NRNP 6550 Midterm EXAM WITH ANSWERS

NRNP 6550 Midterm EXAM WITH |\ |\ |\ |\ |\




ANSWERS


Vaccinations and immunosuppression. 2 keypoints |\ |\ |\ |\




- give inactive agents instead of live agents
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- might not work as effectively
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live virus vaccine types
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Virus:
- measles
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- mumps
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- polio (oral)
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- rubella
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- varicella
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- yellow fever
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- herpes zoster
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Bacteria:
- typhoid
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inactive vaccine virus |\ |\




Virus:
- Hep A and B
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,- HPV
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- influenza
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- polio (subq)
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- rabies
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Bacteria:
- anthrax
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- cholera
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- diphteria
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- Lyme
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- meningococcus
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- pertussis
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- plague
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- pneumococcus
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- tetanus
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Immunization recommendation influenza
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all ages, all types (pregnant, diabetes, immunocompromised, etc)
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Immunization recommendation pregnancy and weakened
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immune system |\




- 1 dose Tdap
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- no varicella, zoster, MMR
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,HIV and vaccinations
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Give inactive agents when CD4 count is greater than 200 cells/
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mm3




health screening 18 - 45 years
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- BMI
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- BP (q2years)
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- at age 20: fasting lipid profile: total cholesterol, LDL, HDL,
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triglycerides (cardiac testing if LDL greater than 200 or HDL
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lower than 40) |\ |\




- annual breast exam, females
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- Pap-smear annually
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health screening 45 and up|\ |\ |\ |\




- blood glucose q3years
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- 50 and up: colorectal screening (digital exam annually,
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sigmoidscopy q5years, colonoscopy q10yrs) |\ |\ |\




- PSA with digital exam annually for males
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- mammography q1 -2 yrs
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- women 65 and up: screen for osteoporosis
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, top 5 leading causes of death
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1. heart disease
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2. cancer
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3. respiratory disease
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4. stroke
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5. accidents
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Conjunctivitis; definition |\




-Pink eyey |\




- Inflammation of conjuctiva (outer layer of eye)
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Conjunctivitis: causes |\




Chemical, bacterial, viral, allergic, herpetic. Adenovirus is the
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most common cause, but bacteria (Haemophilus influenzae and
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Streptococcus pneumoniae) are also common causes in children.
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Conjunctivitis: findings |\




- redness
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- itching
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- discharge
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- edema eyelid
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