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63 Cards in this Set
- Front
- Back
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birth weight regained by...?
maximum % weight loss in first two weeks? ... in 4 mo? ... in 12 mo? ... in 24 mo? |
2 weeks
10% doubles in 4 mo triples in 12 mo quadruples in 24 mo |
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height gain in 1st year?
doubest ...? triples at? after 2 years of age the average gain is...? |
50% gain in 1st year
doubes at 4 triples at 13 2 inches per year after 2 yo |
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for premies you allow how much time for catch-up growth?
most catch-up will occur within...? correct for gestational age until...? |
two years
first year age 2 |
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measure head circumference until...
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age 3; the greatest of 3 measurements is counted
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BMI status for adults...
underweight normal overweight obese |
<18.5
18.5-24.9 25-29.9 >/=30 |
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BMI for peds
underweight healthy overweight (previously called at-risk for overweight) obesity |
<5%
5-85% 85-95% >95% |
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dental exams at ... y.o
disuss drugs and sexual activity starting at ... y.o |
3 years
starting at age 10 |
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are the majority of children who travel in cars appropriately restrained?
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no
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... leading cause of death in children?
most common cause of morbidity in childhood? 75% if injury related deaths in children are due to...? |
accidents
injuries MVA |
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hot water heater temp max?
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<120 degrees
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what are the two schedules ages for vaccinatinos
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ages 0-6
ages 7-18 |
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what booster is given to 11-12 y.o's
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Tdap
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the first vaccine for rotavirus was taken off the market because...
what is used now? is it live, route of administration, how many doses needed? |
increased rate of intussusception
rotateq- it is live, oral and requires three doses (no increased risk of intussusception) |
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typical ages for rotateq vaccinations?
minimum and maximum intervals? vaccine should not be initiated in... should not be continued in... |
2, 4, 6 mo
4 weeks, 10 weeks don't initiate if older than 3 mo don't continue if older than 8 mo |
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varicella vaccine...
live? route? required doses? contains small amounts of...? earliest age it can be given? ...% of recipients get a mild case of the chicken pox? |
live attenuated
IM 2 (at 1 yr and 4-6 yrs; minimum 1 mo apart, 3 mo recommended) neomycin and gelatin 1 yr 5% about 1 mo after immunization |
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a child with a rash 1 mo after varicella vaccination should avoid immunocompromised individuals until...
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rash resolves beacuse it contains virus
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who does not get varicella vaccinations (3 groups)
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high dose steroids (> 2 mg/kg/day)
immunodeficiency (okay if HIV and doing well) pregnant women |
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can varicella and MMR be given on the same day?
what if they aren't... is there a minimum interval? |
yes but on different sites
if not administered simultaneously need to be 1 month apart |
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most common STI in the U.S
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HPV
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what HPV types are in the quadrivalent vaccine
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6, 11, 16, 18
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earliest age for gardasil?
typical age? oldest age? intervals? |
9 yo
11-12 yo 26 yo 0,2,6 mo |
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if mother is HBS Ag +...
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-give HBV within 12 hours of birth
-give HepB IG immediately -document baby is HBsAG neg -and HBsAb pos after vaccine series complete |
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what is in the Tdap vaccine?
what do you use to booster every 10 years |
tetanus toxoid
reduced diphtheria toxoid acellular pertussis still use Td boosters |
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a ... yr interval is recommended from the last Td dose when a Tdap booster is needed
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5 years - some exceptions when pertussis immunity is needed
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3 main causes of meningitis
which is most common? |
strep pneumo
h. flu neisseria meningitidis because of success of vaccination of the first two, the third (N. Meningitidis) is now a leading cause |
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who gets meningococcal vaccine (for N. Meningitidis)
is it boostable? |
-all kids 11-12 yr
-unvaccinated adolescents at high school entry -callege freshmen living in dorm - high risk children beginning at age 2 (asplenia, complement deficiency) 2nd dose three years later elicits high protective levels |
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who gets HAV vaccine?
minimum age? doses and intervals? |
everyone
1 year of age 2 doses 6 mo apart |
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why should kids on long term ASA therapy get flu vaccine?
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Reye syndrome after flu infection
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children under... years should receive a flu booster
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under 9 years
need 2 doses 4 weeks apart |
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who can't get the intranasal flu vaccine?
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pregnant women
chronic dz <2 yr |
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how many doses of mumps vaccine do you need?
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two - usually given at 1 yr and 4-6 yrs
very important if there is an outbreak |
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can't give last booster of hep b vaccine before... how old?
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6 mo
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HBV schedule
#1 #2 #3 (3 reqs) |
anytime - recommend at birth
no sooner than 1 month after #1 at least 4 mo after #1 at least 2 mo after #2 at least >6 mo old |
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6 vaccines given at 2, 4 and 6 mo
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(HIP DR HBV)
DTaP (diphtheria, tetanus, acellular pertussis) Hib (h. flu type b conjugate) (and 1 year) IPV (inactivated polio) PCV (pneumococcal) (and 1 yr) Rota Hep B |
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does Hib prevent non-typeable haemophilus?
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no
this is afrequent cause of otitis media and URI |
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is OPV recommended
if child is born to mother who is HIV infected (child not infected wtih HIV)- what is the risk of giving OPV to child |
no
he could pass it to mother while changing diapers (shed inf eces, fecal/oral contamination is a concern) |
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which of the following are live?
HBV IPV DTap Hib PCV Rota |
Rota
(any vaccine given before 12 months of age is not live EXCEPT rota) |
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3 common live vaccines
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Rota
MMR varicella can't be given to severe immunocompromised, high dose steroids, pregnant women |
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can an HIV infected person get the MMR vaccine? the varicella vaccine?
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yes
yes if CD4% >15% children can get both of these with household contacts who are immunocompromised |
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2 boosters and 3 first time vaccines at 1 year
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4th Hib
4th PCV first time for- MMR varicella hep A |
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what vaccine is given at 18 mo?
by 18 mo they should have... DTaP Hib IPV PCV MMR varicella Hep B Hep A Rota |
4th DTaP
4DTaP 4 Hib 3 IPV 4 PCV 1 MMR 1 varicella 3 Hep B 1 or 2 Hep A 3 rota annual flu |
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what vaccines are given for kindergarten
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DTap
IPV MMR varicella |
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11-12 year olds get which vaccines?
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Tdap
flu meningococcal make sure they have hep b, 2nd MMR and 2nd varicella |
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which three vaccines are sub q?
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MMR
varicella IPV |
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why don't you use the buttock for vaccination?
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risk of damaging the sciatic nerve and inconsistent absorption
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should you immunize in an acute care visit?
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yes
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name a contraindication for DTaP vaccine?
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seizure 1 day after previous DTaP
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temperature contraindication for vaccination?
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>104
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two vaccines with egg
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influenza and yellow fever
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three antibiotics in IPV and OPV
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streptomycin
neomycin polymyxin |
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antibiotic in MMR and varicella
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neomycin
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4 vaccinations with neomycin?
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IPV
OPV MMR varicella |
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three vaccinations with gelatin?
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MMR
varicella yellow fever |
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is a hx of local reaction to vaccination a contraindication
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no
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is current mild acute illness a contraindication to vaccination?
what about active TB? |
no
and no |
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is current abx use a contraindication to vaccination
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no
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what vaccine can suppress tuberculin reactivity?
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measles
if PPD placed on day of MMR then it is ok, if not you need to wait 4 weeks |
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6 vaccines to avoid in pregnancy
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MMR (live- wait at least 3 months to become pregnant)
varicella (live- wait at least 1 month to become pregnant) OPV (live) and IPV intranasal flu (live) pneumococcal hep A (safety hasn't been determined) |
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which vaccines are safe for breastfeeding mothers?
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all
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5 contraindciations of DTaP
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do not give: encephalopathy within 1 week
seriously reconsider: T>105 with 2 days Shock-like state within 2 days seizure within 3 days irritable > 3 hrs within 2 days |
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if a child has a seizure after DTap are they at increased risk for neurologic damage or epilepsy?
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no
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can you give MMR vaccine to egg allergic patients?
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yes
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if a mercury free hep B vaccine is not availabe what do you do?
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wait until 6 months of age in healthy term infants born to HBsAG neg mothers
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