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CM Pediatrics Comp Exam With Complete Solutions
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CM Pediatrics Comp Exam With Complete SolutionsScreening & Dz Prevention
1) Top 2 MC causes of mortality in infants (birth-1yr)
2) ASQ vs ASQ-SE?
3) M-CHAT stands for? Validated for screenings at what age (and THSteps ages)? What
score = MEDIUM risk & what is the next step for medium risk
1) Top 2 MC causes of mortality in infants (birth-1yr): Congenital Malformations &
Low-birth weight
2) ASQ-SE Ages & Stages Questionnaire adds Social-Emotional to screening test
(includes self-reg, lang, adaptive behavior, autonomy, affect, interaction)
3) M-CHAT = Mod Checklist for Autism in Toddlers; Done at 16-30 mos (THSteps reqs
18-24 mos); Mod score = 3-7 --> Next step = Follow-up interview with rescore.
Screening & Dz Prevention
1) "___" to sleep campaign
2) Infant car-seat is safest ____-facing
3) Dental referrals starting when? Sealants starting when?
,4) Red reflex testing when? Formal eye chart (Snellen) at age __+.
5) What hearing test is used at 12 hrs old?; Audiometry annually, starting age ___.
1) "BACK" to sleep campaign
2) Infant Car-seat is safest: REAR-facing
3) Dental referrals starting when? @ 6 mos Sealants starting age 2
4) Red reflex testing when? At birth; Formal eye chart (Snellen) at age 3+.
5) What hearing test is used at 12 hrs old? Auditory Brainstem Response (pictured);
Audiometry annually, starting age 4.
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,Screening & Dz Prevention
LO: "Demonstrate use of Texas Health Steps Periodicity Schedule"
Screening & Dz Prevention- Vaccines
1) encephalopathy & seizure CI with what vax?
2) Valid CIs for live virus vax = anaphylaxis to ___, recent ___, and 1 other?
3) Non-valid CIs for live virus (3)
4) When are HPV vax CI?
Screening & Dz Prevention- Vaccines
1) encephalopathy & seizure vax rxn CI with DTAP. (also CI w/ fever >105 or crying
inconsolably >3 hrs w/i 48hr, collapse/shock, crying)
2) Valid CIs for live virus vax (ie. MMR, Varivax) = anaphylaxis to eggs, Immunodeficiency,
Recent immunoglobulin
3) Non-valid CIs for live virus = mom pregnant, immunodef. household contacts,
non-anaphylactic response to eggs
4) When are V HPvax CI? hypersensitivity to YEAST
, Screening & Dz Prevention
1) MC infectious cause of sensorineural hearing loss? How to test for it? Is it treatable?
2) When are the 1st and 2nd newborn screenings for heritable/congenital DOs done?
3) When should the 3 Anemia checks be?
4) When should the 2 Cholesterol checks be?
5) A 3 YO pt. has FHx of Father with an ICH, should they have cholesterol screening?
Screening & Dz Prevention
1) MC infectious cause of sensorineural hearing loss? Congenital CMV tested with a
URINE test; Treatable? Yes, "may be reversible if ID'd & tx'd early"
2) 1st and 2nd new born screenings done when? Texas Timing: 24-48 hrs OR prior to
leaving hospital & 1-2 wks of age
3) 3 Anemia checks should be done at? 12 mos, 18 mos, (After menarche) ~12 for females
4) When should the 2 Cholesterol checks be? Bw 9-11 & 17-21 yrs
5) A 3 YO pt. has FHx of Father with an ICH, should they have cholesterol screening? Yes,
selective screening 2+ if FHx of atherosclerotic dz
Screening & Dz Prevention
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