Bonner's Basics
Stroup's Screenings
Bryon's Bonus Tests
Goldstein's Gov't Programs
Kersten's Korner
100
This must be true about a condition in order for a screening test to be warranted -- otherwise we would screen everyone for Costello syndrome or Kikuchi-Fujimoto disease
What is prevalent in the population being tested?
100
In 2007 the AAP stopped recommending this screening test for chronic kidney disease due to low diagnostic yield
What is urinalysis?
100
The AAP and EPSDT require this blood test at 12 months of age
What is hemoglobin/hematocrit?
100
This program requires screening of hemoglobin if our patients want to get their milk
What is WIC? (At 9-12 months, 15-18 months, and then yearly if results normal)
100
Defined as the proportion of patients with a given disorder that have positive test results, or positive test results divided by total number of patients with the disorder.
What is sensitivity?
200
This aspect of a good screening test must be less than that of the suffering or therapies involved with discovering a condition later on
What is cost?
200
All newborns should undergo this screening due to the the profound importance of the first two years of life on language development
What is hearing screening?
200
According to the AAP, one of the screenings which should begin at age 11 in patients with risk factors.
What are alcohol use, drug use, and STI testing?
200
This program ensures that children with Medicaid receive age-appropriate screenings at every well visit
What is EPSDT? (Early Periodic Screening, Diagnosis and Treatment)
200
Defined as the proportion of patients without a certain condition that test negative for the condition, or patients with negative test results divided by all patients without the condition.
What is specificity?
300
In contrast to validity, the ability of a test to measure what it wants to measure, this term refers to the ability of a screening test to produce the same results when repeated
What is reliability?
300
Formal testing for this sense should occur yearly from ages 3-6, then every other year through age 12, then every 3 years unless symptoms arise.
What is vision? (Testing red reflex, extraocular movements, and cover testing can be done before age 3).
300
Although we screen all our patients for this at 9-12 months and around 24 months, some states do not require screening or require it only in high-risk areas
What is lead?
300
Two aspects of the well visit that are required on each visit by both the EPSDT and the AAP
What are interval history, height, weight, weight for length or BMI, developmental surveillance, physical examination, and need for immunizations?
300
The proportion of patients with a positive test who have a given disorder, or: positive tests/(true positives + false negatives)
What is positive predictive value?
400
This should be true about a good screening test, because it would be much harder to follow up if we had to read a 200 page manual to figure out if the rapid HIV is positive or negative.
What is easy to interpret?
400
Three of the six mandated tests on the Pennsylvania Newborn Screen
What are Galactosemia, Maple syrup urine disease, Phenylketonuria, Congenital adrenal hyperplasia, Congenital hypothyroidism, and Hemoglobinopathies (Sickle cell disease, thalassemia, and other hemoglobinopathies)
400
Children over the age of two with family history of early cardiovascular disease, or with personal history of factors such as obesity, hypertension, or taking medications such as steroids or OCPs should be screened for this at least every 5 years
What is cholesterol?
400
The age at which a patient should be referred to a dental home
What is 12 months, or earlier if the first tooth has erupted?
400
Proportion of patients who test negative for a condition who do NOT have the condition studied, or: negative tests/(true negatives + false negatives)
What is negative predictive value?
500
Two reasons why a screening test may be harmful even if it is a good test
What are: painful, expensive, risk of false positives/negatives, stigma of being labeled with certain diagnoses, harm caused by treatment?
500
Hearing screening in preschool and school age children should include this method for evaluating hearing loss due to middle ear pathology such as eustachian tube dysfunction and tympanic perforation
What is tympanometry?
500
Two of the risk factors for which a patient should receive a yearly PPD
What are being or living with someone who has been in prison, is a health care worker, lived in or traveled to a TB-endemic area, or diagnosed with TB or HIV?
500
This is Gloria Estefan's favorite part of the EKG
What is the rhythm? (It's gonna get you!)
500
The perceived increase in length of survival or health caused by screening early for a condition not changed by early detection
What is lead-time bias?
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