Immunizations

Question 1

When do you give Tdap in pregnancy

Answer 1

Every pregnancy around 27-32 weeks

Question 2

Which vaccines can you not give while breastfeeding

Answer 2

BCG
Japanese encephalitis
Yellow fever

Question 3

When do you need to delay vaccines if someone has symptoms of an iillness

Answer 3

Only if congestion and nasal vaccine, GI illness and oral vholera, or moderate to severe GI illness and rotavirus

Question 4

Who should get the flu shot

Answer 4

Anyone >6 monhts

Question 5

What do you say when someone says they don’t want to vaccinate

Answer 5

Vaccines are safe, there is a much high danger in not vaccinating
Pain can be reduced
Talk about if they were vaccinated
Give your child the best advantage

Question 6

Like 6 ways to minimize discomfort during immuzations

Answer 6

Skin to skin
Breast feed
Don’t aspirate
Oral sugar
Topical anesthetic
Do the most painful last

Question 7

What the protocol for shingles vaccine

Answer 7

2 doses of shingrix 2-6 months apart
2x as effective as zostavax
Give >50 years old

Question 8

REgieme for the HPV vaccine

Answer 8

2 or three doses of 9 valent vaccine
All genders not just women

Question 9

Who gets the Menigitis C vaccine

Answer 9

Travelers to Hajj or Parts of Africa
Military
Aspenia
Sickle Cell
<12 years old

Question 10

If someone is immunocompromised OR if they live with someone immunocompromised, what vaccines should they not get

Answer 10

Polio
Varicella
Measles
Mumps
Rubella
BCG
Rotavirus
Smallpox
Yellow fever

Question 11

If someone is pregnant what vaccines can they not get

Answer 11

Polio
Varicella
Measles
Mumps
Rubella
BCG

Question 12

If someone has TB which vaccines can they not get

Answer 12

MMR
Varicella
BCG
Herpes zoster
Yellow fever
Rotavirus
Smallpox

Question 13

If someone has severe asthma which vaccine can they not get

Answer 13

Live attenuated flu

Question 14

If someone has a congeital GI malformation which vaccine can they not get

Answer 14

Rotavirus
If it hasn’t been corrected

Question 15

If someone has HIV which vaccines can they not get

Answer 15

Polio, Varicella, MMR, BCG

Question 16

If someone is allergic to eggs or chicken which vaccines can they not have

Answer 16

Yellow fever
Tick borne encephalitis
Rabies

Question 17

What precautions are there for the covid vaccine

Answer 17

PEG allergy
Thrombosis
Thrombocytopenia
Pericarditis / myocarditis

Only contraindication is anaphylaxis to previous shot

Question 18

Most common side effects to immunizations

Answer 18

Mild fever
Sore extremity

Question 19

But do they cause Autism???

Answer 19

NO. the paper was recently withdrawn. The paper originally spoke to Thimerosal which is now only in the Hep B vaccine and multidose flu shot

Question 20

Someone has Chronic liver Disease What vaccines do they need

Answer 20

Hep A and B
Flu
Pneumococal

Question 21

Immunizations for adult

Answer 21

Pneumococcal 23 >65 or younger with risks
Shingrix >50
HPV 9 9-26 or 27 + if they have ongoing risks
Tetanus q 10 years
Influenza yearly
Pertussis once in adulthood

Travel vaccines
Catch up child hood vaccines

Question 22

List five reportable diseases

Answer 22

Corona Virus
Diptheria
Haemophilus Influenza B
Measles
Menigococcal (if invasive)
Mumps
Pertussis
C+G
HIV
Polio (if acute)
Rabies
Rubella
Tetanus