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Laughing Your Way > Preventative > Flashcards

Preventative Flashcards

1
Q

Age to administer DTaP

A

2 mo
4 mo
6 mo
15-18 mo (or at least 6mo from 3rd dose)
Kindergarten

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2
Q

Age to administer Tdap

A

11-12 yr

Can be given with meningococcal and HPV vaccines

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3
Q

Puncture wound with increased risk of infection

A

Involving forefoot
Puncture through shoes
Diabetes

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4
Q

Tetanus and clean wounds

A

Tetanus IG Not indicated

Tetanus vaccine is immunization status unknown or has received < 3 tetanus vaccines

Booster if > 10 yr since last vaccine

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5
Q

Tetanus + dirty wounds

A

Tetanus vaccine + TIG (or IVIG) if received < 3 tetanus vaccine or immunization status unknown

Booster if > 5 yr since last tetanus vaccine

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6
Q

Age to administer Hib

A

2 mo
4 mo
6 mo

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7
Q

Age to administer Hep B

A

Birth
1-2 mo
6-18 mo after 1st dose

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8
Q

Mother with Hep B or unknown hepatitis status

A

Newborn should receive HBIG in first 12 hours of life in addition to routine immunization

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9
Q

Hep B vaccine + preemies

A

Within 30 days of life if < 2mg

If less than 2 kg, does not count toward completion of series

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10
Q

Post-exposure prophylaxis and Hep B

A

If received full series and Ab neg or unknown immunity or unvaccinated, give HBIG + full series

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11
Q

Age to administer Hep A

A

1 yr
6 mo after 1st dose

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12
Q

Hep A + traveling to endemic area

A

Passive immunization + IG if < 12 mo

Hep A vaccine if > 12 mo (2-4 weeks prior to departure)

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13
Q

Age to administer MCV4 (A, C, Y, W-135)

A

11-12 yr
16 yr (booster)

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14
Q

MCV4 administered as early as 2 mo

A

Immunocompromised
Community outbreak
Traveling to endemic areas

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15
Q

Age to administer HPV

A

11-12 yr
Booster 6 mo after 1st

If starting series < 15 yr, 2 dose series
If starting > 15 yr, 3 dose series

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16
Q

Age to administer MMR

A

12-15 mo
4-6 yr

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17
Q

MMR + epidemic/endemic area

A

Administer between 6-11 mo
Must resume regular immunization schedule

18
Q

Absolute contraindications to MMR and varicella

A

Severe allergic reaction
Pregnancy
Severely immunocompromised

19
Q

MMRV vs MMR + V

A

MMRV associated with higher rate of febrile seizures (12-23 mo)

MMRV contraindicated in HIV

20
Q

Age to administer varicella

A

12-15 mo
4-6 yr

21
Q

Varicella vaccine + ASA

A

Avoid aspirin for 6 weeks post-vaccination
Risk of Reye Syndrome

22
Q

Age to administer PCV-13

A

2 mo
4 mo
6 mo
12-15 mo

23
Q

Indications for PPSV23

A

Immunocompromised (another dose 5 years after 1st)

CSF leaks, cochlear implants

Chronic disorders

Given at 2 yr + 8 weeks after PCV-13

24
Q

Age to administer IPV

A

2 mo
At least 2 mo after 1st
6-18 mo
> 4 yr (at least 6mo after 3rd)

25
Q

Catch up immunization for Hib

A

Single dose if 15-59 mo

26
Q

Catch up immunization for PCV13

A

2 doses (8 wk apart) for health children 12-23 mo

27
Q

Subcutaneous injections of vaccines

A

MMR
Varicella
IPV

28
Q

Vaccine associated with syncope

29
Q

Age of Rotavirus vaccine

A

RV5 (PO): 2, 4, 6 mo

RV1: 2 and 4 mo

Complete series by 8 mo

30
Q

Age not to give Rotavirus vaccine

A

After 15 weeks

31
Q

Contraindications to Rotavirus vaccine

A

SCID
H/o intussusception
Latex allergy (Rotatrix. Give RotaTeq instead)

32
Q

Preemies and Rotavirus

A

At least 6 weeks of age
Discharged from nursery
Clinically stable

33
Q

Cholesterol screening

A

5-9 yrs: high risk/family history

9-11 yrs: universal

34
Q

UV A

A

Constant risk throughout the day

Drug induced photosensitivity reactions

35
Q

UV B

A

Strongest risk between 10a-5p

Skin aging
Sunburn
Skin cancer

36
Q

Contraindications to live influenza vaccine (nasal)

A

Pregnancy
Chronic heart disease
Asthma (children 2-4 years)
History of wheezing in past 12 mo
DM
CKD
Immunosuppressant
Daily salicylate therapy
CSF leak
Cochlear implant
Severe allergy to vaccine

37
Q

Whitish lines running across teeth
Chalky-brown enamel discoloration
+/- dental pitting

A

Fluorosis (too much flouride exposure)

38
Q

Elevated BP in 1-13 yo

A

SBP and/or DBP > 90th perfenctile but < 95th percentile or 120/80 to < 95th percentile (whichever is lower)

39
Q

Stage 1 HTN in 1-13 yo

A

SBP and/or DBP > 95th perfenctile to < 95th percentile + 12 or 130/80 to 139/89 (whichever is lower)

40
Q

Stage 2 HTN

A

SBP and/or DBP > 95th perfenctile + 12 or > 140/90 (whichever is lower)

41
Q

Common adverse effect of pertussis-containing vaccine

A

Prolonged irritability and crying for an extended period of time (> 3 hr)

42
Q

Minimum age that requires only 1 dose of influenza vaccine if never been immunized against influenza

Laughing Your Way (34 decks)

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