Ch 46 (test 12)

Question 1

serum sickness

Answer 1

Massive immune reaction that occurs when the patient develops antibodies against the injected circulating antibodies.
S&S: fever, arthritis pain, myalgia, and arthralgia.

Question 2

contraindications for vaccines

Answer 2

immune deficiency or cancer
pregnancy
allergies to vaccine parts (eggs/ gelatin)
blood transfusion/immune globulin (3 mo)
advanced HIV
acute infection, fever or history of febrile convulsions

Question 3

for severe anaphylaxis related to immunizations keep

Answer 3

epinephrine

Question 4

to attend school children must have vaccinations for

Answer 4

1. Hepatitis B
2. DPT
3. Heamophillus Influenza b/HIB
4. Poliovirus (IPV)
5. MMR
6. Varicella
7. Meningococcal
8. Pneumococcal
9. Influenza
10. Hepatitis A
11. HPV

Question 5

Hepatitis B schedule

Answer 5

Birth, 1-2 mo, 6-18 mo

Question 6

DPT (diptheria, pertusus, tetanus) schedule

Answer 6

2,4,6,15-18 mo, 4-6 yr

Question 7

Heamophillus influenza b/HIB

Answer 7

2,4,6,15-18 mo

Question 8

Poliovirus (IPV)

Answer 8

2,4,6-18 mo, 4-6 yr (TOPV is oral)

Question 9

MMR (measles, mumps, rubella)

Answer 9

12-18 mo, 4-6 yr

Question 10

Varicella

Answer 10

12-18 mo (one dose)

Question 11

meningococcal

Answer 11

11-12 yr

Question 12

pneumococcal

Answer 12

2,4,6,12-15 mo

Question 13

influenza

Answer 13

after 6 mo, then yearly (oct-nov)

Question 14

Hepatitis A

Answer 14

after 12 mo (2 doses)

Question 15

HPV

Answer 15

age 9 (rec for 11-26yo) 3 doses at 0, 2, 6 mo.

Question 16

tetanus given every

Answer 16

10 years

Question 17

pneumonia dose

Answer 17

1st dose between 19-65 then booster after 65.

Question 18

people at increased risk for pneumonia

Answer 18

asthma
copd
smokers
chronic diseases

Question 19

vaccine for shingles

Answer 19

zostavax

Question 20

Immune gobulin

Answer 20

passive immunity through IgG gamma globulin antibodies. (no live vaccines for 3 mo)

Question 21

Rho Gam

Answer 21

immune globulin for Rh - mothers delivering an Rh positive baby (especially the 2nd one)

Question 22

Antivenin

Answer 22

venom neutralizing antibodies (passive)

Question 23

treatment for anthrax

Answer 23

cipro