Advanced Health Assess Pt 2 Prevention

Question 1

True or False: All persons age 6 months or older should receive annual influenza vaccination

Answer 1

True

Question 2

True or False: Live Attenuated Influenza Vaccine (LAIV) can be used in persons younger than 2 yrs and older than 49

Answer 2

False,
Immunocompromised pts should also not receive the live vaccine

Question 3

How long should you observe a pt with an egg allergy after vaccination ?

Answer 3

At least 30 minutes post injection

Question 4

When is HPV vaccination recommended for girls?

Answer 4

11 or 12 yrs, w/ catchup vacc at age 13-26 yrs

Question 5

When should the HPV4 vaccine be administered to boys?

Answer 5

age 9-26 to prevent genital warts

Question 6

Who should not receive the MMR vaccine?

Answer 6

Pregnant women, cancer pts, pts w/ weak immune system, pts w/ HIV or AIDS w/ T-cell counts below 200, pts treated w/ high-dose steroids (who have received a blood transfusion w/in previous 2 weeks)

Question 7

When should Td and Tdap be given?

Answer 7

Td should be every 10 years, starting at age 11 with Tdap

Question 8

True or False: DTaP should not be given to anyone 7 years of age or older

Answer 8

True

Question 9

Who is shingles vaccination recommended for?

Answer 9

anyone over age 60 who has had chickenpox

Question 10

Female (Breast Development) Tanner Stage 1

Answer 10

Prepubertal

Question 11

Female (Breast Development) Tanner Stage 2

Answer 11

Breast bud stage w/ elevation of breast and papilla; enlargement of areola

Question 12

Female (Breast Development) Tanner Stage 3

Answer 12

Further enlargement of breast and areola; no separation of their contour

Question 13

Female (Breast Development) Tanner Stage 4

Answer 13

Areola and papilla form a secondary mound above level of breast

Question 14

Female (Breast Development) Tanner Stage 5

Answer 14

Mature stage: projection of papilla only, related to recession of areola

Question 15

Male (External Genitalia) Tanner Stage 1

Answer 15

Prepubertal

Question 16

Male (External Genitalia) Tanner Stage 1

Answer 16

Prepubertal

Question 17

Male (External Genitalia) Tanner Stage 2

Answer 17

Enlargement of scrotum and testes; scrotum skin reddens and changes in texture

Question 18

Male (External Genitalia) Tanner Stage 3

Answer 18

Enlargement of penis (length at first); further growth of testes

Question 19

Male (External Genitalia) Tanner Stage 4

Answer 19

Increase in size of penis w/ growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker

Question 20

Male (External Genitalia) Tanner Stage 5

Answer 20

Adult genitalia

Question 21

Male and Female (Pubic Hair) Tanner Stage 1

Answer 21

Prepubertal (can see vellus hair similar to abdominal wall)

Question 22

Male and Female (Pubic Hair) Tanner Stage 2

Answer 22

Sparse growth of long, slightly pigmented hair, straight or curled, at base of penis or along labia

Question 23

Male and Female (Pubic Hair) Tanner Stage 3

Answer 23

Darker, coarser, and curlier hair, spreading sparsely over junctions of pubes

Question 24

Male and Female (Pubic Hair) Tanner Stage 4

Answer 24

Adult-type hair, but covering smaller area than in adult, no spread to medial surface of thighs

Question 25

Male and Female (Pubic Hair) Tanner Stage 5

Answer 25

Adult-type and quantity, w/ horizontal distribution

Question 26

Exam for women age 18-39

Answer 26

Monthly: skin and oral self-exams Yearly: BP, blood tests, U/A, physical, Pap smear (begin at age 21 or w/in 3 years of sexual activity), pelvic exam, STI detection

Question 27

Exam for women age 40-49

Answer 27

Monthly: skin and oral self-exams Yearly: BP, blood tests, U/A, physical, Pap smear (q 2 or 3 yrs after 3 consecutive negative smears), pelvic exam, STI, - ECG q 4 years

Question 28

Exam for women age 50+

Answer 28

Monthly: skin and oral self-exams Yearly: BP, blood tests (CBC, CMP, TSH), U/A, physical, Pap smear (65+ not recommended if recent normal pap and not high risk), pelvic exam, STI, ECG q 4 years -mammography q 2 yrs -bone density screening at age 65 (or at 60 if increased risk) -q5yrs through age 75: flexible sigmoidoscopy or double-contrast barium enema or CT colonography , or colonoscopy q 10 years

Question 29

Exam for men ages 18-39

Answer 29

Monthly: self-exams (testicles, skin and oral) Yearly: BP, blood tests, U/A, physical Screen at least once per yr for syphilis, chlamydia, and gonorrhea for sexual active gay and bi men up to age 64

Question 30

Exam for men ages 40-49

Answer 30

Monthly: self-exams (testicles, skin and oral) Yearly: BP, blood tests, U/A, physical Screen at least once per yr for syphilis, chlamydia, and gonorrhea for sexual active gay and bi men up to age 64 -ECG q 4 years

Question 31

Exam for men ages 50+

Answer 31

Monthly: self-exams (testicles, skin and oral) Yearly: BP, blood tests, U/A, physical Screen at least once per yr for syphilis, chlamydia, and gonorrhea for sexual active gay and bi men up to age 64 -ECG q 3 years -q5yrs through age 75: flexible sigmoidoscopy or double-contrast barium enema or CT colonography , or colonoscopy q 10 years

Question 32

True or False: All persons age 13 to 64 should be tested at least once for HIV

Answer 32

True

Question 33

Target heart rate during exercise

Answer 33

60-90% of the maximum HR

Question 34

Formula to calculate target HR for exercise

Answer 34

220 (beats/min) minus age= maximum HR Max HR multiplied by intensity level- target HR

Question 35

True or False: CDC recommends 150 minutes of moderate-intensity aerobic exercise activity each week and muscle-strengthening activities 2 or more days/week

Answer 35

True

Question 36

CDC recommends how many hours of physical activity per day for children and adolescents?

Answer 36

1 hr or more

Question 37

Primary Prevention

Answer 37

aimed at decreasing incidence (# of new cases) -example: stress management classes for grad students, smoking prevention classes, DARE

Question 38

Secondary Prevention

Answer 38

aimed at decreasing prevalence (# of existing cases) -example: telephone hotlines, crisis intervention, disaster responses

Question 39

Tertiary Prevention

Answer 39

aimed at decreasing disability and severity of a disorder/illness -example: day treatment programs, case management for housing or vocational needs, social skills training