Chapter 32 Current 2020, Current 2020: Chapter 6
Following is the study guide for exam 1. This is a 25 question multiple-choice exam
and will have a 45 min time allotment.
As with all exams, please review all discussion questions and responses,
content, and items listed below.
Differentiate between primary, secondary, and tertiary prevention when given
examples.
Primary- prevention of a disease or adverse health condition. Health counseling &
immunization are examples of primary prevention
Secondary- refers to tasks directed toward detection of a disease or adverse health
condition. Screening tests are examples of secondary prevention, e.g. mammography
for breast cancer screening
-the screening test must detect the condition at which stage where it is treatable &
positive outcome is expected after treatment
Tertiary- management of existing conditions to prevent disability & minimize
complications
e.g. pulmonary rehabilitation for COPD
Differences between the injectable influenza vaccine and the nasal spray and the age
recommendations for each.
Live Attenuated Influenza Vaccine (LAIV) nasal spray influenza
(flu) vaccines for the 2020-2021 season are quadrivalent, meaning they will be
made using four flu viruses: an influenza A(H1N1) virus, an influenza A(H3N2) virus
and two influenza B viruses. This live vaccine is for HEALTHY, NON PREGNANT
people ages 2-49 years old
Should not receive LAIV if:
o –Pregnant
o Taking Anti-viral meds or taking aspirin or salicylate meds
o should not be used in people w/ hx of severe severe allergic reaction to
any vaccine component (excluding egg) or to a previous dose of any
influenza vaccine
o -Immunocompromised due to any cause (including medications and
HIV infection)
o -Anatomic or functional asplenia ( no spleen)
o -Cochlear implant
o -Cerebrospinal fluid-oropharyngeal communication
, o -Close contacts or caregivers of severely immunosuppressed
persons who require a protected environment
o -Pregnancy
o -Received influenza antiviral medications within the previous 48
hours
-History of Guillain-Barré syndrome within 6 weeks of previous dose of
influenza vaccine: G
Understand the recommendations for vaccines, MMR vaccine, tetanus, HPV, Hep B
and review allergy information.
MMR- 1 or 2 booster shots between age 19-64 years.
-Contraindicated in pregnant women, severe immunocompromised patients and
HIV patients w/ a CD4 count less than 200, pts w/ anaphylactic reactions to
neomycin
** Asymptomatic patients living with HIV with CD4 counts higher than 200
cells/mcL should receive MMR vaccine (given in 2 doses 4 weeks apart) but not
MMRV (without a varicella component) vaccine.
Papadakis, Maxine A.; Papadakis, Maxine A.; McPhee, Stephen J.; McPhee, Stephen J.;
Rabow, Michael W.; Rabow, Michael W.. CURRENT Medical Diagnosis and Treatment
2020 (p. 1407). McGraw-Hill Education. Kindle Edition.
Tetanus- recommended every 10 years
HPV given in 2-3 doses recommended for all patients up to 26 yrs of age,
-Ages 15 & up given in 3 dose series -dose series at 0, 1–2, 6 months
-Ages 9-14 years receive 2 doses at least 5 months apart
-If completed all vaccination series, no need to ever re-vaccinate
Hep B- recommended for high risk persons such as IV drug users, living with
someone w/ chronic hep B, person sexually active w/ multiple partners, patients
less than 60 yrs old w/ diabetes.
-Initial dose is given & then 1 month later 2nd dose is given, and then 3rd dose is given
4-6 months after
If patient just requests & is not at risk: 2-dose series HepA (Havrix
6–12 months apart or Vaqta 6–18 months apart [minimum
interval: 6 months]) or 3-dose series HepA-HepB (Twinrix at 0, 1,
6 months [minimum intervals: 4 weeks between doses 1 and 2, 5
months between doses 2 and 3])
Following is the study guide for exam 1. This is a 25 question multiple-choice exam
and will have a 45 min time allotment.
As with all exams, please review all discussion questions and responses,
content, and items listed below.
Differentiate between primary, secondary, and tertiary prevention when given
examples.
Primary- prevention of a disease or adverse health condition. Health counseling &
immunization are examples of primary prevention
Secondary- refers to tasks directed toward detection of a disease or adverse health
condition. Screening tests are examples of secondary prevention, e.g. mammography
for breast cancer screening
-the screening test must detect the condition at which stage where it is treatable &
positive outcome is expected after treatment
Tertiary- management of existing conditions to prevent disability & minimize
complications
e.g. pulmonary rehabilitation for COPD
Differences between the injectable influenza vaccine and the nasal spray and the age
recommendations for each.
Live Attenuated Influenza Vaccine (LAIV) nasal spray influenza
(flu) vaccines for the 2020-2021 season are quadrivalent, meaning they will be
made using four flu viruses: an influenza A(H1N1) virus, an influenza A(H3N2) virus
and two influenza B viruses. This live vaccine is for HEALTHY, NON PREGNANT
people ages 2-49 years old
Should not receive LAIV if:
o –Pregnant
o Taking Anti-viral meds or taking aspirin or salicylate meds
o should not be used in people w/ hx of severe severe allergic reaction to
any vaccine component (excluding egg) or to a previous dose of any
influenza vaccine
o -Immunocompromised due to any cause (including medications and
HIV infection)
o -Anatomic or functional asplenia ( no spleen)
o -Cochlear implant
o -Cerebrospinal fluid-oropharyngeal communication
, o -Close contacts or caregivers of severely immunosuppressed
persons who require a protected environment
o -Pregnancy
o -Received influenza antiviral medications within the previous 48
hours
-History of Guillain-Barré syndrome within 6 weeks of previous dose of
influenza vaccine: G
Understand the recommendations for vaccines, MMR vaccine, tetanus, HPV, Hep B
and review allergy information.
MMR- 1 or 2 booster shots between age 19-64 years.
-Contraindicated in pregnant women, severe immunocompromised patients and
HIV patients w/ a CD4 count less than 200, pts w/ anaphylactic reactions to
neomycin
** Asymptomatic patients living with HIV with CD4 counts higher than 200
cells/mcL should receive MMR vaccine (given in 2 doses 4 weeks apart) but not
MMRV (without a varicella component) vaccine.
Papadakis, Maxine A.; Papadakis, Maxine A.; McPhee, Stephen J.; McPhee, Stephen J.;
Rabow, Michael W.; Rabow, Michael W.. CURRENT Medical Diagnosis and Treatment
2020 (p. 1407). McGraw-Hill Education. Kindle Edition.
Tetanus- recommended every 10 years
HPV given in 2-3 doses recommended for all patients up to 26 yrs of age,
-Ages 15 & up given in 3 dose series -dose series at 0, 1–2, 6 months
-Ages 9-14 years receive 2 doses at least 5 months apart
-If completed all vaccination series, no need to ever re-vaccinate
Hep B- recommended for high risk persons such as IV drug users, living with
someone w/ chronic hep B, person sexually active w/ multiple partners, patients
less than 60 yrs old w/ diabetes.
-Initial dose is given & then 1 month later 2nd dose is given, and then 3rd dose is given
4-6 months after
If patient just requests & is not at risk: 2-dose series HepA (Havrix
6–12 months apart or Vaqta 6–18 months apart [minimum
interval: 6 months]) or 3-dose series HepA-HepB (Twinrix at 0, 1,
6 months [minimum intervals: 4 weeks between doses 1 and 2, 5
months between doses 2 and 3])
