FITZGERALD EXAM REVIEW
QUESTIONS |GUARANTEED PASS!! |
COMPLETE
Full-term - Accurate ✔✔✔ ......39 - 40w6d
To what populations do you not administer a live virus vaccine? -
Accurate ✔✔✔ ......Pregnant women due to theoretical risk of passing
virus to unborn child
Immune suppression due to lack of clinical effect
AIDS (CD4 <200)
Common immunization adverse effects - Accurate ✔✔✔ ......Discomfort
Erythema at immunization injection site common and expected
This is an immune response to an injected antigen
Kids have a more noted response because they have a more robust/active
immune system
Can use Benadryl cream if itchy
What should you use OTC to treat itchy/inflamed immunization sites? -
Accurate ✔✔✔ ......Benadryl cream
,What flu vaccine is most appropriate for an elder >65 with no allergies?
- Accurate ✔✔✔ ......High-dose trivalent IIV or quadrivalent IIV
How should you modify vaccine administration for an adult who has a
hive-form reaction when exposed to eggs (no hx of angioedema or
respiratory distress)? - Accurate ✔✔✔ ......No modification
Administer any vaccine appropriate for age and health status
Immunization against herpes zoster is recommended by the CDC for all
adults > what age? - Accurate ✔✔✔ ......50 for Shingrix or 60 for
Zostavax
What is secondary prevention? - Accurate ✔✔✔ ......Early case finding
of a symptomatic disease via the use of a screening test
Diseases we screen for have a long asymptomatic period with a known
natural history ex. HTN, dyslipidemia, pap
Prochaska and DiClemente Stages of Change theory - Accurate
✔✔✔ ......Change occurs dynamically. Theory notes five stages of
preparation and maintenance for change (trans theoretical model)
1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance/relapse
,Precontemplation stage of change - Accurate ✔✔✔ ......#1 in the
transtheoretical model of change. The patient is not interested in change
and might not be aware that the problem exists/minimizes the problem's
impact. The healthcare provider should help the patient to move toward
thinking about changing the unhealthy behavior.
Contemplation stage of change - Accurate ✔✔✔ ......#2 in the
transtheoretical model of change. The patient is considering change and
looking at its positive and negative aspects. At the same time, the person
reports feeling "stuck" with the problem. The healthcare provider should
help the patient to examine benefits and barriers to change.
Preparation stage of change - Accurate ✔✔✔ ......#3 in the
transtheoretical model of change. The patient exhibits some change
behaviors or thoughts and often reports feeling that he or she does not
have the tools to proceed. The healthcare provider should assist the
patient in finding and using tools to help with change, continuing to
work to lower barriers to change.
Action stage of change - Accurate ✔✔✔ ......#4 in the transtheoretical
model of change. The patient is ready to go forth with change, often
takes concrete steps to change, but is inconsistent with carrying through.
The healthcare provider should work with the patient on use of tools,
encouraging the healthy behavior change, praising the positive,
acknowledging reverting back to former behavior as a common but not
insurmountable problem.
, Maintenance/relapse stage of change - Accurate ✔✔✔ ......#5 in the
transtheoretical model of change. The patient learns to continue the
change and has adopted and embraced the healthy habit. At the same
time, relapse can occur and the person learns to deal with backsliding.
The healthcare provider should give positive reinforcement for the
behavior change.
The 5 A's of smoking cessation - Accurate ✔✔✔ ......Ask - Identify and
document tobacco use status
Advise - Urge every tobacco user to quit
Assess - Is the tobacco user willing to make a quit attempt at this time
Assist - Use counseling and pharmacotherapy to help the patient quit
Arrange - Schedule follow up contact within the 1st week of the quit
date
Leading causes of death in the US - Accurate ✔✔✔ ......Heart disease
Malignant neoplasms
Chronic lower respiratory disease
#1 cause of cancer death in the US - Accurate ✔✔✔ ......Lung and
bronchus
Most prevalent cancer in men - Accurate ✔✔✔ ......Prostate
QUESTIONS |GUARANTEED PASS!! |
COMPLETE
Full-term - Accurate ✔✔✔ ......39 - 40w6d
To what populations do you not administer a live virus vaccine? -
Accurate ✔✔✔ ......Pregnant women due to theoretical risk of passing
virus to unborn child
Immune suppression due to lack of clinical effect
AIDS (CD4 <200)
Common immunization adverse effects - Accurate ✔✔✔ ......Discomfort
Erythema at immunization injection site common and expected
This is an immune response to an injected antigen
Kids have a more noted response because they have a more robust/active
immune system
Can use Benadryl cream if itchy
What should you use OTC to treat itchy/inflamed immunization sites? -
Accurate ✔✔✔ ......Benadryl cream
,What flu vaccine is most appropriate for an elder >65 with no allergies?
- Accurate ✔✔✔ ......High-dose trivalent IIV or quadrivalent IIV
How should you modify vaccine administration for an adult who has a
hive-form reaction when exposed to eggs (no hx of angioedema or
respiratory distress)? - Accurate ✔✔✔ ......No modification
Administer any vaccine appropriate for age and health status
Immunization against herpes zoster is recommended by the CDC for all
adults > what age? - Accurate ✔✔✔ ......50 for Shingrix or 60 for
Zostavax
What is secondary prevention? - Accurate ✔✔✔ ......Early case finding
of a symptomatic disease via the use of a screening test
Diseases we screen for have a long asymptomatic period with a known
natural history ex. HTN, dyslipidemia, pap
Prochaska and DiClemente Stages of Change theory - Accurate
✔✔✔ ......Change occurs dynamically. Theory notes five stages of
preparation and maintenance for change (trans theoretical model)
1. Pre-contemplation
2. Contemplation
3. Preparation
4. Action
5. Maintenance/relapse
,Precontemplation stage of change - Accurate ✔✔✔ ......#1 in the
transtheoretical model of change. The patient is not interested in change
and might not be aware that the problem exists/minimizes the problem's
impact. The healthcare provider should help the patient to move toward
thinking about changing the unhealthy behavior.
Contemplation stage of change - Accurate ✔✔✔ ......#2 in the
transtheoretical model of change. The patient is considering change and
looking at its positive and negative aspects. At the same time, the person
reports feeling "stuck" with the problem. The healthcare provider should
help the patient to examine benefits and barriers to change.
Preparation stage of change - Accurate ✔✔✔ ......#3 in the
transtheoretical model of change. The patient exhibits some change
behaviors or thoughts and often reports feeling that he or she does not
have the tools to proceed. The healthcare provider should assist the
patient in finding and using tools to help with change, continuing to
work to lower barriers to change.
Action stage of change - Accurate ✔✔✔ ......#4 in the transtheoretical
model of change. The patient is ready to go forth with change, often
takes concrete steps to change, but is inconsistent with carrying through.
The healthcare provider should work with the patient on use of tools,
encouraging the healthy behavior change, praising the positive,
acknowledging reverting back to former behavior as a common but not
insurmountable problem.
, Maintenance/relapse stage of change - Accurate ✔✔✔ ......#5 in the
transtheoretical model of change. The patient learns to continue the
change and has adopted and embraced the healthy habit. At the same
time, relapse can occur and the person learns to deal with backsliding.
The healthcare provider should give positive reinforcement for the
behavior change.
The 5 A's of smoking cessation - Accurate ✔✔✔ ......Ask - Identify and
document tobacco use status
Advise - Urge every tobacco user to quit
Assess - Is the tobacco user willing to make a quit attempt at this time
Assist - Use counseling and pharmacotherapy to help the patient quit
Arrange - Schedule follow up contact within the 1st week of the quit
date
Leading causes of death in the US - Accurate ✔✔✔ ......Heart disease
Malignant neoplasms
Chronic lower respiratory disease
#1 cause of cancer death in the US - Accurate ✔✔✔ ......Lung and
bronchus
Most prevalent cancer in men - Accurate ✔✔✔ ......Prostate
