CORRECT ANSWER: UA - Exam from Credible Source with 325 Questions an...

CMN 571 Final Latest Update - Exam from Credible Source with 325 Questions and 100% Verified Detailed Correct Answers Guaranteed A+ Approved by Professor

*Screening tests* for *ALL* children whose BP remains *ELEVATED* after 12 months? -

CORRECT ANSWER: + UA

• Chemistry panel, including electrolytes, blood urea nitrogen, and creatinine
• Lipid profile (fasting or nonfasting to include high-density lipoproteina and total

cholesterol)

• Renal ultrasonography in those <6 y of age or those with abnormal urinalysis or renal

function

AAP guidelines, p 19

*Screening tests* for *OBESE* children whose BP remains *ELEVATED*after 12

months? - CORRECT ANSWER: + UA

• Chemistry panel, including electrolytes, blood urea nitrogen, and creatinine
• Lipid profile (fasting or nonfasting to include high-density lipoproteina and total

cholesterol)

• Renal ultrasonography in those <6 y of age or those with abnormal urinalysis or renal

function

*PLUS*

• HbA1c (screen for DM)
• AST and ALT (screen for fatty liver)
• Fasting lipid panel (screen for dyslipidemia)

AAP guidelines, p 19 1 / 4

2-hour Plasma Glucose (2-h PG) ranges (75 g OGTT) - CORRECT ANSWER: Normal: < 140 mg/dL

Pre-diabetes: Between 140 - 199 mg/dL

2-step OGTT ranges for GDM - CORRECT ANSWER: Step 1: 50 g glucose, non-fasting ≥ 130 mg/dL after ONE HOUR

(if above ≥ 130)

Step 2: 100 g glucose, fasting

3 subtypes of ADHD - CORRECT ANSWER: 1) Hyperactive-impulsive

2) Inattentive 3) Combined

Hay p 91

30% of children with autism experience a *plateau* or *loss of skills* (usually only

language and/or social skills) around WHAT age? - CORRECT ANSWER: Between 12-

24 months. Usually before a child acquires a vocabulary of 10 words.

Children with regression should be referred to a neurologist for a possible overnight EEG to rule out electrical status epilepticus in sleep.

Hay p 95

A 5 year old with sickle cell disease comes in and you realize she never received the

Hib vaccine. Should she receive it now? How many doses? - CORRECT ANSWER:

One dose after 5 years of age for pts with anatomic or functional asplenia.

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A 8 year old comes in whose never received the influenza vaccine. How many doses

does he need? How far apart should doses be given? - CORRECT ANSWER: 2 doses

separated by at least 4 weeks to children 6 months - 8 years who are receiving influenza vaccine for 1st time OR who have not previously received ≥ 2 doses before

7/1/2016.`

A child's brain has reached 90% of its adult weight at age _______. - CORRECT

ANSWER: FIVE (5)

Hay p 78

A healthy 5-year-old child who has not received varicella vaccine nor had the disease is exposed to chickenpox at school. How soon after exposure will a dose of the varicella vaccine prevent or modify the disease in the child?

• only if given the same day
• only if given within 2 to 3 days
• if given within 3 to 5 days

D. if given within 1 week - CORRECT ANSWER: C.

Varicella vaccine is approved for post exposure. It is most effective if administered *within 3 days*, but some efficacy has been reported up to five, so you would consider admin *up to 5 days on a risk benefit approach*. The VZIG is a post exposure prep the can be administered up to 10 days post exposure, but of course sooner is always better.If the VZIG is not available you can administer Ig IV. These two preps should both have risk/beneift considerations r/t SE

A healthy 6 year old who never received vaccinations comes in. Should he receive the

Hib vaccine? - CORRECT ANSWER: no; don't give after 5yo

A unimmunized 5 year old comes in for vaccines. Should he receive the Rotavirus

vaccine? - CORRECT ANSWER: No. Vaccination should not be initiated for infants

aged 15 weeks and older.

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AAP recommendation is to begin BP measurement at age _____ in the ambulatory

setting. - CORRECT ANSWER: ≥ 3 years old

AAP guidelines, p 16

AAP recommendations for physical activity as treatment for dx of elevated BP or HTN in children? - CORRECT ANSWER: Moderate to vigorous activity at least 3 -5 days per week (30 to 60 minutes per session).

AAP guidelines, p 38

ACC/AHA Guidelines for prevention/treatment of hyperlipidemia that could lead to CV

event - CORRECT ANSWER: Lifestyle recommendation for prevention of stroke/CV

event Diet, Exercise, Healthy weight, Smoking cessation Statins for prevention of event

Primary prevention:

Age >21, No ASCVD, No DM, LDL-C>190 high intensity statin* or apheresis, PCSK9 inhibitors (usually have many fam. Members with events) Refer to endo Age 40-75 No ASCVD, No DM, LDL-C 80-189, 10 year risk >7.5% mod intensity statin Age 40-75 No ASCVD, has DM, LDL-C 70-189 mod intensity statin or high int. statin if 10 year risk is >7.5%

Secondary prevention:

Adults >21 with ASCVD high intensity statin *FH LDL-C>190

According to the ADA Type 2 DM risk assessment, a score of ___ or higher means you

are at an increased risk for DM - CORRECT ANSWER: 5

(questions include: age, sex, hx of GDM, 1st degree relative with DM, dx of HTN, physical activity, weight)

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