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20 Cards in this Set
- Front
- Back
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How to immunize this newborn?
- normal term newborn whose mother is HepB surface antigen positive |
- hepB immunoglobulin within 12 hrs of birth
- regular hepB vaccination |
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How to immunize this newborn?
- normal term newborn whose mother's hepatitis status unknown |
- regular hepB vaccine
- test mom for hepatitis - if test positive for surface antigen, then give hepB immunoglobulin within 7 days. |
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T/F: Hib vaccine would prevent otitis media caused by H influenza.
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False
- Hib prevents bacterial meninigitis and invasive infections caused by H influenza - Hib vaccine does not reduce otitis media, most are due to nontypable H influenza |
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Should this person be immunized for varicella zoster?
- 34 y/o man who does not remember having chicken pox |
Yes.
Two doses, 4-8 wks apart. No need to test serology of varicella because many people who do not remember having chicken pox have serologic evidence of immunity and vaccine is tolerated in those already immune. No special caution for households with immunocompromised persons unless the person vaccinated develops a rash. |
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Indication for hepB vaccine.
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- homosexual men
- people with multiple sexual partners - IV drug users - prison inmates - people on dialysis - health care workers - people live in households with hepB carriers |
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Indication for hepA vaccine.
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- homosexual men
- IV drug users |
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Indication for meningococcal vaccine.
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- those with functional asplenia
- travelers to endemic area - college students in dormitory |
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Indications for pneumococcal vaccine.
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- those with chronic disease
- those with functional asplenia - residents of long term care facilities |
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What to do in this pregnant women?
- rubella status: nonimmune |
vaccine early in postpartum period
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What to do in this women?
- rubella status: nonimmune |
should not be immunized with rubella if she is pregnant or plan to get pregnant in the next 4 wks.
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How to immunize this kid?
- 2 1/2 y/o - not received any pneumococcal vaccine |
two doses of pneumovax at least 8wks apart
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How to immunize this kid?
- 2 1/2 y/o - received only 2 doses of pneumococcal vaccine |
two doses of pneumovax at least 8wks apart
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Recommendation for HPV vaccine.
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- for all women under age 26
- most effective when given before becoming sexually active - can be given with abnormal pap or genital warts - can be given to immunocompromised people - not use during pregnancy |
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Recommendation for herpes zoster vaccine.
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- for adults over age 60 regardless of whether or not they report a prior episode of herpes zoster
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When should you start screen for lipid disorders?
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- age 35
- earlier screening if presence of DM, family hx of heart disease by age 50 |
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Screening guideline for colon cancer.
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- at age 50 or 10 years before the age cancer was diagnosed
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Current guideline for prostate cancer screening.
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insufficient evidence for or against screening
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Current recommendation on screening EKG.
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against EKG as periodic exam in asymptomatic patients
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Guidelines for pap smear in low risk patients.
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- every 3 yrs
- can d/c if 3 or more normal pap and has no abnormal pap in the past 10 yrs |
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Guidelines for BRCA genetic screening.
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- two first degree relatives with breast cancer, one of who was diagnosed under age 50
- combo of 3 or more first or second degree relatives with breast cancer regardless of age at diagnosis - combo of breast and ovarian cancer among first and second degree relatives - first degree relative with bilateral breast cancer - combo of 2 or more first or second degree relatives with ovarian cancer regardless of age at diagnosis - a first or second degree relative with both breast and ovarian cancer at any age - a male relative with breast cancer |
