NRNP 6550 Midterm Study Guide Material 2026

NRNP 6550 Midterm Study Guide Material 1. Vaccinations and immunosuppression. 2 keypoints: - give inactive agents instead of live agents - might not work as effectively 2. live virus vaccine types: Virus: - measles - mumps - polio (oral) - rubella - varicella - yellow fever - herpes zoster Bacteria: - typhoid 3. inactive vaccine virus: Virus: - Hep A and B - HPV - influenza - polio (subq) - rabies Bacteria: - anthrax - cholera - diphteria - Lyme - meningococcus - pertussis - plague - pneumococcus - tetanus 4. Immunization recommendation influenza: all ages, all types (pregnant, dia- betes, immunocompromised, etc) 5. Immunization recommendation pregnancy and weakened immune system: - 1 dose Tdap - no varicella, zoster, MMR 6. HIV and vaccinations: Give inactive agents when CD4 count is greater than 200 cells/ mm3 7. health screening 18 - 45 years: - BMI - BP (q2years) - at age 20: fasting lipid profile: total cholesterol, LDL, HDL, triglycerides (cardiac testing if LDL greater than 200 or HDL lower than 40) - annual breast exam, females - Pap-smear annually 8. health screening 45 and up: - blood glucose q3years - 50 and up: colorectal screening (digital exam annually, sigmoidscopy q5years, colonoscopy q10yrs) - PSA with digital exam annually for males - mammography q1 -2 yrs - women 65 and up: screen for osteoporosis 9. top 5 leading causes of death: 1. heart disease 2. cancer 3. respiratory disease 4. stroke 5. accidents 10. Conjunctivitis; definition: -Pink eyey - Inflammation of conjuctiva (outer layer of eye) 11. Conjunctivitis: causes: Chemical, bacterial, viral, allergic, herpetic. Aden- ovirus is the most common cause, but bacteria (Haemophilus influenzae and Strep- tococcus pneumoniae) are also common causes in children. 12. Conjunctivitis: findings: - redness - itching - discharge - edema eyelid - may find gonorrhea or chlamydia in eye discharge 13. Conjunctivitis: management: - cooling - rule out corneal abrasion - bacteria: antibiotic solution (gentamicin, neomycin) - chlamydia: oral tetracycline or erythromycin - gonorrhea: single dose ceftriaxone - herpes: refer to opthalmologist 14. Corneal abrasion: definition, cause, findings, treatment: - disruption of cornea (clear covering of eye) - foreign body/ trauma - pain, redness, photophobia, decreased visual acuity - ab ointment: gentamicin, sulfacetamide, eye-patch, ophthalmologist 15. diabetic retinopathy: definition, cause, findings, treatment: - ocular retinal disease due to DM - DM, exac by smoking and HTN (macular edema) - flashing lights in vision, blurred vision, black spots, loss of vision, sustained glucose greater than 130 - Laser therapy for macular edema, smoking cessation, glucose control, BP control