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Vaccines
Anticipatory Guidance
Screenings
100

A previously unimmunized child presents at 4 months of age. It is now too late to administer which routinely recommended vaccine?

Rotavirus

100

What temperature should the hot water heater be set at in the typical home?

less than 120F

100

At what age do the majority of state and federal screening programs and the AAP recommend universal screening for lead?

12 and 24 months of age

200

What is the cut off age for giving DTap? 

<7 years of age

200

When should infants and toddlers be switched from a rear-facing car seat to a forward facing car seat? 

After having reached the highest weight or height allowed by the seat's manufacturer 
200

At what age should routine blood pressure screening begin in healthy children with no coexisting medical conditions predisposing to HTN? 

3 years of age

300

What are the 5 subQ vaccines?

MMR

Varicella

MMRV

PPSV23

IPV

300

All infants should have a hearing screen by what age?

1 month

300

According to the AAP/Bright Futures 2021 recommendations, at what age should you routinely assess the use of tobacco, alcohol, and drugs?

11-12 years old 

400
A 2.5 year old boy who underwent emergent splenectomy at 16 months of age following an automobile accident has received a total of 4 doses of PCV13. His last dose was at 15 months of age.

What are the recommendations for PPSV23 in this patient? 

A single dose at this visit, 2nd dose in 5 years

400
A 10 year old's permanent tooth is knocked out while playing in the back yard. The mother calls you and asks what to do. She is not able to reimplant the tooth because the child is uncooperative. They will meet the dentist at the office.

You tell her to bring the tooth in what? 

Cold Milk

400

At what ages is fasting or non fasting screening, with total and HDL levels, universally recommended for children and adolescents?

once between 9-11 and once between 17-21 years of age

500

A 4 year old boy with sickle cell disease has never received an influenza vaccine. 

What are the recommendations for the influenza vaccine in this patient?

2 doses of inactivated flu vaccine (IIV) separate by >4 weeks, 1 annual dose thereafter

500

What are the first teeth to typically emerge? 

Mandibular central incisors

500

The mother of an 18 month old is concerned that his eyes sometimes look crossed.


Name 2 tests that may be used in this age group to help evaluate for strabismus. 

Corneal light reflex test and unilateral cover test