Vaccines, Preventative Care and Neonatology

1

When is a glucose tolerance test conducted during pregnancy?

1

When should a group B strep culture be conducted during a pregnancy?

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During what time period should a pregnant mother receive a Tdap?

1

What are the ABC's of initial pediatric assessment? (Check all that apply)

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Newborn screening test newborns for conditions that are not detected by physical examination.

1

What diseases can be detected by newborn screening? (Check all that apply)

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Breastfeeding should be started within the first ( day, hour, minute, week ) of life and continued for at ( least, most ) ( twelve, five, nine, six ) months.

1

Babies being placed on their back to sleep came from the 1994 "Back to Sleep" campaign to reduce what?

1

At what age should children play peek-a-boo, say mama or dada and stand alone or take steps?

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Children should display what developmental milestones at 2 years? (Select all that apply)

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An oral syringe should always be used to dose liquids for children.

1

is the phone number to poison control.

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Things that can fit through a toilet paper roll can kill a child under 5.

1

Which of the following are reasons that pediatric pharmacokinetics are different than adult pharmacokinetics?

1

Which of the following is not a reason for increased percutaneous drug absorption in pediatrics?

1

A higher percentage of body water in infants leads to a larger volume of distribution

1

Why do infants and neonates have higher free fraction of drugs?

1

What dose should be the absolute maximum dose for an obese child?

1

What is meconium?

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Why is the APGAR scoring system used?

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The first A in APGAR stands for ( appearance, activity, angiogenesis ) and is used to determine if a neonate's ( color, muscle tone, visible blood vessels ) is normal.

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The P in APGAR stands for

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The GAR in APGAR stands for which of the following

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Which of the following prophylaxis treatments and disorders are correctly matched

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What is respiratory distress syndrome?

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deficiency, poor development and incomplete development in the lungs are common causes of respiratory distress syndrome and typically seen in neonates less than weeks.

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Which of the following is a common sign that an infant is struggling to breath?

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Why is surfactant given to neonates experiencing respiratory distress syndrome? (Select all that apply)

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What are tocolytics?

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( Indomethacin, Calcium Channel Blockers, Magnesium sulfate ) is given at 24-32 weeks to halt labor while ( calcium channel blockers, magnesium sulfate, indomethacin ) are given at 32-34 weeks. ( magnesium sulfate, indomethacin, calcium channel blockers ) is used for neuroprotective effects.

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Antenatal steroids are given to treat respiratory distress syndrome. Why?

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Which of the following drugs and drug classes is correctly matched as first line therapy for bronchopulmonary dysplasia?

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Hypoxemia, reflex bradycardia, resuscitation and organ damage are concerns of what condition associated with prematurity?

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There is a positive correlation between the incidence of neonatal apnea and ( low birth weight, fetal lung development, cystic fibrosis, asthma )

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Prevention of apnea is thought to occur by competitively inhibiting adenosine. Which of the following drugs is thought to do this and thus is used to treat apnea?

1

In utero the blood flow from the placenta goes through the side of the heart and bypasses the lungs via the

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What is the name of the condition when the ductus does not normally close on its own?

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What pharmacologic therapy is used to treat patent ductus arteriosus?

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Ductal dependent ( congenital heart disease, congenital heart defect, arteriole bypass, arteriole stenosis ) is the only reason to keep the patent ductus arteriosus open.

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This drug causes vasodilation by direct effect on vascular and ductus arteriosus smooth muscle to keep the patent ductus arteriosus open.

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Match each of the congenital heart defects with their descriptions

( Atrial Septal Defect, Ventricular Septal Defect, Coarctation of Aorta, Transposition of Great Arteries, Tetralogy of Fallot, Hypoplastic Left Heart Syndrome ) -Opening between atria
( Ventricular Septal Defect, Atrial Septal Defect, Coarctation of Aorta, Transposition of Great Arteries, Tetralogy of Fallot, Hypoplastic Left Heart Syndrome ) -Opening between ventricles
( Coarctation of Aorta, Transposition of Great Arteries, Tetralogy of Fallot, Hypoplastic Left Heart Syndrome, Atrial Septal Defect, Ventricular Septal Defect ) -Narrowing of the aorta
( Transposition of Great Arteries, Atrial Septal Defect, Ventricular Septal Defect, Coarctation of Aorta, Tetralogy of Fallot, Hypoplastic Left Heart Syndrome ) -Vessel connection of aorta and pulmonary artery
( Tetralogy of Fallot, Transposition of Great Arteries, Hypoplastic Left Heart Syndrome, Atrial Septal Defect, Ventricular Septal Defect, Coarctation of Aorta ) -Opening between ventricles, right ventricular outflow obstruction and right aorta shift
( Hypoplastic Left Heart Syndrome, Tetralogy of Fallot, Atrial Sepatal Defect, Ventricular Septal Defect, Coarctation of Aorta, Transposition of Great Arteries ) -Underdeveloped left ventricle, opening between atria, small aorta, vessel connecting aorta and pulmonary artery

1

Early onset sepsis occurs in the first ( 7 days, 14 days, 30 days, 90 days ), typically manifests as ( pneumonia, ear infection, difficulty breathing, heart problems ) and is caused by bacteria from ( the mother, the environment, formula, neonatal cleaning ). Late onset sepsis occurs afters the first ( 7 days, 14 days, 30 days, 90 days ), typically manifests as ( meningitis and sepsis, cold, pneumonia, cystic fibrosis ) and is caused by bacteria from ( the environment, formula feedings, the mother, nosicomial setting ).

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Listeria monocytogenes, E. Coli, Group B strep and H. influemzae are the common bacteria causing what?

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Which of the the following are typically used to treat early onset sepsis? (Select all that apply)

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Late onset sepsis is usually treated with what?

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TORCH is an acronym for a group of diseases that cause what due to in utero exposure?

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The acronym TORCH stands for ( taxoplasmosis, trichomoniasis ), ( other, oligobacteria ), ( rubella, rabies ), ( cytomegalovirus, Chlamydia ), ( herpes infection, H. influenzae ).

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Toxoplasmosis is caused by ( Toxoplasma gondii, Treponema pallidum, Toxoplasma denticola ) which is a ( bacteria, protozoan parasite, virus ) found in the feces of ( cats, dogs, fish, hamsters/rodents ) and contaminated ( meat or vegetables, fruit or vegetables, beans or poultry ).

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Select all correctly matched congenitally acquired infectious diseases and their treatments

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Match the congenitally acquired infectious diseases with their treatment.

Chlamydia trachomatis -( systemic erythromycin or azithromycin, oral vancomycin, IM cefazolin )
( Hepatitis A, Hepatitis B, Hepatitis C, HIV ) - Vaccine and HBIG within 12 hours of birth
Herpes Simplex - ( High dose acyclovir, Low dose valacyclovir, Gancyclovir, Valgancyclovir )

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Finnergan Score is used to assess .

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Which of the following are first line treatments for neonatal abstinence syndrome? (Select all that apply)

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vaccine is recommended more for the protection of children and infants and should be given every 10 years.

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What recombinant vaccine is recommended for immunocompromised individuals aged 50 and older?

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( High dose, IM, Intranasal ) or ( low dose, adjuvanted IIV, recombinant ) are formulation of influenza vaccines recommended for people aged 65 and older.

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Prevnar (PCV 13) and Pneumovax (PPSV23) are pneumococcal vaccinces recommended for whom?

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The maximum number of doses of Pneumovax (PPSV23) that any person should receive is ( three, two, four, five ) with each dose being a minimum of ( five, three, two, four ) ( years, months, days, weeks ) apart.

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When is the first dose of hepatitis B vaccine given?

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The minimum age for HPV vaccination is what?

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The ( second, first, third ) dose of the meningococcal vaccine is given at ( thirteen, sixteen, eighteen ).

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IIV formulation of the influenza vaccine can be given at what age minimum?

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What vaccines are recommended for all pregnant women? (Select all that apply)

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Adults younger than 60 years old with are a high risk indication for the vaccine

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Patients who smoke cigarettes should receive what vaccine if they are older than 18 and younger than 65?

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Which of the following should be given to an AIDs patient (CD4 less than 200)?

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An aspleenic person should be given which of the following vaccines to protect against encapsulated organisms? (Select all that apply)

1

Proper hydration and arm movement do what post-immunization?

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What year was mercury removed from vaccines except multidose flu vials?

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Acetaminophen and Ibuprofen have been shown to reduce what?

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Undervaccinated or unvaccincated people exposed to diseases in other countries are typically patient 0 during outbreaks.

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What vaccines are contraindicated during pregnancy

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What is the Advisory Committee on Immunization Practices?

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The first dose followed by a second dose in 1 to 2 months and a third dose in 6 months is the dosing schedule for what vaccine?

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A patient should first be given ( PCV13, PPSV23, Menactra, Influenza vaccine ) followed by ( PPSV23, PCV13, HiB, Yellow fever vaccine ) ( six months, one year, two years, five years ) later.

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Andrew Wakefield is the British physician who fabricated data in a publication that lead to the belief that vaccines cause autism. What was the name of the publication?

Pediatric pharmacy questions from BGCOP Spring 2018

Vaccines, Preventative Care and Neonatology

When is a glucose tolerance test conducted during pregnancy?

When should a group B strep culture be conducted during a pregnancy?

During what time period should a pregnant mother receive a Tdap?

What are the ABC's of initial pediatric assessment? (Check all that apply)

Newborn screening test newborns for conditions that are not detected by physical examination.

What diseases can be detected by newborn screening? (Check all that apply)

Breastfeeding should be started within the first day hour minute week( day, hour, minute, week ) of life and continued for at least most( least, most ) twelve five nine six( twelve, five, nine, six ) months.

Babies being placed on their back to sleep came from the 1994 "Back to Sleep" campaign to reduce what?

At what age should children play peek-a-boo, say mama or dada and stand alone or take steps?

Children should display what developmental milestones at 2 years? (Select all that apply)

An oral syringe should always be used to dose liquids for children.

is the phone number to poison control.

Things that can fit through a toilet paper roll can kill a child under 5.

Which of the following are reasons that pediatric pharmacokinetics are different than adult pharmacokinetics?

Which of the following is not a reason for increased percutaneous drug absorption in pediatrics?

A higher percentage of body water in infants leads to a larger volume of distribution

Why do infants and neonates have higher free fraction of drugs?

What dose should be the absolute maximum dose for an obese child?

What is meconium?

Why is the APGAR scoring system used?

Breastfeeding should be started within the first ( day, hour, minute, week ) of life and continued for at ( least, most ) ( twelve, five, nine, six ) months.

The first A in APGAR stands for ( appearance, activity, angiogenesis ) and is used to determine if a neonate's ( color, muscle tone, visible blood vessels ) is normal.

There is a positive correlation between the incidence of neonatal apnea and ( low birth weight, fetal lung development, cystic fibrosis, asthma )