skills.

Question 21

at what age do we interview the patient alone

Answer 21

11 yo

Question 22

important PE on HEENT

Answer 22

plagiocephaly (0-12 months), strabismus (eye movements should be conjugate by 4 months of age), dental caries/decay.

Question 23

important PE on CV –

Answer 23

listen for murmurs in seated and supine position.

Question 24

important PE on Breast and GU –

Answer 24

assess pubertal status (Tanner stage), presence of hernia, evidence of STI.

Question 25

important PE on Hips –

Answer 25

assess for developmental dysplasia of the hip (Barlow and Ortolani maneuvers) until the child is walking.

Question 26

important PE on Spine –

Answer 26

Adam’s forward bend test for scoliosis (11-18 years).

Question 27

t/f Dental caries are actually a communicable disease.

Answer 27

T, don’t put your kids stuff in your mouth the put it back in their mouth! that is gross but we all do it

Question 28

when would you need fluoride supplements

Answer 28

if the fluoride content in water is less than 0.7 mg/Liter.

Question 29

when do we wean off bottle and paci

Answer 29

12-15 mo (good luck with that one! we stuffed a bear with KK’s and now she hates the bear)

Question 30

what is the last part of the visit

Answer 30

labs and shots

Question 31

when do you screen for anemia

Answer 31

12 mo

value less than 10 is anemia

Question 32

when do we screen for lead

Answer 32

12 months of age. Children with Medicaid are screened again at 24 months of age.

a level above 5 is bad

Question 33

when do we test cholesterol

Answer 33

around 10 yo

Question 34

what are normal cholesterol levels in patient 18 and younger

Answer 34

total cholesterol under 170 mg/dL,

LDL under 130 mg/dL,

and HDL above 35 mg/dL.

Question 35

when do you screen for hiv

Answer 35

17 yo

Question 36

when is the first pap smear done

Answer 36

21 yo by obgyn