Lecture 2- 9/26

Question 1

In order for a child to not have an immunization for religious reasons what much they have?

Answer 1

notarized letter from religious official

Question 2

When does the AAP recommends formal vision and hearing tests?

Answer 2

4 years

Question 3

When should children start walking?

Answer 3

15 months

Question 4

When should a child sit up on their own?

Answer 4

6 months

Question 5

4 groups for milestones

Answer 5

Fine motor
gross motor
language
social/ cognitive

Question 6

What is the BAER (or ABR) test for?

Answer 6

Hearing (brainstem auditory evoked response)

Question 7

What is the most common deficiency in infants?

Answer 7

Iron

Question 8

What test would you do for iron deficiency?

Answer 8

Hgb/ Hct

Question 9

avoids the development of a disease. Most population-based health promotion activities are primary preventive measures.

Answer 9

Primary prevention

Question 10

activities are aimed at early disease detection, thereby increasing opportunities for interventions to prevent progression of the disease and emergence of symptoms

Answer 10

secondary prevention

Question 11

What type of prevention is a PAP

Answer 11

secondary

Question 12

what type of prevention is an immunizations?

Answer 12

primary

Question 13

reduces the negative impact of an already established disease by restoring function and reducing disease-related complications.

Answer 13

Tertiary prevention

Question 14

What type growth patterns if FOC and heigh ok, weight low

Answer 14

Type I

Question 15

What type growth pattern is FOC, heigh, and weight low.

Answer 15

Type III

Question 16

What growth pattern would FOC OK, height and weight low be?

Answer 16

Type II

Question 17

What type of growth pattern deficiency is the worst? Why?

Answer 17

Type III, can delay brain development

Question 18

When should a child begin a social smile?

Answer 18

3 months

Question 19

when should a baby be able to watch faces intently?

Answer 19

3 months

Question 20

when should a child be able to walk alone?

Answer 20

2 years

Question 21

when should a child be able to count to 10?

Answer 21

5 years

Question 22

When should a baby be able to control their head?

Answer 22

3 months

Question 23

When should a baby be able to roll over?

Answer 23

4 months

Question 24

When should a baby be able to crawl?

Answer 24

9 months

Question 25

A what age should a baby be able to add thumb in ranking motion?

Answer 25

5months

Question 26

when should a child get a good pincer grasp?

Answer 26

9 months (up to 12 months)

Question 27

when should a baby feed themselves?

Answer 27

6 months

Question 28

when should a baby say their first words?

Answer 28

12 months

Question 29

Causes of white reflex in peds?

Answer 29

``` Congenital rubella cataracts glaucoma Neuroblastoma retinal detachment ```

Question 30

What is a test to detect electrical impulses in an infant.

Answer 30

Auditory Brainstem Response (ABR)

Question 31

When is the newborn screen done?

Answer 31

First few days then repeated in first few weeks of life

Question 32

what are some risk factors of iron deficiency?

Answer 32

Prematurity, diet (cows, non iron fortified)

Question 33

How do you screen for iron deficiency?

Answer 33

Hgb/Hct for high risk infants at 9-12 months and 15-18 months screen premature infants at 6 months

Question 34

When should cholesterol screening be done if + family history of total cholesterol >250 or CV disease <55 years?

Answer 34

Over age 2

Question 35

Immunoglobulins, from pooled donations of individuals. Will not transmit infectious agents.

Answer 35

Passive immunity

Question 36

stimulate an immune response. All vaccines routinely given to children are available as thimerisol free

Answer 36

active immunity

Question 37

What are examples of killed immunizations?

Answer 37

``` Flu cholera bubonic plaque polio Hep A ```

Question 38

Vaccines containing killed microorganisms - these are previously virulent micro-organisms which have been killed with chemicals or heat.

Answer 38

Killed vaccines

Question 39

examples of live, attenuated viruses

Answer 39

``` Yellow fever measles rubella mumps varicella live Tb vaccine ```

Question 40

What are types of immunizations?

Answer 40

Killed, Attenuated , Toxoids , Subunit , Conjugate

Question 41

Inactivated toxic compounds in cases where these (rather than the micro-organism itself) cause illness. Generate immune response to toxin it produces

Answer 41

Toxoids

Question 42

Examples of toxoid vaccines

Answer 42

Tetanus | Diphtheria

Question 43

Rather than introducing an inactivated or attenuated micro-organism to an immune system (which would constitute a "whole-agent" vaccine), a fragment of it can create an immune response

Answer 43

Protein subunit vaccine

Question 44

Examples of protein subunit vaccines

Answer 44

``` Hepatitis B Human papillomavirus (HPV) ```

Question 45

By linking these outer coats to proteins (e.g. toxins), the immune system can be led to recognize the polysaccharide as if it were a protein antigen.

Answer 45

Conjugate immunizations

Question 46

Vaccines that use conjugate immunizations

Answer 46

Haemophilus influenza type B | PCV

Question 47

How many immunizations are given for Hep B

Answer 47

3 first one at birth 2nd 1-2 months 3rd from 6-18 months

Question 48

Cool fact about Hep B vaccination.

Answer 48

Can prevent liver cancer

Question 49

What does rotovirus (RV) cause?

Answer 49

Severe diarrhea which can lead to sudden dehydration

Question 50

When do you immunize for RV?

Answer 50

2, 4, 6, months

Question 51

What does DTaP cover?

Answer 51

Diphtheria Tetanus Pertussis (acellular)

Question 52

When do you immunize against Hib (causes epiglotitis, meningitis, pneumonia, otitis media)

Answer 52

``` 4 doses total 2 months 4 months 6 months 12-15 months ```

Question 53

What is the vaccine for pneumococcal?

Answer 53

PCV (13 commonly used, also 27 strain for immunocomprimised) 4 doses

Question 54

When do you give the PCV vaccine?

Answer 54

4 doses total 2,4,6, 12-15 months conjugate vaccine

Question 55

What is IPV vaccine for?

Answer 55

Polio virus

Question 56

When do you vaccinate for MMR?

Answer 56

2 times; 12-18 months and 4-6 years

Question 57

When do you immunize for varicella?

Answer 57

2 times 12-18 months and 4-6 years

Question 58

Does getting the varicella reduce your risk of getting shingles?

Answer 58

No, it can actually make you more at risk

Question 59

When do you vaccinate for Hep A?

Answer 59

2 doses 12 month -18 months; then 6-18 months after first dose given to prevent problems associated w/ hep A- doesn't cause complications later on

Question 60

what is the biggest contraindication to immunizations?

Answer 60

Immunocomprimised patients can't get live vaccines

Question 61

What are the live vaccines?

Answer 61

``` OPV (Oral polio virus) MMR VAR yellow fever LAIV (life attenuated influenza virus- not given anymore) ```