School-age health supervision — viva

Stem

Examiner-led viva on school-age health supervision. ^[1]

Examiner: How do you open this “form only” visit? ^[1]

Strong answer: I greet the child first, set a joint agenda, and reframe the form as one product of a full health-supervision visit: history, measures, exam, screens, guidance and plan. ^[1]

Examiner: What do you measure and why? ^[3]

Strong answer: Height, weight, BMI-for-age trend and blood pressure with a correct cuff. BMI screening identifies children who need family-based support; trend beats a single shaming number. ^{[3] [16]}

Examiner: Teacher says ADHD. Your first moves? ^[5]

Strong answer: I take a multi-setting history, check sleep duration against AASM needs, review vision/hearing, and only then pursue structured ADHD evaluation principles — not a same-day stimulant from a label. ^{[5] [8]}

Examiner: Give two anticipatory guidance numbers you can defend. ^[6]

Strong answer: About 60 minutes daily moderate-to-vigorous activity for 5–17 years, and roughly 9–12 hours’ sleep for many 6–12-year-olds per AASM consensus, tailored to the child. ^{[6] [8]}

Examiner: What turns this visit into an emergency? ^[12]

Strong answer: Suicidality, abuse disclosure, respiratory distress, symptomatic severe hypertension, or cardiac red flags before sport clearance. ^[12]

Examiner: How do you talk about BMI without harm? ^[16]

Strong answer: Private space, health-behaviour language, family goals, no mockery — stigma is documented harm in children with obesity. ^[16]