PH Lecture 15

Question 0

BMI classifications

Answer 0

20-25 = 5th-84th = normal

25-29.9 = 85th-94th = overweight

30-34.9 = 95th-97th = stage I obesity

35-39.9 = stage II obesity

> 40 = >97th = stage III obesity

Question 1

BMI Calculation

Answer 1

Kg/m^2

703*lb/inches^2

Question 2

What is the biggest risk factor for obesity?

Answer 2

Diet

Question 3

3 step process for handling obesity

Answer 3

1) identify
2) assessment (medical risk, behavior risk, attitudes)
3) prevention or intervention

Question 4

What is the hardest to change? Medical risk, behavioral risk, or attitude?

Answer 4

Behavior risk

Question 5

What 2 measurements can you use to identify obesity?

Answer 5

BMI and waist circumference

Question 6

BMI should be used with caution for …

Answer 6

Children
Elderly
Muscular

Also doesn’t factor in ethnicity

Question 7

What way of measurement do the CDC and WHO want for judging obesity?

Answer 7

Waist circumference

Question 8

Waist circumference measures

Answer 8

Abdominal fat / truncal obesity

Question 9

Waist circumference obesity

Answer 9

Men >40 inches

Women >35 inches

Question 10

When do you not need to measure waist circumference?

Answer 10

BMI over 30

Question 11

What factors into medical risk?

Answer 11

Obesity related disease

Family history

Question 12

What goes under attitudes

Answer 12

Motivation

Parental involvement

Question 13

What two things can you do for management / prevention?

Answer 13

Pharmacotherapy

Surgery

Question 14

What are the requirements to get bariatric surgery?

Answer 14

Stage 2 obesity with comorbidities or stage 3

Psychiatric consultation

Dietician consultation

Question 15

What are some good targets for weight loss?

Answer 15

Lose 10% body weight

Lose between 1-3 pounds a week

Question 16

3 key components for management/prevention

Answer 16

Diet
Physical activity
Behavior therapy / motivation

Question 17

Physical activity can go in 2 main categories:

Answer 17

Moderate intensity

Vigorous intensity

Question 18

Follow ups for obesity checks

Answer 18

3-4 months for adults

6 months for kids

Question 19

5-2-1-0 plan

Answer 19

5 servings fruits and veggies
<2 hours of screen time
At least 1 hour physical activity
0 sweets and sugary snacks

Question 20

3 types of vaccines

Answer 20

Inactivated
Live attenuated
Toxoid

Question 21

Tetanus is an example of what kind of vaccine?

Answer 21

Toxoid

Question 22

Rubella is an example of what kind of vaccine?

Answer 22

Live attenuated

Question 23

Flu vaccine is example of what kind of vaccine?

Answer 23

Inactivates

Question 24

2 types of vaccinations

Answer 24

Active (own body triggers immune response) Passive (artificial immune response with Igs)

Question 25

2 examples d passive vaccinations

Answer 25

Hep B | Tetanus

Question 26

Infant vaccines

Answer 26

Infants hard time making immune response to polysaccharides so conjugate it with protein

Question 27

What vaccines are only for kids?

Answer 27

Rotavirus | Hib

Question 28

What vaccine is only for adults?

Answer 28

HPV

Question 29

What vaccine is for kids and adults?

Answer 29

``` Hep A Hep B DTaP PCV / PPV IPV Influenza MMR Varicella Meningococcal (MOSV4) ```

Question 30

College students need what vaccine?

Answer 30

Meningococcal

Question 31

Girls and boys between 11 & 26 should get what vaccine?

Answer 31

HPV

Question 32

2 older adult vaccines

Answer 32

Pneumovax - older than 65, 1 dose, or people prone or get pneumonia every 5 years Zostavax (herpes zoster) - 60 or older, for shingles

Question 33

How often should you get a tetanus booster?

Answer 33

Every 10 years

Question 34

Increasing and decreasing intervals between doses

Answer 34

Increasing ok | Decreasing wastes vaccine

Question 35

Adverse reactions to vaccines

Answer 35

``` Allergic reaction (usually latex) Low grade fever ```

Question 36

Contraindication 2 types

Answer 36

Condition that greatly increases chance of serious reaction Absolute (can't do!) Relative (be careful)

Question 37

Definition of precaution

Answer 37

Condition might increase chance or severity of adverse reaction May compromise ability of vaccine to work

Question 38

2 situations for absolute contraindication

Answer 38

Severe allergic reaction Encephalopathy (usually pertussis vaccine)

Question 39

Contraindications and precautions for Allergy

Answer 39

Live AND inactivated = contraindication

Question 40

Contraindications and precautions for | Encephalopathy

Answer 40

Contraindication for inactivated (pertussis) Don't have live vaccines

Question 41

Contraindications and precautions for | Pregnancy

Answer 41

Contraindication for live vaccine | Ok to vaccinate if inactivated

Question 42

Contraindications and precautions for | Immunosuppressive

Answer 42

Contraindication for live | Vaccinate if inactivated

Question 43

Contraindications and precautions for | Severe illness

Answer 43

Precaution for both live and inactivated

Question 44

Contraindications and precautions for | Fever

Answer 44

Vaccinate

Question 45

Pregnant women can't be given what vaccines?

Answer 45

``` Live vaccines (ex tetanus) HPV ```

Question 46

Immunosuppressed

Answer 46

``` HIV/AIDS Leukemia/lymphoma Generalized malignancy Chemotherapy Corticosteroids ```

Question 47

People on corticosteroids are only considered immunosuppressed if

Answer 47

On them for 14 days or longer

Question 48

Best way to increase vaccination rates

Answer 48

Organizational change

Question 49

Herd immunity defn

Answer 49

Resistance of a group to an infectious agent

Question 50

2 vaccine measures

Answer 50

Attack rate (AR) = #ill/#exposed Vaccine effectiveness = AR(unvaccinated) - AR(vaccinated) / AR(unvaccinated) * 100