Immunisations Flashcards

1
Q

When do B cells produce antigens?

A

Triggered to produce antibodies when they encounter a foreign antigen

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2
Q

How do the T cells aid in the production of antigens?

A

They orchestrate the response of the immune system by binding to other cells and sending out signals

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3
Q

What is passive immunity?

A

Transfer of pre formed antibodies (immunoglobulins)

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4
Q

What are the aims of immunisation?

A

Prevent onset of disease
Interrupt disease transmission
Alter the course of infection
Limit consequences of disease

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5
Q

What are the immunological mechanisms?

A

Active immunity
Passive immunity
Herd immunity

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6
Q

What are the methods of passive immunity?

A

Placental transfer
Antibodies from blood donors
Human normal Ig
Specific Ig

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7
Q

What are the different types of vaccine?

A

Live virus vaccine

Inactivated vaccines

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8
Q

What are the different types of inactivated vaccines?

A

Suspensions of killed organisms - live attenuated; inactivates
Subunit vaccines - recombinant proteins; toxoid;
Conjugate vaccines

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9
Q

What are some of the contraindications to vaccination?

A

Confirmed anaphylaxis to the same antigen or vaccine component
Live vaccines - immunosuppression; pregnancy
Severe latex allergy
Acute or evolving illness

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10
Q

What is the purpose of the routine vaccination schedule?

A

To provide early protection against infections that are most dangerous for the very young

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11
Q

What is in the hexavalent childhood vaccination?

A
Diptheria
Tetanus
Pertussis
Polio
Haemophilus Inluenza Type B
Hepatitis B
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12
Q

What is a public health notification?

A

Legal duty of medical practitioners to notify health board on clinical suspicion of specified diseases of a health risk state posing significant public health risk

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13
Q

What is diptheria?

A

An upper respiratory tract infection characterized by sore throat and a low grade fever - there are white, adherent membranes on the tonsils, pharynx or nasal cavity

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14
Q

What is meningococcal disease?

A

Invasive infection due to neisseria meningitidis - this can cause meningitis; speticaemia or a combination
Person-to-person spread through respiratory droplets

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15
Q

What is PHASE 1 of the production of a new vaccine?

A

Is it safe?

Is it immunogenic?

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16
Q

What is PHASE 2 of the production of vaccine?

A

How reactogenic is it?
What dose should be used?
How does it compare with current vaccines?

17
Q

What is PHASE 3 of the production of a vaccine?

A

Is it efficacious?

Are there any rarer reactions/safety issues?

18
Q

What is PHASE 4 of the production of a new vaccine?

A

Post-marketing surveillance e.g. yellow card scheme