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preventive Flashcards

1
Q

oldest you can be to get DTaP

A

6 yo

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2
Q

adolescents and Tdap

A

one dose, ideally 11-12yo

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3
Q

DTaP schedule

A

2, 4, 6, 15-18mo, 4yo, adolescence

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4
Q

catch up dipth, tet, pertussis

A

Tdap substituted for one of the Td boosters

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5
Q

contraindication for pertussis vaccine

A

encephalopathy within 7 days of receiving pertussis vaccine, evolving neurologic condition

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6
Q

can you give Tdap to pregnant woman

A

yes

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7
Q

can you give Tdap to immuncompromised people

A

yes

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8
Q

should you give pertussis vaccine to someone who had pertussis

A

yes

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9
Q

when do you give tetanus immunoglobulin

A

if dirty wound AND not fully immunized

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10
Q

when do you give Td after wound

A

if >5 years since last booster and dirty wound

if >10 years since last booster and clean wound

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11
Q

Hib schedule

A

2, 4, 6 mos

or 2, 4, 6, 12-15 mos

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12
Q

combination vaccines - who can get them?

A

primary series, age 6 weeks - 6 years

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13
Q

HBV vaccine schedule

A

birth, 2 mos, 6-18mos

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14
Q

contraindication to HBV vaccine

A

severe allergic reaction to prior dose

OK in pregnancy

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15
Q

can preemies get HBV vaccine?

A

yes, even if < 2kg
within 30 DOL or prior to discharge
if <2kg, still need full series

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16
Q

hep B PEP in infants/unvaccinated

A

HBIG and HBV series

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17
Q

hep B PEP if full series and antibody positive

A

nothing

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18
Q

hep B PEP if full series and antibody negative

A

HBIG and HBV series

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19
Q

hep B PEP if HBV vaccine status unknown

A

test for antibody

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20
Q

hep A vaccine - when given

A

1 year

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21
Q

hep A vaccine contraindications

A

allergic reaction to aluminum hydroxide or phenoxyethanol

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22
Q

children traveling to hep A endemic areas

A

< 1yr: get immune globulin

> 1yr: get vaccine, at least 2-4 wks prior to departure

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23
Q

MCV4 - strains covered?

A

A, C, Y, W135

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24
Q

MCV4 schedule

A

11-12yrs, 16yrs

prior to college if not vaccinated before

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25
MCV4 if immunocompromised
yes!
26
HPV vaccine age
9 is youngest, rec 11-12 | catch up for F 13-26
27
MMR schedule
12-15mos, 4-6yrs | vaccines at <1yr don't count towards series
28
MMR and other live vaccines?
either given together or >4wks apart
29
SEs of MMR vaccine
high fever within 12 days of vaccination, lasts 1-2 days rash REASSURE
30
MMR contraindications
severe allergic reaction to vaccine, neomycin, gelatin pregnancy severe immunocompromised
31
MMRV problem
higher rate of febrile seizures in 12-23 mos | contraindicated in HIV
32
PPDs and MMR?
can place before or with MMR | should not be placed after MMR for 4-6 weeks
33
HIV+ and vaccines
measles if not severely immunocompromised, NO MMRV varicella if CD4 counts OK inactivated flu only
34
varicella schedule
12-15mos, 4-6 yrs | if older, unvaccinated, and has not had chickenpox
35
contraindications to varicella vaccine
pregnancy allergic reaction serious immunocompromise
36
who gets varicella IG as PEP
immunocompromised w/o previous vaccine/infection non-immune pregnant women preemie < 28 wks GA preemie > 28 wks GA in hospital with non immune mom newborn if mom contracted 5 days before to 2 days after birth
37
who gets varicella vaccine as PEP
all who get IG plus: | 12 mos and older within 72 (or 120) hrs from exposure
38
how long after chemo OK to give inactivated and live vaccines?
inactivated - fine during chemo if not induction or consolidation live - minimum 3-6 months after chemo is over EXCEPTION: varicella given to children with ALL in remission
39
PCV schedule
2, 4, 6, 12-15mos | catch up for all children < 6 yos
40
if 6 or older, when to get PCV?
if immunocompromised or asplenic if CSF leaks and cochlear implants if chronic heart, lung, renal disease, diabetes
41
who gets PPSV23
if immunocompromised or asplenic (these get total 2 doses) if CSF leaks and cochlear implants if chronic heart, lung, renal disease, diabetes
42
IPV schedule
2, 4, 6 mos, 4 yrs
43
rota schedule
2, 4, 6 mos (if RV5) | 2, 4 mos (if RV1)
44
how old is too old for rota vaccine
15 weeks for first dose (but still do the rest of the series even if you miss it) 8 months for last dose
45
rota contraindications
severe allergic reaction SCID intussusception underlying GI disease on immunosuppressive treatment
46
do you readmin rota if they spit it up
no
47
vaccine timing with solid organ transplant
live vaccines - min 1 month prior | inactivated vaccines - min 2 weeks prior
48
who can get LAIV
2 years or older
49
which vaccines do we worry about with egg allergy
yellow fever vaccine - see allergist prior | influenza IF anaphylaxis to egg
50
when to screen for cholesterol
5-9 if risk factores | 9-11 for everyone
51
what does UVA do
all day risk | drug induced photosensitivity
52
what does UVB do
10A-5P highest risk skin aging sunburn skin cancer
53
where do infants <2y or <20lbs sit in car
infant/rear facing car seat at 45 degree angle
54
where do toddlers > 2yr or >20lbs sit in car
convertible car seat with harness, forward facing
55
where do school age children <4'9" sit in car
booster seat
56
how old to sit in front seat
13yr
57
bicycle deaths most common age grp
<15yrs | 75% deaths due to head injuries
58
what % children wear bike helmets
<10%
59
bicycle helmets reduce serious injury by __
85%
60
water heater temp
120
61
more than ___% of suicide attempts with gun are fatal
90
62
infants most likely to drown in
bathtub
63
children <5 most likely to drown in
residential pool
64
adolescents most likely to drown in
fresh water
65
above ground pools more vs less likely to cause drowning
less
66
drowning higher in which groups
AfAm males, males (75% of all drownings)
67
how do you secure home pool
4 sided fence around pool, self-locking and self-latching gate
68
maternal cigarette use during pregnancy -->
preterm birth, IUGR SIDS asthma behavior and attention problems
69
are school based education programs useful for smoking prevention
yes if focus on role playing refusal skills and give info on health impact
70
when to use nicotine replacement therapy in adolescents
if confident it will be used appropriately and quitting not likely otherwise

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