Vaccines
Which routine childhood vaccinations are LIVE?
Varicella, MMR, Rotavirus, nasal spray influenza
True or false, adolescents can be prescribed contraceptives WITHOUT parental consent
FALSE
**They must be married, pregnant, a parent, or have been pregnant in the past
What additional lab should you order with a CBC/diff in recently immigrated children when screening for anemia?
Lead levels
**If 6 months-6 years then repeat testing in 3-6 months
What medical diagnosis is characterized by fever, sore throat, muscle aches, rash (polymorphic maculopapular involving the palms and soles), mucocutaneous lesions, hepatitis, and generalized lymphadenopathy?
Syphilis (secondary stage, 1-2 months after initial infection)
Which medication is first-line for pharmacological treatment of depression or anxiety?
Fluoxetine (Prozac)
What is the only true contraindication for MOST routine childhood vaccinations?
How old do you have to be to receive mental health treatment without a parent involved?
13+
**Does not include medication management
At what age do you have to perform IGRA testing for TB instead of the TST?
>5 years old
What is the next step in management for a positive RPR?
Confirmatory treponemal antibody testing
12+
Which routine childhood vaccinations are NOT required for school?
Influenza, Covid-19, Rotavirus, Meningococcal, HPV
What medical care can adolescents consent to WITHOUT a parent?
STI testing and treatment (including HIV), prenatal care, substance abuse treatment
What medication can be used as empiric treatment of strongyloides intestinal parasite?
Ivermectin
What is the antibiotic regimen for empiric treatment of pelvic inflammatory disease?
Ceftriaxone + Doxycycline + Metronidazole
Which SSRIs can be used if the first-line treatment (fluoxetine) for depression or anxiety fails?
Escitalopram or Sertraline
**Some effects can be seen in 2-4 weeks BUT 6-8 weeks is considered true therapeutic trial
At what age do you have to give 3 doses of HPV vaccination instead of 2?
>15
Up to what gestational age can an abortion be requested WITH parental consent?
6 weeks
**Exceptions include life-threatening conditions, rape, inability to involve a parent
Which medication can be used for presumed intestinal parasitic infections?
Albendazole
Which factor can be tested to diagnose hepatitis B INFECTION but will not be positive after immunization?
Anti-HBc
Which questionnaire can be used in children ages 8-18 to screen for anxiety?
SCARED
**GAD-7 is for age 12+
What ingredient included in many vaccines helps to build a stronger immune response?
Aluminum
**According to AAAAI, aluminum acts as an adjuvant to boost the natural immune response to the vaccine and reduce the number of total doses needed
Documentation of protected mental health services: sexual health, mental health, substance abuse
What medical condition should you consider testing for in immigrant males from malaria-endemic areas (south Asia, sub-Saharan Africa, Middle East)?
G6PD deficiency
What disease is characterized by a "staccato cough", tachypnea, and rales in an afebrile 1-3 month old?
Chlamydia pneumonia
Which medication for treatment of anxiety or depression should be AVOIDED in patients with a history of or current diagnosis of an eating disorder?
Bupropion
**Lowers seizure threshold in patients with electrolyte imbalances, poor drug clearance, etc.