Micro and General Priciples (27)

Question 1

Guidelines for AAA US screen - sex, age range, characteristic.

Answer 1

all males 65-75 who have EVER SMOKED.

Question 2

• Dx diameter of a AAA
• B/w what range should screening continue?
• Diameter greater than what __cm should be surgically repaired?

Answer 2

• 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

Question 3

a male >45 or female >55 should not take aspirin if they have what?

Answer 3

hx of abd bleeding or PUD

Question 4

Name three live attenuated vaccines that should be avoided in immunocompromised

Answer 4

MMR
varicella
live attenuated influenza

Question 5

Name five vaccinations that should be given to AIDS pts with CD4 less than 200 (?)

Answer 5

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

Question 6

Name three vaccines CI in every HIV patient

Answer 6

bacillus anthracis
smallpox
zoster

Question 7

how should an avulsed tooth be transported if reimplantation is unsuccessful?

Answer 7

child’s saliva or cold milk

Question 8

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?

Answer 8

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

Question 9

five cases in which minor do not need parental consent for medical interventions

Answer 9

• Contraception
• Pregnancy-related care
• tx of STI
• Management of drug addiction
• Management of mental illness

Question 10

___ is recommended for all breastfed infants and for formula-fed infants who do not consume at least 1L of formula /day.

Answer 10

Vitamin D, to prevent hypoCa and rickets

Question 11

small yellow chickens with MMR

Answer 11

live vaccines - 
small pox
yellow fever
VZV
MMR

Question 12

mechanism of GBS

Answer 12

peripheral nerve demyelination dt ab against campylobacter cross-reacting with peripheral nerve myelin

Question 13

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?

Answer 13

pneumococcal vaccination

all 65+yo should receive it regardless of prior vaccination

Question 14

hep A vaccinations recommended for what two general groups?

Answer 14

1. @risk of exposure - travel or working with hep A

2. high risk of chronic liver dz and/or hepB/C

Question 15

guidelines for meningococcal vaccine

Answer 15

military, HIV, or travelers

college students up to 21yo if the live in dorms AND previous vaccine before 16y

Question 16

zoster vaccination guidelines

Answer 16

60y and older

Question 17

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.

Answer 17

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.

Question 18

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?

Answer 18

yes - Tdap to all adults who have not received the vaccination

b/w 27-36 (4-9mo)

Question 19

guidleines for colorectal screening in adults 50-75:
FOBT
sigmoidoscopy
Colonoscopy

Answer 19

FOBT annually
sigmoidoscopy q5y
Colonoscopy q10y

Question 20

BMI of obesity definition

recommended exercise amount per week for children 6-17yo

Answer 20

> 95th%

60min/day of moderate exercise

Question 21

what vaccine should not be given to a person with an egg allergy?

Answer 21

any type (inactived or live, attenuated) INFLUENZA vaccine

Question 22

MMR, varicella, influenza, Tdap all have what allergy-prone substance in them?

Answer 22

gelatin allergy

Question 23

what potential allergen is found in Hep B vaccination?

Answer 23

yeast - Saccharomyces cerevisiae

Question 24

at what age should fluoride supplementation begin?

Answer 24

6mo

Question 25

If primary water source contains

Answer 25

systemic fluoride and topical fluoride via toothpaste

Question 26

If primary water source contains 0.3-0.6 ppm fluoride, children age 6mo-3y should be treated with ___

Answer 26

only topical fluoridated toothpaste, dietary not necesary

Question 27

If primary water source contains 3y should be treated with ___

Answer 27

systemic and topical fluoride supplementation

Question 28

What are the three trye CI to vaccination?

Answer 28

1. anaphylaxis to prior dose of vaccine (hives/wheezing)
2. severe illness (w or w/o fever)
3. live virus vaccines in immunocompromised or pregnant parties

Question 29

what three vaccinations recommended for an 11yo (M or F)

Answer 29

TDaP, meningococcal, HPV quadrivalent (6, 11,16,18) (but F can have bivalent - 16 and 18)