Prevention/Health Promo/Immunization

Question 1

Goal: preventing the health problem, the

most cost-effective form of healthcare

Answer 1

Primary Prevention

Question 2

Example: immunizations, counseling about

safety, injury and disease prevention

Answer 2

Primary Prevention

Question 3

Goal: detecting disease in early,
asymptomatic, or preclinical state to minimize
its impact

Answer 3

Secondary Prevention

Question 4

Example: screening tests, such as BP check,

mammography, colonoscopy, ASA in hx MI

Answer 4

Secondary Prevention

Question 5

Goal: minimizing negative disease induced

outcomes

Answer 5

Tertiary Prevention

Question 6

Example: in established disease, adjusting
therapy to avoid further target organ damage.
Potentially viewed as a failure of primary
prevention, support groups

Answer 6

Tertiary Prevention

Question 7

Immunize those who can be to protect those

who cannot be immunized

Answer 7

Community (Herd immunity)

Question 8

Resistance developed in response to an

antigen (either infection or vaccine)

Answer 8

Active Immunity

Question 9

Immunity conferred by an antibody produced
in another host (infant of mother or immune
globulin

Answer 9

Passive Immunity

Question 10

What immunizations to avoid if hx of ax reaction to Neomycin?

Answer 10

IPV, MMR, Varicella

Question 11

What immunizations to avoid if hx of ax reaction to Streptomycin, polymyxin, neomycin?

Answer 11

IPV, Smallpox

Question 12

What immunizations to avoid if hx of ax reaction to baker’s yeast?

Answer 12

Hep B

Question 13

What immunizations to avoid if hx of ax reaction to gelatin, neomycin?

Answer 13

Varicella Zoster

Question 14

What immunizations to avoid if hx of ax reaction to gelatin?

Answer 14

MMR

Question 15

Live Vaccines Example

Answer 15

MMR, Varicella, Zostavax, Intranasal Flu

Question 16

Live vaccines should not be given to:

Answer 16

Pregnancy, Immunosuppressed and with HIV (CD4 count <200)

Question 17

Do not give rotavirus vaccine to:

Answer 17

SCID (sever combined immunodeficiency)

Question 18

Chronic Hep B causes: (3)

Answer 18

Hepatocellular carcinoma, cirrhosis and cont. infectivity

Question 19

When was childhood Hep B vax made?

Answer 19

1982

Question 20

Hep B doses and spacing:

Answer 20

3 doses, 0, 1, 6 months.

Question 21

What are the 5 A’s of smoking cessation?

Answer 21

1. Ask about tobacco use
2. Advise to quit
3. Assess willingness to make a quit
   attempt
4. Assist in quit attempt
5. Arrange follow-up

Question 22

When to give PCV13?

Answer 22

All children younger than 2; Adults 65 and older.

Question 23

Pneumococcal vax for adults

Answer 23

PCV13 then 1 year later PPSV23

Question 24

PPSV23 repeated if?

Answer 24

Given before age 65 repeat in five years

Question 25

Smallpox is caused by what virus?

Answer 25

Variola

Question 26

How is smallpox spread?

Answer 26

Droplets. Contagious when pt has fever and/or rash.

Question 27

When did we stop vaccinating for smallpox?

Answer 27

1972

Question 28

Smallpox incubation period

Answer 28

7-17 days

Question 29

Smallpox prodromal stage symptoms

Answer 29

fever, malaise, HA, body aches

Question 30

Smallpox rash progression

Answer 30

face>arms/legs>hands/feet

Question 31

Smallpox vaccine after exposure

Answer 31

Within 3 days can reduce severity

Question 32

Poliovirus transmission

Answer 32

fecal/oral

Question 33

ability of a test to detect a person who has disease

Answer 33

Sensitivity

Question 34

ability of a test to detect a person who is healthy

Answer 34

Specificity