Preventive Medicine

Question 1

Discuss the benefits, contraindications and risks for vaccines

Answer 1

Benefits:
- protect against infectious diseases
- prevent transmission
- cost effective
Contraindications:
- live vaccines (MMR, yellow fever, VZV) in immune suppression
- anaphylaxis
- live vaccines in pregnancy
Risks:
- reaction at/near site
- fever
- rash
- lymphadenopathy
- seizure from fever
- anaphylactic reaction

Question 2

What vaccine is for Diptheria

Answer 2

• DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old

- Diptheria leads to severe pharyngitis and cervical adenopathy

Question 3

What vaccine for pertussis

Answer 3

• DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old

Question 4

What vaccine is for tetanus

Answer 4

• DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old, booster between 14-16
• for clostridium tetani leading to painful muscle contraction and convulsion

Question 5

What vaccine for poliomyelitis

Answer 5

• DTaP-IPV at 2, 4, 6, 18 months and 4-6 years old

- muscle paralysis and

Question 6

What vaccine for haemophilus influenzae

Answer 6

• HIB at 2, 4, 6, 18 months

Question 7

What vaccine for measles

Answer 7

• MMR at 12 months and MMRV at 4-6
• fever, sore throat, cough, coryza, conjuctivitis, Kospik spots, encephalitis if severe
• side effect: fever 7-10 days following

Question 8

What vaccine for mumps

Answer 8

• MMR at 12 months and MMRV at 4-6

- fever, parotitis, orchitis or oophoritis with risk of infertility, encephalitis

Question 9

What vaccine for rubella

Answer 9

• MMR at 12 months and MMRV at 4-6

Question 10

What vaccine for streptococcus pneumonia

Answer 10

• Pneu-C-13 at 2, 4 and 12 months

- pneumovax 23 can begin >2 for patients with asplenia

Question 11

What vaccine for meningococcus

Answer 11

• Men-C-C at 12 months and then booster in grade 7

Question 12

What vaccine for VZC

Answer 12

• Varicella at 15 months and then MMRV at 4-6

Question 13

What vaccine for hepatitis B

Answer 13

• HB in grade 7

Question 14

What vaccine for HPV

Answer 14

• HPV in grade 8

Question 15

What is the normal visit schedule for a newborn

Answer 15

1 week, 1 month, 2 months, 4 months, 6 months, 12 months, 2-3 years and 4-5 years

Question 16

Discuss anticipatory guidance for newborns

Answer 16

Immunization
Nutrition
Development
Education on safety and injury prevention
Maternal care