Reference no: EM133845762

1. For children 5 years and older, which of the following is a step for performing vision screening?

a) Screen for visual acuity at a testing distance of 8 feet.
b) Screen for visual acuity using a vision chart that is appropriate for age and intellectual development.
c) Screen for visual acuity using video imagery at a testing distance of 10 feet.
d) Screen for visual acuity only if risk factors are present.

2. Use the hypothetical situations below to answer the following question: When will Texas Medicaid cover basic eyeglasses for a child and what is the Texas Health Steps replacement policy?

a) Alma's mother believes her 2nd grader should be wearing eyeglasses because both Alma's older siblings have to wear corrective lenses. Texas Health Steps replaces eyewear only once per year through age 15 and every two years through age 20.

b) Benjamin's glasses are prescribed by a medical doctor (MD), a doctor of optometry (OD), or a doctor of osteopathy (DO). Texas Health Steps provides new frames and lenses every 24 months and has no limitations on replacements for lost or destroyed eyewear for children through age 20.

3. Newborn Joseph passed his hearing screening at the birth facility, yet Dr. Cooke has requested another infant hearing screening. Which of the following situations could be reasons why a baby would need another hearing screening, not just subjective screening?

a) The infant has a deaf parent, or the family is planning a trip overseas.

b) The infant has a known hereditary risk for late-onset hearing loss, or the parents or caregivers have expressed concern about the infant's hearing.

c) The infant is suspected of having a food allergy, or the infant's mother had gestational diabetes.

d) The infant doesn't try to grasp a nearby object, or the infant has sleepy baby syndrome.

4. A child must receive hearing screening using a pure-tone audiometric screening device if the child belongs to which age group?

a) 2 years or older.
b) 3 years or older.
c) 4 years or older.
d) Any age up to 20 years.

5. Mrs. Ngo says her son Henry, a 5th grader, was recently screened for hearing at his school and she shows you a printout of the results. Henry's hearing checked out fine. According to the Texas Health Steps Periodicity Schedule, 10-year-old Henry is due for his audiometric screening. Do you perform the scheduled screening in your office?

a) Yes, because it is required for this preventive medical checkup regardless of whether it was already performed at school. The Texas Health Steps Periodicity Schedule indicates audiometric hearing screening at specific intervals from ages 4 through 15 years, and school-based audiometric hearing screening is required at specific intervals from age 4 years through the 7th grade.

b) No, because the school screening suffices for Henry's 10-year screening, as long as you include the documented results in Henry's medical records and verify that it was conducted within the previous 12 months. The Texas Health Steps Periodicity Schedule indicates audiometric hearing screening at specific intervals from ages 4 through 15 years, and school-based audiometric hearing screening is required at specific intervals for children 4 years and older in grades 1, 3, 5 and 7.

6. You are the medical home provider for Isabel, age 4, who uses hearing aids to correct her mild sensorineural hearing loss. Which of the following is among the hearing services provided by Texas Medicaid for Isabel and other children birth through 20 years?

a) Behavioral counseling for children with hearing loss.

b) Hearing aid counseling with children and their families.

c) Hearing aid cerumen guards.

d) Earmold repair.

7. Amblyopia is important to diagnose in children because:

a) The ocular shape differences that underlie it cause the two eyes to have different refractive powers, which diminishes visual clarity.
b) It is the most common cause of vision loss, impacting up to 5 percent of U.S. children.
c) It is usually irreversible if left untreated by 6 to 10 years of age.
d) b and c.

8. Gabby is in your office for her 9-month Texas Health Steps preventive medical checkup. Her mother says that, while breastfeeding Gabby, she noticed a small white spot on the baby's right pupil. You conduct an ocular health screening and detect white reflex, which could signal a cataract or retinal tumor. While explaining the diagnosis to Gabby's mother, you make sure she understands why you need to refer Gabby to a pediatric ophthalmologist. Which technique did you use to determine that Gabby has white reflex?

a) Object grasping.
b) HOTV chart.
c) Snellen letters chart.
d) Red reflex test

9. The Texas Health Steps Periodicity Schedule requires visual acuity screening at 3, 4, 5, 6, 8, 10, 12, 15, and 18 years, and school-based visual acuity screenings are required for children at:

a) Age 4 by September 1 of each year and children in kindergarten and grades 1, 3, 5, and 7.
b) Every year from kindergarten through middle school.
c) Age 4 by August 31 of each year and children in kindergarten and grades 1, 3, 5, and 7.
d) Every year from kindergarten through grade 7.