IMMUNIZATIONS

Question 1

ACTIVE IMMUNITY

Answer 1

FROM PERSON’S OWN IMMUNE SYSTEM
FROM VACCINES OR INFECTION
LONG LASTING

Question 2

PASSIVE IMMUNITY

Answer 2

RECEIVED FROM MOTHER WHILE IN WOMB

VIA IVIG

Question 3

LIVE ATTENUATED VIRUSES ARE CONTRAINDICATED IN WHICH POPULATIONS

Answer 3

PREGNANT PATIENTS

IMMUNOCOMPROMISED

Question 4

LIST THE LIVE VACCINES

Answer 4

MICRO-VY
MMR
IN INFLUENZA
CHOLERA
ROTAVIRUS
ORAL TYPHOID
VARICELLA
YELLOW FEVER

Question 5

VACCINES IN A SERIES:

IS IT OK TO INCREASE THE INTERVAL BETWEEN DOSES?

Answer 5

YES

WOULD JUST DELAY MORE COMPLETE PROTECTION

Question 6

VACCINE IN A SERIES:

IS IT OK TO DECREASE THE INTERVAL BETWEEN DOSES?

Answer 6

NO

IT CAN INTERFERE WITH ANTIBODY RESPONSE

Question 7

THERE NEEDS TO BE AN INTERVAL BETWEEN ANTIBODY CONTAINING PRODUCTS AND CERTAIN VACCINES.
HOW LONG AND WHICH VACCINES

Answer 7

VACCINES -> 2 WEEKS -> AB PRODUCT
OR
AB PRODUCT -> 3 MONTHS OR LONGER -> VACCINE

MMR AND VARICELLA CONTAINING VACCINES

Question 8

LIVE VACCINES AND THE TB SKIN TEST

WHAT IS THE BEST TIMING?

Answer 8

OK TO BE SAME DAY

IF NOT, HAS TO BE SEPARATED BY 4 WEEKS

Question 9

MULTIPLE VACCINE ADMINISTRATION RULES

Answer 9

CAN ALL BE SAME DAY

IF MULTIPLE LIVE VACCINES, SAME DAY OR 4 WEEKS APART

Question 10

WITH LIVE VACCIENS, HOW LONG CAN SYSTEMIC REACTIONS OCCUR?

Answer 10

3 TO 21 DAYS

Question 11

CAN A PERSON RECEIVE A VACCINE IF THEY ARE SICK?

Answer 11

MILD ILLNESS - OK TO GIVE

MOD TO SEVERE ILLNESS - REASONABLE TO DELAY

Question 12

HBV VACCINE CONTRAINDICATION

Answer 12

HYPERSENSITIVITY TO YEAST

Question 13

HPV VACCINE

Answer 13

HYPERSENSITIVITY TO YEAST

Question 14

LIVE ATTENUATED FLU VACCINE CONTRAINDICATIONS

Answer 14

EGG ALLERGY
ASA CONTAINING PRODUCTS
RECENT USE OF FLU ANTIVIRALS
AGE 2-4 YRS WITH ASTHMA OR WHEEZING EP IN LAST 12 MONTHS
CLOSE CONTACT WITH IMMUNOCOMPROMISED PT

Question 15

DIPHTHERIA, TETANUS, PERTUSSIS VACCINES CONTRAINDICATIONS

Answer 15

PERTUSSIS CONTAINING - ENCEPHALOPATHY THAT IS NOT ATTRIBUTED TO ANOTHER CAUSE WITHIN 7 DAYS AFTER RECEIVING THE VACCINE

Question 16

DIPHTHERIA, TETANUS, PERTUSSIS VACCINES PRECAUTION

Answer 16

GUILLAIN-BARRE SYNDROME WITHIN 6 WEEKS OF PREVIOUS D, T, AND/OR P VACCINE

DTAP AND TDAP: INFANTILE SPASMS, UNCONTROLLED SEIZURES

Question 17

RECOMBINANT ZOSTER VACCINE (RZV) CONTRAINDICATION

Answer 17

PREGNANCY

LACTATION

Question 18

VARICELLA VACCINES CONTRAINDICATED

Answer 18

HISTORY OF SEVERE ALLERGIC REACTION TO GELATIN OR NEOMYCIN

Question 19

VARICELLA VACCINES PRECAUTION

Answer 19

USE OF ANTIVIRAL IN THE 24 HOURS BEFORE VACCINATION

AVOID ANTIVIRALS FOR 14 DAYS AFTER VACCINATION

Question 20

VARICELLA VACCINES PRECAUTION

Answer 20

USE OF ANTIVIRAL IN THE 24 HOURS BEFORE VACCINATION

AVOID ANTIVIRALS FOR 14 DAYS AFTER VACCINATION

Question 21

ROTAVIRUS VACCINE CONTRAINDICATION

Answer 21

HISTORY OF INTUSSUSCEPTION

Question 22

ROTAVIRUS PRECAUTION

Answer 22

CHRONIC GI DISEASE

Question 23

YELLOW FEVER VACCINE CONTRAINDICATIONS

Answer 23

SEVERE ALLERGIC REACTION TO EGGS

Question 24

Tdap or DTaP: WHO RECEIVES WHAT?

Answer 24

Capital D = pediatrics
Lower case D = adult
PEDIATRICS GETS HIGHER DOSE OF DIPHTHERIA

Question 25

ROUTINE SCHEDULE FOR TETANUS VACCINES

Answer 25

DTaP IN CHILDREN < 7 YEARS

Td OR Tdap AS BOOSTER FOR ≥ 11 YEARS

Question 26

Td OR Tdap RECOMMENDED FOR THESE PEOPLE

Answer 26

1. PREGNANT WOMAN FOR EACH PREGNANCY
2. CLOSE CONTACTS OF INFANTS
3. HC PERSONNEL WITH PT CONTACT, IF NOT UP TO DATE ON VACCINES
4. CHILDREN 7-10 YEARS NOT FULLY VACCINATED

Question 27

Td AND Tdap FOR WOUND PROPHYLAXIS

Answer 27

RECOMMENDED IF DEEP OR DIRTY WOUND AND IF HAS BEEN MORE THAN 5 YEARS SINCE PREVIOUS DOSE