unit 3 adulthood vax/screenings

Question 1

flu vax

Answer 1

one dose annually 19- >65
OR
LAIV yearly 19-49

Question 2

Tdap or TD vax

Answer 2

1 dose Tdap then TD booster Q10y

Question 3

zoster recombinant vax

Answer 3

>50y
2 doses (2-6mo apart, min = 4w)
OR one live dose if not previously vax'd

Question 4

HPV vax

Answer 4

female 19-26: 2-3 doses depending on age at initial vax

male 19-21y: 2-3 doses depending on age at initial vax

Question 5

PCV13 vax: >65y & immunoCOMPOTENT unvax’d:

Answer 5

unvax’d: 1 now, PPSV23 in 1y

Question 6

PCV13 vax: >65, healthy, received PPSV23 <65y:

Answer 6

1 dose AT LEAST ONE YEAR s/p PPSV23

Question 7

when both PCV13 AND PPSV23 are indicated which do you give first?

Answer 7

PCV13. never admin both at same visit

Question 8

ensure at least ____y btwn doses of PPSV23

Answer 8

FIVE

Question 9

PPSV23 vax: age 19-64 w chronic medical conditions

Answer 9

1 dose

Question 10

PPSV23 vax: age 19+ w immunoCOMP’d conditions;

Answer 10

1 dose PCV13 > 8w > 1 dose PPSV23 > 5y > PPSV23

Question 11

MMR:

Answer 11

19-60:
2 dose q4w for MMR
1 dose for R

Question 12

varicella

Answer 12

19-38

2 dose q4-8w

Question 13

true or false: the flu vaccine is safe for pregnant women

Answer 13

true, inactivated

Question 14

Tdap should be given with each pregnancy during the weeks of

Answer 14

27-35w

Question 15

true or false. meningococcal vax is contraindicated in pregnancy

Answer 15

true

Question 16

pregnancy & hep A/hep B vax

Answer 16

if traveling to high risk place then ask physician. hep A low risk to fetus- no note about hep B

Question 17

contraindication for flu vac?

Answer 17

type 1 egg allergy

Question 18

contraindication for hep B vac?

Answer 18

YEAST (B is for Bread)

Question 19

contraindication to meningococcal?

Answer 19

severe reaction to diptheria toxoid & rubber latex

CAN be given to immunocomp’d pts

Question 20

when hsould you defer PCV13?

Answer 20

mod-severe illness, increased risk for seizures when given with flu vacc

Question 21

containdications to Tdap?

Answer 21

any unstable or undiagnosed neuro issue (chronic or related to previous vax)

Question 22

MMR contraindications?

Answer 22

PREGNANCY
latex, neomycin, gelatin
immunopcomp'd pts
high dose corticosteroid recipients
3-11mo s/p IgG administration

Question 23

MMR adverse reaction?

Answer 23

febrile seizure, transiet thrombocytopenia

Question 24

shingles/varicella vax contra?

Answer 24

pregnancy

Question 25

HPV vax contra?

Answer 25

pregnancy

Question 26

IPV allergy

Answer 26

neomycin, streptomycin/polymyxin

Question 27

USPSTF breast cancer screening

Answer 27

q2y starting at 50-74y, others with consideration

Question 28

USPSTF cervical cancer screening

Answer 28

*21-65 with pap q3y
OR
*30-65 pap & HPV test q5y
*NO SCREEN FOR: >65 w previous screening, *hysterectomies w cervix removal

Question 29

USPSTF colorectal cancer screening ages?

Answer 29

• 50-75 everyone
• 76-85, select cases
• test include: yearly fecal occults, FITDNA q1-3y, colonoscopy q10y, CT colonography q5y, flex sigmoid q5y, flex sigmoid q10y + FIT q1y

Question 30

USPSTF lung cancer screening ages?

Answer 30

• SMOKERS 55-80 w 30 pack year hx OR have quit last 15y
• DONT SCREEN quit >15y or life expectancy limiting dx
• low dose CT

Question 31

USPSTF prostate cancer screening?

Answer 31

55-69 INDIVIDUAL DECISION

DONT SCREEN 70+

Question 32

USPSTF testicular cancer screening?

Answer 32

NO ROUTINE SCREEN

Question 33

USPSTF ovarian cancer screening?

Answer 33

NO ROUTING SCREEN