version|Comprehensive questions and verified answers/accurate
solutions|A ready graded A+
1. Who should receive Tdap vaccination?: Adults in close contact with infants healthcare
workers
2. Contraindication for Tdap vaccine: Severe allergic reaction to previous dose, or hx of
encephalopathy within 7 days of vaccine
3. Varicella vaccine contraindications: Hx of anaphylaxis with previous dose, allergy to
gelatin or neomycin
4. Hepatitis B vaccine contraindications: Previous rxn to vaccine, allergy to yeast and
neomycin
5. Examples of attenuated vaccines: measles, mumps, rubella, chickenpox, yellow fever,
rotavirus
6. examples of live vaccines: MMR, varicella, rotavirus, influenza
7. examples of toxoid vaccines: Diphtheria, tetanus, pertussis,
8. Examples of inactive viral antigen vaccine: Poliovirus (SALK), Hep A, Hep B, influenza
9. What are the types of immunity?: active, passive, and herd
10. Define vaccine: suspension of organisms or fractions of organisms that induce
immunity
11. Post exposure prophylaxis for Rabies: human rabies immunoglobulin + human
diploid cell vaccine on days 0,3,7,14
12. Patient teaching after vaccination: Redness and swelling can occur at site, mild
fever or fatigue 13. Who can receive attenuated influenza vaccine (Flumist):
individuals >2yo an d less than 50. non pregnant, and those who are not
immunocompromised
14. Pantoprazole dosing: 40 - 80 mg ORAL or IV Qday
15. Metronidazole (Flagyl) dosing: 250 mg 4x day or 500mg BID for 7-14 days
16. Ondansetron (Zofran) dosing: -8/24mg po 30 minutes prior to chemo initiation
-8/16 mg po Q12h for 1/2 days after chemo administration
-TOP 200
17. Albuterol Sulfate (inhalation) dosage: 2 inhalations
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, 18. What labs are used to diagnose thyroid disease: TSH T3 T4
19. When should you recheck labs after starting levothyroxine: 6-8 weeks until
euthyroid state
20. signs and symptoms of hypothyroidism: Thin, dry hair
Thick, brittle nails
constipation
bradycardia Goiter
PeriOrbital
edema cold
intolerance
weight gain
21. signs and symptoms hyperthyroidism: 1. heat intolerance (high heat production)
2.weight loss, increased appetite
3.hyperactivity
4.diarrhea
5.high reflexes
6.pretibial myxedema (Graves)
7.warm moist skin; fine hair
8.chest pain, palpitations, arrhythmias, increased β-adrenergic receptors
22. Treatment of thyroid storm: - Propylthiouracil (preferred) or methimazole
- iodine-potassium solutions
- glucocorticoids
- beta blockers
23. Result of not treating hypothyroidism during pregnancy: Permanent neuro-
psychological deficits in the child. Decrease IQ/neuropsychological function. First
trimester.
24. Treatment of hyperthyroidism: - Radioactive iodine (I131) works by destroying the
thyroid gland
- Surgery to remove all or part of the thyroid gland
- Lifelong thyroid hormone replacement will be needed
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