Which of the following is NOT a 5-year screening?

• A. Growth and development screening
• B. Vision
• C. Hearing
• D. Oral health

Answer: (A)

At about five years old, the typical preventive visit emphasizes sensory and dental health, since problems in vision, hearing, or oral health can most directly impact learning and school readiness. Vision screening catches visual problems that can interfere with reading and academics, while hearing screening detects ear or hearing issues that can affect language and learning. Oral health screening is important because dental caries are common and can affect comfort, nutrition, and concentration in school. Growth is monitored at every visit by measuring height and weight and tracking BMI over time, rather than being a separate, one-time “5-year screening.” So the item that is not a standard 5-year screening is growth and development screening, because the formal development screen is typically incorporated at earlier ages and growth is tracked continually across visits rather than as a single 5-year screening.