FITZGERALD EXAM WITH 100%
CORRECT ANSWERS 2025
Full-term correct answers >> 39 - 40w6d
To what populations do you not administer a live virus vaccine?
correct answers >> 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 correct answers >>
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? correct answers >> Benadryl cream
What flu vaccine is most appropriate for an elder >65 with no
allergies? correct answers >> 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)? correct answers >> 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? correct answers >> 50 for Shingrix
or 60 for Zostavax
What is secondary prevention? correct answers >> 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 correct
answers >> 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 correct answers >> #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 correct answers >> #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 correct answers >> #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 correct answers >> #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 correct answers >> #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 correct answers >> 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 correct answers >> Heart
disease
Malignant neoplasms
Chronic lower respiratory disease
#1 cause of cancer death in the US correct answers >> Lung
and bronchus
Most prevalent cancer in men correct answers >> Prostate
Most prevalent cancer in women correct answers >> Breast
Who should receive TB screening? correct answers >> People
who have spent time with a TB-infected individual
People from Latin America, Africa, Asia, Eastern Europe, Russia,
Carribean
CORRECT ANSWERS 2025
Full-term correct answers >> 39 - 40w6d
To what populations do you not administer a live virus vaccine?
correct answers >> 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 correct answers >>
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? correct answers >> Benadryl cream
What flu vaccine is most appropriate for an elder >65 with no
allergies? correct answers >> 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)? correct answers >> 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? correct answers >> 50 for Shingrix
or 60 for Zostavax
What is secondary prevention? correct answers >> 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 correct
answers >> 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 correct answers >> #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 correct answers >> #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 correct answers >> #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 correct answers >> #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 correct answers >> #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 correct answers >> 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 correct answers >> Heart
disease
Malignant neoplasms
Chronic lower respiratory disease
#1 cause of cancer death in the US correct answers >> Lung
and bronchus
Most prevalent cancer in men correct answers >> Prostate
Most prevalent cancer in women correct answers >> Breast
Who should receive TB screening? correct answers >> People
who have spent time with a TB-infected individual
People from Latin America, Africa, Asia, Eastern Europe, Russia,
Carribean
