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Typesvofvpreventionv-vcorrectvanswer-primary- vcarvrestraints,vbicyclevhelmets,vimmunizations secondary-vpreventvforvthosevwithvRF-pap,vmammo tertiary-mgmtvofvestablishedvdisease-vmeds,vlifestyle Primaryv-vcorrectvanswer- Preventingvthevhealthvproblem,vmostvcostveffectivevformvofvhealthcarev**IMMUNIZA TIONS,vensuringvadequatevilluminationvatvhomev(preventingvfalls)
Secondaryv-vcorrectvanswer- Detectingvdiseasevinvearlyvasymptomaticvstages,vscreenings -Earlyvcausevfindingvofvasymptomaticvdiseasevviavthevusevofvavscreeningvtest Ex.vhighlyvabnormalvmammovnotvfinalvword Tertiaryv-vcorrectvanswer- Minimizingvnegativevdiseasevinducedvoutcomes,vpotentiallyvviewedvasvavfailurevofvpr imaryvprevention Ex-vrehab,vPT,vOT Whovshouldvnotvreceivevinfluenzavvaccinev-vcorrectvanswer- 4 vmonvoldvbornvatv 32 vweeksvgestation receivevflu-v 6 vmonvandvolder canvgivevduringvpregnancy/lactation givevchildrenv2x-v 4 vmonthsvapart MMRv-vcorrectvanswer- preggersvcan'tvreceivev(novvaricella,vorvzoster,vsmallpox,vfluvmist,vrotavirus),vbutvlact ationvOK! itsvlivevbutvweakened givevagainvtovthosevbornvafterv 1957 Givevtov6-11vmonthvwhovarevtravellingvoutsidevUS Mayvtreatvandvhavevanvinnocentvflatvpinkvrash 2 vdosesv(vatv12-15vmonvandv4-6vyears) Tetanusv-vcorrectvanswer-canvgetvfromvsoil,vavdepthvofvthevwoundvisvimportant Preggers- vgetvavtdapvinvhervthirstvtrimestervtovpassvontovthevunbornvchildv(pertusisvisvavbadvou tcome!),vfamilyvmembersvneedvtovbevupvtovdate-vcanvcausevlockjaw T-dap-v 1 vatv11-64vandvthenvboosterveveryv 10 dTap-fivevdoses Pertussis- vuncontrollablevcough,vvomitting,vfatigue,vdx:vnasopharyngealvculturevandvPCRvtesti ng tx:vAzithromycin Novpapvsmearv-vcorrectvanswer-priorvtov 21 vorvinvelderly Benadrylv-vcorrectvanswer- older,vcrossvBBB,vcanvcausevsedation,vurinaryvretentionv(badvforvBPH) herpesvzosterv-vcorrectvanswer-strongervchickenpoxvvaccine-zostervvaccine post-herpeticvneuralgia-vpersistsvafterv 1 vmonth
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vevenvindividualsvthatvaren'tvvaccinatedv(infants,vimmunocompromised)varevofferedvs omevprotectionvbecauseveveryone ActivevImmunityv-vcorrectvanswer- Invresponsevtovanvantigen,vpresencevofvanvantibodyvproducedvinvthevhostv(waitingvto vprotectvyou,v 1 vmonthvfromvgettingvthevdose,vbutvLIFELONG=BETTER) PassivevImmunityv-vcorrectvanswer- Immunityvconferredvbyvanvantibodyvproducedvinvanothervhost,vacquiredvnaturallyvbyv anvinfantvfromvmotherv(onsetvisvwithinvhoursvofvgettingvdosevbutvtimevlimitedvonlyv6- 9 vmonths) Treatmentvofvanalphylaxisv-vcorrectvanswer- ImmediatelyvadministervEPIvthenvadministervBenadrylvthenvcallv 911 Pneumoniavvaccinev-vcorrectvanswer- Notvcontravinvimmunosupressed,vdoesvnotvprotectvagainstvmostvpneumonia- causingvpathogensv(justvs.pneumococcal),v*canvgivevduringvantimicrobialvtherapy Flumistv-vcorrectvanswer-Onlyvforv2-49vandvnotvinvpresencevofvairwayvdisease Immunevglobulinv(passive)v-vcorrectvanswer- concentrationvsolutionvofvantibodiesvderivedvfromvpooledvdonatedvbloodvproductv(SA FE!) Gardasilv-vcorrectvanswer-Quadrivalentvvaccine-v6,v11,v16,v 18 6 vandv11-wartvvirus 16 vandv18-vmalignancyvvirus Males-vgetv9-26,vgetvthreevdosevseries HepvBvvaccinev-vcorrectvanswer- previouslyvunvaccinatedvadultsvwithvDMvshouldvbevvaccinatedvimmediatelyvuponvdia gnosisv(becausevcanvbevinvgroupvtypevsettings/lancets/equipmentvnotvcleaned) PPDvandvMMRv-vcorrectvanswer- IFvMMRvvaccinevisvgivenvonvthevpreviousvdayvorvearlier,vthevPPDvTSTvshouldvbevde layedvforvatvleastvonevmonthv(falsevpositive) ElderlyvwithvRFv-vcorrectvanswer- GivenvPPSV23v(Pneumovax)v 1 vyearvago,vshouldvbevgivenvavdosevofvPCV13v(Prevn ar)vtoday-vgivesvanvadditionalvboost Livevvirusv-vcorrectvanswer-MMR,vVaricella,vFluMist,vZoster Contra-Pregnancy,vImmuno/HIVvonlyvlessvthanv200, Rotavirus-voralvvaccinevgivenvtovinfants Restatingv- vcorrectvanswer-"Youvsaidvthatvyouvgotvangryvwhenvyourvboyfriendvcamevhomevlastvl astvnight"vkeyword-vYOU
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