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Please answer the following test questions after watching the Preventing Childhood Lead Poisoning CME content. Note that you will only be able to take this test once and you must receive a score of 75% (13/17) or higher to apply for CME credit.

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* 1. Please provide the following contact information

Keynote: Addressing Childhood Lead Poisoning - Helen Binns, MD, MPH

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* 2. Lead exposure for children having experienced a lead level of 5-10 mcg/dL (as compared to all lead levels < 5 mcg/d) has been shown

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* 3. Alice was tested for lead at her 2 year well child visit in October 2020. Her blood lead level was 27 µg/dL. When tested in January and February 2021 (following lead hazard remediation), her blood lead levels were 20 µg/dL and 20 µg/dL, respectively. If the lead exposures have stopped, how long is it expected to take for her lead level to drop to 10 µg/dL?

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* 4. At Joey’s 12 month visit he was found to have a blood lead level of 7 mcg/dL and hemoglobin of 11.5 gm/dL. How confident are you that he has robust body iron stores?

Legislative Efforts to Reduce Lead in Children's Drinking Water - Representative Gerry Pollet, JD; Molly Codding, MPH; Kira McCoy, MPH

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* 5. Why is water a potentially significant exposure pathway to control for children?

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* 6. Black, Indigenous People of Color (BIPOC) and lower socioeconomic status (SES) communities have systematically and historically been disproportionately harmed by lead exposure.

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* 7. In addition to cognitive effects, elevated blood lead levels have been linked to behavioral issues in children.

Lead Poisoning from Home Prepared Indian Spices in Two Families Identified during COVID-19 Global Pandemic - Jessica Ivers, MD

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* 8. There are safe lead levels in a child. 

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* 9. The 1996 Clear Air Act banned leaded gasoline in most vehicles in the United States. 

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* 10. If a patient has an elevated capillary lead test of 11, what is the best next step?

Confirming Lead Sources: How PHSKC Tests Kids for Lead Around the Home - Sharon Cohen, REHS, HHS & Matt Wilson, REHS

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* 11. Lead Check swabs are a reliable way to determine if your household items contain lead

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* 12. The first thing you should do if you believe you are/were exposed to lead is to schedule a blood lead test.

Lead Screening Implementation at the Institutional Level - Rupin Thakkar, MD, FAAP; Michael Dudas, MD, FAAP; Amish Dave, MD, MPH; Pamela Oke, RN, BSN

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* 13. Federal law mandates that all children enrolled in Medicaid are required to get blood lead screening tests at ages 12 and 24 months. 

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* 14. Once childhood lead exposure has occurred, neurological deficits can often be reversed via prompt initiation of phlebotomy.

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* 15. Only physicians can draw blood on children for lead testing in Washington state.

Provider Education Panel

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* 16. Lead screening and testing decreased during the Covid-19 Pandemic

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* 17. If an elevated blood lead level is elevated after a rapid Point of care test, a veinous draw should be done.

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