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PHM 604 > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Live Vaccinations

A

MMR
Varicella
Zoster
Rotavirus
LAIV
Poilo (OPV)

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2
Q

Toxoid Vaccinations

A

Diphtheria
Tetanus

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3
Q

Inactivated

A

Influenza
Polio (IPV)
Pertussis
Hep A

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4
Q

Recombinant Vaccines

A

Hep B
HPV
RZV (Recombo Zoster Vax)

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5
Q

Conjugated/Polysaccharide Vaccines

A

Hib
Meningococcal
Pneumococcal

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6
Q

Vax rate for herd immunity for Measles

A

83% - 94%

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7
Q

Vax rate for herd immunity for Pertussis

A

92% - 85%

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8
Q

How long should you wait between live vaccines if not given simultaneously?

A

28 days

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9
Q

What does a decrease in dosing interval do to the live vaccine efficacy?

A

It decreases AB response and protection

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10
Q

What does an increase in dosing interval do to live vaccine efficacy

A

It delays protection

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11
Q

True or False. You have to readminister vaccine dose if greater than 5 days before the minimum dosing interval

A

True

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12
Q

What vaccines are contraindicated in pregnancy

A

HPV
Live vaccines (MMR, Varicella)

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13
Q

What vaccines can you give in pregnancy?

A

Tdap
COVID-19
Inactivated Flu (Season (October - April)

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14
Q

How long should you wait to dose live vaccines during chemo/radiation?

A

2 weeks before
OR
3 months after

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15
Q

How long should you wait to dose live vaccines with systemic corticosteroids <14 days?

A

immediately after or 2 weeks

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16
Q

How long should you wait to dose live vaccines with systemic corticosteroids >14 days?

A

wait 1 month post-steroid therapy

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17
Q

What steroids can you take with live vaccines?

A

Topical or local injection steroids
physiological maintenance steroids
low dose systemic corticosteroids

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18
Q

What constitutes high dose steroids?

A

> 2mg/kg/day
OR
20 mg/day

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19
Q

When should you postpone an immunization?

A

Mod-severe illness (Hospitalized)
Hx of anaphylaxis w/ vax
Immunosuppressed

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20
Q

If you

A
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21
Q

If you give an IVIG vaccine and a live vaccine within 14 days, what should you do?

A

RE-administer live vaccine

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22
Q

When should you give a live vaccine post IVIG?

A

3 months post IVIG

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23
Q

If patient has Kawasaki disease and given IVIG, how long should you wait to give live vaccines?

24
Q

How long should you wait after live vaccine to give PPD Skin test?

A

4 - 6 weeks

25
Q

How long should you avoid antivirals for after live vaccine?

26
Q

Which vaccines can be give SQ

A

MMRV
PPSV23
Meningococcal Polysacch (MPSV-4)
Herpes Zoster (Zostavax)
Polio trivalent (inactive)

27
Q

Which vaccine can be given SQ and IM

A

Polio trivalent (inactivated)

28
Q

Pfizer vaccine for ages 6 months - 4 years
(mono and bi)

A

maroon cap

29
Q

Pfizer vaccine for ages 5 - 11 years
(mono and bi)

A

orange cap

30
Q

Pfizer vaccine for ages 12 years and up
(mono and bi)

31
Q

Moderna vaccine for ages 6 months - 5 years (monovalent)

A

blue cap and magenta label

32
Q

Moderna vaccine for ages 6 months - 5 years (bivalent)

A

dark pink cap, yellow label

33
Q

Moderna vaccine for ages 6 - 11 years (monovalent)

A

blue cap, purple label

34
Q

Moderna vaccine for ages 6 - 11 years (bivalent)

A

blue cap, gray label

35
Q

Moderna vaccine for ages 12 years and up (monovalent)

A

red cap, blue label

36
Q

Moderna vaccine for ages 12 years and up (bivalent)

A

blue cap, gray label

37
Q

Pfizer storage in ultra cold freezer?

38
Q

Pfizer storage in refrigerator?

39
Q

Pfizer storage at room temp?

40
Q

Moderna storage in freezer

41
Q

Moderna storage in refrigerator?

42
Q

Moderna storage at room temp?

A

24 hours (8 hours if punctured)

43
Q

Antigenic what causes pandemic and epidemics?

A

Antigenic shift

44
Q

Antigenic what causes a yearly change in vaccines?

A

Antigenic drift

45
Q

Antigenic shift is type(s)?

46
Q

Antigenic drift is type(s)?

A

Type A and B

47
Q

What changes in Antigenic shift?

A

Hemagluttinin and neuraminidase

48
Q

How long does it take for onset of influenza vaccine immunity

49
Q

What is the median influenza vaccine efficacy?

A

47% (varies based on age)

50
Q

What is the pneumococcus vaccine regimen?

A

PCV20
OR
PCV15 followed by PPSV23 after 1 year

51
Q

True or False. Herpes Zoster presents as a bilateral painful rash

A

False. Unilateral painful rash

52
Q

Which groups of people receive herpes zoster vaccine?

A

> 50 years old
AND
19 year olds and immunocompromised

53
Q

What are the risk types for rabies vaccine?

A

Unprovoked vs provoked
AND
Type of animal

54
Q

Rabies Post-Exposure Prophylaxis

A

Wound cleansing
Human Rabies IG via IM
4 doses of vaccine (day 1, 3, 7, 14)

55
Q

Rabies pre-exposure prophylaxis

A

Just the vaccine

PHM 604 (11 decks)

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