Term
| What are the components of the social history that are particularly important for children? |
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Definition
1) living situation
2) diet
- physical activity
- DAILY SCREEN TIME
- hrs of sleep
- dental care
- helmets/seat belts |
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Term
| How can developmental Surveillance be performed without formal screening beyond toddler years? |
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Definition
1) school performance
- must r/o vision/hearing problem if poor performance |
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Term
| What is important to check for during the physical exam in children, above looking for new abnormalities? |
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Definition
1) signs of abuse
2) new abnormalities will only be found in 0-4% of previously asymptomatic children |
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Term
Describe the utility of the following screening test:
scoliosis
testicular examination |
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Definition
1) recommended against by USPSTF
2) recommended against by USPSTF |
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Term
| Define overweight and obese for children |
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Definition
1) BMI greater than 85th percentile
2) BMI greater than 95th percentile
*fun fact, the article states that 17% of children are overweight or obese....* |
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Term
| What is the recommendation for HTN screening in children |
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Definition
| - insufficient evidence to recommend universal BP screening before 18y/o |
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Term
| What is the recommendation for hearing and vision checks in children |
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Definition
| 1) 5, 6, 8, 10, 12(only for vision) |
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Term
| What is the recommendation for screening of dyslipidemia in children |
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Definition
- 6, 8, annually after 10yrso
- USPSTF declares insufficient evidence |
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Term
Describe the recommended supplementation of the following:
vitamin D
fluoride |
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Definition
1) 400IU/d for all children; 5000IU/d until 30ng/mL, in deficiency
2) water should be flouridated to 6.0+ppm |
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Term
| What ages should the first and second sets of immunizations be delivered for children? |
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Definition
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Term
What is the recommendation for the following at HM visits for children:
alcohol use screening
drug use screening
tobacco use screening and counseling |
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Definition
*AAP*
1) annually at 11 for all three |
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Term
What is the recommendation for the following at HM visits for children:
counseling to prevent STD
Chlamydia screening
Gonorrhea Screening |
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Definition
1) pts who are sexually active or 11+y/o
2) females younger than 25y/o sexually active
3) female sexually active and high risk |
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Term
What is the recommendation for the following at HM visits for children:
HIV screening
syphilis screening |
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Definition
1) pts at increased risk of infection
2) pts increased risk of infection |
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Term
| What are the dietary counseling recommendations for school-aged children |
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Definition
- balance dietary calories w/ phys act
- low-fat milk
- more fish
- more vegetables/fruits, limit juices
- whole grains
- dec sugar
- dec salt
- low sat/trans fatty oils |
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Term
| Describe the recommendations for physical activity in school-aged children |
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Definition
- 60+ minutes per day
- moderate activity most days; vigorous 3d
- muscle and bone strengthening activities 3d/wk |
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Term
| Describe recs for sleep in child HM exam |
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Definition
- ideal sleep time is 11hrs/night
- average is 9.4hrs |
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Term
| What is the leading cause of death for school-aged children in the US |
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Definition
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Term
| What are the components of the CRAFFT substance abuse screen? |
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Definition
1) Car driven by "high" person
2) Relax w/ drugs
3) Alcohol by yourself
4) Forget things while intoxicated
5) Friends/Family tell you to cut down
6) Trouble while using
2+ is concerning for abuse/dependence |
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