CHN Golden key Points (PART I )

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1. AYUSH :- (Alternate medicine system)

• AYUSH ward originated in NRHM

• In 2014 AYUSH ministry form

2. Homeopathy :-

• Germany origin

• Father of Homeopathy :- Sammuel hahnemann

3. Highest AYUSH Dr. :- Maharashtra

4. Lowest AYUSH Dr. :- Nagaland

5. Health :-

• Health is a state of complet physical, mental and social wellbeing not

merely absence Of disease

• By WHO in 2004

6. Health add new concept :-

• Health also includes social and economic productive life

• In 2014

7. Disease :- Actual change in body parts and function

• And inbalance in internal and external environment

8. Illness :- Subjective feeling of being ill (personal view )

9. Sickness :- objective feeling of being ill (society view )

10. 1st disease development theory

• Germ theory by Luis pasteur

• For a disease micro organism should be contact to human being

11. Ice berg phenomena :-

• Tip :- Clinical case by doctor

• Line of demarcation :- Borderline case

• Submerged portion :- Subclinical hidden case

12. Disease elimination :-

• Removing of disease prodecting agent from a geographical area and

country

A. Guinea worm :-

• Last case :- 1996 (jodhpur )

• Elimination :- 2000

B. Leprosy :- elimination 2005

C. Yaws disease :- elimination 2016

D. Polio :-

• Elimination 2014

• WHO certificate 2016

E. M.T and N.T.T :- Elimination :- 2016

13. Disease Eradication :-

• Complet removal of micro organisms from whole world

A. Smallpox :-

• India Eradication :- 23 April 1977

• World Eradication :- May 1980

B. Polio virus 2nd :-

• Eradication :- 2015

14. Vaccine term :- Louis pasteur

15. Vaccination term :- Edward jenner

16. 1st vaccine developed :-

• Smallpox in 1796

• By Edward jenner

17. Live attenuated vaccine :- Bacteria or virus are live

Trick :- Boy Love The Crime

• B :- BCG

• O :- OPV

• Y :- Yellow fever

• Love the :- Live Typhoid (orally :- Ty21a)

• C :- Chicken pox

• R :- Rubella

• I :- Influenza

• M :- Measles, Mumps

• E :- Endemic Typhus

18. Killed vaccine :- Bacteria and virus are killed

Trick :- Japan ki khir

• Japan :- Japanese Encephalitis

• Ki :- Killed Influenza

• K :- Kyasannure forest disease

• H :- Hepatitis b

• I :- IPV

• R :- Rabies

19. Toxoid vaccine :- prepared from bacterial toxin

• D.T.

• T.T.

CHN Golden key Points (PART II )

CHN Golden key Points (Part iii)

20. Cellular fragment vaccine :-

• Vaccine are prepared from bacterial cellular fragments ( cell wall,

nucleus, protein material )

• Pneumococcal vaccine

• Meningococcal vaccine

21. Combined vaccine :-

• DPT

• MMR

• Penta violent :- DPT + Hepatitis b + Hib vaccine

22. In pregnancy all live vaccine contraindicated

23. HIV :-

• Asymptomatic :- vaccine not contraindicated

• Symptomatic :- Live vaccine contraindicated

24. Child with active neurological disorder

• Control :- No contraindicated

• Uncontrol :- Pertussis contraindicated

25. Pts with corticosteroid and immunotherapy :- All live vaccine

contraindicated

26. Influenza adverse reactions :- G.B.S. (Gullein bar syndrome )

27. OPV adverse reactions :- Vaccine associated paralytic polio

28. MMR adverse reactions :- T.S.S. (Toxic shock syndrome )

29. Two live vaccine can be given symmetrical with different routes

30. One live and killed vaccine can be given symmetrical with different

routes

31. Most live vaccine single dose produces immunity except OPV

32. Minimum 4 weeks gap should be maintained between 2 doses

33. 1st BCG vaccine :- 1921

• By M. Bouis

34. WHO BCG strain use :- DANISH 1331

35. BCG vaccine dailute :- N.S.

36. Diluted B.C.G vaccine used with in 4 hrs

37. During B.C.G vaccine used syringe :- tuberculin or omega stat

38. B.C.G vaccine Permanent Scarab :- 6 to 12 hrs

39. Amount of B.C.G :-

• At birth :- 0.05ml

• After 1 month :- 0.1 ml

40. Route of B.C.G :- ID (Left deltoid area )

41. B.C.G vaccine prepared at guindey Chennai

42. BCG vaccine Complication :-

• Ulcer formation

• Lymph adenopathy

43. Measles vaccine develop :- Chick Embryo cell

44. WHO measles strain used :- Edmontos Zagreb

45. Measles vaccine Diluted :- Distilled water and sterile water

46. Diluted measles vaccine use with in 4 hrs.

47. Measles amount :- 0.5 ml

48. Measles dose :- 2 doses

• 1st :- 9 month

• 2nd :- 16 to 24 month

49. Measles route :- S.C. (Right upper arm )

50. Measles vaccine complication :- T.S.S.

51. DPT vaccine :- it is persent liquid form not store in freezer

52. DPT amount :- 0.5 ml

53. DPT route :- IM (Anterior lateral thigh)

54. DPT doses :- 5 doses

• 1st :- 6 week

• 2nd :- 10 week

• 3rd :- 14 week

• 4th :- 16 to 24 month

• 5th :- 5 to 6 yrs

55. DPT vaccination may produce fever :- Manage PCM and Home

management

56. Live polio vaccine :-

• Sabin :- OPV

57. Killed polio vaccine :-

• Salk :- IPV

58. IPV :- (Inactivated polio vaccine)

• Route :- S.C. / IM

• Amount :- 0.5 ml

• Dose :- 4 dose

• 1st 3 dose 1 month interval

• 4th dose after 6 month

59. FIPV :- (Fractional IPV)

• Amount :- 0.1 ml

• Route :- ID

• Doses :- 2 doses

• 1st dose :- 6 week

• 2nd dose :- 14 week

60. OPV :-

• Amount :- 2 drops (0.1ml)

• Doses :- 5 dose

• 1st :- at birth

• 2nd :- 6 week

• 3rd :- 10 week

• 4th :- 14 week

• 5th :- 16 to 24 month

61. Switch program :-

• Start :- 25 April 2016

• Trivalent vaccine (polio virus 1,2,3rd) change in Bivalent vaccine (polio

vaccine 1 and 3rd )

62. National validation day :-

• 9 may 2016 all trivalent vaccine destroyed

63. V.V.M. it is used for vaccine potency

• By V.V.M. we can check potency of cold chain system

64. Most heat Sensitive vaccine

• BCG (Diluted)

• Yellow fever

• Polio

• Measles (Diluted)

• Measles

• DPT

• Hepatitis b

• D.T.

• T.T.

65. Most heat resistant vaccine

• T.T.

66. EPI (Expanded program on immunization )

• World :- 1974

• India :- 1978

67. EPI change in UPI

• Universal immunization program

• 1985

68. Mission Indradhanush :-

• 25 December 2014 (Haryana)

69. Intensified Indradhanush program :

• 8 October 2017

• ASHA work promote

70. Primary pregnancy T.T guideline

A. Latest guideline :- 2 dose

• 1st dose :- as early as possible

• 2nd dose :- 1 month gap

71. Multigravida pregnancy with in 3 yrs

• If 1st pregnancy 2 dose T.T. Complet with in 8 month

• Only booster dose T.T.

72. Multigravida pregnancy with in 3 yrs

• If 1st pregnancy 2 dose T.T. Complet 8 to 9 month

• 2 dose T.T.

73. Multigravida pregnancy with in 3 yrs

• If 1st pregnancy 2 dose T.T. complet just before and just after delivery

• 2 dose T.T.

74. Infant vit. A dose :- 1 lakh IU (1ml)

75. More the 1 yrs baby vit. A dose :- 2lakh IU (2ml)

76. Vit. A dose and amount

• Dose :- 9 dose

• Amount :- 17 lakh

77. Vit. A :- 9 dose

• 1st :- 9 month :- 1 lakh (1ml)

• 2nd :- 18 month :- 2 lakh (2ml)

• 3rd :- 24 month :- 2 lakh (2ml)

• 4th :- 30 month :- 2 lakh (2ml)

• 5th :- 36 month :- 2 lakh (2ml)

• 6th :- 42 month :- 2 lakh (2ml)

• 7th :- 48 month :- 2 lakh (2ml)

• 8th :- 54 month :- 2 lakh (2ml)

• 9th :- 60 month :- 2 lakh (2ml)

78. Polio vaccine storage :-

• Short time :- +2 to +8⁰ C

• Long time :- -20 to -40⁰ C

79. Yellow fever storage :- -30 to +5⁰ C

80. All vaccine storage :- +2 to +8⁰ C

81. Diluted vaccine storage :- +2 to 8⁰ C or Room temperature

82. Vit. A :- No Cold storage only room temperature

83. Regional level storage :-

• Walk in cold room :- +2 to +8⁰ C

• Walk in freezer :- -20 to -40⁰ C

• 3 month storage

84. District level storage :-

• ILR (Large ) :- +2 to +8⁰ C

• IL freezer :- -20 to -40⁰ C

• 1 month storage

85. PHC Level storage :

11 | P a g e

• ILR (small) :- +2 to +8⁰ C

• 1 month storage

86. Vaccine carrier and day carrier :- 48 to 72 hrs storage

87. The failure of Cold chain system maximum at sub center or

peripheral level

88. Ice pack :-

• Capacity :- 320 to 350 ml water

89. Bhore committee :- 1946

• Also known as :- health survey and development committee

• 3 million plan

90. Mudaliar committee :- 1962

• Also known as health survey and planning committee

91. Chadha committee :- 1963

• Also known as study on necessary arrangements of maintenance

phase of national malaria

eradication program

92. Mukherjee committee :- 1965,1966

93. Jungalwala committee :- 1967

• Also known as committee on integration of health services

94. Kartar Singh committee :- 1973

• Also known as committee on multipurpose worker under family

planning

95. Shrivastav committee :- 1975

• Also known as committee on medical education and support group

96. 1st five year plan :- 1951 to 1956

• Focus :- agriculture

97. Last five year plan :- (12th) 2012 to 2017

• Focus :- Health education and growth and development rate increase

98. NITI Ayoge :- 2015

• National institution for transforming India

• Chairman :- P.M.

99. Primordial prevention :-

• Prevention of development of risk factors

• It focus :- Health education (Individual and mass health education)

Ex. :-

• Prevention of childhood obesity

• Lifestyle modification

• No use of tobacco and smoking

• Appropriate nutrition

100. Primary level of prevention

• The risk factor all ready present but disease yet not developed

• Focus :- Prevention of disease development

• It include :- health promotion and specific protection

Ex. :-

• Use of immunization

• Contraception

• Use of helmet

• Use of bednet and mosquito cream

• Isolation

• Prophylactic treatment

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