Assessment and Post-test

There may be more than one correct answer. Select the best answer or all that apply for each question below.

1. Pediatricians can help prevent harm to children from environmental agents by
   1. Counseling expectant parents about how to prevent in utero exposures to harmful substances.
   2. Providing diagnostic work-ups to exposed children.
   3. Advising parents on how children can avoid toxic exposures.
   4. Screening children for common exposures, e.g., lead poisoning.
   5. All of the above.
2. When choosing a lab test to look for health effects of toxicants, one should
   1. Know the half-life of the substance in the body and test during that time frame.
   2. Use normal laboratory tests only.
   3. Consult with experts, such as poison control centers and pediatric toxicologists.
   4. Use only environmental monitoring to measure levels in the external environment.
   5. All of the above.
3. The purpose of a pediatric environmental exposure history is to
   1. Help pinpoint the possible environmental agents leading to an illness.
   2. Help guide epidemiological investigations.
   3. Avoid the necessity of expensive laboratory testing.
   4. All of the above.
   5. None of the above.
4. Some of the topics covered in a pediatric environmental hazards checklist are
   1. Use of alcohol during pregnancy.
   2. Checking the home for common environmental hazards.
   3. Avoiding exposure of children to pesticides in the environment.
   4. Asking about the safety of day care and school environments.
   5. All of the above.
5. Typical screening questions to rule out environmental hazards during a well child visit may include questions about
   1. Exposures of the parents to tanning booths.
   2. Bottle-feeding or breastfeeding.
   3. Proximity to power lines.
   4. Presence of lead-related hazards in the home or day care.
   5. None of the above.
6. When taking the history of a child suspected of having an illness with a possible environmental etiology, the physician should ask questions about
   1. Locations where the symptoms occur.
   2. When symptoms occur or worsen
   3. Whether other members of the family are affected by similar symptoms.
   4. All of the above.
   5. None of the above.
7. After a pediatrician completes a pediatric exposure history for a child suspected of having an environmentally related condition, the next steps to conduct a clinical assessment would be
   1. Construct a problem list based on the detailed exposure history.
   2. Always perform environmental testing to rule out exposures.
   3. Define if exposure has occurred by diagnostic testing.
   4. All of the above.
   5. None of the above.
8. What is the chief way to manage a pediatric illness known to be associated with an environmental exposure?
   1. Immediately administer an antidote.
   2. End or minimize the offending exposure.
   3. Educate the family about environmental exposures.
   4. All of the above.
   5. None of the above.

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