Buerger test (chronic arterial insufficiency) {Ans: - Raise both legs to about 90o for up to 2 minutes - Then pt sits up with feet to the floor - see how long it takes for color to return to feet (usually 10-15 seconds)}When to give the tetanus vaccine {Ans: All adults aged ≥19 years, including those aged ≥65 years: All adults aged ≥19 years who have not been vaccinated with Tdap should receive a single dose of Tdap regardless of the time interval since last receiving Td. After receiving Tdap, they should receive Td boosters at 10-year intervals. For adults aged ≥65 years, this will reduce the likelihood of transmission to infants aged <12 months.}Vaccines safe in pregnancy {Ans: pneumococcal, meningococcal, and hepatitis B. Hepatitis A and B, meningococcal polysaccharide and conjugate, and pneumococcal polysaccharide vaccines can be given, if indicated. -inactivated influenza -Tdap}s/s of epididymitis {Ans: Acute: swollen, and notably tender, making it difficult to distinguish from the testis. The scrotum may be reddened and the vas deferens inflamed. Chronic: firm enlargement of the epididymis, which is sometimes tender, with thickening or beading of the vas deferens.}HPV vaccine {Ans: -The quadrivalent vaccine prevents infection