PREVENTION

1. Three brothers ages 1, 10, and 16 present for a routine health care supervision visit. What anticipatory guidance would you give each? How does anticipatory guidance regarding injury prevention change with age?
2. During a routine office visit, the father of a six-year-old boy states that he recently purchased a new shotgun for hunting. What questions would you consider asking the father about storing the gun? What advice would you give to help prevent an accidental injury?
3. A sixteen-year-old girl presents for a routine health care supervision visit. She has had two sexual partners and has used birth control inconsistently. What advice would you give to help prevent a sexually transmitted disease or pregnancy?
4. A ten-year-old boy is seen with a severe headache after falling from his bicycle. He was not wearing a helmet. What advice would you give him?
5. A nine-month-old boy is seen for a routine health care supervision visit. The parents want to know what types of foods he can eat. What foods should he not be offered?
6. The parents of a newborn want to know why the infant has to face backwards in the car seat and ride in the back seat of the car. What would you say to them?
7. The parents of a two-month-old girl want to know why their child has to be immunized. None of their friends, family members, or neighbors has ever had hepatitis B virus infection, tetanus, diphtheria, or polio. What would be your response?
8. A nine-year-old boy has been at the 95% for weight or more for the past three years and at the 10% for height during this same time. What are the long-term health consequences of this condition? How would you Council the patient and the family?
9. A 12-year-old girl is presents for a pre-participation sports physical examination. What are the key components of the “sports” history and physical examination?
10. The parents of a newborn are concerned about Sudden Infant Death Syndrome and have purchased a baby alarm. What advice would you give them to help prevent SIDS in their infant?