Flashcards in prevention Deck (84)
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5 Signs and symptoms of lead poisoning?
Headache, irritability, constipation, lethargy and microcytic anemia
1
What are the common findings of lead poisoning on X-ray?
Lead lines - calcification of bones
2
What is the common Blood smear finding in lead poisoning ?
Basophilic stippling
3
At what lead level do children require chelation?
45
4
What can be seen in lead levels 10-20?
Mild cognitive delay
5
What 4 things should be done if elevated capillary lead level?
Venous lead level
FEP level
Abdominal film
Long bone X-ray
6
When should tdap be given?
Age 11-12 or 5 years after receiving Td
7
What tetanus prophylaxis do you give if a child with unknown or incomplete immunization status has a clean wound?
Tetanus vaccine
8
What do you do if a child had a clean wound and received a tetanus vaccine > 10 years ago?
Tetanus booster
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What do you do if a child with incomplete vaccination status presents with a dirty wound?
Tetanus vaccine + tetanus immune globulin
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What do you do if a child presents with a dirty wound and has not had a tetanus vaccine in >5 years?
Tetenus booster
11
When does a child only require 3 doses of dtap during catch up vaccines?
If the first dose was given after 12 months of age
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How much time is required between catch up doses of dtap?
At least 4 weeks between doses 1, 2 and 3 and 6 months between the 3rd and 4th dose
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At what age is dtap no longer indicated ?
After 7 years old
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What do you do if a pregnant teenager is due for her tdap?
Administer anyways
15
At what age can pediarix no longer be given?
7
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What should be done for an infant born to a mother with unknown hepatitis status?
Hep B immunoglobulin and vaccine
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How soon should premies less than 2 kg receive hep b vaccine ?
Within 30 days if mother negative
Within 12 hours if mother positive plus immunoglobulin
18
What are hep B requirements in the event of a needle stick?
If antibody positive - do nothing
If antibody negative - IG and full re vaccination
19
What is the most common subtype that causes meningococcal disease and why is this a problem?
More than half of meningococcal disease in infants is caused by B subtype which is not protected from with the vaccine!!!!
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When can you give the mcv vaccine before the scheduled dose at age 11?
After age 2 if HIV, complement deficiency, asplenic or travel to endemic regions
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How much time must lapse between doses one and two of MMR?
4 weeks
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What do you do if a 10 month old who gets an MMR vaccine for travel?
Doesn't count as series dose. Repeat after 12 months
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What do you do if a child is less than 12 months and is exposed to measles?
If within 72 hours of exposure, give vaccine. If more than 72 hours after exposure give immunoglobulin
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What are 2 side effects of the MMR vaccine ?
Fever within 12 days or rash
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What are contraindications for MMR?
Severe allergy
Pregnancy
Severe immune compromised
Anaphylaxis to neomycin or gelatin
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How much time must pass between receiving MMR vaccine and getting a PPD?
You can give them together but can not give ppd within 4-6 weeks after MMR
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What are the only 2 vaccines with a contraindication with egg allergy?
Influenza or the yellow fever vaccine
28
What size patient is epipen junior good for?
Up to 30 kg
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