CH 16 Vaccines

Question 1

What vaccines are Attenuated “Live” (12)

Answer 1

INFLUENZA LIVE, ATTENUATED VACCINE (LAIV)
MEASLES, MUMPS, AND RUBELLA VACCINE
ORAL POLIOVIRUS VACCINE
ROTAVIRUS VACCINE
VARICELLA VIRUS VACCINE
ORAL TYPHOID VACCINE
YELLOW FEVER VACCINE
CHOLERA VACCINE
BACILLUS CALMETTE-GUÉRIN VACCINE
DENGUE
EBOLA
MPOX

Question 2

What vaccines are inactive “killed” (14)

Answer 2

COVID-19
DIPHTHERIA, TETANUS, AND PERTUSSIS VACCINE
HAEMOPHILUS B CONJUGATE VACCINE
INACTIVATED POLIOVIRUS VACCINE
HEPATITIS A VIRUS VACCINE
HEPATITIS B VIRUS VACCINE
HUMAN PAPILLOMAVIRUS VACCINE
INFLUENZA VACCINE (FluZone)
PNEUMOCOCCAL VACCINE
MENINGOCOCCAL VACCINE
TYPHOID VACCINE
JAPANESE ENCEPHALITIS VIRUS VACCINE
PLAGUE VACCINE
RABIES VACCINE

Question 3

All patients or the parents or guardians of the patients are required by law to receive _____ that are developed by the CDC.

Answer 3

Vaccine Information Statements (VISs)

Question 4

The Live, Attenuated Influenza Vaccine (LAIV) is administered how

Answer 4

intranasal

Question 5

Contraindications for Live, Attenuated Influenza Vaccine (LAIV)?

Answer 5

Asthma, reactive airway disease, chronic pulm or cardiac problems, diabetics, and those who are immunocompromised
Those who are anaphylactic to eggs
Pregnant women
Children under 2

Question 6

What is the leading cause of gastroenteritis in infants and young children worldwide

Answer 6

Rotavirus

Question 7

What are two ingredients in many live vaccines that if the patient is allergic make the vaccine contraindicated

Answer 7

Neomycin and Gelatin

Question 8

Are people infectious during the incubation phase of ebola?

Answer 8

No

Question 9

How is Hep A transmitted?

Answer 9

via contaminated food and water, as well as person-to-person contact

Question 10

Who is at high risk for Hep A?

Answer 10

those who use drugs, persons experiencing homelessness, men who have sex with men, currently or recently incarcerated persons, and anyone with chronic liver disease

Question 11

How is Hep B transmitted?

Answer 11

transmitted when blood, semen, or another body fluid from a person infected with HBV enters the body of someone who is not infected

Question 12

Who is the annual (inactive) flu vaccine contraindicated for?

Answer 12

Anaphylactic reaction to the influenza vaccine, eggs, or egg products is a contraindication to the use of influenza vaccine
Patients who have severe hypersensitivity to eggs should only be administered the recombinant influenza vaccine (Flucelvax, FluBlok), which is produced using non-egg technologies

Question 13

influenza vaccine should be administered annually to?

Answer 13

all persons age 6 months and older, including pregnant women

Question 14

How many serogroups of Neisseria meningitidis worldwide? Which causes the most outbreaks on college campuses?

Answer 14

12. Serotype B.

Question 15

In patients who are not in any high-risk category or high-risk environment, what PPD skin duration denotes a positive result? Those who are high risk?

Answer 15

result of 15 mm or more induration is considered positive.
High risk - 10mm or more

Question 16

When can the rabies vaccination be given?

Answer 16

Rabies vaccine can be given for primary or pre-exposure vaccination or as part of postexposure prophylaxis

Question 17

Should tetanus vaccine be given in pregnancy?

Answer 17

yes. Pregnant patients should receive a dose of Tdap, ideally between 27 and 36 weeks’ gestation, with every pregnancy to provide passive immunity for the infant

Question 18

What are immunoglobulins used for

Answer 18

IG serums provide passive immunity to infectious diseases

Question 19

IGs are derived from?

Answer 19

the pooled plasma of adults

Question 20

How many subtypes are included in the flu vaccine?

Answer 20

4 different viral subtypes

Question 21

How is the flu vaccine administered? How long until antibodies are produced?

Answer 21

IM. 10-14 days.`

Question 22

How long does immunity persist with the MMR vaccine?

Answer 22

15 years or more. Some people develop immunity for life.

Question 23

What contraindicates the MMR vaccine?

Answer 23

Previous anaphylactic reaction to the MMR vaccine or any vaccine component, including neomycin (topically or systemically administered) or gelatin.
Not recommended for immunocompromised patients

Question 24

How is the MMR vaccine administered

Answer 24

SubQ

Question 25

CDC recommends how many doses of MMR for children

Answer 25

2

Question 26

Should MMR be given to pregnant patients?

Answer 26

No. And defer pregnancy 1 mo after immunization.

Question 27

2 possible adverse effects of MMR vaccine.

Answer 27

febrile seizure, thrombocytopenia

Question 28

How is the rotavirus vaccine administered

Answer 28

PO

Question 29

Where does the rotavirus vaccine replicate

Answer 29

small intestine and induces active immunity

Question 30

Rotavirus is contraindicated in which patients

Answer 30

Immunocompromised infants.