Health Prevention

Question 1

Primary Prevention

Answer 1

prevent health problem
immunization, counseling
most cost effective

Question 2

Secondary Prevention

Answer 2

Detection of disease EARLY
asymptomatic or preclinical state
screening tests, BP, mammo, colo

Question 3

Tertiary Prevention

Answer 3

decreasing disease induced negative outcomes
adjust therapy to avoid further complication or organ damage
can be viewed as failure of primary prevention

Question 4

Active immunity

Answer 4

resistance in response to vaccine / antigen
characterized by antibody produced by host
FLU MMR HEP B

Question 5

Passive Immunity

Answer 5

antibody produced in another HOST
naturally by infant from mother, artificially by administration of immune globulin or antibody containing preparation
given post exposure
TETANUS, RABIES, VARICELLA
TDAP - 3rd trimester of pregnancy to ALL moms

Question 6

IMMUNIZATION IMPORTANT FACTS

Answer 6

Bakers yeast reaction = no hep b
Gelatin reaction = NO MMR
NEOMYCIN = NO MMR, VARICELLA, IPV
polymixin b = NO SMALL POX OR IPV

Question 7

PNEUMOCOCCAL VACCINE

Answer 7

may have local reaction pain and redness
conjugate = PCV13, PREVNAR
polysaccharide = PPSV23, PNEUMOVAX-23

Question 8

LIVE ATTENUATED VACCINE

Answer 8

derived from live microorganisms cultures under adverse conditions = loss of virulence but retain ability to induce immunity
MMR, VARICELLA, ZOSTER, INTRANASAL FLUMIST
ROTAVIRUS oral vaccine = young infants only, contraindicated in SCID infants

Question 9

TOBACCO USE

Answer 9

ASK ADVISE ASSESS ASSIST ARRANGE
advise - strong, personalized, advise to quit
assess - willingness
assist - counseling / pharmacos to help
arrange - schedule follow up, usually within 1 week of start

Question 10

LEADING CAUSES OF DEATH BY AGE 
15-34?
35-44?
45-64?
65+?

Answer 10

15-34 = UNINTENTIONAL INJURY, SUICIDE, HOMICIDE
35-44 = UNINTENTIONAL INJURY, MALIGNANT NEOPLASMS, HEART DISEASE
45-64 = MALIGNANT NEOPLASMS, HEART DISEASE, UNINTENTIONAL INJURY
65+= HEART DISEASE, MALIGNANT, CHRONIC LOWER RESP DISEASE

Question 11

WHAT ARE THE USPSTF RECOMMENDATIONS FOR GENETIC RISK ASSESSMENT AND BRCA MUTATION TESTING FOR BREAST AND OVARIAN CANCER SUSCEPTIBILITY?

Answer 11

-recommend against routine testing for women without fam hx associated with increased harmful BRCA mutations