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Peds Screens etc > Screenings 2-21 years > Flashcards

Screenings 2-21 years Flashcards

1
Q

UNIVERSAL screenings for 2 year?

A
  1. Autism

2. Lead

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2
Q

Action for autism at 2 year?

A

Autism Specific screen

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3
Q

Action for Lead at 2 year?

A

Lead screen

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4
Q

SELECTIVE screenings for 2 year?

A
  1. Oral health
  2. Blood pressure
  3. Vision
  4. Hearing
  5. Anemia
  6. Lead
  7. Tuberculosis
  8. Dyslipidemia
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5
Q

Risk assessment for oral health at 2 year?

A
  1. Does not have a dental home

2. Primary water source is deficient in fluoride

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6
Q

Risk assessment for Blood pressure at 2 year?

A

Children with specific risk conditions or change in risk

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7
Q

Risk assessment for Vision at 2 year?

A

Parental concern or abnormal fundoscopic examination or cover/uncover test

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8
Q

Risk assessment for Hearing, anemia, lead, tuberculosis and dyslipidemia at 2 year?

A

+ on risk screening questions

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9
Q

Action if Risk assessment is POSTIVE for oral health at 2 year?

A
  1. Referral to dental home or, if not available oral health risk assessment
  2. Oral fluoride supplementation
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10
Q

Action if Risk assessment is POSTIVE for blood pressure at 2 year?

A

blood pressure

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11
Q

Action if Risk assessment is POSTIVE for vision at 2 year?

A

ophthalmology referral

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12
Q

Action if Risk assessment is POSTIVE for hearing at 2 year?

A

Referral for diagnostic audiologic assessment

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13
Q

Action if Risk assessment is POSTIVE for anemia at 2 year?

A

Hematocrit or hemoglobin

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14
Q

Action if Risk assessment is POSTIVE for lead at 2 year?

A

lead screen

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15
Q

Action if Risk assessment is POSTIVE for tuberculosis at 2 year?

A

Tuberculin skin test

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16
Q

Action if Risk assessment is POSTIVE for dyslipidemia at 2 year?

A

Fasting lipid profile

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17
Q

UNIVERSAL screenings for 3 year?

A

Visual acuity

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18
Q

Action for visual acuity at 3 year?

A

Objective measures with age-appropriate visual acuity measurement (ex: Snellen charts)

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19
Q

SELECTIVE screenings for 3 year?

A
  1. Oral health
  2. Hearing
  3. Anemia
  4. Lead
  5. Tuberculosis
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20
Q

Risk assessment for oral health at 3 year?

A
  1. Does not have a dental home

2. Primary water source is deficient in fluoride

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21
Q

Risk assessment for Hearing, anemia, tuberculosis at 3 year?

A

+ on risk screening questions

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22
Q

Risk assessment for Lead at 3 year?

A

If no previous screen and + on risk screening questions or change in risk

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23
Q

Action if Risk assessment is POSTIVE for oral health at 3 year?

A
  1. Referral to dental home

2. Oral fluoride supplementation

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24
Q

Action if Risk assessment is POSTIVE for hearing at 3 year?

A

Referral for diagnostic audiologic assessment

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25
Q

Action if Risk assessment is POSTIVE for anemia at 3 year?

A

Hematocrit or hemoglobin

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26
Q

Action if Risk assessment is POSTIVE for lead at 3 year?

A

lead screen

27
Q

Action if Risk assessment is POSTIVE for tuberculosis at 3 year?

A

Tuberculin skin test

28
Q

UNIVERSAL screenings for 4 and 5-6 year?

A
  1. Visual acuity

2. Hearing

29
Q

Action for Visual acuity at 4 and 5-6 year?

A

Objective measures with age-appropriate visual acuity measurement (ex: Snellen charts)

30
Q

Action for Hearing at 4 and 5-6 year?

A

Audiometry

31
Q

SELECTIVE screenings for 4 and 5-6 year?

A

Both:

  1. Anemia
  2. Lead
  3. Tuberculosis
  4. Dyslipidemia

Only 5-6 years:
- Oral health

32
Q

Risk assessment for oral health at 5-6 years?

A
  1. Does not have a dental home

2. Primary water source is deficient in fluoride

33
Q

Risk assessment for anemia, Tuberculosis and Dyslipidemia at 4 and 5-6 years?

A

+ on risk screening questions

- For dyslipidemia also if not previously screened with normal results

34
Q

Risk assessment for lead at 4 and 5-6 years?

A

If no previous screen and + on risk screening questions or change in risk

35
Q

Action if Risk assessment is POSTIVE for oral health at 5-6 year?

A
  1. Referral to dental home

2. Oral fluoride supplementation

36
Q

Action if Risk assessment is POSTIVE for anemia at 4 and 5-6 year?

A

Hematocrit or hemoglobin

37
Q

Action if Risk assessment is POSTIVE for lead at 4 and 5-6 year?

A

Lead screen

38
Q

Action if Risk assessment is POSTIVE for tuberculosis at 4 and 5-6 year?

A

Tuberculin skin test

39
Q

Action if Risk assessment is POSTIVE for dyslipidemia at 4 and 5-6 year?

A

Fasting lipid profile

40
Q

UNIVERSAL screenings for 7-8 and 10 year?

A
  1. Vision

2. Hearing

41
Q

Action for Vision at 7-8 and 10 year?

A

Snellen Test

42
Q

Action for Hearing at 7-8 and 10 year?

A

Audiometry

43
Q

SELECTIVE screenings for 7-8 and 10 year?

A
  1. Anemia
  2. Tuberculosis
  3. Dyslipidemia
44
Q

Risk assessment for Anemia, Tuberculosis, and Dyslipidemia at 7-8 and 10 year?

A

+ on risk screening questions

- For dyslipidemia also if not previously screened with normal results

45
Q

Action if Risk assessment is POSTIVE for anemia at 7-8 and 10 year?

A

Hematocrit or hemoglobin

46
Q

Action if Risk assessment is POSTIVE for Tuberculosis at 7-8 and 10 year?

A

Tuberculin skin test

47
Q

Action if Risk assessment is POSTIVE for Dyslipidemia at 7-8 and 10 year?

A

Fasting lipid profile

48
Q

UNIVERSAL screenings for 11-14 and 15-17 years?

18-21 year?

A

Vision (11-21)

  • once early in adolescence
  • Once in middle of adolescence
  • Once in late adolescence

18-21 add Dyslipidemia once in late adolescence

49
Q
  1. Action for Vision at 11-14, 15-17 and 18-21 years?

2. Action for Dyslipidemia at 11-14, 15-17 and 18-21 years?

A
  1. Snellen test

2. Fasting lipoprotein profile (total cholesterol, LDL cholesterol, HDL, cholesterol, and TG’s)

50
Q

SELECTIVE screenings for 11-14 and 15-17 and 18-21 years?

A
  1. Vision at other ages
  2. Hearing
  3. Anemia
  4. TB
  5. Dyslipidemia
  6. STIs
  7. Pregnancy
  8. Cervical dysplasia
  9. Alcohol or drug use
51
Q

Risk assessment for Vision at other ages, hearing, anemia, TB, dyslipidemia and alcohol or drug use at 11-14 and 15-17 and 18-21 years?

A

+ on risk screening questions

  • For dyslipidemia also if not previously screened with normal results (11-17). For 18-21: If not age 20, + on risk screening questions and not previously screened with normal results
52
Q

Risk assessment for STIs at 11-14 and 15-17 and 18-21 years?

A
  1. Sexually active

2. Sexually active and + on risk screening questions

53
Q

Risk assessment for Pregnancy at 11-14 and 15-17 and 18-21 years?

A

11-17 years:
Sexually active without contraception, late menses or amenorrhea

18-21:
Sexually active without contraception, late or absent menses, or heavy or irregular bleeding

54
Q

Risk assessment for Cervical Dysplasia at 11-14 and 15-17 years?

A

11-17 years:
Sexually active within 3 years of onset of sexual activity

18-21:
Sexually active, within 3 years of onset of sexual activity or no later than age 21

55
Q

Action if Risk assessment is POSTIVE for Vision at other ages at 11-14 and 15-17 years?

A

Snellen test

56
Q

Action if Risk assessment is POSTIVE for Hearing at 11-14 and 15-17 years?

A

Audiometry

57
Q

Action if Risk assessment is POSTIVE for Anemia at 11-14 and 15-17 years?

A

Hemoglobin or hematocrit

58
Q

Action if Risk assessment is POSTIVE for TB at 11-14 and 15-17 years?

A

Tuberculin skin test

59
Q

Action if Risk assessment is POSTIVE for Dyslipidemia at 11-14 and 15-17 years?

A

Lipid screen

60
Q

Action if Risk assessment is POSTIVE for STIs at 11-14 and 15-17 years?

A
  1. Screen for chlamydia and gonorrhea; use tests appropriate to the patient population and clinical setting
  2. Syphilis blood test and HIV
61
Q

Action if Risk assessment is POSTIVE for Pregnancy at 11-14 and 15-17 years?

A

Urine hCG

62
Q

Action if Risk assessment is POSTIVE for Cervical dysplasia at 11-14 and 15-17 years?

A

Pap smear, conventional slide or liquid based

63
Q

Action if Risk assessment is POSTIVE for Alcohol or drug use at 11-14 and 15-17 years?

A

Administer alcohol- and drug-screening tool

Peds Screens etc (3 decks)

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