Well Patient Guidelines

Question 1

Tdap stands for

Answer 1

Td (tetanus diptheria) ap (acellular pertussis)

Question 2

HPV Vaccine

Answer 2

3 doses - start at age 11
up to age 26 for women and men who have sex with men
up to 21 for all men

Question 3

pneumococcal vaccine

Answer 3

age 65+ (even if had a dose before 65)
smokers
residents of nursing homes
adults who are - diabetic, chronic lung CV liver or renal DZ, nephrotic syndrome, alcoholism, functional or anatomic asplenia

five years after first dose, redose those with chronic renal failure, nephrotic syndrome, functional or anatomic asplenia

Question 4

varicella zoster vaccine

Answer 4

age 60, all adults

prevent painful rash and post therapeutic neuropathy

Question 5

influenza vaccine

Answer 5

all people 6 mo or older
annual vaccine
contraindication= egg allergies
65+ may opt for high dose vaccine
nasal vaccine safe for adults unless chronic dz such as asthma

Question 6

Pap smears

Answer 6

not necessary before 21
every 3 years until 65
30+ may opt to do pap plus HPV screen every 5yrs
not necessary to do pap before starting contraceptives in women less than 21
do not recommend screening for HPV alone or in combination with pap smear before 30

Question 7

mammograms

Answer 7

begin at age 50

then every two years until 75

Question 8

gonorrhea/chlamydia

Answer 8

women age 24 and younger and in older women at increased risk of DZ (multiple sexual partners, as well as previous STDs)

Question 9

HIV

Answer 9

adults 18-65
older adults at increased risk
all pregnant women

Question 10

colonoscopies

Answer 10

screen for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonoscopy, in adults, beginning at age 50 years and continuing until age 75
AGAINST screening age 75-85

Question 11

PSAs

Answer 11

AGAINST routine screening of PSA for prostate cancer

Question 12

Purpose of well patient visit

Answer 12

screen for diseases
assess rid of future medical problems
encourage healthy lifestyle
update vaccinations
maintain relationship w/health car provider in case of illness

Question 13

immunizations

Answer 13

patients must accept them
immunizing the unwilling=assault
patients may have fears and require education

Question 14

Tdap recommendations

Answer 14

one dose of Tdap
Td booster every 10 yr
give Tdap for people who are around infants
give Tdap once per pregnancy (32-36 wks)
update Tdap for puncture wound or laceration unless Td booster was within previous 5 years