Preventive Medicine Flashcards

1
Q

Discuss the benefits, contraindications and risks for vaccines

A
Benefits:
- protect against infectious diseases
- prevent transmission
- cost effective
Contraindications:
- live vaccines (MMR, yellow fever, VZV) in immune suppression
- anaphylaxis
- live vaccines in pregnancy
Risks:
- reaction at/near site
- fever
- rash
- lymphadenopathy
- seizure from fever
- anaphylactic reaction
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2
Q

What vaccine is for Diptheria

A
  • DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old

- Diptheria leads to severe pharyngitis and cervical adenopathy

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3
Q

What vaccine for pertussis

A
  • DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old
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4
Q

What vaccine is for tetanus

A
  • DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old, booster between 14-16
  • for clostridium tetani leading to painful muscle contraction and convulsion
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5
Q

What vaccine for poliomyelitis

A
  • DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old

- muscle paralysis and

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6
Q

What vaccine for haemophilus influenzae

A
  • HIB at 2, 4, 6, 18 months
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7
Q

What vaccine for measles

A
  • MMR at 12 months and MMRV at 4-6
  • fever, sore throat, cough, coryza, conjuctivitis, Kospik spots, encephalitis if severe
  • side effect: fever 7-10 days following
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8
Q

What vaccine for mumps

A
  • MMR at 12 months and MMRV at 4-6

- fever, parotitis, orchitis or oophoritis with risk of infertility, encephalitis

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9
Q

What vaccine for rubella

A
  • MMR at 12 months and MMRV at 4-6
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10
Q

What vaccine for streptococcus pneumonia

A
  • Pneu-C-13 at 2, 4 and 12 months

- pneumovax 23 can begin >2 for patients with asplenia

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11
Q

What vaccine for meningococcus

A
  • Men-C-C at 12 months and then booster in grade 7
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12
Q

What vaccine for VZC

A
  • Varicella at 15 months and then MMRV at 4-6
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13
Q

What vaccine for hepatitis B

A
  • HB in grade 7
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14
Q

What vaccine for HPV

A
  • HPV in grade 8
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15
Q

What is the normal visit schedule for a newborn

A

1 week, 1 month, 2 months, 4 months, 6 months, 12 months, 2-3 years and 4-5 years

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16
Q

Discuss anticipatory guidance for newborns

A
Immunization
Nutrition
Development
Education on safety and injury prevention
Maternal care