Health Promotion And Disease Prevention

Front 1

Primary Prevention

Back 1

Activities provided to patients to prevent the onset or acquisition of a given disease.

"p=prevent"

Front 2

Examples of Primary Prevention

Back 2

Immunizations and chemoprophylaxis

Adequate illumination in home, fall risk reduction

Front 3

Secondary Prevention

Back 3

Activities to identify and treat asymptomatic persons who have risk factors for a given disease

"s=screening"

Front 4

Example of Secondary Prevention

Back 4

screening examinations:
Mammogram
Paps
Blood pressure measurement
lipid profiles

Front 5

Tertiary prevention

Back 5

Part of management of a person with an established disease

"t=treat"

Goal:minimize disease associated complications and negative health effects

Front 6

Example of Tertiary Prevention

Back 6

medications
lifestyle modifications
adjustment of therapy

Front 7

passive immunity

Back 7

Immunity produced by the transfer to one person of antibodies that were produced by another person.
Short term
IG

Front 8

Active immunity

Back 8

Resistance developed in response to an antigen.

Immunizations

Front 9

Flu is spread largely by

Back 9

droplet (cough or sneeze)

Front 10

Flu incubation period

Back 10

1-4 days

Front 11

How long do children remain infectious with the flu?

Back 11

10 days after onset of symptoms
(can shed virus before onset of symptoms)

Front 12

How long to adults remain infectious with the flu?

Back 12

5 days after onset of sx

Front 13

Amantadine (symmetrel) and Rimantadine (flumadine)

Back 13

treatment and prevention of influenza A

**high level of resistance

Front 14

Zanamivir (Relenza) and Ostamivir (tamiflu)

Back 14

treatment and prevention of influenza B

must use early in acute illness

Front 15

FluMist (nasal flu)

Back 15

Live, attenuated (but weakened) virus

Approved in people 2-49 years

Front 16

What % of healthcare workers receive the flu vaccine annually?

Back 16

40%

Front 17

MMR vaccine---live or killed?

Back 17

Live, attenuated

Front 18

MMR adult administration

Back 18

two vaccines 1 month apart
(if born after 1957)

Front 19

Pneumococcal disease caused by what bacteria

Back 19

Strep pneumoniae

Front 20

Medical indications for Pneumococcal vaccine

Back 20

chronic lung disease (asthma too)
chronic cardiovascular disease
diabetes
chronic liver disease
anatomic or functional asplenia (sickle cell)
immunocompromising conditions
residents of nursing homes
smokers
age >65

Front 21

Pneumococcal vaccine in persons >65

Back 21

one time revaccination if
> 5 years since previous vaccine
and younger than 65 at the time of that vaccine

Front 22

Hepatitis B transmission

Back 22

exchange of blood and body fluids

Front 23

Recombinant Hep B vaccine--live or killed?

Back 23

killed

Front 24

Hep B vaccine contraindicated in persons with allergy to?

Back 24

Baker's yeast

"B=Baker's"

Front 25

How many vaccines to receive immunity from Hep B?

Back 25

3

Front 26

An acute Hep B patient who has not been immunized should receive

Back 26

HBIG and hep B immunization series.

Front 27

Smallpox transmission

Back 27

deposit of infected droplets into nasal, oral or pharyngeal mucosal membrane

Direct and fairly prolonged face to face contact usually required.

Front 28

When is smallpox most contagious?

Back 28

with onset of rash

Front 29

how long is smallpox contagious?

Back 29

until last scab falls off

Front 30

Incubation of smallpox

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7-17 days (asymptomatic and not contagious)

Front 31

Smallpox vaccine--live or killed?

Back 31

live vaccinia virus

Front 32

Smallpox rash features

Back 32

Starts on face and migrates down.

All lesions are always at same stage

Front 33

Varicella vaccine administration children

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After first b-day and repeat between age 4&6

Front 34

Varicella vaccine administration in adults

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2 immunizations 4-8 weeks apart

Front 35

Post exposure varicella vaccination

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within 3-5 days of exposure

Front 36

How many tetanus vaccines provides long term immunity?

Back 36

3 vaccines

Front 37

How often should tetanus booster be given

Back 37

every 10 years

Front 38

Tdap protects against

Back 38

pertussis

1 dose in adulthood

Front 39

Adult initial tetanus immunizations

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3 doses of tetanus total

2 can be Td

1 should be Tdap

Front 40

If it has been greater than 10 years since last tetanus booster, should receive:

Back 40

Tdap

Front 41

Most common source of Hep A

Back 41

contaminated water

Front 42

Poliovirus transmission

Back 42

fecal-oral

Front 43

Breast cancer screening guidelines
(mammography)

Back 43

Starting at age 40:
Moderate to High risk--annually

Front 44

Colorectal cancer screening

Back 44

starting at age 50:
annual FOBT

sigmoid q5 years OR
colonoscopy q10 years

Front 45

Prostate cancer screening guidelines

Back 45

Starting at age 45 for African American or first degree relatives with prostate.

Front 46

Cervical cancer screening guidelines

Back 46

3 years after first intercourse, no later than 21 years of age.
Every year.

After age 30: 2-3 years with 3 previous normal paps

Front 47

Endometrial cancer screening guidelines

Back 47

At menopause, unless high risk...then offer at age 35.