Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

NAPLEX 21 > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Who provides recommendations for vaccine administration in children and adults?

A

advisory committee on immunization practices (ACIP)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

Who approves the ACIP recommendations and publishes them in the Morbitiy and mortality weekly report?

A

the CDC

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

What the is the name of the epidemiology and prevention of vaccine preventable diseases published by the CDC? Or the Vaccine Book

A

The Pink Book

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

What is the name of the mercury containing preservative used in some vaccines that was alleged to contribute to autism

A

Thimerosal

contained in some multi dose flu vaccines but parents may requires a single dose flu vaccine that doesn’t have it

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

From the persons own immune system (from vaccines or fighting an infection) lasts a long time, often a lifetime.

A

active immunity

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

Received from someone else such as Ig that are pooled from other people through transfer from a mother to her baby

A

passive immunity

mother gives baby her immunoglobulins ,but they decrease with time/childs Ab production increases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Is IVIG active or passive immunity?

A

passive!

provides already made Ab and can be used for quick immunity after exposure to an antigen. (rabies shot is also an example)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

What are the common live vaccines?

A

COZY IV RM

Cholera

Oral Typhoid

Zoster

Yellow fever

Intranasal flu

Varicella

Rotavirus

MMR

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Are inactivated viruses less affected by circulating antibodies than live vaccines?

A

yes!

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

A pregnant women is requested Oral typhoid vaccine. can she receive it?

A

NO! pregant

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

This vaccine targets a section of the organism such as a protein, sugar, or capsid

A

Polysaccharide, Conjugate and Recombinant vaccines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Polysaccaride vaccines do not produce a good immune response in children

A

<2

children <2 should not receive pneumovax 23 until >2

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
13
Q

This type of vaccine uses the sugar molecules from the outside layer of encapsulated bacteria and join the molecules to carrier proteins.

A

conjugated vaccines

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
14
Q

what type of vaccines increase the immune response in infants?

A

conjugated

Prevnar 13
Meningococcal conjugate (Menactra, Menveo)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
15
Q

Can live and inactivated immunizations be given together?

A

yes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
16
Q

How long is the interval between an antibody containing product (IVIG) and a MMR or a varicella containing vaccine?

A

minimum of 3 months and can be up to 11 months

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
17
Q

What vaccine is given at birth?

A

hep b

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
18
Q

What are options to reduce the risk of a false negative PPD test?

A

give live vaccine on same day

wait 4 weeks after live vaccine to perform skin test

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
19
Q

Can you give multiple live vaccines in the same day?

A

yes

if not space 4 weeks apart

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
20
Q

How much spaced out time?

Vaccine–> __ weeks –> antibody containing product

A

2 weeks

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
21
Q

How much spaced out time?

antibody containing product–> __ weeks –>Vaccine

A

3 months or longer

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
22
Q

A patient is exposed to hep B. They need a vaccine and antibody in the form of immunoglobulin. Can they receive it?

A

yes - recommended for post-exposure prophylaxis of certain diseases

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
23
Q

When patients receive a live vaccine, how should they be counseled in terms for systemic reactions?

A

mild reactions can occur 3-21 days after vaccine (incubation period)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
24
Q

A patient had a mild reaction to a vaccine.- how do you treat?

A

Benadryl or hydroxyzine (rx)

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
25
Q

Whats the amount in an adult auto injector for epinephrine?

A

0.3mg (1mg/mL). most adults will require 1-3 doses every 5-15 minutes

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
26
Q

What is a precaution for Dtap

A

Gullian Barre syndrome

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
27
Q

Which vaccine has a contraindication to egg allergy?

A

Yellow fever

Live attenuated flu vaccine

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
28
Q

What vaccine series is started at birth?

A

3 dose hep B started at birth

How well did you know this?
1
Not at all
2
3
4
5
Perfectly
29
Q

What vaccine series start at age 2 months?

A 
Prevnar 13
DtaP
Hib
polio
rotavirus
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
30
Q

When do live vaccines start? (age)

A

> 12 months

MMR
varicella

31
Q

When is the meningococcal vaccine (MCV4, Menactra or Menveo) given?

A

2 doses: 1 dose at 11-12 and 1 dose at age 16

if not previously vaccinated, first year college students

32
Q

When is HPV given?

A

recommended at 11-12y

2-3 doses based on what age started

33
Q

When is Tdap first given?

A

> 11y

34
Q

What is given in pregnancy at weeks 27-36?

A

Tdap

35
Q

When is shingrix given?

A

> 50y
2 doses
2-6 months apart

36
Q

when is the pneumococcal 23 given?

A

> 65y

wait 1 year after Prevnar 13

37
Q

When is Prevnar 13 given?

A

if immunocompromised

optional for all other adults

38
Q

What vaccines are required for healthcare professionals?

A 
flu
hep b
tdap
varicella
MMR
39
Q

A patient has sickle cell disease / another cause of asplenia
what vaccines are needed?

A

H influenza type b (hib)

Prevnar 13, Pneumococcal 23
(before age 65, Prevnar 13x1 dose and 2 doses of 23)
pneumovax 2nd dose 5 years later

Meningococcal vaccines (conjugated - Menactra or Menveo

& serogroup B meningococcal vaccine Bexsero or Trumenba)

40
Q

If the patient has sickle cell, asplenia, or immunocompromised, how do they take their prevnar and pneumococcal?
chronic renal failure
Chemotherapy
immunosuppressant drugs
systemic steroids >14 days >20mg prednisone daily

A

> 8 weeks (not one year spaced)

41
Q

What vaccines are required for diabetes?

A

Pneumococcal before age 65 (1 dose)

Hep B

42
Q

What vaccines are required in immunodeficient patients?

A

LIVE VACCINES C/I!!

```
Pneumococcal vaccines
before age 65, Prevnar 13x1 dose and 2 doses of 23
pneumovax 2nd dose 5 years later
~~~

43
Q

What vaccines are required in HIV when CD4 count <200

A

Menactra or Menveo (Meningococcal conjugate)
Hep A
Hep B

44
Q

When is the flu shot indicated?

A

> 6 months

45
Q

When is pneumovax 23 indicated when the patient is 2-64?

A

heart, lung, liver, diabetes, alcoholic abuse, smokers

all the rest is >65

46
Q

Brand: Pediarix

A

generic: DTaP-HepB-IPV

47
Q

Brand: Adacel, Boostrix

A

generic: Tdap

48
Q

Brand: Harvix, VAQTA

A

generic: Hep A

49
Q

Brand: Engerix-B, Heplisac

A

Hep B

50
Q

A patient comes in and is between the age of 6 months - 8 years and they have not been previously vaccinated. How do they receive the flu shot?

A

give 2 doses 4 weeks apart

51
Q

What is the name of the flu vaccine that is egg free?

A

FluBlok

>18y

52
Q

What flu vaccine is indicated for >65y?

A

Trivalent Inactivated (IIV3)

Fluzone High Dose
Fluad

53
Q

How do you administer FluMist Quadrivalent?

A

given as 0.2mL divided between two nostrils

54
Q

Who is FluMist indicated for?

A

2-49y HEALTHY

this is the live one

55
Q

Brand: ProQuad

A

Generic: MMRV

56
Q

Which vaccine do you store in the fridge or freezer?

A

MMR

57
Q

Which vaccine do you store in the FREEZER

A

due to varicella component - MMRV, Zostavax, oral cholera
give SC
store diluents in room temp or fridge

58
Q

Brand: Menveo, Menactra

A

Generic: MCV4 (conjugated meningococcal)

59
Q

What special population need meningococcal Vaccines?

A

travelers to Sub-saharan africa (meningitis)
Age 2 months and older that have HIV, aslpenia, sickle cell
lab workers with exposure to N. menigititis
first year college students
military recruits

60
Q

Who receives MenB (Bexsero, Trumenba)?

A

Age 10> with high risk
asplenia/sickle cell
lab workers
during an outbreak

61
Q

Which vaccines do you store in the fridge?

A 
Meningococcal conjugated vaccines (MCV4, MenB)
Pneumococcal vaccines
Shingrix
Rotavirus
DTap/ polio
62
Q

Children <5 years are given a 4 dose series given at age 2,4,6, and 12-15 months of what vaccine?

A

PCV13

?????????questionable, doesn’t make sense because the book says its given once in their lifetime?

63
Q

PCV13 and PPSV23 are given hpw

A

SC or IM

64
Q

Immunocompromised patients receive PPSV23 how many times?

A

3

8 weeks after PCV13 at 6-64y, then 5 years apart, then after 65 (at least 5 years apart)

65
Q

Which vaccine do you not give if there is an allergy to gelatin or neomycin?

A

varicella containing vaccines

varivax - SC
shingrix - IM

66
Q

VIRCELLA IS STORED WHERE

A

FREEZER

67
Q

A patient is receiving acyclovir for herpes. She needs varivax, what should she do?

A

stop 24 hours before administration and do not take for 14 days after administraiton

68
Q

What vaccine can cause a positive reaction to the TB skin test?

A

BCG

69
Q

What vaccine has a international certificate of vaccination provided with it? (its yellow)

A

yellow fever

70
Q

What vaccines are given SC only

A

MMR
MMRV
Varicella
Yellow fever

71
Q

IM OR SC

A

PPSV23

72
Q

Intranasal

A

Flumist

73
Q

PO

A

Typhoid (Vivotif)

74
Q

SC administration
needle size:
degree:

A

5/8”
45 angle

(IM = 1”, >260, 200 = 1.5”)

NAPLEX 21 (60 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions