CMN 571 EXAM 1 COMPREHENSIVE TEST
PAPER QUESTIONS AND SOLUTIONS
VERIFIED PREPARATION MATERIAL
●● when do bp screenings start at well child visits?
Answer: 3 years, unless hx of prematurity, frequent urinary tract
infections or kidney or heart problems
●● definition of prehypertension in children
Answer: blood pressure readings from the 90th to 95th percentile
●● definition of stage 1 hypertension in children
Answer: repeated blood pressure readings *≥95th percentile to <95th
percentile + 12 mmHg*,
or *130/80 to 139/89 mm Hg* (whichever is lower)
AAP CPG p 7
●● definition of stage 2 hypertension in children
Answer: repeated blood pressure readings ≥ 95th + 12 mm of mercury
OR 140/90 (whichever is lower)
,AAP CPG p 7
●● the national high blood pressure education program recommends that
all children with a blood pressure of greater than or equal to 95% have
which tests?
Answer: CBC, nitrogen, creatinine, electrolytes, fasting lipid panel,
glucose, urinalysis, urine culture, renal ultrasound, echocardiogram, and
retinal examination
●● routine measurements of head circumference may cease is
circumferential head growth has been steady for the first _____ years of
life
Answer: 2
●● what is the name of the autism specific screening to be performed
and when should it be administered?
Answer: modified checklist for autism in toddlers (MCHAT) and it
should be administered at the 18th and 24 month Health visits
●● how old does a child have to be before he is eligible for
developmental services through the local school system?
Answer: 3 years
●● Define developmental surveillance
,Answer: when a skilled individual monitors development in multiple
domains (such as gross motor, fine motor, language, and
personal/social), over time as part of providing routine care
●● what is an interval history
Answer: when the provider asks the parent at an office visit "since your
last visit have there been any changes in your child and families life that
I should be aware of?"
●● how wide should the inflatable portion of a blood pressure cuff be?
Answer: it should be 40 to 50% of the circumference of the limb.
●● how will cuffs that are too narrow or too wide affect blood pressure
readings?
Answer: cups that are too narrow will overestimate blood pressure.
Cuffs that are too wide will underestimate the true blood pressure.
●● hypertension must be documented on how many separate occasions
in order for it to be diagnosed as such?
Answer: 3
●● how often should an eye exam and vision assessment be performed?
Answer: at every health supervision visit.
, ●● what is the minimum acceptable visual acuity for a child between the
ages of 3 and 5?
Answer: 20/40
●● what is the minimum acceptable visual acuity for a child over the age
of six?
Answer: 20/30
●● Red reflex test. What is it, at what age do you screen for it, and at
what point do you refer?
Answer: definition: the red reflex test is performed on each pupil
individually and then on both eyes simultaneously to detect eye opacity
(such as cataracts or corneal clouding) and retinal abnormalities (such as
retinal detachment or retinoblastoma)
age for screening: from birth until child can read eye chart.
when to refer: abnormal red reflex, a symmetry of the red reflexes, or
partially obscured red reflex
HAY 233
●● Assessment of fixation and following. What is it, at what age do you
screen for it, and at what point do you refer?
PAPER QUESTIONS AND SOLUTIONS
VERIFIED PREPARATION MATERIAL
●● when do bp screenings start at well child visits?
Answer: 3 years, unless hx of prematurity, frequent urinary tract
infections or kidney or heart problems
●● definition of prehypertension in children
Answer: blood pressure readings from the 90th to 95th percentile
●● definition of stage 1 hypertension in children
Answer: repeated blood pressure readings *≥95th percentile to <95th
percentile + 12 mmHg*,
or *130/80 to 139/89 mm Hg* (whichever is lower)
AAP CPG p 7
●● definition of stage 2 hypertension in children
Answer: repeated blood pressure readings ≥ 95th + 12 mm of mercury
OR 140/90 (whichever is lower)
,AAP CPG p 7
●● the national high blood pressure education program recommends that
all children with a blood pressure of greater than or equal to 95% have
which tests?
Answer: CBC, nitrogen, creatinine, electrolytes, fasting lipid panel,
glucose, urinalysis, urine culture, renal ultrasound, echocardiogram, and
retinal examination
●● routine measurements of head circumference may cease is
circumferential head growth has been steady for the first _____ years of
life
Answer: 2
●● what is the name of the autism specific screening to be performed
and when should it be administered?
Answer: modified checklist for autism in toddlers (MCHAT) and it
should be administered at the 18th and 24 month Health visits
●● how old does a child have to be before he is eligible for
developmental services through the local school system?
Answer: 3 years
●● Define developmental surveillance
,Answer: when a skilled individual monitors development in multiple
domains (such as gross motor, fine motor, language, and
personal/social), over time as part of providing routine care
●● what is an interval history
Answer: when the provider asks the parent at an office visit "since your
last visit have there been any changes in your child and families life that
I should be aware of?"
●● how wide should the inflatable portion of a blood pressure cuff be?
Answer: it should be 40 to 50% of the circumference of the limb.
●● how will cuffs that are too narrow or too wide affect blood pressure
readings?
Answer: cups that are too narrow will overestimate blood pressure.
Cuffs that are too wide will underestimate the true blood pressure.
●● hypertension must be documented on how many separate occasions
in order for it to be diagnosed as such?
Answer: 3
●● how often should an eye exam and vision assessment be performed?
Answer: at every health supervision visit.
, ●● what is the minimum acceptable visual acuity for a child between the
ages of 3 and 5?
Answer: 20/40
●● what is the minimum acceptable visual acuity for a child over the age
of six?
Answer: 20/30
●● Red reflex test. What is it, at what age do you screen for it, and at
what point do you refer?
Answer: definition: the red reflex test is performed on each pupil
individually and then on both eyes simultaneously to detect eye opacity
(such as cataracts or corneal clouding) and retinal abnormalities (such as
retinal detachment or retinoblastoma)
age for screening: from birth until child can read eye chart.
when to refer: abnormal red reflex, a symmetry of the red reflexes, or
partially obscured red reflex
HAY 233
●● Assessment of fixation and following. What is it, at what age do you
screen for it, and at what point do you refer?
