Exam 02 - ONLY STD and IMMUNIZATION Flashcards

1
Q

Two Sources of HIV financial assistance

A

Ryan White HIV/AIDS Treatment Extension Act of 2009

ADAP: AIDS Drug Assistance Porgram

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2
Q

Primary Infection Stage of HIV

A

Mono-like syndrome, may go unrecognised

WBC drop for brief time; increased immune response to initial infection, self limiting illness

S/sx: lymphadenopathy, myalgia, sore throat, lethargy, rash, fever

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3
Q

Second Stage of HIV: Clinical Latency

A

period when body shows no symptoms but gradual deterioration of immune system during incubation period.

Can transmit virus to others

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4
Q

Third Stage of HIV: Symptomatic Disease

A

AIDS is the last stage. Damage from HIV, secondary cancers, or opportunistic organisms

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5
Q

What is AIDS? Diagnosis?

A

disabling or life threatening illness caused by HIV

Dx: CD4 T-lymph count <200 w documented HIV infection

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6
Q

Modes of transmission for HIV (4)

A
  • sexual contact
  • needle sharing
  • perinatal transmission
  • transfusions, organ transplants, semen from HIV positive
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7
Q

Who is HIV reported to?

A

CDC

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8
Q

What are the 2 tests done for HIV

A

HIV antibody test

Enzyme-linked Immunosorbent Assay (screens blood and other donor products)

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9
Q

s/sx HIV in kids

A

failure to thrive
unexplained persistent diarrhea
dev. delays
bact inf such as TB, severe pneumonia

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10
Q

bacterial STDs (3)

A

gonorrhea, syphillis, chlamydia

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11
Q

viral STDs (3)

A

HSV, HIV, HPV

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12
Q

Which STD has the highest risk for PID?

A

Gonorrhea

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13
Q

Chlamydia s/sx

A

Dysuria, urinary frequency, purulent vaginal discharge

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14
Q

Chlamydia neonate s/sx

A

conjuncitivitis and pneumonia

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15
Q

Coinfection STDs

A

gonorrhea and chlamydia

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16
Q

Gonorrhea s/sx

A

Thick, cloudy or bloody discharge from the penis or vagina.
Pain or burning sensation when urinating.
Heavy menstrual bleeding or bleeding between periods.

17
Q

Syphillis s/sx by stages

A

first stage involves a painless sore on the genitals, rectum, or mouth. untreated, goes away in 3-6 wks

second stage is characterized by a rash, lymphadenopathy, mucosal ulceration

latency period

final stage can result in damage to the brain, nerves, eyes, or heart. occurs years later

18
Q

Can you infect others with asymptomatic HSV?

19
Q

HSV-1 and HSV-2 s/sx

A

HSV1: blister-like, painful lesions in mouth
HSV2: blister-like, painful lesions on genitals, buttocks, upper thighs

20
Q

HSV lesions and pregnancy

A

C-section recommended if active lesions are present

21
Q

Most common reportable disease in the US

22
Q

HPV s/sx

A

cauliflower-like warts on the genitals or surrounding skin

23
Q

Is there a cure for viral STDs?

24
Q

Main danger of HPV

A

cervical cancer

25
6 types of vaccines
mRNA Live attenuated Inactive Conjugate Subunit Toxoid
26
Live vaccines: My Very Rude Sister Yawned
MMR Varicella Rotavirus Smallpox Yellow fever
27
Oral and SQ Vaccines Mnmemonic: Our Rude Sister Made You Vomit
Oral: Rotavirus SQ: MMR, Yellow fever, Varicella
28
What vaccine is given at birth?
Hep B and RSV
29
DTAP/TDAP SCHEDULE:
In pregnancy, then... 2,4,6,15-18 mo 4-6 yrs 11-12 yrs adult: Q10yrs
30
Vaccines given at 2,4,6 mo: DIHHPeR
DTap IPV Hep B Hib PCV (Pneumococcal) Rotavirus
31
Vaccines at 12-15 mo: Harry V Potter, MD
Hib Varicella PCV MMR DTap
32
Vaccines at 4-6 years old: I Did My Vaccines
IPV Dtap MMR Varicella
33
Vaccines at 11-12: Tweens Have Money
Tdap HPV Meningococcal (MCV4)
34
Vaccination for college aged people
Bacterial meningitis! MCV4: 2 doses, 1 at 11-12, 1 at 16 MENB: 1 dose at 19-23
35
Vaccination for odler people
RZV (Zoster recombinant - shingles)
36
Contraindications to immunisation
Fever >102 Moderate-severe illness Pregnancy -no live vaccine Immunosuppressed Sensitivity to components of the agent Prior hx of severe allergic reaction
37
Adverse immunisation treatment
Generalised s/sx -- activate EMS, assess ABC and LOC Administer epinephrine CPR if necessary
38
What is the VIS?
Vaccination Information Sheet Must be given to the pt prior to administering vaccine Document giving it, and in their own language Consent for vaccination You may not modify the sheet