CMN 571 EXAM QUESTIONS WITH
VERIFIED ANSWERS LATEST
UPDATE
A mother brings son to hospital for a routine checkup. You ask if the child is able to walk
and mother states he hasn't yet walked. At what age group should a child start walking
and at what age group should you be worried if the child doesn't walk?
A. 9 months, 12 months
B. 12 months, 18 months
C. 15 months, 18 months
D. 15 months, 2 years - Answer-B
What are the 4 most common early characteristics of autism? - Answer-Consistent
failure to orient to one's name, regard people directly, use gestures, and develop
speech
What age should universal vision screenings start? - Answer-3 years
What tests are used for vision screenings? - Answer-visual acuity / HOTV or LEA
symbols
What age can you stop screening for the red reflex? - Answer-3 years; when they start
reading the chart?
What is assessed in a vision screening for a birth - 3 years? - Answer-inspection,
alignment, visual acuity, red reflex
If a newborn has an abnormal screening for Congenital Hypothyroidism (CH) then what
is the appropriate follow up by the provider? - Answer-Some can be falsely elevated
regardless of when they are drawn so first, we would do a repeat test (confirmatory test)
at 2-4 days old and begin with appropriate treatment with thyroid hormone replacement
within 2 weeks after birth
If an infant is screened for PKU within the first 24 hours of life, what else should happen
regarding this screening? - Answer-Repeat test by 2 weeks of life
When should treatment be started with an infant with PKU? - Answer-Immediately, or
within first month of life
What labs are measured in the neonatal hypothyroid screen? - Answer-TSH and T4
, When should treatment be initiated if they are positive for congenital hypothyroidism? -
Answer-Within 2 weeks of birth (or at least within the first month)
What labs are monitored in a sickle cell screening? - Answer-Hemoglobin and
reticulocytes; specifically, hemoglobin FS, FSC, FSA (S>A), IEF, HPLC
If positive for sickle cell, what is the name of the test that actually confirms that they
have it? - Answer-Hemoglobin electrophoresis
When is autism screened for? When is the earliest it can be diagnosed? - Answer-18
and 24mo; 24mos
When can children start receiving the LAIV flu vaccine? - Answer-2 years; must receive
inactive prior to 2yrs
What are the 3 parts to the well child visit? - Answer-Physical exam, growth and
development, anticipatory guidance/health education provided
Name the live viruses. Can they be given together? What happens if you have to give
them on separate visits? - Answer-MMR, MMRV, VAR, rotavirus, yellow fever; can be
given together; if separately, give 4 weeks apart
What is required vaccine documentation? - Answer-Vaccine manufacturer, lot #, admin
date, expiration date, VIS version and date, site, route (Hay p. 249)
What universal screenings are required for at birth - Answer-hearing, bilirubin, blood
(PKU, congenital hypothyroidism, SS), congenital heart disease
A PKU screening was performed before 24 hours of age, when should it be re-tested? -
Answer-by 2nd week
Untreated hyperphenylalaninemia results in what? - Answer-intellectual disability, light
complexion, eczema, seizures, hyperactivity
It is essential that ___ restrictions be instituted shortly after birth to prevent the
neurodevelopmental effects of PKU. - Answer-Phenylalanine; dietary
What are the 3 screening methods for PKU? - Answer-Guthrie Bacterial Inhibition Assay
(BIA), Automated fluorometric assay, Tandem mass spectrometry
Which newborn screening tests are mandatory state requirements?
1. CBC and UA
2. Thyroid function test and PKU
3. PKU and alpha-fetoprotein
VERIFIED ANSWERS LATEST
UPDATE
A mother brings son to hospital for a routine checkup. You ask if the child is able to walk
and mother states he hasn't yet walked. At what age group should a child start walking
and at what age group should you be worried if the child doesn't walk?
A. 9 months, 12 months
B. 12 months, 18 months
C. 15 months, 18 months
D. 15 months, 2 years - Answer-B
What are the 4 most common early characteristics of autism? - Answer-Consistent
failure to orient to one's name, regard people directly, use gestures, and develop
speech
What age should universal vision screenings start? - Answer-3 years
What tests are used for vision screenings? - Answer-visual acuity / HOTV or LEA
symbols
What age can you stop screening for the red reflex? - Answer-3 years; when they start
reading the chart?
What is assessed in a vision screening for a birth - 3 years? - Answer-inspection,
alignment, visual acuity, red reflex
If a newborn has an abnormal screening for Congenital Hypothyroidism (CH) then what
is the appropriate follow up by the provider? - Answer-Some can be falsely elevated
regardless of when they are drawn so first, we would do a repeat test (confirmatory test)
at 2-4 days old and begin with appropriate treatment with thyroid hormone replacement
within 2 weeks after birth
If an infant is screened for PKU within the first 24 hours of life, what else should happen
regarding this screening? - Answer-Repeat test by 2 weeks of life
When should treatment be started with an infant with PKU? - Answer-Immediately, or
within first month of life
What labs are measured in the neonatal hypothyroid screen? - Answer-TSH and T4
, When should treatment be initiated if they are positive for congenital hypothyroidism? -
Answer-Within 2 weeks of birth (or at least within the first month)
What labs are monitored in a sickle cell screening? - Answer-Hemoglobin and
reticulocytes; specifically, hemoglobin FS, FSC, FSA (S>A), IEF, HPLC
If positive for sickle cell, what is the name of the test that actually confirms that they
have it? - Answer-Hemoglobin electrophoresis
When is autism screened for? When is the earliest it can be diagnosed? - Answer-18
and 24mo; 24mos
When can children start receiving the LAIV flu vaccine? - Answer-2 years; must receive
inactive prior to 2yrs
What are the 3 parts to the well child visit? - Answer-Physical exam, growth and
development, anticipatory guidance/health education provided
Name the live viruses. Can they be given together? What happens if you have to give
them on separate visits? - Answer-MMR, MMRV, VAR, rotavirus, yellow fever; can be
given together; if separately, give 4 weeks apart
What is required vaccine documentation? - Answer-Vaccine manufacturer, lot #, admin
date, expiration date, VIS version and date, site, route (Hay p. 249)
What universal screenings are required for at birth - Answer-hearing, bilirubin, blood
(PKU, congenital hypothyroidism, SS), congenital heart disease
A PKU screening was performed before 24 hours of age, when should it be re-tested? -
Answer-by 2nd week
Untreated hyperphenylalaninemia results in what? - Answer-intellectual disability, light
complexion, eczema, seizures, hyperactivity
It is essential that ___ restrictions be instituted shortly after birth to prevent the
neurodevelopmental effects of PKU. - Answer-Phenylalanine; dietary
What are the 3 screening methods for PKU? - Answer-Guthrie Bacterial Inhibition Assay
(BIA), Automated fluorometric assay, Tandem mass spectrometry
Which newborn screening tests are mandatory state requirements?
1. CBC and UA
2. Thyroid function test and PKU
3. PKU and alpha-fetoprotein
