International Adoption


Jenista, MD, Jerri Ann. “The Immigrant, Refugee, or Internationally Adopted Child.”Pediatrics in Review 22.12 (2001): 419-29.
Bledsoe, MD, Julia M. Johnston, MD, MPH, Brian D. “Preparing Families for International Adoption.” Pediatrics in Review 25.7 (2004): 242-50.


What type of medical exam is required of children coming to the United States as tourists or other temporary visitors? 

What is included in the medical exam for candidates for a permanent residency visa? 

Above what age are laboratory tests required? 

Can a US physician access this information?

Who must provide evidence of immunization when entering the United States? 

What exemptions are made? Below what age are orphans exempt from this rule?

It is most efficient to screen all children for which diseases, regardless of foreign laboratory results or immunization status?
A. tuberculosis
B. intestinal parasites
C. hepatitis B
D. congenital syphilis
E. HIV infection
F. All of the above.

Unless the child is unequivocally infected or immune at the initial screening, at what point should studies be repeated?
A. 6 months later.
B. 1 year later
C. 1 week later
D. never

Children who have chronic hepatitis B should be screened for …
A. Hepatitis D
B. Hepatitis C
D. Malaria

Why should you repeat screening for anemia after correction of iron deficiency?
Why should you repeat screening for lead poisoning 6 months after children arrive from developing countries?

Despite lack of fluency in English, you should screen immigrant children for vision and hearing. When parents have concerns about these issues, the yield on screening tests is as high as…
A. 30%
B. 100 %
C. 5%

We expect children to lose about ___ months of linear growth for every ____ months in institutional care.
A. 1 for every 3
B. 1 for every 12
C. 6 for every 12
D. 3 for every 1

Which abnormal measurement is a red flag when considering the developmental potential of children adopted internationally?
A. microcephaly
B. short stature
C. underweight

In pre-adoption assessments, look for developmental attainment that, at a minimum, matches the child’s…
A. linear growth
B. age
C. age less 6 months

Which data point is best predictive of developmental outcomes?
A. age at the time of adoption
B. weight at the time of adoption
C. developmental status at the time of adoption“`