Pre-Test FM Preventative

Question 1

If the mother is hepatitis B surface antigen positive, baby vaccines are?

Answer 1

1st vaccine and hep B IG* given within 12 hours of birth.
2nd vaccine 1–2 mo
3rd vaccine at 6 mo

Question 2

How many Hep B vaccines for adults?

Answer 2

still 3

candidates: hemodialysis pts*, gay men, prostitutes, IV drug users, prisoners, people living in with hepatitis B virus carriers, health care workers, and people from endemic areas

Question 3

___________ vaccination is indicated for men who have sex with men or users of illegal drugs.

Answer 3

Hepatitis A

Question 4

For contaminated or deep wounds, a Td booster is recommended if the last vaccination was ___________.

Answer 4

given more than 5 years ago

Question 5

. In cases where there is a family history of colorectal cancer, the screen should begin______________

Answer 5

10 years before the cancer was diagnosed in the family, or at age 50, whichever is sooner

Question 6

Screening ECG in low risk pts

Answer 6

recommended against

Question 7

The USPSTF recommends screening for cervical cancer in women age 21 to 65 years with cytology (Pap smear) every _____________

Answer 7

3 years

women age 30- 65 screening with a combination of cytology and HPV can go every 5 years.

Question 8

Yellow fever vaccine, live vs killed

Answer 8

LIVE!

Question 9

Yellow fever virus symptoms

Answer 9

high fever, black vomitus, and jaundice

May see Councilman bodies (eosinophilic apoptotic globules) on liver biopsy.

A flavivirus. Flavi = yellow aka jaundice

Question 10

the live vaccines are

Answer 10

smallpox
yellow fever
rotavirus
 chickenpox (VZV)
 Sabin poliovirus
MMR
Influenza- intranasal

Question 11

Progesterone only OCPs work via

Answer 11

Production of thick cervical mucus, which inhibits sperm entry into uterus.

Question 12

Progesterone maintains _______ to support implantation

Answer 12

endometrium

↓ progesterone –> ↓ fertility.

Question 13

Unopposed estrogen replacement therapy ↑ risk of ____________

Answer 13

endometrial cancer

thus progesterone is added.

Question 14

Progestin challenge

Answer 14

presence of withdrawal bleeding–> excludes anatomic defects (eg, Asherman syndrome) and chronic anovulation without estrogen

Question 15

cured hodgkin lymphoma pts prognosis

Answer 15

18 fold ↑ chance of malignancy after their chemo and radiation

common ca: lung, thyroid, breast, GI

Question 16

All pts with a-fib should be screened for?

Answer 16

hyperthyroid

Question 17

rx for aspergillus

Answer 17

voriconazole

Question 18

nocardia dissemination

Answer 18

pulm–> brain and skin

Question 19

MOA of ↓ Ca in blood transfusions

Answer 19

blood is stored with citrate

citrate chelates calcium

Question 20

ludwig angina exam

Answer 20

elevation of oropharynx floor

Question 21

mixed cryoglobulinemia syndrome

Answer 21

immune complex deposition
asc. w/ hep c

s/s: palpable purpura, arthralgia, renal disease, peripheral neuropathy

Question 22

vfib ecg

Answer 22

chaotic irregular waveform

no p, qrs, or t waves

Question 23

familial hypocalcuric hypercalcemia

Answer 23

asymptomatic
↑ Ca and ↑ PTH
mutation in Ca sensing receptor

(primary hyperPTH will have ↑ UA ca, this wont)

Question 24

Leukemoid rxn

Answer 24

leuk count > 50,000 in response to severe infection

vs CML, LR has ↑ alkphos

Question 25

How does the body compensate for chronic hypoventilation

Answer 25

hypoventilation= resp acid

renal bicarb retention compensation

Question 26

CD4 for cerebral toxo

Answer 26

under 100