Well Paitent Immunizations And Screenings

Question 1

HPV vaccine

Answer 1

• 3 doses up to age 26 for women and up to 21 for men
• up to 26 for men who have sex with men
• recommended for all boys and girls starting at age 11

Question 2

Varicella vaccine

Answer 2

• 2 doses for anybody who doesn’t have documentation of 2 varicella vaccines in lifetime or who hasn’t had chicken pox
• even if they have had shingles they should still get it

Question 3

Pneumococcal vaccine

Answer 3

• All adults age 65 or older
• All adults who smoke
• Residents of nursing homes
• All adults who are diabetic, chronic lung disease, chronic CV disease, renal, nephrotic syndrome, liver, alcoholism, Functional or an atomic aspenia
• 5 years after first dose, re dose people with chronic renal failure, nephrotic syndrome, functional or an atomic asplenia
• Everybody who has a dose before age 65 gets another dose at or after 65
• 5 ye

Question 4

Varicella Zoster vaccine

Answer 4

-starting at age 60, all adults

Question 5

Influenza vaccine

Answer 5

• All people age 6 months or older should have an annual vaccine
• Age 65 or older may opt for the high dose vaccine

Question 6

Contraindications to influenza vaccine

Answer 6

Egg allergies

Question 7

Pap smear

Answer 7

• age 21 then every 3 years to age 65. If over 30 can opt to do every 5 with HPV
• not recommended after 65
• not recommended for hysterectomy with cervix removal unless high grade precancerous lesion or cervical cancer
• Not recommended screening for HPV alone or in combination with PAP smear before age 30

Question 8

Mammogram

Answer 8

• AAFP - begin at age 50 then every 2 years until 75

- American Cancer Association - start at 40 then yearly

Question 9

Gonorrhea and Chlamydia

Answer 9

-women age 24 and younger and in older women at increased risk of disease

Question 10

HIV

Answer 10

• Adults age 18-65
• Older adults who are at increased risk
• all pregnant women

Question 11

Fecal occult blood testing, sigmoidoscopy, or colonoscopy

Answer 11

• adults beginning at age 50 and continuing til 75

- against ages 76-85

Question 12

PSA

Answer 12

• AGAINST routine screening
• for men who have a primary relative with prostate cancer, may consider testing at age 45. Other men age 50 with or without a digital rectal exam

Question 13

Tdap vaccine (tetanus)

Answer 13

• one dose then every 10 years give a booster
• people who are around infants
• puncture - if booster wasn’t in last 5 years
• once per pregnancy (around 32-36 weeks)