vaccine

Question 1

exemptions in oregon

Answer 1

medical and religious exemptions

Question 2

our jobs with vaccine

Answer 2

educate and suport parents in making their own safe choice.
rist/benefit
information statement

Question 3

mild local vaccine reaction treatment

Answer 3

ice pack
benadryl
arnica, ledum, thuja,

Question 4

viral exanthem

Answer 4

any eruptuon of the skin accompanied by inflammation such as measles, scarlet fever, rubella, dukes disease, parvo B19

Question 5

measles/rubeola

Answer 5

paramyxovirus spread by droplets/contageous
Koplik spots: difinitive
fever, hacking cough, conjunctivitis
cutaneous rash: maculopapular, confluent and irrectular, possible petechial with mild desquamination.
From top of head down the body.

Question 6

Dx of measles

Answer 6

Koplik’s spots, c

coryza with photophobia

Question 7

management of measles.

Answer 7

avoid secondary infections

risks of OM and penumonia.

Question 8

Rubella/german measles

Answer 8

1-5 days of malaiseand LA followed by rash that begins on face and neck and moves down body,
rash gone in 3 days. macular to pinpoint.

Question 9

dx of Rubella

Answer 9

No Kopliks spots: not measles
No sore throat: not scarlet fever
rubella antibodies

Question 10

Dangers of rubella

Answer 10

that a pregnant woman will contact rubella causing sever to fatal birthdefects if infected 1st trimeter.
- deaf, cataracts, heart defect, microcephalus

Question 11

roseola infantum

Answer 11

infants and children under 4., contagenous
abrupt onset high fever 103-5, for 3-5 days, dissapears then rash develops.
maculopapular starts trunk.
some parents may not notice rash its gone so quick.
not bad sick.

Question 12

fifths disease: erythema infectinosum

Answer 12

parvo B19
low grade fever,
slapped cheek rash that may spread into symmetric maculopapular rash on extremities and trunk.
arthralgias.

Question 13

dangers with fifths disease

Answer 13

during pregnancy can cause fetal death

Question 14

varicella/chicken pox and zoster

Answer 14

winter spring
vesicular rash, macules to papules to vesicles that then crust, then more rash.
trunk most common.

Question 15

Dx of varicella

Answer 15

lesion appearance and the appearing in crops behavior.

Question 16

why is varicella a concern

Answer 16

can rarely lead to death, then can lead to penumonia, encephalitis and birth defects if pregnant mother is infected.
100 adults and children (50/50) died each year from chicken pox. out of 3.5 million.

Question 17

coxzckie virus/enterovirus

Answer 17

Late summer/ early fall
hand food and mouth: rash palms soles mouth ucers
herpangina: pain in neck, vimit, gray spots on buccal mucosa, ucleration, sore throat.

Question 18

treatment for herpangina

Answer 18

mouthwashes, clove, maalox,

Question 19

what should you tell all parents who’s kids have herpangina

Answer 19

its not herpes.

Question 20

whooping cough/pertussus

Answer 20

paroxysmal cough that has high pitched inspiratio nat ient.
constant cough no fever, thick mucus, vomiting
1-3 mos

Question 21

complicaitons of whooping cough

Answer 21

secondary infection./pneumonia, asphysication

Question 22

diptheria

Answer 22

tussue necrosis, pseudomembraine, edema,

toxin can damage heart, nerves and kidenys.

Question 23

ssx of diptheria

Answer 23

rhinorhea that becomes bloody then mucopurulen, anorexia maliase, pharangitis, membrain,

Question 24

management of diptheria

Answer 24

diptheria antitoxin

Question 25

tetanus

Answer 25

clostridium tetani

Question 26

tetanus sx

Answer 26

exotoxin, following deep wound, causing jaw stiffness, muscle tetany, spasm

Question 27

Managment tetanus

Answer 27

get vaccine,

Tetanus immune globulin, antibiotics and hospital care.

Question 28

Mumps

Answer 28

viral infection causing swelling of parotid and salivary glands, can cause infertility by affecting testicle/oophoritis
1-2 weeks

Question 29

When does one get mumps,

Answer 29

uncommon under two. lifetime immunity if you get it.

gland swelling, pain on chewing and swallowing, fever 1-3 days.

Question 30

dx of mumps:

Answer 30

if uncomplicated just clinical,

see if sour foods increase poin.

Question 31

treatment mumps

Answer 31

avoid food that encourages salivaion,

parotidinum: homeopathic

Question 32

mumps complications

Answer 32

oophoritis,
meningoencephalitis: aseptic meningitis
encephalitis
pancreatitis
other gland involvment possible

Question 33

mono ssx

Answer 33

fever, fatigue pharyngitis, LA
prolongued fatigue and malise
splenomegaly 50%

Question 34

dx mono

Answer 34

CBC with diff: atypical lymphocytes

monospot of antibodies, repeat if negative in 7 days

Question 35

management of mono

Answer 35

supportive care,

steroids if LA threatens airway obstrucion

Question 36

complications of mono

Answer 36

strep pharyngitis
splenic rupture
airway rupture
dehydration

Question 37

Hepatitis B vaccine

Answer 37

recommend for those with HEP B positive mthers so that they don’t develop chronic infection.

Question 38

Hemophilus influenza type B

Answer 38

85% of cases before 5, 5% mortality, 20% neuro swquele

Question 39

polio vaccine

Answer 39

Before travel after 1 year,

1 in 1000 who get polio get paralytic

Question 40

Pneumococcal

Answer 40

for strep pneumoniae, most common cause of meningitis,