Vaccines, Preventative Care and Neonatology

Descripción

Pediatric pharmacy questions from BGCOP Spring 2018
Cara Carter
Test por Cara Carter, actualizado hace más de 1 año
Cara Carter
Creado por Cara Carter hace más de 6 años
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Resumen del Recurso

Pregunta 1

Pregunta
When is a glucose tolerance test conducted during pregnancy?
Respuesta
  • As soon as the pregnancy is discovered
  • At 36 weeks when the pregnancy is at term
  • 24-28 weeks
  • 35-37 weeks

Pregunta 2

Pregunta
When should a group B strep culture be conducted during a pregnancy?
Respuesta
  • At the end of the 1st trimester
  • 35-37 weeks
  • 24-28 weeks
  • 27-36 weeks

Pregunta 3

Pregunta
During what time period should a pregnant mother receive a Tdap?
Respuesta
  • 27-36 weeks
  • Prior to conception
  • At birth/delivery
  • 35-37 weeks

Pregunta 4

Pregunta
What are the ABC's of initial pediatric assessment? (Check all that apply)
Respuesta
  • Breathing
  • Activity
  • Appearance
  • Blinking
  • Conciousness
  • Circulation

Pregunta 5

Pregunta
Newborn screening test newborns for conditions that are not detected by physical examination.
Respuesta
  • True
  • False

Pregunta 6

Pregunta
What diseases can be detected by newborn screening? (Check all that apply)
Respuesta
  • Non-Hodgkin's Lymphoma
  • Sickle Cell Disease
  • Cystic Fibrosis
  • Endometriosis
  • Rheumatoid Arthritis
  • Homocystinuria
  • PKU
  • Primary Congenital Hypothyroidism

Pregunta 7

Pregunta
Breastfeeding should be started within the first [blank_start]hour[blank_end] of life and continued for at [blank_start]least[blank_end] [blank_start]six[blank_end] months.
Respuesta
  • day
  • hour
  • minute
  • week
  • least
  • most
  • twelve
  • five
  • nine
  • six

Pregunta 8

Pregunta
Babies being placed on their back to sleep came from the 1994 "Back to Sleep" campaign to reduce what?
Respuesta
  • Neonatal Abstinence Syndrome
  • Infant Suffication
  • Asthma
  • Sudden Infant Death Syndrome

Pregunta 9

Pregunta
At what age should children play peek-a-boo, say mama or dada and stand alone or take steps?
Respuesta
  • 12 months
  • 18 months
  • 24 months
  • 9 months

Pregunta 10

Pregunta
Children should display what developmental milestones at 2 years? (Select all that apply)
Respuesta
  • Name items in a picture book
  • Complete potty-training
  • Show defiant behavior
  • Construct short sentences

Pregunta 11

Pregunta
An oral syringe should always be used to dose liquids for children.
Respuesta
  • True
  • False

Pregunta 12

Pregunta
[blank_start]1-800-222-1222[blank_end] is the phone number to poison control.
Respuesta
  • 1-800-222-1222

Pregunta 13

Pregunta
Things that can fit through a toilet paper roll can kill a child under 5.
Respuesta
  • True
  • False

Pregunta 14

Pregunta
Which of the following are reasons that pediatric pharmacokinetics are different than adult pharmacokinetics?
Respuesta
  • CYP450 enzymes are still developing
  • Infants lack significant stomach acid
  • All of these are reasons
  • Infants have more body water

Pregunta 15

Pregunta
Which of the following is not a reason for increased percutaneous drug absorption in pediatrics?
Respuesta
  • Children have larger surface area to mass ratio
  • Children have greater skin hydration
  • Children have greater muscle mass
  • Children have thinner skin

Pregunta 16

Pregunta
A higher percentage of body water in infants leads to a larger volume of distribution
Respuesta
  • True
  • False

Pregunta 17

Pregunta
Why do infants and neonates have higher free fraction of drugs?
Respuesta
  • Higher body water percentage
  • Lower protein stores
  • Lower muscle mass
  • Higher surface area to body mass ratio

Pregunta 18

Pregunta
What dose should be the absolute maximum dose for an obese child?
Respuesta
  • The extrapolated dose based on the child's weight
  • The dose at which results are seen
  • The adult maximum dose
  • The dose at which providers are comfortable with based on individual factors

Pregunta 19

Pregunta
What is meconium?
Respuesta
  • A term used for the first cry
  • A term used for the first bowel movement
  • A term used to describe the birth crawl
  • An element on the periodic table that only infants possess

Pregunta 20

Pregunta
Why is the APGAR scoring system used?
Respuesta
  • To determine if an infant is normal at birth
  • To determine if the infant will experience genetic abnormalities through out life
  • To assess for disease at birth
  • To put parents at ease

Pregunta 21

Pregunta
The first A in APGAR stands for [blank_start]appearance[blank_end] and is used to determine if a neonate's [blank_start]color[blank_end] is normal.
Respuesta
  • appearance
  • activity
  • angiogenesis
  • color
  • muscle tone
  • visible blood vessels

Pregunta 22

Pregunta
The P in APGAR stands for [blank_start]pulse[blank_end]
Respuesta
  • pulse

Pregunta 23

Pregunta
The GAR in APGAR stands for which of the following
Respuesta
  • Grimace, Activity, Respiration
  • Grin, Action, Respiration
  • Grimace, Action, Reflex
  • Grim, Activity, Reflex

Pregunta 24

Pregunta
Which of the following prophylaxis treatments and disorders are correctly matched
Respuesta
  • Gonococcal ophthalmia-erythromycin ointment or silver nitrate solution
  • Chlamydia- Oral amoxicillin
  • Vitamin K deficiency- IM phytonadione
  • Platelet aggregation-enoxaparin

Pregunta 25

Pregunta
What is respiratory distress syndrome?
Respuesta
  • The name given to a condition in which infants are born with only one lung
  • A developmental disorder in which lungs are immature at birth
  • Cystic Fibrosis when diagnosed in utero
  • Lack of airway operation due to asthma or COPD at birth

Pregunta 26

Pregunta
[blank_start]Surfactant[blank_end] deficiency, poor [blank_start]muscle[blank_end] development and incomplete development in the lungs are common causes of respiratory distress syndrome and typically seen in neonates less than [blank_start]28[blank_end] weeks.
Respuesta
  • 28
  • Surfactant
  • muscle

Pregunta 27

Pregunta
Which of the following is a common sign that an infant is struggling to breath?
Respuesta
  • Nasal flaring
  • Nasal salute
  • Excessive sleeping
  • Hyperactivity

Pregunta 28

Pregunta
Why is surfactant given to neonates experiencing respiratory distress syndrome? (Select all that apply)
Respuesta
  • It is the most simple and quickest treatment
  • To cause an increase in alveolar surface tension
  • It has been proven to reduce mortality and morbidity
  • None of these
  • All of these
  • To replace deficient amounts

Pregunta 29

Pregunta
What are tocolytics?
Respuesta
  • Drugs used to induce labor or contractions
  • Drugs used to stop labor or contractions
  • Drugs used during a cesarean section
  • Drugs used to increase fetal lung development

Pregunta 30

Pregunta
[blank_start]Indomethacin[blank_end] is given at 24-32 weeks to halt labor while [blank_start]calcium channel blockers[blank_end] are given at 32-34 weeks. [blank_start]magnesium sulfate[blank_end] is used for neuroprotective effects.
Respuesta
  • Indomethacin
  • Calcium Channel Blockers
  • Magnesium sulfate
  • calcium channel blockers
  • magnesium sulfate
  • indomethacin
  • magnesium sulfate
  • indomethacin
  • calcium channel blockers

Pregunta 31

Pregunta
Antenatal steroids are given to treat respiratory distress syndrome. Why?
Respuesta
  • They are thought to decrease overall morbidity and mortality
  • They decrease the incidence of intraventricular hemorrhage
  • They decrease the incidence of patent ductus arteriosus
  • All of these are reasons to give antenatal steriods

Pregunta 32

Pregunta
Which of the following drugs and drug classes is correctly matched as first line therapy for bronchopulmonary dysplasia?
Respuesta
  • HCTZ (Diuretic)
  • Theophylline (Bronchodialator)
  • Inhaled Prednisone (Corticosteroid)
  • Furosemide (Potassium supplement)

Pregunta 33

Pregunta
Hypoxemia, reflex bradycardia, resuscitation and organ damage are concerns of what condition associated with prematurity?
Respuesta
  • Low birth weight
  • Respiratory distress syndrome
  • Apnea
  • Bronchopulmonary Dysplasia

Pregunta 34

Pregunta
There is a positive correlation between the incidence of neonatal apnea and [blank_start]low birth weight[blank_end]
Respuesta
  • low birth weight
  • fetal lung development
  • cystic fibrosis
  • asthma

Pregunta 35

Pregunta
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?
Respuesta
  • Carbon dioxide
  • Theophylline
  • Caffeine
  • Azothioprine

Pregunta 36

Pregunta
In utero the blood flow from the placenta goes through the [blank_start]right[blank_end] side of the heart and bypasses the lungs via the [blank_start]ductus arteriosus[blank_end]
Respuesta
  • ductus arteriosus
  • right

Pregunta 37

Pregunta
What is the name of the condition when the ductus does not normally close on its own?
Respuesta
  • Open ductus
  • Patent ductus arteriosus
  • Infantile coronary artery syndrome
  • Early onset atrial fibrilation

Pregunta 38

Pregunta
What pharmacologic therapy is used to treat patent ductus arteriosus?
Respuesta
  • ACE inhibitors
  • Calcium Channel Blockers
  • Beta Blockers
  • Prostaglandin inhibitors

Pregunta 39

Pregunta
Ductal dependent [blank_start]congenital heart disease[blank_end] is the only reason to keep the patent ductus arteriosus open.
Respuesta
  • congenital heart disease
  • congenital heart defect
  • arteriole bypass
  • arteriole stenosis

Pregunta 40

Pregunta
This drug causes vasodilation by direct effect on vascular and ductus arteriosus smooth muscle to keep the patent ductus arteriosus open.
Respuesta
  • Ibuprofen
  • Indomethacin
  • Pseudophedrine
  • Alprostail

Pregunta 41

Pregunta
Match each of the congenital heart defects with their descriptions [blank_start]Atrial Septal Defect[blank_end] -Opening between atria [blank_start]Ventricular Septal Defect[blank_end] -Opening between ventricles [blank_start]Coarctation of Aorta[blank_end] -Narrowing of the aorta [blank_start]Transposition of Great Arteries[blank_end] -Vessel connection of aorta and pulmonary artery [blank_start]Tetralogy of Fallot[blank_end] -Opening between ventricles, right ventricular outflow obstruction and right aorta shift [blank_start]Hypoplastic Left Heart Syndrome[blank_end] -Underdeveloped left ventricle, opening between atria, small aorta, vessel connecting aorta and pulmonary artery
Respuesta
  • Transposition of Great Arteries
  • Atrial Septal Defect
  • Ventricular Septal Defect
  • Coarctation of Aorta
  • Tetralogy of Fallot
  • Hypoplastic Left Heart Syndrome
  • Hypoplastic Left Heart Syndrome
  • Tetralogy of Fallot
  • Atrial Sepatal Defect
  • Ventricular Septal Defect
  • Coarctation of Aorta
  • Transposition of Great Arteries
  • Atrial Septal Defect
  • Ventricular Septal Defect
  • Coarctation of Aorta
  • Transposition of Great Arteries
  • Tetralogy of Fallot
  • Hypoplastic Left Heart Syndrome
  • Ventricular Septal Defect
  • Atrial Septal Defect
  • Coarctation of Aorta
  • Transposition of Great Arteries
  • Tetralogy of Fallot
  • Hypoplastic Left Heart Syndrome
  • Coarctation of Aorta
  • Transposition of Great Arteries
  • Tetralogy of Fallot
  • Hypoplastic Left Heart Syndrome
  • Atrial Septal Defect
  • Ventricular Septal Defect
  • Tetralogy of Fallot
  • Transposition of Great Arteries
  • Hypoplastic Left Heart Syndrome
  • Atrial Septal Defect
  • Ventricular Septal Defect
  • Coarctation of Aorta

Pregunta 42

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

Pregunta 43

Pregunta
Listeria monocytogenes, E. Coli, Group B strep and H. influemzae are the common bacteria causing what?
Respuesta
  • The common cold
  • Hospital Acquired Pneumonia in infants
  • Early Onset Sepsis
  • Late Onset Sepsis

Pregunta 44

Pregunta
Which of the the following are typically used to treat early onset sepsis? (Select all that apply)
Respuesta
  • Amoxicillin +/- Clavulanate
  • Ampicillin
  • Levofloxacin
  • Zosyn
  • Aminoglycosides
  • Cefotaxime
  • Ceftriaxone
  • Ceftaroline

Pregunta 45

Pregunta
Late onset sepsis is usually treated with what?
Respuesta
  • Rest and BRAT diet
  • Broad spectrum antibiotics
  • Anti-viral or anti-retroviral therapy
  • Amoxicillin

Pregunta 46

Pregunta
TORCH is an acronym for a group of diseases that cause what due to in utero exposure?
Respuesta
  • congenital conditions
  • chronic conditions
  • neurodegenerative conditions
  • genetic conditions

Pregunta 47

Pregunta
The acronym TORCH stands for [blank_start]taxoplasmosis[blank_end], [blank_start]other[blank_end], [blank_start]rubella[blank_end], [blank_start]cytomegalovirus[blank_end], [blank_start]herpes infection[blank_end].
Respuesta
  • taxoplasmosis
  • trichomoniasis
  • other
  • oligobacteria
  • rubella
  • rabies
  • cytomegalovirus
  • Chlamydia
  • herpes infection
  • H. influenzae

Pregunta 48

Pregunta
Toxoplasmosis is caused by [blank_start]Toxoplasma gondii[blank_end] which is a [blank_start]protozoan parasite[blank_end] found in the feces of [blank_start]cats[blank_end] and contaminated [blank_start]meat or vegetables[blank_end].
Respuesta
  • Toxoplasma gondii
  • Treponema pallidum
  • Toxoplasma denticola
  • bacteria
  • protozoan parasite
  • virus
  • cats
  • dogs
  • fish
  • hamsters/rodents
  • meat or vegetables
  • fruit or vegetables
  • beans or poultry

Pregunta 49

Pregunta
Select all correctly matched congenitally acquired infectious diseases and their treatments
Respuesta
  • Vibrio cholerae- Amoxicillin
  • Trepodema pallidum -Penicillin G for 10 days
  • E. coli -Vancomycin
  • Streptococcus faecalis - Ceftriaxone
  • Klebsiella pneumoniae -Metronidazole
  • Cytomegalovirus -Ganciclovir

Pregunta 50

Pregunta
Match the congenitally acquired infectious diseases with their treatment. Chlamydia trachomatis -[blank_start]systemic erythromycin or azithromycin[blank_end] [blank_start]Hepatitis B[blank_end] - Vaccine and HBIG within 12 hours of birth Herpes Simplex - [blank_start]High dose acyclovir[blank_end]
Respuesta
  • systemic erythromycin or azithromycin
  • oral vancomycin
  • IM cefazolin
  • Hepatitis A
  • Hepatitis B
  • Hepatitis C
  • HIV
  • High dose acyclovir
  • Low dose valacyclovir
  • Gancyclovir
  • Valgancyclovir

Pregunta 51

Pregunta
Finnergan Score is used to assess [blank_start]neonatal abstinence syndrome[blank_end].
Respuesta
  • neonatal abstinence syndrome

Pregunta 52

Pregunta
Which of the following are first line treatments for neonatal abstinence syndrome? (Select all that apply)
Respuesta
  • diazepam
  • morphine
  • hydromorphone
  • oxycodone
  • phenobarbital
  • methadone
  • clonidine
  • pseudoephedrine

Pregunta 53

Pregunta
[blank_start]TDAP[blank_end] vaccine is recommended more for the protection of children and infants and should be given every 10 years.
Respuesta
  • TDAP

Pregunta 54

Pregunta
What recombinant vaccine is recommended for immunocompromised individuals aged 50 and older?
Respuesta
  • Tdap
  • Shingrix
  • HiB
  • Prevnar 13

Pregunta 55

Pregunta
[blank_start]High dose[blank_end] or [blank_start]adjuvanted IIV[blank_end] are formulation of influenza vaccines recommended for people aged 65 and older.
Respuesta
  • High dose
  • IM
  • Intranasal
  • low dose
  • adjuvanted IIV
  • recombinant

Pregunta 56

Pregunta
Prevnar (PCV 13) and Pneumovax (PPSV23) are pneumococcal vaccinces recommended for whom?
Respuesta
  • Adults 65 and older
  • Adults 55 and older with a comorbidity
  • Immunocompetent individuals
  • A and C
  • All of the above
  • None of the above

Pregunta 57

Pregunta
The maximum number of doses of Pneumovax (PPSV23) that any person should receive is [blank_start]three[blank_end] with each dose being a minimum of [blank_start]five[blank_end] [blank_start]years[blank_end] apart.
Respuesta
  • three
  • two
  • four
  • five
  • five
  • three
  • two
  • four
  • years
  • months
  • days
  • weeks

Pregunta 58

Pregunta
When is the first dose of hepatitis B vaccine given?
Respuesta
  • At the first well baby check up
  • At birth
  • At 3 months
  • At hospital discharge

Pregunta 59

Pregunta
The minimum age for HPV vaccination is what?
Respuesta
  • thirteen in boys and nine in girls
  • nine
  • thirteen
  • nine in boys and thirteen in girls
  • puberty in box sexes

Pregunta 60

Pregunta
The [blank_start]second[blank_end] dose of the meningococcal vaccine is given at [blank_start]sixteen[blank_end].
Respuesta
  • second
  • first
  • third
  • thirteen
  • sixteen
  • eighteen

Pregunta 61

Pregunta
IIV formulation of the influenza vaccine can be given at what age minimum?
Respuesta
  • No age minimum
  • 5 years
  • 12 months
  • 6 months

Pregunta 62

Pregunta
What vaccines are recommended for all pregnant women? (Select all that apply)
Respuesta
  • Tdap
  • Influenza
  • DTap
  • HiB
  • Herpes Zoster

Pregunta 63

Pregunta
Adults younger than 60 years old with [blank_start]diabetes[blank_end] are a high risk indication for the [blank_start]Hepatitis B[blank_end] vaccine
Respuesta
  • Hepatitis B
  • diabetes

Pregunta 64

Pregunta
Patients who smoke cigarettes should receive what vaccine if they are older than 18 and younger than 65?
Respuesta
  • Influenza
  • Hepatitis B
  • Pneumovax (PPSV23)
  • Tdap

Pregunta 65

Pregunta
Which of the following should be given to an AIDs patient (CD4 less than 200)?
Respuesta
  • Shingles
  • Varicella
  • MMR
  • All of these
  • None of these

Pregunta 66

Pregunta
An aspleenic person should be given which of the following vaccines to protect against encapsulated organisms? (Select all that apply)
Respuesta
  • HiB
  • Pneumococcal
  • Meningococcal
  • Influenza
  • Varicella
  • MMR

Pregunta 67

Pregunta
Proper hydration and arm movement do what post-immunization?
Respuesta
  • Nothing
  • Reduce soreness
  • Provide synergistic effects for the vaccine
  • Prevent post-vaccine illness

Pregunta 68

Pregunta
What year was mercury removed from vaccines except multidose flu vials?
Respuesta
  • 1995
  • 2000
  • 2005
  • 2010

Pregunta 69

Pregunta
Acetaminophen and Ibuprofen have been shown to reduce what?
Respuesta
  • Inflammation after vaccination
  • Immune response after vaccination
  • Vaccine associated fever
  • All of these

Pregunta 70

Pregunta
Undervaccinated or unvaccincated people exposed to diseases in other countries are typically patient 0 during outbreaks.
Respuesta
  • True
  • False

Pregunta 71

Pregunta
What vaccines are contraindicated during pregnancy
Respuesta
  • All vaccines
  • Live vaccines
  • Conjugate vaccines
  • Toxoid vaccines

Pregunta 72

Pregunta
What is the Advisory Committee on Immunization Practices?
Respuesta
  • The group who approves vaccine schedules
  • A division of the CDC
  • A division of the FDA
  • A division of the Department of Health and Human Services

Pregunta 73

Pregunta
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?
Respuesta
  • HPV
  • HiB
  • Influenza
  • Varicella

Pregunta 74

Pregunta
A patient should first be given [blank_start]PCV13[blank_end] followed by [blank_start]PPSV23[blank_end] [blank_start]one year[blank_end] later.
Respuesta
  • PCV13
  • PPSV23
  • Menactra
  • Influenza vaccine
  • PPSV23
  • PCV13
  • HiB
  • Yellow fever vaccine
  • six months
  • one year
  • two years
  • five years

Pregunta 75

Pregunta
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?
Respuesta
  • The Needle Stick
  • Autism Errupts
  • Autism Conspiracy
  • The Lancet
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