Advanced Health Assess Pt 2 Prevention Flashcards
True or False: All persons age 6 months or older should receive annual influenza vaccination
True
True or False: Live Attenuated Influenza Vaccine (LAIV) can be used in persons younger than 2 yrs and older than 49
False,
Immunocompromised pts should also not receive the live vaccine
How long should you observe a pt with an egg allergy after vaccination ?
At least 30 minutes post injection
When is HPV vaccination recommended for girls?
11 or 12 yrs, w/ catchup vacc at age 13-26 yrs
When should the HPV4 vaccine be administered to boys?
age 9-26 to prevent genital warts
Who should not receive the MMR vaccine?
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)
When should Td and Tdap be given?
Td should be every 10 years, starting at age 11 with Tdap
True or False: DTaP should not be given to anyone 7 years of age or older
True
Who is shingles vaccination recommended for?
anyone over age 60 who has had chickenpox
Female (Breast Development) Tanner Stage 1
Prepubertal
Female (Breast Development) Tanner Stage 2
Breast bud stage w/ elevation of breast and papilla; enlargement of areola
Female (Breast Development) Tanner Stage 3
Further enlargement of breast and areola; no separation of their contour
Female (Breast Development) Tanner Stage 4
Areola and papilla form a secondary mound above level of breast
Female (Breast Development) Tanner Stage 5
Mature stage: projection of papilla only, related to recession of areola
Male (External Genitalia) Tanner Stage 1
Prepubertal
Male (External Genitalia) Tanner Stage 1
Prepubertal
Male (External Genitalia) Tanner Stage 2
Enlargement of scrotum and testes; scrotum skin reddens and changes in texture
Male (External Genitalia) Tanner Stage 3
Enlargement of penis (length at first); further growth of testes
Male (External Genitalia) Tanner Stage 4
Increase in size of penis w/ growth in breadth and development of glans; testes and scrotum larger, scrotum skin darker
Male (External Genitalia) Tanner Stage 5
Adult genitalia
Male and Female (Pubic Hair) Tanner Stage 1
Prepubertal (can see vellus hair similar to abdominal wall)
Male and Female (Pubic Hair) Tanner Stage 2
Sparse growth of long, slightly pigmented hair, straight or curled, at base of penis or along labia
Male and Female (Pubic Hair) Tanner Stage 3
Darker, coarser, and curlier hair, spreading sparsely over junctions of pubes
Male and Female (Pubic Hair) Tanner Stage 4
Adult-type hair, but covering smaller area than in adult, no spread to medial surface of thighs
Male and Female (Pubic Hair) Tanner Stage 5
Adult-type and quantity, w/ horizontal distribution
Exam for women age 18-39
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
Exam for women age 40-49
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
Exam for women age 50+
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
Exam for men ages 18-39
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
Exam for men ages 40-49
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
Exam for men ages 50+
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
True or False: All persons age 13 to 64 should be tested at least once for HIV
True
Target heart rate during exercise
60-90% of the maximum HR
Formula to calculate target HR for exercise
220 (beats/min) minus age= maximum HR
Max HR multiplied by intensity level- target HR
True or False: CDC recommends 150 minutes of moderate-intensity aerobic exercise activity each week and muscle-strengthening activities 2 or more days/week
True
CDC recommends how many hours of physical activity per day for children and adolescents?
1 hr or more
Primary Prevention
aimed at decreasing incidence (# of new cases)
-example: stress management classes for grad students, smoking prevention classes, DARE
Secondary Prevention
aimed at decreasing prevalence (# of existing cases)
-example: telephone hotlines, crisis intervention, disaster responses
Tertiary Prevention
aimed at decreasing disability and severity of a disorder/illness
-example: day treatment programs, case management for housing or vocational needs, social skills training
