VAM 2021 MOC2 Quiz- Must complete for MOC2 credit

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1. Contact Information (Required.)

Name *

ABP # (required- American Board of Pediatrics Number)

DOB MM/DD (required)

AAP # (required)

Email Address *

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2. Pat Morgan, MD: The most common form of child maltreatment is

a) Child Physical Abuse

b) Child Neglect

c) Child Sexual Abuse

d) Emotional Abuse

e) Medical Neglect

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3. Social Determinants of Health screening addresses all of the following EXCEPT

a) Housing

b) Utilities

c) Transportation

d) Personal Safety

e) Insurance

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4. The following statement is true regarding the effects of the pandemic on child maltreatment:

a) There has been an increased exposure of children to violence

b) There has been no change in the amount of food insecurity during the pandemic

c) There has been a decreased proportion of ED visits for child abuse

d) There has been the same number of CPS reports for child maltreatment year to date

e) There has not been any association made with child abuse and parental unemployment

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5. Select the true statement about the differences between Standard Plan and Tailored Plans

a) Standard Plans focus on primary care services and Tailored Plans focus on specialized services, such as those delivered in a hospital and for follow up care. Standard Plans are statewide and Tailored Plans are regional.

b) In Standard Plans, most Plans operate statewide and focus on providing robust physical health services, wrapping in services for mild to moderate behavioral health conditions as needed. Standard Plans began operating in NC in July 2021. Tailored Plans are regional and focus on providing robust mental health services for beneficiaries with IDD and/or behavioral health conditions and bring in physical health services as needed. Tailored Plans will be run by existing LME/MCOS and are slated to begin July 2022.

c) In Standard Plans, most Plans operate statewide and provide a full array of physical and mental health services. Standard Plans began operating in NC in July 2021. Tailored Plans are regional and provide a full array of physical and mental health services. Tailored Plans will be run by existing LME/MCOS and are slated to begin July 2022.

d) In Standard Plans, most Plans are regional and focus on providing robust mental health services for beneficiaries with IDD and/or behavioral health conditions and bring in physical health services as needed. Standard Plans will be run by existing LME/MCOS and began operation July 2021. Tailored Plans operate statewide and focus on providing robust physical health services, wrapping in service for mild to moderate behavioral health conditions as needed. Tailored Plans are slated to begin July 2022.

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6. Which services may children NOT receive as part of Medicaid Managed Care

a) All medications approved on the Preferred Drug list, regardless of Plan

b)Referrals to assistance with food, housing, transportation and interpersonal violence through NCCARE360 and Healthy Opportunity Pilots

c) Dental Varnish

d) Referrals to assistance with child care through the Child Care Subsidy Program

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7. Which of the following statements is not true about the Foster Care Plan

a)The Foster Care Plan will be statewide

b)The Foster Care Plan will be available to youth aging out of foster care up to age 26

c)The Foster Care Plan is slated to begin July 2022

d) The Foster Care Plan will offer physical and mental health services

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8. In patients ages 12-19yo, suicide accounts for more deaths than the combined deaths from cancer, CV disease, influenza, pneumonia, diabetes, HIV, and stroke. Where does suicide rank in the top 10 leading causes of death for this age group?

a) 1st

b) 2nd

c) 5th

d) 8th

e) 10th

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9. Which of the following decreases risk of suicide in adolescents?

a) Cannabis use

b) LGBTQ+ identification

c) History of sexual abuse

d) Regular excercise

e) Clinician’s observation in room that adolescent appears happy / able to brighten

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10. Jesse is a 14yo M presenting to your office for a sick visit due to parental concern for depression. He reports having had suicidal ideation beginning three days ago with thoughts that his family would be better off without him and a wish that he would “just disappear.” When you ask more specifics, he indicates that he has not considered any specific means of killing himself (e.g. by cutting, hanging, overdose, etc.). Which of the following pairs of descriptors best fits Jesse’s suicidality?

a) Passive and Chronic

b) Passive and Lethal

c) Passive and Acute

d) Active and Acute

e) Active and Chronic

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11. Which of the following questions is not appropriate when screening an adolescent with depression for suicidal ideation?

a) In the past few weeks, have you wished you were dead?

b) Have you ever tried to kill yourself?

c) Are you having thoughts of killing yourself now?

d) Have you thought about ways you would kill yourself?

e) You wouldn’t think about killing yourself, would you?

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12. A 17yo comes to your office because they received a letter from the school about required vaccines. Adolescents who are entering the 12th grade in North Carolina during 2021 are required to have which of the following vaccines?

a) at least 1 dose of COVID-19 vaccine

b) 2 doses of COVID-19 vaccine

c) 2 doses of human papillomavirus (HPV) vaccine

d) 2 doses of meningococcal conjugate (MenACWY) vaccine

e) 2 doses of tetanus-diphtheria-acellular pertussis (Tdap) vaccine

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13. What is NC-PAL?

a) the North Carolina Psychiatry Access Line

b) a NC Managed Medicaid Plan: Pediatric Accountable Lives

c)a mentoring system for disadvantaged NC youth

d) A palliative care program for seriously ill children in NC

e) the Predatory Animals List for animals carrying rabies in NC

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14. When excess nutrients are ingested, adipocytes enlarge, with resultant

a)release of inflammatory cytokines

b) type 1 diabetes

c) insulin deficiency

d) decreased cortisol production

e) improved immune function

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15. A 9yo boy arriving an annual physical in Aug 2021 hasn’t been seen in your office since January 2020. At that time, his BMI was in the 50th percentile. Today, his BMI is at the 85th percentile, and his exam is otherwise normal. In addition to routine health maintenance and anticipatory guidance, you should:

a) recommend a plan for weight loss

b) measure an insulin level

c) refer the boy to a weight management program

d) assess his routines and encourage one or two goals for healthy lifestyle change

e) recommend follow-up in 1 year

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16. Since the onset of the COVID-10 pandemic, what alteration(s) in growth have been noted?

a) an increase in rate of weight gain not only for children with overweight or obesity pre-pandemic but also for many with BMI in the healthy range previously

b) an increased rate of weight gain for children who were previously obese but not for those who were a healthy weight pre-pandemic

c) a decreased rate of linear growth with resultant short stature

d) an alteration in distribution of body fat for overweight individuals

e) None of the above

VAM 2021 MOC2 Quiz- Must complete for MOC2 credit

Question Title

* 1. Contact Information (Required.)

Question Title

* 2. Pat Morgan, MD: The most common form of child maltreatment is

Question Title

* 3. Social Determinants of Health screening addresses all of the following EXCEPT

Question Title

* 4. The following statement is true regarding the effects of the pandemic on child maltreatment:

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* 5. Select the true statement about the differences between Standard Plan and Tailored Plans

Question Title

* 6. Which services may children NOT receive as part of Medicaid Managed Care

Question Title

* 7. Which of the following statements is not true about the Foster Care Plan

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* 8. In patients ages 12-19yo, suicide accounts for more deaths than the combined deaths from cancer, CV disease, influenza, pneumonia, diabetes, HIV, and stroke. Where does suicide rank in the top 10 leading causes of death for this age group?

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* 9. Which of the following decreases risk of suicide in adolescents?

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* 11. Which of the following questions is not appropriate when screening an adolescent with depression for suicidal ideation?

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* 12. A 17yo comes to your office because they received a letter from the school about required vaccines. Adolescents who are entering the 12th grade in North Carolina during 2021 are required to have which of the following vaccines?

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* 13. What is NC-PAL?

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* 14. When excess nutrients are ingested, adipocytes enlarge, with resultant

Question Title

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* 16. Since the onset of the COVID-10 pandemic, what alteration(s) in growth have been noted?

1. Contact Information (Required.)

2. Pat Morgan, MD: The most common form of child maltreatment is

3. Social Determinants of Health screening addresses all of the following EXCEPT

4. The following statement is true regarding the effects of the pandemic on child maltreatment:

5. Select the true statement about the differences between Standard Plan and Tailored Plans

6. Which services may children NOT receive as part of Medicaid Managed Care

7. Which of the following statements is not true about the Foster Care Plan

8. In patients ages 12-19yo, suicide accounts for more deaths than the combined deaths from cancer, CV disease, influenza, pneumonia, diabetes, HIV, and stroke. Where does suicide rank in the top 10 leading causes of death for this age group?

9. Which of the following decreases risk of suicide in adolescents?

11. Which of the following questions is not appropriate when screening an adolescent with depression for suicidal ideation?

12. A 17yo comes to your office because they received a letter from the school about required vaccines. Adolescents who are entering the 12th grade in North Carolina during 2021 are required to have which of the following vaccines?

13. What is NC-PAL?

14. When excess nutrients are ingested, adipocytes enlarge, with resultant

16. Since the onset of the COVID-10 pandemic, what alteration(s) in growth have been noted?