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preventive Flashcards

1
Q

oldest you can be to get DTaP

A

6 yo

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2
Q

adolescents and Tdap

A

one dose, ideally 11-12yo

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3
Q

DTaP schedule

A

2, 4, 6, 15-18mo, 4yo, adolescence

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4
Q

catch up dipth, tet, pertussis

A

Tdap substituted for one of the Td boosters

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5
Q

contraindication for pertussis vaccine

A

encephalopathy within 7 days of receiving pertussis vaccine, evolving neurologic condition

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6
Q

can you give Tdap to pregnant woman

A

yes

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7
Q

can you give Tdap to immuncompromised people

A

yes

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8
Q

should you give pertussis vaccine to someone who had pertussis

A

yes

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9
Q

when do you give tetanus immunoglobulin

A

if dirty wound AND not fully immunized

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10
Q

when do you give Td after wound

A

if >5 years since last booster and dirty wound

if >10 years since last booster and clean wound

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11
Q

Hib schedule

A

2, 4, 6 mos

or 2, 4, 6, 12-15 mos

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12
Q

combination vaccines - who can get them?

A

primary series, age 6 weeks - 6 years

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13
Q

HBV vaccine schedule

A

birth, 2 mos, 6-18mos

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14
Q

contraindication to HBV vaccine

A

severe allergic reaction to prior dose

OK in pregnancy

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15
Q

can preemies get HBV vaccine?

A

yes, even if < 2kg
within 30 DOL or prior to discharge
if <2kg, still need full series

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16
Q

hep B PEP in infants/unvaccinated

A

HBIG and HBV series

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17
Q

hep B PEP if full series and antibody positive

A

nothing

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18
Q

hep B PEP if full series and antibody negative

A

HBIG and HBV series

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19
Q

hep B PEP if HBV vaccine status unknown

A

test for antibody

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20
Q

hep A vaccine - when given

A

1 year

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21
Q

hep A vaccine contraindications

A

allergic reaction to aluminum hydroxide or phenoxyethanol

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22
Q

children traveling to hep A endemic areas

A

< 1yr: get immune globulin

> 1yr: get vaccine, at least 2-4 wks prior to departure

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23
Q

MCV4 - strains covered?

A

A, C, Y, W135

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24
Q

MCV4 schedule

A

11-12yrs, 16yrs

prior to college if not vaccinated before

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25
Q

MCV4 if immunocompromised

A

yes!

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26
Q

HPV vaccine age

A

9 is youngest, rec 11-12

catch up for F 13-26

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27
Q

MMR schedule

A

12-15mos, 4-6yrs

vaccines at <1yr don’t count towards series

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28
Q

MMR and other live vaccines?

A

either given together or >4wks apart

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29
Q

SEs of MMR vaccine

A

high fever within 12 days of vaccination, lasts 1-2 days
rash
REASSURE

30
Q

MMR contraindications

A

severe allergic reaction to vaccine, neomycin, gelatin
pregnancy
severe immunocompromised

31
Q

MMRV problem

A

higher rate of febrile seizures in 12-23 mos

contraindicated in HIV

32
Q

PPDs and MMR?

A

can place before or with MMR

should not be placed after MMR for 4-6 weeks

33
Q

HIV+ and vaccines

A

measles if not severely immunocompromised, NO MMRV
varicella if CD4 counts OK
inactivated flu only

34
Q

varicella schedule

A

12-15mos, 4-6 yrs

if older, unvaccinated, and has not had chickenpox

35
Q

contraindications to varicella vaccine

A

pregnancy
allergic reaction
serious immunocompromise

36
Q

who gets varicella IG as PEP

A

immunocompromised w/o previous vaccine/infection
non-immune pregnant women
preemie < 28 wks GA
preemie > 28 wks GA in hospital with non immune mom
newborn if mom contracted 5 days before to 2 days after birth

37
Q

who gets varicella vaccine as PEP

A

all who get IG plus:

12 mos and older within 72 (or 120) hrs from exposure

38
Q

how long after chemo OK to give inactivated and live vaccines?

A

inactivated - fine during chemo if not induction or consolidation
live - minimum 3-6 months after chemo is over
EXCEPTION: varicella given to children with ALL in remission

39
Q

PCV schedule

A

2, 4, 6, 12-15mos

catch up for all children < 6 yos

40
Q

if 6 or older, when to get PCV?

A

if immunocompromised or asplenic
if CSF leaks and cochlear implants
if chronic heart, lung, renal disease, diabetes

41
Q

who gets PPSV23

A

if immunocompromised or asplenic (these get total 2 doses)
if CSF leaks and cochlear implants
if chronic heart, lung, renal disease, diabetes

42
Q

IPV schedule

A

2, 4, 6 mos, 4 yrs

43
Q

rota schedule

A

2, 4, 6 mos (if RV5)

2, 4 mos (if RV1)

44
Q

how old is too old for rota vaccine

A

15 weeks for first dose (but still do the rest of the series even if you miss it)
8 months for last dose

45
Q

rota contraindications

A

severe allergic reaction
SCID
intussusception
underlying GI disease on immunosuppressive treatment

46
Q

do you readmin rota if they spit it up

A

no

47
Q

vaccine timing with solid organ transplant

A

live vaccines - min 1 month prior

inactivated vaccines - min 2 weeks prior

48
Q

who can get LAIV

A

2 years or older

49
Q

which vaccines do we worry about with egg allergy

A

yellow fever vaccine - see allergist prior

influenza IF anaphylaxis to egg

50
Q

when to screen for cholesterol

A

5-9 if risk factores

9-11 for everyone

51
Q

what does UVA do

A

all day risk

drug induced photosensitivity

52
Q

what does UVB do

A

10A-5P highest risk
skin aging
sunburn
skin cancer

53
Q

where do infants <2y or <20lbs sit in car

A

infant/rear facing car seat at 45 degree angle

54
Q

where do toddlers > 2yr or >20lbs sit in car

A

convertible car seat with harness, forward facing

55
Q

where do school age children <4’9” sit in car

A

booster seat

56
Q

how old to sit in front seat

A

13yr

57
Q

bicycle deaths most common age grp

A

<15yrs

75% deaths due to head injuries

58
Q

what % children wear bike helmets

A

<10%

59
Q

bicycle helmets reduce serious injury by __

A

85%

60
Q

water heater temp

A

120

61
Q

more than ___% of suicide attempts with gun are fatal

A

90

62
Q

infants most likely to drown in

A

bathtub

63
Q

children <5 most likely to drown in

A

residential pool

64
Q

adolescents most likely to drown in

A

fresh water

65
Q

above ground pools more vs less likely to cause drowning

A

less

66
Q

drowning higher in which groups

A

AfAm males, males (75% of all drownings)

67
Q

how do you secure home pool

A

4 sided fence around pool, self-locking and self-latching gate

68
Q

maternal cigarette use during pregnancy –>

A

preterm birth, IUGR
SIDS
asthma
behavior and attention problems

69
Q

are school based education programs useful for smoking prevention

A

yes if focus on role playing refusal skills and give info on health impact

70
Q

when to use nicotine replacement therapy in adolescents

A

if confident it will be used appropriately and quitting not likely otherwise

boards prep (34 decks)

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