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Exam (elaborations)

AHN 548 EXAM 2024/2025 WITH GUARANTEED ACCURATE ANSWERS |VERIFIED

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AHN 548 EXAM 2024/2025 WITH GUARANTEED ACCURATE ANSWERS |VERIFIED .11-12yo immunizations - ANSWER-TdaP HPV 2- 3 dose series Meningococcal 1st dose .12mo immunizations - ANSWER-HiB 3/4th dose- 15 mo Pneumococcal 3-4th dose MMR Varicella Hep A (2 doses before 2 yrs) .1mo immunizations ...

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  • September 13, 2024
  • 32
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers
  • AHN 548
  • AHN 548
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AHN 548 EXAM 2024/2025 WITH GUARANTEED
ACCURATE ANSWERS |VERIFIED

.11-12yo immunizations - ANSWER-TdaP

HPV 2- 3 dose series

Meningococcal 1st dose



.12mo immunizations - ANSWER-HiB 3/4th dose- 15 mo

Pneumococcal 3-4th dose

MMR

Varicella

Hep A (2 doses before 2 yrs)



.1mo immunizations - ANSWER-2nd dose Hep B



.2mo immunizations - ANSWER-Rotavirus

DTaP

HiB

Pneumococcal conjugate

Inactivated polio

Meningococcal



.4-6yo immunizations - ANSWER-DTaP 5th dose

Polio 4th dose

MMR 2nd dose

Varicella 2nd dose



.4mo immunizations - ANSWER-Rotavirus 2nd dose

,Dtap 2nd dose

HiB 2nd dose

Pneumococcal 2nd dose

Polio 2nd dose



.6mo immunizations - ANSWER-Hep B 3rd dose- 18 mo

DTaP 3rd dose

Pneumococcal 3rd dose

Polio 3rd dose

Flu vaccine begins annually



.Absolute contraindications to combined oral contraceptive pills - ANSWER-Pregnancy

Breast feeding (w/in 6weeks of childbirth)

Hypertension SBP>160 or DBP>100

History of thrombophlebitis, Cerebrovascular dz, or ischemic heart dz

Known thrombogenic mutations

Systemic lupus erythematous

Complicated valvular heart dz

Diabetes with nephropathy, retinopathy or neuropathy

Liver disease: active viral hepatitis, severe cirrhosis, tumor

Breast cancer (current)

Migraine headaches with aura

Major surgery with prolonged immobilization



.ADHD - ANSWER-c/b impulsivity, inattention, hyperactivity

Genetic component



Mgmt:

-behavior modification techniques

,-social skills training

-stimulant medications (lisdexamfetamine, methylphenidate, dextroamphetamine)- monitor BP and HR

-alternative meds (guanfacine, clonidine)



.Adolescent Fibroadenoma - ANSWER-Most common breast masses of adolescent girls



Sx: 2-3cm, rubbery, well-circumscribed, mobile, nontender. Commonly found in upper outer quadrant of
the breast.



Mgmt: observation if less than 5cm for 3-4 months



.Alcohol related birth defects - ANSWER-Dx requires a history of prenatal alcohol exposure, at least two
characteristic facial features and the presence of one or more congenital anomalies, including
malformations and dysplasias in cardiac, skeletal, renal, ocular, or auditory areas or two or more minor
anomalies



.Alcohol-related neurodevelopmental disorder - ANSWER-does not require the presence of dysmorphic
facial features but does require the presence of neurodevelopmental abnormalities or evidence of a
pattern of behavioral or cognitive abnormalities- poor impulse control, memory, attention or judgment
problems



REQUIRES confirmation of prenatal alcohol exposure



.Amenorrhea - ANSWER-Primary amenorrhea- no periods or secondary sex characteristics by age 13 or
no menses in the presence of secondary sex characteristics by age 15.



Secondary amenorrhea- the absence of menses for three consecutive cycles or for 6 months in a patient
with irregular cycles



.Anemia - ANSWER-HcT < 40% at term birth



Acute blood loss- signs of hypovolemia, normal reticulocyte count

, Chronic blood loss- pallor without hypovolemia, elevated reticulocyte count



Hemolytic anemia- accompanied by excessive hyperbilirubinemia



Tx: most infants tolerate well due to increased O2 availability in the extrauterine envt, but may need
erythropoietin or transfuionif failure to thrive or CV compromise



.Autism spectrum disorders - ANSWER-Two core deficits:

-persistent deficits in social communication and social interaction across multiple contexts

-restricted, repetitive patterns of behavior, interests or activities



Dx can be made reliably by 2 years of age



Tx: early, intensive behavior intervention



.Birth immunizations - ANSWER-hep B



.Breast Abscess in Adolescent - ANSWER-Often associated with overlying mastitis and/or purulent nipple
discharge. Culture abscess material and/or nipple discharge before starting ABX



Sx: unilateral breast pain



Staph is most common pathogen



Healing time from nipple piercing is 3-6mo.



.CMV

(Congenital) - ANSWER-MOST COMMON TRANSMITTED IN UTERO

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