NURS 5432 GERIATRIC PATIENT AND GI
DISORDERS IN PRIMARY CARE
QUESTIONS AND ANSWERS ALREADY
GRADED A + //<RECENT VERSION >
What is the dose of Acyclovir used to treat an initial outbreak of Herpes? -
ANSWER Acyclovir 400mg PO TID for 7-10 days
What is the dose of Acyclovir used for maintenance treatment of Herpes? -
ANSWER Daily suppression 400mg BID daily
What is the dose of Valacyclovir used to treat an initial outbreak of Herpes? -
ANSWER 1 gram PO BID for 7-10 days
What is the dose of Valacyclovir used for maintenance treatment of Herpes? -
ANSWER 500 mg PO daily
1 gram PO daily
How does Primary Syphilis present? - ANSWER Painless chancre that resolves
in 1-5 weeks
,Chronic diseases and vaccinations - ANSWER Chronic diseases are not
outright contraindications; however, vaccination with DTaP should be deferred
until the neurologic condition has been clarified and/or is stable.
Rotarix vaccine schedule - ANSWER Doses should be given 28 days apart - for
infants, given at age 2 mo and 4 mo, completed by 24 weeks.
Rotateq vaccine schedule - ANSWER 3 doses completed by 32 weeks of age.
Immunodeficient children and live-virus vaccines - ANSWER Should not be
given live-virus vaccines.
Examples of live-virus vaccines - ANSWER Oral polio vaccine [OPV, not
available in the United States], Rotavirus, MMR, VAR, MMRV, yellow fever,
LAIV (live attenuated), Live-bacteria vaccines (BCG or live typhoid fever
vaccine).
Live virus vaccine eligibility for children with malignancy - ANSWER If
malignancy is in remission or chemo hasn't been administered within 90 days, they
can receive live virus vaccine.
Known allergies and vaccines - ANSWER MMR, IPV, and VAR contain
microgram quantities of neomycin, and IPV also contains trace amounts of
streptomycin and polymyxin B; children with known anaphylactic responses to
these antibiotics should not be given these vaccines.
,Egg antigens in vaccines - ANSWER Trace quantities of egg antigens may be
present in both inactivated and live influenza and yellow fever vaccines.
Influenza vaccination guidelines for children with egg allergies -
ANSWER Guidelines for influenza vaccination in children with egg allergies
have recently changed.
Egg protein allergy - ANSWER Trace amounts of egg protein are generally
considered below the threshold needed to induce an allergic reaction.
Influenza vaccine for children - ANSWER Children with severe egg allergy can
be vaccinated with the influenza vaccine with no special precautions beyond those
for any other vaccine.
RV vaccine - ANSWER Rare incidence (1 in 20k-100k) of intussusception.
Contraindications for RV vaccine - ANSWER RV1 should not be given to
infants with a severe latex allergy; the container for RV1 med has latex.
SCID and RV vaccines - ANSWER Both vaccines (RV1 + RV5) are
contraindicated in infants with severe combined immunodeficiency (SCID).
Biologic response modifier - ANSWER RV vaccines should be avoided in
infants whose mother received a biologic response modifier (e.g, etanercept)
during pregnancy.
, Acute gastroenteritis and vaccination - ANSWER Vaccination should be
deferred in infants with acute moderate or severe gastroenteritis.
Developmental milestones at 3 months - ANSWER They can lift their heads
with good control.
Developmental milestones at 6 months - ANSWER Sit independently.
Developmental milestones at 4 months - ANSWER Roll over from front to
back by 6 months.
Hand-to-hand transfer - ANSWER Occurs at 5-6 months.
Pincer grasp - ANSWER Develops at 8-10 months.
Crawling - ANSWER Occurs at 9 months.
Pinch grasp - ANSWER Occurs at 12 months.
Walking - ANSWER Occurs at 1 year.
Child learning to walk - ANSWER Has a wide-based gait at first, then walks
with legs closer together, develops heel-toe gait, and arms swing symmetrically by
18-24 months.
DISORDERS IN PRIMARY CARE
QUESTIONS AND ANSWERS ALREADY
GRADED A + //<RECENT VERSION >
What is the dose of Acyclovir used to treat an initial outbreak of Herpes? -
ANSWER Acyclovir 400mg PO TID for 7-10 days
What is the dose of Acyclovir used for maintenance treatment of Herpes? -
ANSWER Daily suppression 400mg BID daily
What is the dose of Valacyclovir used to treat an initial outbreak of Herpes? -
ANSWER 1 gram PO BID for 7-10 days
What is the dose of Valacyclovir used for maintenance treatment of Herpes? -
ANSWER 500 mg PO daily
1 gram PO daily
How does Primary Syphilis present? - ANSWER Painless chancre that resolves
in 1-5 weeks
,Chronic diseases and vaccinations - ANSWER Chronic diseases are not
outright contraindications; however, vaccination with DTaP should be deferred
until the neurologic condition has been clarified and/or is stable.
Rotarix vaccine schedule - ANSWER Doses should be given 28 days apart - for
infants, given at age 2 mo and 4 mo, completed by 24 weeks.
Rotateq vaccine schedule - ANSWER 3 doses completed by 32 weeks of age.
Immunodeficient children and live-virus vaccines - ANSWER Should not be
given live-virus vaccines.
Examples of live-virus vaccines - ANSWER Oral polio vaccine [OPV, not
available in the United States], Rotavirus, MMR, VAR, MMRV, yellow fever,
LAIV (live attenuated), Live-bacteria vaccines (BCG or live typhoid fever
vaccine).
Live virus vaccine eligibility for children with malignancy - ANSWER If
malignancy is in remission or chemo hasn't been administered within 90 days, they
can receive live virus vaccine.
Known allergies and vaccines - ANSWER MMR, IPV, and VAR contain
microgram quantities of neomycin, and IPV also contains trace amounts of
streptomycin and polymyxin B; children with known anaphylactic responses to
these antibiotics should not be given these vaccines.
,Egg antigens in vaccines - ANSWER Trace quantities of egg antigens may be
present in both inactivated and live influenza and yellow fever vaccines.
Influenza vaccination guidelines for children with egg allergies -
ANSWER Guidelines for influenza vaccination in children with egg allergies
have recently changed.
Egg protein allergy - ANSWER Trace amounts of egg protein are generally
considered below the threshold needed to induce an allergic reaction.
Influenza vaccine for children - ANSWER Children with severe egg allergy can
be vaccinated with the influenza vaccine with no special precautions beyond those
for any other vaccine.
RV vaccine - ANSWER Rare incidence (1 in 20k-100k) of intussusception.
Contraindications for RV vaccine - ANSWER RV1 should not be given to
infants with a severe latex allergy; the container for RV1 med has latex.
SCID and RV vaccines - ANSWER Both vaccines (RV1 + RV5) are
contraindicated in infants with severe combined immunodeficiency (SCID).
Biologic response modifier - ANSWER RV vaccines should be avoided in
infants whose mother received a biologic response modifier (e.g, etanercept)
during pregnancy.
, Acute gastroenteritis and vaccination - ANSWER Vaccination should be
deferred in infants with acute moderate or severe gastroenteritis.
Developmental milestones at 3 months - ANSWER They can lift their heads
with good control.
Developmental milestones at 6 months - ANSWER Sit independently.
Developmental milestones at 4 months - ANSWER Roll over from front to
back by 6 months.
Hand-to-hand transfer - ANSWER Occurs at 5-6 months.
Pincer grasp - ANSWER Develops at 8-10 months.
Crawling - ANSWER Occurs at 9 months.
Pinch grasp - ANSWER Occurs at 12 months.
Walking - ANSWER Occurs at 1 year.
Child learning to walk - ANSWER Has a wide-based gait at first, then walks
with legs closer together, develops heel-toe gait, and arms swing symmetrically by
18-24 months.
