Miscellaneous
History
Screening
Management
PIR Quiz
100
This famous monarch suffered from lead poisoning
Queen Elizabeth I- had smallpox as a child and used lead-based makeup to cover the facial scars, which led to further scarring and the need for thicker coats of makeup
100
This is the 1970 "safe" blood lead level.
40 mcg/dL
100
Name 3 out of 5 questions asked on the targeted CDC risk assessment questionnaire.
-Does pt live/visit a house with chipping paint built <1960? -Does pt live/visit a house being renovated that was built before 1960? -Does pt have a sib/friend being treated for Pb poisoning? -Does child live with an adult who works with Pb? -Does child live near a lead smelter or battery recycling plant?
100
Are household interventions such as weekly clean-up and dusting effective in reducing blood lead levels in children?
No
100
Which of the following currently available commercial products may be the source of significant lead toxicity in children in 2010?
D. Imported cosmetics from India
200
Can pharmacotherapy reverse neurological damage?
No, it helps prevent further damage
200
This is the current safe Blood Lead Level.
0 mcg/dL!
200
Should we screen a child because their parents are concerned for Pb poisoning?
Yes
200
Name 2 dietary deficiencies that when corrected help limit lead bioavailability. (ie minerals, vitamins, etc)
Fe Zinc Ca Protein Vit C
200
What is the most common symptom found in children who have elevated blood lead levels?
Most children are asymptomatic
300
When is the earliest recording of lead poisoning?
Hippocrates in the 4th century BC
300
Name 2 ways the ancient Romans used lead.
-glazing pottery -piping -making cooking utensils -sweetening of wine
300
At what age(s) should a child be screened for lead?
At both 1 and 2 years of age
300
At what blood lead level should XRs of long bones be performed?
TRICK! XRs of long bones is not recommended in the workup of lead poisoning. Nor do hair/teeth/fingernails need to be tested.
300
Which of the following statements regarding the treatment of lead toxicity in children in true?
B. Combo therapy with dimercaprol and edetate calcium disodium for BLL>70 mcg/dL
400
The article mentioned 3 common sources of lead poisoning from products imported from another country. Name one product and the corresponding country of origin.
-Candy from Mexico -Toys from China -Folk medicines from India, the Middle East or Latin America
400
What year was lead paint banned (and therefore houses built after this year should be lead-safe). Answer must be within 2 years.
1977
400
What is the age range that the incidence of lead poisoning peaks. (It's a 12 mo span, must be within 2 months).
18-30 months
400
At what level should lead chelation therapy be initiated? (Answer must be within 5 mcg/dL)
BLL>45
400
Question 4
E?
500
These are toxicities caused by lead. Name 4.
-Encephalopathy -Abdominal colic -Seizure -Constipation -Hearing loss -Growth Failure -microcytic anemia -dental caries -renal dz -spontaneous abortion -DEATH
500
What year was gasoline completely lead free (within 2 years).
1986
500
Name 2 reasons mentioned in the article why children are at greater risk for lead toxicity.
-hand-to-mouth behavior -concominant Fe def anemia -increased GI absorption -PICA -increased deposition in soft tissue -immature blood brain barrier
500
What is the preferred pharmacotherapy for chelation therapy?
DMSA (dimercaptosuccinic acid), administered in hospital as it increases GI absorption of lead.
500
Which of the following statements regarding the epidemiology of lead toxicity in children in the US is true?
E.
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