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Who should receive Tdap vaccination? - CORRECT ANSWER-Adults in close contact
with infants healthcare workers
Contraindication for Tdap vaccine - CORRECT ANSWER-Severe allergic reaction to
previous dose, or hx of encephalopathy within 7 days of vaccine
Varicella vaccine contraindications - CORRECT ANSWER-Hx of anaphylaxis with
previous dose, allergy to gelatin or neomycin
Hepatitis B vaccine contraindications - CORRECT ANSWER-Previous rxn to vaccine,
allergy to yeast and neomycin
Examples of attenuated vaccines - CORRECT ANSWER-measles, mumps, rubella,
chickenpox, yellow fever, rotavirus
examples of live vaccines - CORRECT ANSWER-MMR, varicella, rotavirus, influenza
examples of toxoid vaccines - CORRECT ANSWER-Diphtheria, tetanus, pertussis,
Examples of inactive viral antigen vaccine - CORRECT ANSWER-Poliovirus (SALK),
Hep A, Hep B, influenza
What are the types of immunity? - CORRECT ANSWER-active, passive, and herd
Define vaccine - CORRECT ANSWER-suspension of organisms or fractions of
organisms that induce immunity
Post exposure prophylaxis for Rabies - CORRECT ANSWER-human rabies
immunoglobulin + human diploid cell vaccine on days 0,3,7,14
Patient teaching after vaccination - CORRECT ANSWER-Redness and swelling can
occur at site, mild fever or fatigue
, Who can receive attenuated influenza vaccine (Flumist) - CORRECT ANSWER-
individuals >2yo an d less than 50. non pregnant, and those who are not
immunocompromised
Pantoprazole dosing - CORRECT ANSWER-40 - 80 mg ORAL or IV Qday
Metronidazole (Flagyl) dosing - CORRECT ANSWER-250 mg 4x day or 500mg BID for
7-14 days
Ondansetron (Zofran) dosing - CORRECT ANSWER--8/24mg po 30 minutes prior to
chemo initiation
-8/16 mg po Q12h for 1/2 days after chemo administration
-TOP 200
Albuterol Sulfate (inhalation) dosage - CORRECT ANSWER-2 inhalations
What labs are used to diagnose thyroid disease - CORRECT ANSWER-TSH T3 T4
When should you recheck labs after starting levothyroxine - CORRECT ANSWER-6-8
weeks until euthyroid state
signs and symptoms of hypothyroidism - CORRECT ANSWER-Thin, dry hair
Thick, brittle nails
constipation
bradycardia
Goiter
PeriOrbital edema
cold intolerance
weight gain
signs and symptoms hyperthyroidism - CORRECT ANSWER-1. heat intolerance (high
heat production)
2. weight loss, increased appetite
3. hyperactivity
4. diarrhea
5. high reflexes
6. pretibial myxedema (Graves)
7. warm moist skin; fine hair
8. chest pain, palpitations, arrhythmias, increased β-adrenergic receptors
Treatment of thyroid storm - CORRECT ANSWER-- Propylthiouracil (preferred) or
methimazole
- iodine-potassium solutions
- glucocorticoids
- beta blockers