NEW
Font size
WorksheetsGood jab!
Total questions: 21
Worksheet time: 4mins
The following groups are recommended for influenza vaccination, EXCEPT?
Persons aged ≥6 months old without contraindication
Adults ≥65 years
Pregnant or might be pregnant
NOTA
In the Philippines, the flu season coincides with the rainy season. It is best to get the vaccine between __ & __? (Source: doh.gov.ph)
March & July
March & October
February & July
February & June
The amount of inactivated (injectable) vaccine that should be administered intramuscularly is based on?
Patient's Age and Vaccine product
Patient's Sex and presence of flu-like symptoms
Patient's Mental Status and CBC lab results
Patient's Sexual History and severity of flu
Px BiniBining Marikit, a hypertensive and previous
smoker for 20 pack years was admitted for 8 days productive cough with
purulent sputum, & fever. BP 110/70, HR 110 bpm, RR 28 cpm, Temp 39C, O2 sat 92%. Chest x-ray showed R lower lobe infiltrate with pleural effusion. What is the appropriate empirical treatment?
Cefuroxime IV + Clarithromycin IV
Ceftriaxone IV + Azithromycin PO
Co-amoxiclav PO + Moxifloxacin PO
Sultamicillin PO + Ciprofloxacin IV
What are the three current licensed pneumococcal conjugate vaccines by the FDA (according to CDC)?
PCV 13, 10, 23
PCV 22, 23, 25
PCV 13, 15, 20
PCV 7, 8, 15
Which is NOT a direct side effect of pneumococcal vaccine?
Seizure
Fever
Redness, swelling or pain on site of administration
Chills
What is the main purpose of sputum Gram stain in the diagnosis of pneumonia?
To aid in diagnosis of URT infection
To have definitive diagnosis of pneumonia
To ensure a sample is suitable for culture
Used as a substitute for blood cultures
What type of immunity is conferred by pneumococcal vaccines?
Natural active immunity
Natural passive immunity
Acquired active immunity
Artificial passive immunity
According to the CDC, the following preferred routes of administration for pneumococcal vaccines are not true except?
PPSV23: Intravenous
PCV13 in older children: Vastus lateralis muscle
PCV15, PCV20 in adults: Deltoid muscle
PCV13 in infants and young children: Vastus medialis muscle
According to the 2016 CAP Guidelines by PSMID, which of the following is an indication for de-escalation from parenteral therapy to oral agents?
Legionnaire's disease
WBC count: 9.7 x 10^9/L
Blood pressure 85/55
BUN:Creatinine ratio of >10:1
ACIP recommends universal vaccination of PPSV23 for Filipino adults at
60 yo
65 yo
55 yo
50 yo
Revaccination of PPSV 23 may be given to the following patients exept:
Deah receiving immunosupressive chemotherapy including corticosteroid
Gin, 68 y.o., with history of PPSV 23 vaccination 5 years ago
Mary, 65 years old, healthy with no comorbidity
Ella, After bone marrow transplant
True to the assessment of severity of Community - Aquired Pneumonia except:
CURB-65 score of >3 may require ICU admission
PSI is used to identify patient at low risk of dying
PSI and CURB-65 are inaccurate in determining the need for ICU admission
PSI is ideally used in a busy emergency-department setting
What is recommended for children 2 through 18 years old with certain medical condition?
A. PCV13
B. PCV15
C. PSSV23
D. BOTH A AND C
A 65 yo adult, who never received any pneumococcal conjugate vaccine, was recommended for vaccination. Which of the ff statement is correct?
PCV13 is not recommended
PPSV23 should be given before PCV13
PCV13 should be given before PPSV23
Microorganism gain access to the lower respiratory tract in the lower respiratory tract. What is the most common route?
Aspiration from the oropharynx
Hematogenous spread
Contiguous extension from an infected pleura or mediastinal space
All of the above
which is not included as a type of flu vaccination
Inactivated influenza vac
recombinant influenza vac
Live attenuated influenza vac
nucleic acid base influenza vac
which is the route of administration for infant and children
SC - thigh
SC - Deltoid
IM deltoid
IM thigh
Common side effects of this drug can cause rapid onset of erythematous rash or pruritus upon rapid infusion in the face
Vancomycin
Cefepime
Levofloxacin
Lincosamides
Which of the following are the adverse effects of the seasonal flu vaccine?
Fever, Fatigue, Bleeding
Nausea, Headache, Bradycardia
Headache, Fever, Muscle Aches
Bradycardia, Bleeding, Fever
Atypical organisms causing CAP, EXCEPT?
Chlamydia pneumoniae
Staphylococcus aureus
Human metapneumovirus
Legionella pneumophila
