Immunization Recommendations

Question 1

Administration for all vaccines are typically ___ ml, intramuscular or subcutaneous, depending on the vaccine, with the exception of Influenza vaccine

Answer 1

0.5 ml

Question 2

The first dose must be _______ vaccine

Answer 2

monovalent

Question 3

Vaccine intervals need to be at least ___ weeks

Answer 3

6

Question 4

_______ vaccination series of 3 (0-2-6)

Answer 4

Hepatitis B Vaccination

Question 5

Hepatitis B Vaccination in all newborns the first dose before _____ discharge

Answer 5

hospital

Question 6

The second dose of Hepatitis B Vaccine given at ___ months of age; monovalent or a combination vaccine containing Hep B

Answer 6

1 to 2 months

Question 7

In infants born to Hepatitis B antigen (_____) positive mothers

Answer 7

HBsAg

Question 8

Administer hepatitis B vaccine (___) and 0.5 ml hepatitis B immune globulin (HBIG) within 12 hours of birth

Answer 8

HepB

Question 9

Test for _____ and antibody to HBsAg after three or more doses of HepB series (at age 9 to 18 months)

Answer 9

HBsAg

Question 10

If the mother’s HBsAg status is unknown:

1) Determine/check status immediately after birth
2) Administer HepB within ____ hours of birth
3) If the mother test positive, HBIG should be given no later than 1 week of age

Answer 10

12 hours

Question 11

The final dose of Hepatitis B vaccine should be given at ___ months of age or later

Answer 11

6 months

Question 12

______ vaccine (Rota)

Answer 12

Rotavirus

Question 13

Rotavirus Vaccine (Rota) series for this is?

Answer 13

Series of 3 from 6 weeks to 32 weeks

Question 14

Administer the first dose of Rotavirus at ____ weeks and each subsequent dose at 4 weeks interval

Answer 14

6 to 14 weeks

Question 15

Must complete the Rotavirus before ___ weeks

Answer 15

32 weeks

Question 16

Do not administer a dose of Rotavirus after the age of ____ weeks?

Answer 16

32 weeks

Question 17

Diptheria/ tetanus /pertussis vaccine (DTaP) series of 3 primaries at what ______ and two boosters at ( 15 months and 6 years)

Answer 17

2-4-6 months

Question 18

DTaP is not indicated for children ___ years of age or older

Answer 18

7 years

Question 19

Series of 1 (11 or 12 years)

1) Subsequent Td boosters are recommended every 10 years

Answer 19

Tetanus, Diptheria, Acellular Pertussis Vaccine (Tdap)

Question 20

Series of 3 primaries (2-4-6 months) and one booster (12 months)

Answer 20

PCV 13 (Prevnar)

Question 21

Children age 24 to 59 months who completed PCV 13 series and who are immune-compromised (one of following conditions) should receive an additional one dose of 23 PS at 24 months of age if they have the following:
a) Hemoglobinopathies
b) Asplenia
c) Splenic dysfunction
d) HIV infection
e) Congenital immunodeficiencies
f) Renal failure
g) Nephrotic syndrome
h) chronic cardiac disease
I) chronic pulmonary disease
j) diabetes
k) Consider in this age group if of Native American, African American, or Alaskan descent, or attending daycare

Answer 21

23PS (Pneumovax)

Question 22

Series of 4 (2, 4, 6 months and 6 years)

1) Inactivated ____ vaccine (IPV) for all four vaccines scheduled above
2) Oral _____ vaccine (OPV) is discouraged and only possible for dose number 3 and 4

Answer 22

Polio Vaccine (IPV)

Question 23

One dose of this is ________ annually

1) beginning at 6 months
2) in children 6 to 35 months of age, the dose = 0.25 ml intramuscularly; for children greater or equal to 3 years =0.50 ml intramuscular

Answer 23

Influenza Vaccine

Question 24

Children younger than 9 years receive two doses 1 month apart for this vaccine

Answer 24

Influenza Vaccine

Question 25

This vaccine is a series of 2 ( 1 year and by 12 years) abbreviated as MMR

Answer 25

Measles, Mumps, and rubella (MMR)

Question 26

___, ____, ______

1) If exposed to this or traveling to endemic areas, can give this vaccine as early as 6 months of age, but the patient will need to continue primary series at the appropriate time.
2) May be given simultaneously with TB testing with purified protein derivative (PPD) but prefer to postpone PPD for 4 to 6 weeks to avoid possible suppressive response to PPD

Answer 26

Measles, Mumps, and Rubella (MMR)

Question 27

_____ series of 2 (between 12 months and 12 years, minimum 3 months apart

1) Give two doses after the age of 12 months when no reliable history of chick pox and no evidence of immunity is available
2) Prefer to separate by 1 month from MMR vaccine

Answer 27

Varicella

Question 28

Hepatitis ______ Vaccine

Series of 2 ( 1 year of 2 years, 6 months apart)

Answer 28

A

Question 29

______ vaccine is a series of 2 ( age 11 to 12 years and a booster at the age of 16 years)
There is an increased rate of meningococcal disease between 16 to 21 year of age

Answer 29

Meningococcal Vaccine

Question 30

Meningococcal conjugate vaccine MCV4 and what two names?

Answer 30

Menactra, Menveo

Question 31

Adolescence receiving MCV4 ____ dose at or after 16 years, no booster necessary

Answer 31

first

Question 32

This vaccine is a series of 2 (11 to 14 years; a second dose is given at 6 to 12 months after the first dose); series of 3 (15 to older; second dose give at 1 to 2 months, the Third dose give at 6 months

1) Most common sexually transmitted disease
2) Males and females
3) Gardasil 9 is only preparation commercially available; covers cervical, vulvar, vaginal and anal cancer caused by HPV ( 7 types); precancerous or dysplastic lesions ( 9 HPV Types); and genital warts ( 2 HPV Types)
4) It is recommended that adolescents sit for a least 15 minutes after receiving the vaccine due to risk of labile syncope, postural hypotension, and vasovagal response

Answer 32

Human Papillomavirus Vaccine (HPV)

Question 33

If there is a break in immunization from the recommended schedule, ______ immunizations according to the child’s current age regardless of the vaccines previously missed

Answer 33

resume

Question 34

Adverse reactions are typically minor usually involving what?
A. Local ______ soreness
B. Low ______ Temperature
C. Local ______ and tenderness

Answer 34

A. Muscle
B. grade
C. Erythema

Question 35

_____ is contraindicated in those with a history of anaphylaxis to streptomycin

Answer 35

IPV

Question 36

_____ should not be given to those who are pregnant or immunosuppressed

Answer 36

MMR

Question 37

______ contraindicated in pregnant women and immunocompromised persons; contraindicated in those with streptomycin allergy

Answer 37

Varicella

Question 38

_______ vaccine may be contraindicated in those with an egg allergy

Answer 38

Influenza vaccine

Question 39

Reportable events with vaccine adverse events reported system
a.
b.
c.

Answer 39

a. anaphylaxis
b. encephalitis
c. death