NR602 Midterm Exam Review
Primary prevention does what? - ANS: Keeps diseases from being established.
What are the two types of primary prevention.? Explain each. - ANS: health promotion and specific
protection.
Health promotion: lifestyle changes and choices, nutrition.
Specific protection: actions targeted at specific diseases like immunizations.
What is secondary prevention? - ANS: early diagnosis and prompt treatment; screenings
What is the goal of secondary prevention? - ANS: To eliminate or reduce symptoms or progression
What does tertiary care require? - ANS: Both specialized expertise and equipment
What is the goal of tertiary care? - ANS: To improve survival nd quality of life
What're the two types of tertiary prevention? Explain, - ANS: Disability limitation and rehabilitation.
Disability limitation: early symptom management
Rehab: late symptom management
What is quarternary care? - ANS: Highly specialized expertise and highly unusual or specialized
equipment.
Examples of active immunizations and passive? - ANS: Active: given by live attenuated vaccines or
toxoidS
Passive: exogenous antibodies like IGg.
,What is a live vaccine? - ANS: An attenuated form of the virus that induces immunity but doesn't
produce disease.
Usually has a broader and longer lived immunity.
What is a common side effect of a live vaccine? - ANS: Rash and fever
What to not do with a live vaccine? - ANS: Do not give before 1 year of age.
Do not give to a pregnant woman or 28 days before pregnancy.
How should live vaccines be given? - ANS: Must give both on the same day or you have to wait 4 weeks
to give the second one or neither will be effective.
Which vaccines contain thimerosal? - ANS: MMR
Which vaccines are linked to anaphylaxis? - ANS: MMR, varicella, influenza, hep B, meningococcal,
tetanus.
What can happen after MMR vaccine to immunocomprimised children? - ANS: Febrile seizures (benign)
and measles w/body encephalitis (rare)
Varicella Zoster vaccine adverse events include? - ANS: Chicken pox rash, pneumonia, meningitis,
hepatitis in children w/ immunodeficiencies
What should be done When multiple vaccines are given on the same extremity? Which extremity is
preferred? - ANS: Site of injection needs to be at least 1 inch apart. The anterolteral aspect of the thigh
is preferred
How should vaccines not be given? - ANS: In reduced or divided doses of the same vaccine.
,What is true regarding the reimmunization of an immune individual? - ANS: It is not harmful.
What is not longer recommended before immunization? - ANS: Pretreatment with Motrin or tylenol
The major vaccine contraindication is? - ANS: anaphylaxis with a prior dose or to a vaccine component
What are inactivated vaccines? Examples? - ANS: Killed antigens. Only contains protein that induces
antibody response.
DTAP, polio, Hep a/b, HPV, meningococcal, and pneumo.
DTaP vs. Tdap? - ANS: DTAP is given to children wounded than 7. TDAP is given to ages 7 years nos
older.
Which component is less effective in the DTAP vaccine? - ANS: Pertussis component is less effective and
adolescents should receive boosters with Tdap.
Common side effect of meningococcal vax? - ANS: Headache and irritability.
When is TDAP recommended ? - ANS: 3rd trimester of pregnancy (27-36 weeks)
And as a booster every 10 years for adults.
How many doses of of DTAP is recommended ? - ANS: 4 doses
How many doses of polio is recommended ? Who is it given to? - ANS: 4 doses. Only given to
immunocompromised individuals. ( only inactivated available in the US)
, Flu type B vaccine is given in how many doses? - ANS: 3 doses.
Hep A Vax is given in how many doses? How long dues immunity lasts? - ANS: 1-2 doses. Last 14-20
years.
Hep B vax is given in how many doses? How long does it last? - ANS: 3 doses, last 20 years. Boosters not
recommended.
HPV vaccine is given in how many doses and at what age? - ANS: 2 doses given atleast 5 months apart.
Age 9-26. Pregnant women should not get.
Flu vaccine is given when? And to who? - ANS: Yearly to individuals 6 months and older.
Meningococcal vaccine is given at what ages? And how many doses? - ANS: 2 doses given at 11-21 years
old, with a booster at 16
Pneumococcal vaccine is given to what age? - ANS: Pcv13 given to children until 59 months. Highrisk
children get the pcv23
What is the VFC program? - ANS: Federal program that allows PCPs to obtain recommended vaccines
without cost. These vax are free to children younger than 19 years old and who are Medicaid eligible,
uninsured, Native American or Alaskan native. Children who do not have immunization insurance
coverage are eligible to receive vaccines at federal health centers and rural health clinics. This program
reduces disparities in vaccination rates in low income children.
What is Vari ZIG? When should it be administered? - ANS: Vaccine immureglobulin available for post
exposure of varicella. Vaccine should be administered within 10 days of exposure, preferably 96 hours.
Primary prevention does what? - ANS: Keeps diseases from being established.
What are the two types of primary prevention.? Explain each. - ANS: health promotion and specific
protection.
Health promotion: lifestyle changes and choices, nutrition.
Specific protection: actions targeted at specific diseases like immunizations.
What is secondary prevention? - ANS: early diagnosis and prompt treatment; screenings
What is the goal of secondary prevention? - ANS: To eliminate or reduce symptoms or progression
What does tertiary care require? - ANS: Both specialized expertise and equipment
What is the goal of tertiary care? - ANS: To improve survival nd quality of life
What're the two types of tertiary prevention? Explain, - ANS: Disability limitation and rehabilitation.
Disability limitation: early symptom management
Rehab: late symptom management
What is quarternary care? - ANS: Highly specialized expertise and highly unusual or specialized
equipment.
Examples of active immunizations and passive? - ANS: Active: given by live attenuated vaccines or
toxoidS
Passive: exogenous antibodies like IGg.
,What is a live vaccine? - ANS: An attenuated form of the virus that induces immunity but doesn't
produce disease.
Usually has a broader and longer lived immunity.
What is a common side effect of a live vaccine? - ANS: Rash and fever
What to not do with a live vaccine? - ANS: Do not give before 1 year of age.
Do not give to a pregnant woman or 28 days before pregnancy.
How should live vaccines be given? - ANS: Must give both on the same day or you have to wait 4 weeks
to give the second one or neither will be effective.
Which vaccines contain thimerosal? - ANS: MMR
Which vaccines are linked to anaphylaxis? - ANS: MMR, varicella, influenza, hep B, meningococcal,
tetanus.
What can happen after MMR vaccine to immunocomprimised children? - ANS: Febrile seizures (benign)
and measles w/body encephalitis (rare)
Varicella Zoster vaccine adverse events include? - ANS: Chicken pox rash, pneumonia, meningitis,
hepatitis in children w/ immunodeficiencies
What should be done When multiple vaccines are given on the same extremity? Which extremity is
preferred? - ANS: Site of injection needs to be at least 1 inch apart. The anterolteral aspect of the thigh
is preferred
How should vaccines not be given? - ANS: In reduced or divided doses of the same vaccine.
,What is true regarding the reimmunization of an immune individual? - ANS: It is not harmful.
What is not longer recommended before immunization? - ANS: Pretreatment with Motrin or tylenol
The major vaccine contraindication is? - ANS: anaphylaxis with a prior dose or to a vaccine component
What are inactivated vaccines? Examples? - ANS: Killed antigens. Only contains protein that induces
antibody response.
DTAP, polio, Hep a/b, HPV, meningococcal, and pneumo.
DTaP vs. Tdap? - ANS: DTAP is given to children wounded than 7. TDAP is given to ages 7 years nos
older.
Which component is less effective in the DTAP vaccine? - ANS: Pertussis component is less effective and
adolescents should receive boosters with Tdap.
Common side effect of meningococcal vax? - ANS: Headache and irritability.
When is TDAP recommended ? - ANS: 3rd trimester of pregnancy (27-36 weeks)
And as a booster every 10 years for adults.
How many doses of of DTAP is recommended ? - ANS: 4 doses
How many doses of polio is recommended ? Who is it given to? - ANS: 4 doses. Only given to
immunocompromised individuals. ( only inactivated available in the US)
, Flu type B vaccine is given in how many doses? - ANS: 3 doses.
Hep A Vax is given in how many doses? How long dues immunity lasts? - ANS: 1-2 doses. Last 14-20
years.
Hep B vax is given in how many doses? How long does it last? - ANS: 3 doses, last 20 years. Boosters not
recommended.
HPV vaccine is given in how many doses and at what age? - ANS: 2 doses given atleast 5 months apart.
Age 9-26. Pregnant women should not get.
Flu vaccine is given when? And to who? - ANS: Yearly to individuals 6 months and older.
Meningococcal vaccine is given at what ages? And how many doses? - ANS: 2 doses given at 11-21 years
old, with a booster at 16
Pneumococcal vaccine is given to what age? - ANS: Pcv13 given to children until 59 months. Highrisk
children get the pcv23
What is the VFC program? - ANS: Federal program that allows PCPs to obtain recommended vaccines
without cost. These vax are free to children younger than 19 years old and who are Medicaid eligible,
uninsured, Native American or Alaskan native. Children who do not have immunization insurance
coverage are eligible to receive vaccines at federal health centers and rural health clinics. This program
reduces disparities in vaccination rates in low income children.
What is Vari ZIG? When should it be administered? - ANS: Vaccine immureglobulin available for post
exposure of varicella. Vaccine should be administered within 10 days of exposure, preferably 96 hours.
