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Special CME Issue - West Virginia State Medical Association

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Appendix A<br />

This is a questionnaire designed to look at pediatricians’/family practitioners screening practices for hyperlipidemia in children in <strong>West</strong><br />

<strong>Virginia</strong>. Please place an “X” in front of your answer or circle the answer where applicable. Thank you very much for your time!<br />

Questions 1-3 are basic demographic questions.<br />

1. What county is your practice located in? _____________________________ (Write in answer)<br />

2. How long have you been in practice?<br />

20 years<br />

3. How many well child checks do you see in one normal clinic day?<br />

20 children<br />

4. Which term best describes your outpatient practice setting?<br />

Community Private Hospital Academic Other<br />

For the following questions, the term “routinely” means over 50% of the time and “screening” means obtaining a fasting lipid profile.<br />

5. Do you routinely offer screening for hyperlipidemia to children between the ages of 2-10 if traditional cardiovascular<br />

risk factors (family history of premature CAD, obesity, HTN, diabetes, smoking) are present?<br />

Yes No<br />

6. Do you routinely offer screening to children ages 2-10 if the only risk factor that is present is a family history of hyperlipidemia?<br />

Yes No<br />

7. Do you routinely offer screening for hyperlipidemia to children between the ages of 2-10<br />

if traditional risk factors for cardiovascular disease are not present?<br />

Yes No<br />

8. Do you routinely offer screening children for hyperlipidemia to children >10 years old<br />

if traditional risk factors for cardiovascular disease are present?<br />

Yes No<br />

9. Do you routinely offer screening to children >10 years old if the only risk factor that is present is a family history of hyperlipidemia?<br />

Yes No<br />

10. Do you routinely offer screening for hyperlipidemia to children >10 years old if<br />

traditional risk factors for cardiovascular disease are not present?<br />

Yes No<br />

11. Do you routinely ask the parents of children you see for well child checks specifically if there is a family member with hyperlipidemia?<br />

Yes No<br />

12. Are you aware of the new guidelines published by the AAP in 2008 regarding lipid screening in children?<br />

Yes No<br />

13. Are you aware that certain lipid lowering medications are FDA approved for children as young as 8 years old who have hyperlipidemia?<br />

Yes No<br />

<strong>CME</strong> Po s t-Te s t<br />

7. When should children be screened for hyperlipidemia<br />

if certain criteria are met according to the AAP?<br />

a. At birth<br />

b. Between the ages of 2 and 10<br />

c. Between the ages of 5 and 15<br />

d. Between ages 15 and 18<br />

8. Which class(es) of lipid lowering agents is/are FDA<br />

approved for children with hyperlipidemia?<br />

a. Statins<br />

b. Bile-acid binding resins<br />

c. Fibrates<br />

d. Niacin<br />

e. All of the above<br />

9. Children with the following should be screened<br />

for hyperlipidemia according to the AAP?<br />

a. Family history of premature CAD<br />

b. Family history of hyperlipidemia<br />

c. Obesity<br />

d. Diabetes<br />

e. All of the above<br />

THE ART, SCIENCE AND ETHICS OF PREVENTION | Vol. 108 35

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