Online Med Ed

Question 1

At what age should a kid be able to walk?

Answer 1

1 year

Question 2

Talk about speech relative to age

Answer 2

1:1. Add 1 word to the sentence foe every 1 year

Question 3

what type of behavior is indicative of abuse ( in regards to staff)?

Answer 3

seeking comfort from you/the staff rather than parents

Question 4

Essential SIDS safety to educate parents on?

Answer 4

sleep on back, don’t share beds, stop smoking

Question 5

When is there a social smile?

Answer 5

2 months

Question 6

when is there stranger anxiety?

Answer 6

6-12 months

Question 7

when is there separation anxiety?

Answer 7

6-12 months

Question 8

when can a kid hop on one foot?

Answer 8

4 years

Question 9

when can a kid skip?

Answer 9

5 years

Question 10

a child has received two doses of the hepatitis B vaccine but then hasn’t been seen in 2 years. do you need to restart the series?

Answer 10

no. finish the series with one time dose (need total of 3)

Question 11

child has uncontrollable coughing spells with inspiratory “whoop” sound between coughs. whats the diagnosis?

Answer 11

pertussis

Question 12

dirty wound. tetanus booster> 5 years ago but received full series. what do you do?

Answer 12

booster only

Question 13

dirty wound with unknown tetanus status. what do you do?

Answer 13

vaccine + tetanus immunoglobulin

Question 14

dyspnea, dysphagia, and grey pseudomembrane. what’s the diagnosis?

Answer 14

diptheria

Question 15

how many doses of MMRV do you need?

Answer 15

two; one at 12-15 months and one at 4-6 years

Question 16

vaccines associated with egg allergy?

Answer 16

yellow fever (flu and MMR okay to use now)

Question 17

which vaccines are live attenuated?

Answer 17

MMR, varicella, and intranasal flu

Question 18

what group shouldn’t get live-attenuated vaccines?

Answer 18

pregnant people, immunocompromised (chemo, HIV/AIDS)

Question 19

what are the three types of flu vaccines? name them and their individual contraindication

Answer 19

1) inactivated IM injection-severe egg allergy but this is debatable
2) live intranasal-immunocompromised
3) recombinant-anaphylaxis to components

Question 20

what is an absolute contraindication to giving another dose of the DTaP vaccine?

Answer 20

encephalopathy within 7 days of a previous dose

Question 21

can you give the HPV vaccine to a sexually active teen?

Answer 21

yes, it will provide immunity as long as they are not already infected. Start as early as 9.

Question 22

mom has an unknown Hep B status or +Hep surface antigen delivering a baby. what do you do?

Answer 22

Hep B vaccine to baby now. Check mom’s status. Give HepB IG to baby if cannot obtain mom status in a timely fashion.

Question 23

mom has Hep B and is delivering baby, what do you do?

Answer 23

give baby Hep B IG and vaccine

Question 24

dirty wound, >3 lifetime doses of tetanus shot, <5 years since the last one-what do you do?

Answer 24

send home, no further management needed.

Question 25

when can you send a wound home without a tetanus vaccine?

Answer 25

> 3 lifetime doses; or clean, last booster<10 years; or dirty, last booster <5 years

Question 26

post-exposure interventions for varicella. who gets what?

Answer 26

varicella vaccine for all children. VZIG for all immunocompromised patients.

Question 27

Difference between DTaP and Tdap?

Answer 27

DTaP is for kids (big D for big Dose). Tdap is for adults.