Preventing Childhood Lead Poisoning CME Test

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

Name

Company

Degree

Email Address

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

To increase odds of ADHD in boys by 2.5

To increase odds of ADHD in girls by 2.5

To increase odds of ADHD in boys and girls by 2.5

Not to impact odds of presence of ADHD for either boys or girls

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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?

4 months

6 months

9 months

12 months

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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?

Very confident. Rationale: a hemoglobin < 11.0 g/dL has a sensitivity of about 90% to detect a ferritin < 12 µg/dL.

Fairly confident. Rationale: a hemoglobin < 11.0 g/dL has a sensitivity of about 75% to detect a ferritin < 12 µg/dL.

Not confident. Rationale: a hemoglobin < 11.0 g/dL has a sensitivity of about 50% to detect a ferritin < 12 µg/dL.

Not confident at all. Rationale: a hemoglobin < 11.0 g/dL has a sensitivity of about 25% to detect a ferritin < 12 µg/dL.

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?

A. Children spend many hours at school and are encouraged to drink water throughout the day, and they also absorb much more lead per exposure than adults

B. Water lead exposure accumulates and be augmented by other environmental exposures (i.e. lead in paint, dust or soil)

C. Both A and B

D. None of the above

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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.

True

False

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

True

False

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.

True

False

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

True

False

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

Call the department of public health

Do nothing and follow up in with repeat capillary test in 2 months

Obtain venous lead level

Tell family to move out of their home

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

True

False

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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.

True

False

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.

True

False

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

True

False

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

True

False

Provider Education Panel

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

True

False

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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.

True

False