3 - Preventive Pediatrics

Question 1

Most common route for inactivated vaccines

Answer 1

Intramuscular

Question 2

Vaccine given intradermally

Answer 2

BCG

Question 3

Inactivated vaccines

Answer 3

• Hep B
• DPT
• Hib
• Pneumococcal • Hep A
• Meningococcal
• Influenza trivalent • HPV
• Typhoid fever (IM) • Rabies
• Inactivated polio

Question 4

Live vaccines

Answer 4

• BCG
• Measles
• MMR
• Varicella
• Rotavirus
• Influenza attenuated • Typhoid fever (oral) • Oral polio
• JE

Question 5

Only 2 vaccines that cannot be given simultaneously on the same visit (separate by at least 3 weeks)

Answer 5

Yellow fever
Cholera

Question 6

Permanent contraindications to vaccines

Answer 6

Anaphylactic reaction
Encephalopathy not due to other causes within 7 days after pertussis vaccination

Question 7

Temporary contraindications to live vaccines

Answer 7

Pregnancy
Immunosuppression

Question 8

Vaccines given at birth

Answer 8

BCG
Hep B

Question 9

Rotavirus not started when

Answer 9

> 15 weeks old

Question 10

Rotavirus last dose not given later than 32 weeks due to risk of

Answer 10

Intussusception

Question 11

Earliest age measles vaccine could be given

Answer 11

6 months (during outbreaks)

Question 12

Earliest age that the 2nd dose of Hep B can be given

Answer 12

4 weeks

Question 13

PEP for varicella

Answer 13

VZIg within 96 hours
Vaccine within 3-5 days

Question 14

PEP for meningococcemia

Answer 14

Rifampicin
Ceftriaxone
Ciprofloxacin (adults)

Question 15

PEP for diphtheria

Answer 15

Erythromycin
Benzathine Pen G

Question 16

Contraindications to deworming

Answer 16

Severe malnutrition
High grade fever
Profuse diarrhea
Abdominal pain
Serious illness
Hypersensitivity to anti- helminthic drug

Question 17

CD4 level in which live vaccines are contraindicated in patients with HIV

Answer 17

<200/mm^3