Immunizations Flashcards

0
Q

Herd Immunity

A

Vacc. everyone so those who cannot be vaccinated are still protected

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1
Q

What is the first Vaccine given to infants

A

Hep B

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2
Q

Passive Immunity

A

Protection by another source that is TRANSFERRED by injection

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3
Q

What is the type of immunity that is produced by a person’s own immune system?

A

Active immunity

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4
Q

Which type of immunity wanes?

A

Passive

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5
Q

Which type of immunity is more permanent?

A

Active

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6
Q

Immune globulin (IG), Hyperimmune globulin, anti toxin, monoclonal antibodies are all types of what type of immunity/

A

Passive Immunity

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7
Q

What is a type of paramyoxovirus?

A

Respiratory Syncytial Virus (RSV)

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8
Q

What is the most common cause of LRI/AOM

A

RSV

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9
Q

What is the name of the antibody serum for RSV?

A

Synagias

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10
Q

Vaccines are a type of what type of immunity?

A

Active immunity

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11
Q

Name the 4 types of vaccines.

A

Live attenuated
Inactive
Polysaccharide
Recombinant

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12
Q

What type of vaccine is a weakened wild type?

A

Live vaccines

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13
Q

What type of vaccines retains the ability to replicate?

A

Live vaccines

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14
Q

List the 5 types of current Live vaccines.

A

MMR, Varicella, Rotavirus, Influenza, Yellow fever

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15
Q

What type of vaccine is the whole or fraction of the virus/bacterium?

A

Inactived vaccine

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16
Q

What type of vaccine requires multiple doses?

A

Inactivated vaccine

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17
Q

List the types of Inactived vaccines.

A

Polio, hepA, rabies, influenza, acellular pertussis, HPV, Diptheria, tetnus

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18
Q

T/F pollysaccahride vaccines are inactivated

A

True

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19
Q

What type of vaccine is genetically engineered into yeast/viral cells?

A

Recombinant Vaccines

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20
Q

Name types of Recombinant Vaccines

A

HepB, HPV, Typhoid, Live influenza

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21
Q

DTap is given to children or adults?

A

Children

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22
Q

List the dosing schedule for Diptheria, Tetnus, acelluar Pertusis.

A

2,4,6 months, 15-18 months

Boosters 4-6 years, 11-12 years, then every 10

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23
Q

T/F The Tx: for diptheria is an antitoxin

A

True

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24
What disease is caused by clostridum tetani?
Tetnus
25
What is the first s/s of Tetnus?
Lock Jaw---> spasms
26
TIG stands for what? and what is it used fo?
Tetnus immune globulin; used for post-exposure prophylaxis
27
What is caused by Bordetella pertussis gram negative?
Pertussis (Whooping cough)
28
Name the three stages of pertussis
Catarrhaal: increase cough 2 weeks, cold s/s Paroxysmal: burst(paroxysms) 1-6 weeks Convalescent: gradual recovery but s/s can reoccur with RI
29
T/F If you around children less than 12 months or are pregnant you should not get a Tdap vaccine?
False
30
Tx for pertussis
Azithromycin | erythromycin/clindamycin
31
What disease is caused by gram negative bacilli that can colonize in the nose?
Haemophilus influenzae type B
32
Manifestations of H. influenzae type B
Meningitis, epiglottitis, pneumonia, cellulitis, arthritis
33
What is the Vaccine for Haemophilus influenza type B, and what is the dosing?
Dosing: 2,4,6 motnhs, 12-15 months
34
Hep A is transmitted through what route?
Fecal-oral
35
What is the incubation of Hep A?
28 days
36
What is the vaccine for hep A and what is the dosing?
HepA: 2 doses- after 12 months of age 6-12 months apart.
37
T/F Hep B is a blood borne pathogen?
True
38
What virus can live on surfaces for 7 days?
Hep B
39
What is the dosing for the Hep B Vaccine?
3 Doses: Birth, 2,6 months
40
What disease is a live vaccine, paroxmyovirus and usually involes the respiratory epithelium?
Measles
41
What disease is indicative of Koplik spots?
Measles
42
T/F Mumps are not a paramyoxovirus.
False
43
What disease is indicative of parotitis, orchitis, deafness?
Mumps
44
What disease is caused by the toga virus?
Rubella
45
What is congenital rubella syndrome?
Contracted when mother gets infected with Rubella during 1st trimester
46
What is the vaccine for measles, mumps, and rubella and what is the dosing?
MMR, MMRV, 2 doses: 12-15 months, 4-6 years
47
What are some manifestations for Congenital rubella syndrome?
#1 Deafness, cataracts, heart defects, microcephally, mental retardation, bone alterations, liver/spleen damage.
48
What is Varicella's incubation?
14-16 days
49
Name potential complications of chicken pox.
Pneumonia, CNS symptoms, Reye's syndrome, maternal varicella has a 30% infant death rate
50
What is the dosing of varicella?
12-15 months and 4-6 years
51
What vaccine is 70 % effective in preventing illness if given within 3 days of onset?
Varicella vaccine
52
Streptococcal pneumoniae causes what disease?
Pneumococcal Disease
53
What are major complications of Pneumococcal?
Meningitis <5 years,OM, pneumonia, bacteremia
54
What is the vaccine for Pneumococcal and what is the dosing?
PPSV23 for 65 | PCV13(4): 2,4,6, 15-18, 4-6years booster
55
TX for bacterial Meningitis
Vancomycin+ cefotaxime or ceftriaoxone
56
TX for AOM
Amoxicillin
57
What disease has white infiltrate in the lungs?
Pneumococcal empyema
58
What is a disease that is an enterovirus that spreads along nerve fibers and destroys motor nerves.
Poliomyelitis
59
What is the Vaccine for polio and what is the dosing?
IPV: 2,4, 6-18 months, 4-6 yrs
60
Why was Oral PV d/c'd in the US?
People were being infected with the actual polio virus.
61
What disease stays in the stool up to 30 days?
Rotavirus
62
What are the s/s of Rotavirus?
Diarrhea, vomitting, fever
63
What is the Vaccine for Rotavirus?
RV1(2 dosings) RV5 (3): 2,4,6 months
64
What is the name of the Virus that has over 100 types and is the # 1 most common STD?
Human Papilloma Virus HPV
65
What are the vaccines and dosing for HPV?
HPV2, HPV4- approved in males: early as 9 years, 11-12 then 2-6 months after
66
What disease is caused by Neisseria Meninditdis garm negative diplococci?
Meningococcal Meningitis
67
What are the s/s of Meningococcal Meningitis?
Purpura rash, multi organ failure
68
What is the vaccine and dosing for meningococcal?
MCV4, MPSV4->55years | Dosing: 11-13 booster @ 16 and those who travel to high risk areas.
69
Tx Meningococcal
Cefotaxime/Ceftriaxone
70
Herpes Zoster Vaccine is recommended for those older than what age?
50
71
What are the types of influenza virus?
A: H(h1, h2,h3) N(n1,n2) B: Milder types C: Rare in humans
72
What are complications of Influenza?
Pneumonia, myocarditis, Reye's syndrome
73
What is the vaccine for influenza and what is the dosing?
IIV or LAIV | Dosing: 2 doses given @ 1st time received vaccine 6 months-8 years. Then done annually.
74
Pregnant women should receive which vaccine?
IIV
75
T/F LAIV may cause URI but not influenza symptomss
True