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PPS 2018 > Immunization > Flashcards

Immunization Flashcards

1
Q

Examples of live attenuated vaccines

A

MMRV, rotavirus, oral polio, BCG, oral typhoid

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2
Q

If a live vaccine is given first, it is necessary to wait __ before giving an antibody

A

2 weeks

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3
Q

Interval between hepatitis A/B prophylaxis and live vaccine

A

3 months

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4
Q

Interval between standard measles prophylaxis and live vaccine is __; for immunocompromised __

A

standard - 5 months

immunocompromised - 6 months

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5
Q

Interval between rabies prophylaxis and live vaccine

A

4 months

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6
Q

Interval between tetanus prophylaxis and live vaccine

A

3 months

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7
Q

Interval between IVIG and live vaccine for:

  1. replacement therapy of immune deficiencies
  2. ITP 400 mg/kg
  3. ITP 1000 mg/kg
  4. varicella postexposure prophylaxis
  5. Kawasaki disease
A
  1. Immune deficiency - 8 months
  2. ITP 400 - 8 months
  3. ITP 1000 - 10 months
  4. varicella - 8 months
  5. Kawasaki - 11 months
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8
Q

Interval between washed pRBC and live vaccine

A

none

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9
Q

Interval between pRBC and live vaccine

A

6 months

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10
Q

Interval between whole blood and live vaccine

A

6 months

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11
Q

Interval between plasma or platelet products and live vaccine

A

7 months

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12
Q

Examples of inactivated whole-cell viral vaccines

A

polio, hepatitis A, rabies

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13
Q

Examples of inactivated whole-cell bacterial vaccines

A

pertussis, cholera

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14
Q

Examples of fractional vaccine subunits

A

hepatitis B, influenza, acellular pertussis, HPV

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15
Q

Examples of fractional vaccine toxoids

A

diphtheria, tetanus

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16
Q

Examples of pure polysaccharide vaccines

A

pneumococcal, meningococcal, typhoid

17
Q

Examples of conjugated polysaccharide vaccines

A

HiB, pneumococcal, meningococcal

18
Q

Examples of inactivated, genetically engineered recombinant vaccines

A

hep B, HPV

19
Q

Two exceptions to no interval between inactivated vaccine administration and simultaneous vaccine administration:

A
  1. Tdap and MCV4 (at least 4 weeks if not simultaneous)

2. yellow fever vaccine and cholera vaccine (at least 3 weeks)

20
Q

2 permanent contraindications to further doses of a vaccine

A
  1. severe anaphylactic reaction

2. encephalopathy not due to another identifiable cause occurring within 7 days of a pertussis vaccination

21
Q

Two conditions that are temporary contraindications to live vaccines

A
  1. pregnancy
  2. immunosuppression
  • asymptomatic HIV may receive live vaccines
22
Q

A history of GBS is a precaution for which vaccines

A

tetanus-containing
influenza
meningococcal conjugate

23
Q

Permanent precautions to further doses of pediatric pertussis-containing vaccine when occurring within 48 hours of a dose

A
  1. Temperature 40.5 C or higher
  2. Hypotonic, hyporesponsive episode
  3. Persistent inconsolable crying for 3 hr
  4. Seizure with or without fever within 3 days
24
Q

Two conditions that are temporary precautions to administering measles- and varicella-containing vaccines

A
  1. Moderate or severe acute illness

2. Recent administration of an antibody-containing blood product

25
Q

Children aged __ should receive pediatric dose of diphtheria vaccine

A

younger than 7 yr

26
Q

Schedule of primary series of diphtheria vaccine and booster dose

A

primary series: 6-10-14 w and 12 mo
(4th dose should follow 3rd dose by no less than 6 months and not before 12 mo)
(give a 5th dose if 4th dose is given before 4 yr)

booster at 4-6 yr and every 10 yr

27
Q

Schedule of diphtheria vaccination in 7 yr and older

A

primary series: Td 3 doses, first 2 are 4 weeks apart, 3rd dose is 6-12 mo from 2nd dose

28
Q

Recommended interval between Tdap and Td

29
Q

Minimum interval between MRRV doses

30
Q

MRRV is approved for what ages?

A

12 mo-12 yr

31
Q

Infants 6 w-6 mo should receive __ doses of HiB vaccine administered __ apart, followed by a booster dose at __ give at least __ months after the last dose.

A

3 doses
1-2 months apart
Booster at 12-15 mo
2 months after last dose

32
Q

Unvaccinated infants 7-11 mo should receive __ doses of HiB vaccine administered __ apart followed by a booster dose at __ given at least __ from the last dose

A

2 doses
1-2 months apart
Booster at 12-15 months
At least 2 months from last dose

33
Q

Unvaccinated children aged 12-14 mo should receive __ doses of HiB vaccine __ apart.

A

2 doses

1-2 months apart

34
Q

Previously unvaccinated children aged 15-59 mo should receive how many doses of HiB vaccine?

35
Q

Infants born to HBsAg positive mothers should receive first dose of Hep B vaccine within __ after birth and the last dose by __.

A

First within 12 hr

Last by 6 mo

36
Q

For infants of HBsAg mothers should be tested for HBsAg and anti-HBs at __ to monitor success of therapy

37
Q

Maximum age for rotavirus vaccine

38
Q

Which rotavirus vaccine can be given to patients with latex allergy?

A

Pentavalent rotavirus

39
Q

Vaccine that cannot be given to people with history of egg anaphylaxis

A

Influenza vaccine

PPS 2018 (17 decks)

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