Micro and General Priciples (27) Flashcards
Guidelines for AAA US screen - sex, age range, characteristic.
all males 65-75 who have EVER SMOKED.
- Dx diameter of a AAA
- B/w what range should screening continue?
- Diameter greater than what __cm should be surgically repaired?
- Dx diameter of a AAA = 3cm or greater
- B/w what range should screening continue? 3.0-5.4cm
- Diameter greater than what __cm should be surgically repaired? 5.5cm
a male >45 or female >55 should not take aspirin if they have what?
hx of abd bleeding or PUD
Name three live attenuated vaccines that should be avoided in immunocompromised
MMR
varicella
live attenuated influenza
Name five vaccinations that should be given to AIDS pts with CD4 less than 200 (?)
inactivated influenza
tetanus/diphtheria and /or adult pertussis (Td/TDaP once) every 10 years
HPV 3 dose series (up to age 26)
**Pneumococcal polysaccharide (13-valent and 23-valent)
**Hep B full series
Name three vaccines CI in every HIV patient
bacillus anthracis
smallpox
zoster
how should an avulsed tooth be transported if reimplantation is unsuccessful?
child’s saliva or cold milk
a 10yo has an avulsed tooth that is soiled. he had 5 tetanus boosters, with the last one 4 years ago. what should be given?
nothing - since mroe than 3 lifetime boosters and the tooth soiled, only give booster if last was >5 years ago. if it was not soiled, then only give if last booster was >10 years ago
five cases in which minor do not need parental consent for medical interventions
- Contraception
- Pregnancy-related care
- tx of STI
- Management of drug addiction
- Management of mental illness
___ is recommended for all breastfed infants and for formula-fed infants who do not consume at least 1L of formula /day.
Vitamin D, to prevent hypoCa and rickets
small yellow chickens with MMR
live vaccines - small pox yellow fever VZV MMR
mechanism of GBS
peripheral nerve demyelination dt ab against campylobacter cross-reacting with peripheral nerve myelin
all adults who smoke cigarettes (or chronic lung/CV/renal/lover disease, CSF leaks (cochlear implant), splenic dysfunction, immunocompromised, OR nursing home)
should receive what vaccination, regardless of age and risk factors?
pneumococcal vaccination
all 65+yo should receive it regardless of prior vaccination
hep A vaccinations recommended for what two general groups?
- @risk of exposure - travel or working with hep A
2. high risk of chronic liver dz and/or hepB/C
guidelines for meningococcal vaccine
military, HIV, or travelers
college students up to 21yo if the live in dorms AND previous vaccine before 16y
zoster vaccination guidelines
60y and older
Language delay is suspected in a child who does not babble by __ age, has no words/does not point at ___age, or has no intelligible speech at __ age.
Language delay is suspected in a child who does not babble by ONE YEAR age, has no words/does not point at FIFTEEN MONTHS age, or has no intelligible speech at TWO YEARS age.
should you administer Tdap to an adult if they had a tetanus or Td vaccination three years before?
b/w what weeks should every pregnant woman receive it?
yes - Tdap to all adults who have not received the vaccination
b/w 27-36 (4-9mo)
guidleines for colorectal screening in adults 50-75:
FOBT
sigmoidoscopy
Colonoscopy
FOBT annually
sigmoidoscopy q5y
Colonoscopy q10y
BMI of obesity definition
recommended exercise amount per week for children 6-17yo
> 95th%
60min/day of moderate exercise
what vaccine should not be given to a person with an egg allergy?
any type (inactived or live, attenuated) INFLUENZA vaccine
MMR, varicella, influenza, Tdap all have what allergy-prone substance in them?
gelatin allergy
what potential allergen is found in Hep B vaccination?
yeast - Saccharomyces cerevisiae
at what age should fluoride supplementation begin?
6mo
If primary water source contains
systemic fluoride and topical fluoride via toothpaste
If primary water source contains 0.3-0.6 ppm fluoride, children age 6mo-3y should be treated with ___
only topical fluoridated toothpaste, dietary not necesary
If primary water source contains 3y should be treated with ___
systemic and topical fluoride supplementation
What are the three trye CI to vaccination?
- anaphylaxis to prior dose of vaccine (hives/wheezing)
- severe illness (w or w/o fever)
- live virus vaccines in immunocompromised or pregnant parties
what three vaccinations recommended for an 11yo (M or F)
TDaP, meningococcal, HPV quadrivalent (6, 11,16,18) (but F can have bivalent - 16 and 18)
