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NRNP 6550 Midterm Vaccination/ ENT/ cardio/ resp questions with correct answers
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NRNP 6550 Midterm Vaccination/ ENT/ cardio/ resp questions with correct answers
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NRNP 6550 Midterm Vaccination/ ENT/ cardio/ respquestions with correct answers
Vaccinations and immunosuppression. 2 keypoints Correct Answer--
give inactive agents instead of live agents
- might not work as effectively
live virus vaccine types Correct Answer-Virus:
- measles
- mumps
- polio (oral)
- rubella
- varicella
- yellow fever
- herpes zoster
Bacteria:
- typhoid
inactive vaccine virus Correct Answer-Virus:
- Hep A and B
- HPV
- influenza
- polio (subq)
- rabies
,Bacteria:
- anthrax
- cholera
- diphteria
- Lyme
- meningococcus
- pertussis
- plague
- pneumococcus
- tetanus
Immunization recommendation influenza Correct Answer-all ages, all
types (pregnant, diabetes, immunocompromised, etc)
Immunization recommendation pregnancy and weakened immune
system Correct Answer-- 1 dose Tdap
- no varicella, zoster, MMR
HIV and vaccinations Correct Answer-Give inactive agents when CD4
count is greater than 200 cells/ mm3
health screening 18 - 45 years Correct Answer-- BMI
- BP (q2years)
,- at age 20: fasting lipid profile: total cholesterol, LDL, HDL,
triglycerides (cardiac testing if LDL greater than 200 or HDL lower than
40)
- annual breast exam, females
- Pap-smear annually
health screening 45 and up Correct Answer-- blood glucose q3years
- 50 and up: colorectal screening (digital exam annually, sigmoidscopy
q5years, colonoscopy q10yrs)
- PSA with digital exam annually for males
- mammography q1 -2 yrs
- women 65 and up: screen for osteoporosis
top 5 leading causes of death Correct Answer-1. heart disease
2. cancer
3. respiratory disease
4. stroke
5. accidents
Conjunctivitis; definition Correct Answer--Pink eyey
- Inflammation of conjuctiva (outer layer of eye)
Conjunctivitis: causes Correct Answer-Chemical, bacterial, viral,
allergic, herpetic. Adenovirus is the most common cause, but bacteria
, (Haemophilus influenzae and Streptococcus pneumoniae) are also
common causes in children.
Conjunctivitis: findings Correct Answer-- redness
- itching
- discharge
- edema eyelid
- may find gonorrhea or chlamydia in eye discharge
Conjunctivitis: management Correct Answer-- cooling
- rule out corneal abrasion
- bacteria: antibiotic solution (gentamicin, neomycin)
- chlamydia: oral tetracycline or erythromycin
- gonorrhea: single dose ceftriaxone
- herpes: refer to opthalmologist
Corneal abrasion: definition, cause, findings, treatment Correct
Answer-- disruption of cornea (clear covering of eye)
- foreign body/ trauma
- pain, redness, photophobia, decreased visual acuity
- ab ointment: gentamicin, sulfacetamide, eye-patch, ophthalmologist
diabetic retinopathy: definition, cause, findings, treatment Correct
Answer-- ocular retinal disease due to DM
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