Brainscape's Knowledge GenomeTM


Top Flashcards (Certified)
All Flashcards

preventative peds > preventative > Flashcards

preventative Flashcards

(62 cards)

Start Studying
1
Q

previously unvaccinated child, age 8, what do you give to protect against tetanus?

A

Tdap

>age 7

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

clean contaminated wound, but pt has received less than 3 tetanus vaccines

A

Tdap (if older than 7)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

clean contaminated wound, pt has received 3 tetanus vaccines, but last vaccine was over 10 years ago… what do you give?

A

Tdap

OR Td if already received Tdap in the past

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

dirty contaminated wound, but pt has received less than 3 tetanus vaccines

A

tetanus immunoglobulin
or IVIG if TIG not available
also vaccinate!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

dirty contaminated wound, pt has received 3 tetanus vaccines, but last vaccine was over 5 years ago… what do you give?

A

Tdap

OR Td if already received Tdap in the past

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

when do you give hep B immunoglobulin?

A
  • if mother is infected with HepB (HBsAg positive) or unknown status in the newborn’s first 12 HOL*
  • also to unvaccinated people and infants after needle stick or contaminated blood exposure

*also will need routine immunizations

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

when do you test for hepatitis in babies born to positive mothers?

A

test at 9-12 mos

**remember these kids need HBIG in first 12 HOL, then regular vaccine timeline

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What do you do for a child who was exposed to a needle stick of contaminated blood with hepatitis, but they are previously vaccinated and Ab positive

A

nothing

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

What do you do for a child who was exposed to a needle stick of contaminated blood with hepatitis, they are previously vaccinated, but they are Ab negative

A

treat them as being unvaccinated

HBIG and vaccinate

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

what vaccine cause syncope?

A

meningococceal

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

what is the treatment for measles?

A

IF child is at least 6 months- you can give the measles vaccine if it is within 72 hours of exposures
if you are outside the 72 h window you can give measles IG

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

what are contraindications to giving the MMR and varicella vaccines? (3)

A

1- severe allergy (neomycin, gelatin)
2- pregnant
3- severely immunocompromised

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

contraindications to rota vaccine? (3)

A

1- h/o intussuception
2- SCID
3- allergy

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what vaccines do you need to worry about in children with egg allergy

A

yellow fever

flu (if egg allergy is severe)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

what should water heaters be set at to prevent burn?

A

120 degrees F

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

adolescents are most likely to drown where?

A

fresh water

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

what vaccines are given subQ (4)

A

1- MMR
2- varicella
3- MMRV
4- IPV

rest IM

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

at what age do you not need to immunize with HiB for catch up?

A

5

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

ppx for child <1 y/o going to Hep A endemic area

A

passive immunization with immunoglobulin 4 weeks prior to travel

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

ppx for child >1 y/o going to Hep A endemic area

A

vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

what is a common side effect of the MMR vaccines

A 
high fever (>103) within 12days that can last for 1-2 days
can also have rash (5%)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

what are the live vaccines?

A 
LIVE! Small Yellow Chickens get Sabrin's &amp; MMR!
- small pox
- yellow fever
- varicella
- oral polio (sabins)
- MMR
&amp; rota
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

can you give the MMR and a PPD at the same time

A

YES
but if you give MMR without PPD, then you need to wait 4-6 wks to place PPD as the MMR can suppress tuberculin activity after a few days

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

you diagnose a child with varicella - who would you give acyclovir or VariZIG (Ig) to? (5)

A

1- immunocompromised + unimmunized
2- pregnant + unimmunized/neg Ab
3- hospitalized preemie (>28wk) whose mom lacks immunity
4- all hospitalized preemies <28 wks
5- newborn infants whose mother contracted varicella 5 days before birth-2 days after birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
when can you give a child on chemo live vaccines?
3 months after you stop chemo | except can give varivax to children in remission from ALL because benefit outweighs risk
26
you diagnose an immunocompetent child >1 y/o with varicella, what do you do to treat
give varicella vaccine if it's within 72 hours of exposure
27
at what age do you not need to immunize with pneumococcal vaccine for catch up?
5
28
when do you need to receive 2 doses of the flu vaccine?
the first year you receive the vaccine if you are age 6mo-8ys
29
at what age do you screen of HTN
3yrs
30
at what age do you screen for cholesterol
9-11 yrs | younger (5-9) if risk factors- family hx or high risk condition
31
when do you use a rear-facing car seat?
<2 yrs or <20 lbs position at a 45 degree angle
32
what is the safest seat in a car
middle seat
33
at what age can a child sit in the front seat
13
34
__% of bicycle-related deaths are d/t head injuries | helmets reduce serious injuries by __%
75% | 85%
35
what % of households have guns
30%
36
what vaccines contain eggs (3)
influenza and yellow fever and MMR | no a CI to giving flu
37
what vaccines contain gelatin (2)
MMR and varicella
38
what vaccine has component of streptomycin/neomycin(4)
OPV and IPV | neomycin- MMR and varicella
39
what is the optimal water fluoridation content
0.7 ppm
40
how much fluoride supplementation is needed for a child less than 3
6 mos-3yrs | give 0.25 mg only if water fluoridation is <0.3 ppm
41
how much fluoride supplementation is needed for a child less than 6
3-6yrs give 0.5 mg if water fluoridation is <0.3 ppm give 0.25 mg if water fluoridation is 0.3-0.6 ppm
42
how much fluoride supplementation is needed for a child older than 6
give 1 mg if water fluoridation is <0.3 ppm | give 0.5 mg if water fluoridation is 0.3-0.6 ppm
43
what is the most common cause of mortality in kids <1
congenital anomalies
44
what teeth erupt first
central incisors then lateral incisors, canines, first molars, second molars
45
what do you consider in a child with one central incisor
congenital panhypopituitarism | midline defect
46
what lab tests are indicated for a immigrant child in the US
``` CBC lead G6PD Hgb electrophoresis TSH ```
47
crouzon syndrome
brachycephaly, exophthalmos, maxillary hypoplasia, short beaked nose, intracranial anomalies
48
apert syndrome
brachycephaly, high cranium, wide-set eyes, midface hypoplasia, choanal stenosis, nasopharyngeal airway, obstruction, symmetrical extremity syndactyly
49
when do you perform and US if you are concerned for developmental dysplasia of the hip
- any questionable exam | - 4-6 wks in girls with breech positioning >34 weeks GA (even if nl exam)
50
when do you get an xray in a child with scoliosis
scoliometer measurement >6-7 degrees
51
when do you do bracing for scoliosis
30-39 degree curve
52
when do you (definitely) do surgery for scoliosis
>50 degrees
53
at what age do children need to receive 2 flu vaccines
previously unimmunized children ages 6 mos- 8ys
54
what is used for Hib chemoprophylaxis?
eradicates nasopharyngeal carriage of Hib and dreduces risk of developing invasive disease and/or transmission *Rifampin 20 mg/kg (max 600) qd x4d
55
who should receive Hib chemoprophylaxis?
- all household contacts with >/= 1 unimmunized or underimmunized contact <4ys - all household contacts with child <12 mo who has not completed primary series - all household contacts with immunocompromised contact <18 y/o - index pt tx with regimen other than ctx who is <2 y/o - index pt tx with regimen other than ctx who lives with a child <4 who is underimmunized or immunocompromised - close contact in childcare/preschool who spent >4h with index pt for >5/7 days prior to dx
56
what is the definition of what dose of steroids makes CI for child to receive MMR and varicella vaccines
>2mg/kg/d (max 20) for at least 14d
57
which vaccines contain egg antigen
flu (proceed with vaccine) | MMR (proceed with vaccine)
58
which vaccine contains streptomycin
IPV
59
which vaccines contain neomycin
IPV, MMR, varicella
60
which vaccine contains polymyxin B
IPV
61
which vaccines contain casein
DTaP, Tdap | immunize and observe if severely milk allergic
62
which vaccines contain gelatin
MMR, varicella, MMRV, influenza

preventative peds (1 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2025 Bold Learning Solutions. Terms and Conditions