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CMN 571 - Test Review Questions and Verified Answers| Latest Update
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CMN 571 - Test Review Questions and Verified Answers| Latest Update
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CMN 571 - Test Review Questions and VerifiedAnswers| Latest Update
How many minutes of daily physical activity is recommended for children? - ✔✔60
minutes/daily is the general recommendation for all children. The question was about all
children, not just those with HTN.
A very high total cholesterol level in a child most likely has a diagnosis of ___________? -
✔✔JAMA Screening for Lipid Disorders in Children and Adolescents US Preventive Services
Task Force Recommendation Statement- pg 628, first paragraph--
Children with *familial hypercholesterolemia* can have TC and LDL-C levels 2 to 3 times higher
than those of unaffected children. ..1 The burden of familial hypercholesterolemia is
attributable to premature cardiovascular events in adulthood resulting from long-term
exposure to elevated serum cholesterol levels and atherosclerosis.
Dr. Lang:
Correct, with a very high total cholesterol, FH is the most probable diagnosis in children.
Recommendations about playing sports for a child with Osgood Schlatter's Disease. -
✔✔Bright Futures, pg. 94: "The athlete may participate [in sports] if he or she is not limping
at the end of a game or practice."
Dr. Lang:
The application question included that the child had been playing sports without problems. The
child may be released to play sports by the family practitioner.
Activities expected in children in the concrete thinking stage. - ✔✔Dr. Lang:
Hay, pg. 79: "Concrete operations typically begin after age 6..the child is able to order, number,
and classify because these activities are related to concrete objects in the environment..."
,USPSTF recommendation guidelines for children with high BMI - ✔✔USPSTF Guidelines,
Obesity in Children and Adolescents, p. 80:
"Refer patients to comprehensive moderate- to high-intensity programs that include *dietary,
physical activity, and behavioral counseling components*."
Dr Lang
Age of children recommended to have routine lipid screening by AAP and NHLBI. -
✔✔USPSTF Lipid Sreening JAMA article p. 632 "The National Heart, Lung, and Blood
Institute's Expert Panel on Integrated Guidelines for Cardiovascular Health and Risk Reduction
in Children and Adolescents and the American Academy of Pediatrics' Bright Futures
recommend universal screening before adolescence (ages 9 to 11 years) and again after
puberty (ages 17 to 21 years)".
Dr. Lang:
Yes, this is the correct answer.
Immunizations needed for 9 year old, when up to date at age 6. - ✔✔Influenza is the only
vaccine recommended. The next set of vaccines start in the 11-12 age group. per CDC vaccine
schedule.
Dr. Lang:
This is the correct answer; the question indicated that the child was brought in TODAY.
Influenza is all that is needed.
When do you tell parents that intoeing found in a child is normal and nothing needs to be
done? - ✔✔Dr Lang:
Most intoeing and outoeing is normal especially when bowleg walking is followed by intoeing.
This indicates you understand that the position of the legs/hips in utero can cause initial
, outoeing but intoeing begins to occur with normalization of the feet forward by age 6. While
the other answers may give you some helpful information, *a history of intoeing/outoeing in
parents (and indeed examination of the parents)* can indicate that the outoeing/intoeing may
not resolve and may require intervention.
For all, please review the normal and abnormal findings for children who have vision and
hearing screenings and when to refer. Also, much weakness was found in ability to apply
motivational interviewing techniques in patient scenarios. - ✔✔Dr. Lang
Review Key concepts related to the Varicella vaccine. - ✔✔Dr. Townsend:
Adult pt not know to have varicella immunity could receive their 2nd dose of the vaccine 4
weeks after the first dose.
Review Key concepts related to the HPV vaccine. - ✔✔CDC Immunization Schedule,
Footnotes — Recommended Immunization Schedule for Children and Adolescents Aged 18
Years or Younger, UNITED STATES, 2017, #13 HPV:
--Administer HPV vaccine to all adolescents through age 18 years who were not previously
adequately vaccinated. The number of recommended doses is based on age at administration
of the first dose.
--For persons initiating vaccination before age 15, the recommended immunization schedule is
2 doses of HPV vaccine at 0, 6-12 months.
--For persons initiating vaccination at age 15 years or older, the recommended immunization
schedule is 3 doses of HPV vaccine at 0, 1-2, 6 months.
Dr. Townsend:
HPV is a 2 dose series for those 11-12 years.
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