FITZGERALD
Fitzgerald Exam Review Questions &
Answers 100% Solved Latest Update.
Full-term - ✔✔✔39 - 40w6d
To what populations do you not administer a live virus vaccine? -
✔✔✔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 - ✔✔✔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? -
✔✔✔Benadryl cream
What flu vaccine is most appropriate for an elder >65 with no allergies? -
✔✔✔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)? - ✔✔✔No modification
Administer any vaccine appropriate for age and health status
®™ 1
, FITZGERALD
Immunization against herpes zoster is recommended by the CDC for all
adults > what age? - ✔✔✔50 for Shingrix or 60 for Zostavax
What is secondary prevention? - ✔✔✔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 - ✔✔✔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 - ✔✔✔#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 - ✔✔✔#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 - ✔✔✔#3 in the transtheoretical model of
change. The patient exhibits some change behaviors or thoughts and often
®™ 2
, FITZGERALD
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 - ✔✔✔#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 - ✔✔✔#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 - ✔✔✔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 - ✔✔✔Heart disease
Malignant neoplasms
Chronic lower respiratory disease
#1 cause of cancer death in the US - ✔✔✔Lung and bronchus
®™ 3
, FITZGERALD
Most prevalent cancer in men - ✔✔✔Prostate
Most prevalent cancer in women - ✔✔✔Breast
Who should receive TB screening? - ✔✔✔People who have spent time with a
TB-infected individual
People from Latin America, Africa, Asia, Eastern Europe, Russia, Carribean
People who live or work in a homeless shelter, long-term care facility, prison,
nursing home
Healthcare workers
People with HIV infection
People with symptoms of TB
IVD users
TB Booster phenomenon - ✔✔✔Often seen in individuals who have previously
been infected with TB — will have initial negative TST but a positive TST
when retested up to 1 year later because the first test "boosts" the immune
system
S/s of active TB - ✔✔✔Significant cough lasting >3 weeks
Chest pain
Hemoptysis or sputum production
Weakness/fatigue
Weight loss
Lack of appetite
Fever
Chills
Night sweats
®™ 4
Fitzgerald Exam Review Questions &
Answers 100% Solved Latest Update.
Full-term - ✔✔✔39 - 40w6d
To what populations do you not administer a live virus vaccine? -
✔✔✔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 - ✔✔✔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? -
✔✔✔Benadryl cream
What flu vaccine is most appropriate for an elder >65 with no allergies? -
✔✔✔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)? - ✔✔✔No modification
Administer any vaccine appropriate for age and health status
®™ 1
, FITZGERALD
Immunization against herpes zoster is recommended by the CDC for all
adults > what age? - ✔✔✔50 for Shingrix or 60 for Zostavax
What is secondary prevention? - ✔✔✔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 - ✔✔✔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 - ✔✔✔#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 - ✔✔✔#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 - ✔✔✔#3 in the transtheoretical model of
change. The patient exhibits some change behaviors or thoughts and often
®™ 2
, FITZGERALD
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 - ✔✔✔#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 - ✔✔✔#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 - ✔✔✔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 - ✔✔✔Heart disease
Malignant neoplasms
Chronic lower respiratory disease
#1 cause of cancer death in the US - ✔✔✔Lung and bronchus
®™ 3
, FITZGERALD
Most prevalent cancer in men - ✔✔✔Prostate
Most prevalent cancer in women - ✔✔✔Breast
Who should receive TB screening? - ✔✔✔People who have spent time with a
TB-infected individual
People from Latin America, Africa, Asia, Eastern Europe, Russia, Carribean
People who live or work in a homeless shelter, long-term care facility, prison,
nursing home
Healthcare workers
People with HIV infection
People with symptoms of TB
IVD users
TB Booster phenomenon - ✔✔✔Often seen in individuals who have previously
been infected with TB — will have initial negative TST but a positive TST
when retested up to 1 year later because the first test "boosts" the immune
system
S/s of active TB - ✔✔✔Significant cough lasting >3 weeks
Chest pain
Hemoptysis or sputum production
Weakness/fatigue
Weight loss
Lack of appetite
Fever
Chills
Night sweats
®™ 4
