Immunizations

Question 1

Live Vaccinations

Answer 1

MMR
Varicella
Zoster
Rotavirus
LAIV
Poilo (OPV)

Question 2

Toxoid Vaccinations

Answer 2

Diphtheria
Tetanus

Question 3

Inactivated

Answer 3

Influenza
Polio (IPV)
Pertussis
Hep A

Question 4

Recombinant Vaccines

Answer 4

Hep B
HPV
RZV (Recombo Zoster Vax)

Question 5

Conjugated/Polysaccharide Vaccines

Answer 5

Hib
Meningococcal
Pneumococcal

Question 6

Vax rate for herd immunity for Measles

Answer 6

83% - 94%

Question 7

Vax rate for herd immunity for Pertussis

Answer 7

92% - 85%

Question 8

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

Answer 8

28 days

Question 9

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

Answer 9

It decreases AB response and protection

Question 10

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

Answer 10

It delays protection

Question 11

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

Answer 11

True

Question 12

What vaccines are contraindicated in pregnancy

Answer 12

HPV
Live vaccines (MMR, Varicella)

Question 13

What vaccines can you give in pregnancy?

Answer 13

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

Question 14

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

Answer 14

2 weeks before
OR
3 months after

Question 15

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

Answer 15

immediately after or 2 weeks

Question 16

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

Answer 16

wait 1 month post-steroid therapy

Question 17

What steroids can you take with live vaccines?

Answer 17

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

Question 18

What constitutes high dose steroids?

Answer 18

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

Question 19

When should you postpone an immunization?

Answer 19

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

Question 20

If you

Question 21

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

Answer 21

RE-administer live vaccine

Question 22

When should you give a live vaccine post IVIG?

Answer 22

3 months post IVIG

Question 23

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

Answer 23

11 months

Question 24

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

Answer 24

4 - 6 weeks

Question 25

How long should you avoid antivirals for after live vaccine?

Answer 25

14 days

Question 26

Which vaccines can be give SQ

Answer 26

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

Question 27

Which vaccine can be given SQ and IM

Answer 27

Polio trivalent (inactivated)

Question 28

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

Answer 28

maroon cap

Question 29

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

Answer 29

orange cap

Question 30

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

Answer 30

gray cap

Question 31

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

Answer 31

blue cap and magenta label

Question 32

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

Answer 32

dark pink cap, yellow label

Question 33

Moderna vaccine for ages 6 - 11 years (monovalent)

Answer 33

blue cap, purple label

Question 34

Moderna vaccine for ages 6 - 11 years (bivalent)

Answer 34

blue cap, gray label

Question 35

Moderna vaccine for ages 12 years and up (monovalent)

Answer 35

red cap, blue label

Question 36

Moderna vaccine for ages 12 years and up (bivalent)

Answer 36

blue cap, gray label

Question 37

Pfizer storage in ultra cold freezer?

Answer 37

Until Exp

Question 38

Pfizer storage in refrigerator?

Answer 38

10 weeks

Question 39

Pfizer storage at room temp?

Answer 39

12 hours

Question 40

Moderna storage in freezer

Answer 40

until exp

Question 41

Moderna storage in refrigerator?

Answer 41

30 days

Question 42

Moderna storage at room temp?

Answer 42

24 hours (8 hours if punctured)

Question 43

Antigenic what causes pandemic and epidemics?

Answer 43

Antigenic shift

Question 44

Antigenic what causes a yearly change in vaccines?

Answer 44

Antigenic drift

Question 45

Antigenic shift is type(s)?

Answer 45

Type A

Question 46

Antigenic drift is type(s)?

Answer 46

Type A and B

Question 47

What changes in Antigenic shift?

Answer 47

Hemagluttinin and neuraminidase

Question 48

How long does it take for onset of influenza vaccine immunity

Answer 48

2 weeks

Question 49

What is the median influenza vaccine efficacy?

Answer 49

47% (varies based on age)

Question 50

What is the pneumococcus vaccine regimen?

Answer 50

PCV20 OR PCV15 followed by PPSV23 after 1 year

Question 51

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

Answer 51

False. Unilateral painful rash

Question 52

Which groups of people receive herpes zoster vaccine?

Answer 52

>50 years old AND >19 year olds and immunocompromised

Question 53

What are the risk types for rabies vaccine?

Answer 53

Unprovoked vs provoked AND Type of animal

Question 54

Rabies Post-Exposure Prophylaxis

Answer 54

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

Question 55

Rabies pre-exposure prophylaxis

Answer 55

Just the vaccine