Well Patient Visit Flashcards
What is the Tdap vaccine?
Td = tetanus diphtheria ap = acellular pertussis
What is the schedule for Tdap doses?
Give one dose, then every 10 years thereafter give Td booster
Pt arrives to ED with a laceration and does not remember or does he have record of his last Tdap. what should the physician do?
Give the patient a Tdap booster.
Around what week should pregnant women be given a Tdap vaccine?
32-36 weeks
What are the doses and age group for HPV?
3 doses up to age 26 for women, up to age 21 for most men, up to age 26 for men who have sex with men or who have other risk factors
What is the starting age recommended to start HPV vaccine?
All boys and girls starting at age 11
What are the indication and doses for Varicella vaccine?
2 doses for anyone who has no documentation of varicell vaccine or who hasnt had chicken pox
Should adults who have had the shingles get the varicella vaccine?
Yes, if they have not had it before
What age group and risk group are pneumococoal vaccine recommended for?
All adults age 65 or older
All adults who smoke
Resident of nursing homes
All adults who are diabetic, have chronic lung disease (including astham), Chronic CV disease, chronic renal disease, nephrotic syndrome, chronic liver disease, alcoholism, functional or anatomic asplenia
When should you give pneumococal re-dose to someone with chronic renal failure, nephrotic syndrome, functional or anatomic asplenia?
5 years after first dose.
Mr. Joe, who is in good health, got this first Pneumococcal vaccine at age 63. Does he still need another dose now that he’s 65?
Yes. everyone who has had a dose before 65 needs another dose at 65 or after.
Starting what age is Varicella Zoster needed for adults, whether or not they have had a previous case of shingles?
60
What is the main goal with administering Varicella zoster?
To prevent not just painful rash, but hte postherpetic neurophaty, which is debilitating
What is the recommended starting age for annual flu vaccine?
Starting at age 6
What is a contraindication for flu vaccine?
egg allergies
Starting at what age is high dose of flu vaccine available for?
65 or older
what is the difference between screening and testing?
Screening: testing an asymtomatic patient for specific disease just becuase he or she is at a certain age and it is recommonded by national recommending body
Testing: testing a symptomatic patient for a specific disease because physician thinks his symptoms may point to a specific cause
What is the starting age and what is the schedule thereafter for pap smear?
Starting at age 21 and then every 3 years until age 65.
Pap plus HPV screening every 5 years can be done in woman ages _
30+
What is USPSTF/AAFP recommendation for screening for HPV, alone or in combination with cytology, before age 30?
They do not recommend to be done.
What is the starting age and schedule thereafter for mammograms as recommended by AAFP?
Starting at 50 then every 2 years until age 75.
What is American Cancer Association’s recommendation for mammogram?
Start at age 40 and then yearly
Screening for gonorrhea and chlamydia is recommended in women age _ and younger and in older woman at increased risk.
24
What is the recommendation for colon cancer screening?
Recommend screening for colorectal cancer using fecal occult blood testing, sigmoidoscopy, or colonsocpy in adutls beginning at age 50 and continue until age 75.
