Immunizations

Question 1

Who develops the immunization schedule

Answer 1

• The Advisory Committee on Immunization Practices (ACIP) of the Centers for Disease Control and Prevention (CDC)
• American Academy of Pediatric
• American Academy of Family Physicians

Question 2

What are the contributing factors

Answer 2

• The epidemiology of the disease
• Age-specific morbidity and mortality
• Vaccine immunogenicity
• Risks of vaccine related adverse reactions • Cost effectiveness
• Established ages of well-child visits

Question 3

What is Live-attenuated vaccine

Answer 3

“alive”, but weakened (MMR, FluMist, Varicella, & Rotavirus)

Question 4

What is Inactivated vaccine

Answer 4

is not alive and cannot replicate

Question 5

Contraindications of live vaccines

Answer 5

*Pregnancy
*Severely immunocompromised


Question 6

Other contraindications of live vaccines

Answer 6

• Severe allergic reaction

* Moderate/severe illness regardless of fever

Question 7

Misperceived contraindications

Answer 7

• Mild acute illness regardless of fever
• Low-grade fever
• Recent exposure to
infectious disease
• Mild to moderate local reaction
• Current antibiotic therapy
• Prematurity*
• Lack of previous physical exam in well-appearing patient
• Immunodeficent family member or household contact (MMR)
• FH of SIDS or seizures (DTaP)

Question 8

Recommended minimum interval between doses of two or

more

Answer 8

28 day

Question 9

Contraindications for HBV

Answer 9

Life-threatening allergy to yeast

Question 10

What is cocooning

Answer 10

Tdap admin for anyone of older age that needs a booster

Question 11

Contraindications for DTaP

Answer 11

• Encephalopathy (until cause is identified)

* Progressive neurological disordes (until stabilized)

Question 12

Age range for Tdap

Answer 12

11-12yo

Preg btn 27-36 wks

Question 13

Td vaccine given to

Answer 13

Adolescents and adults as booster ever 10yrs or w/ trauma

Question 14

Hib contraindications

Answer 14

• Yeast

* latex

Question 15

IPV contraindications

Answer 15

*neomycin/streptomycin/ polymyxin B

Question 16

Who is PCV23 used for

Answer 16

High risk chn >2yo

Question 17

Contraindications for Rotavirus

Answer 17

*immunodeficiency
latex allergy (Rotarix)
*Hx of intussusception
*Acute mod to severe gastroenteritis
*Altered immunocompetence

Question 18

Contraindications for HAV

Answer 18

• Severe allergy to latex

Question 19

Who is at higher risk for Hepatitis A

Answer 19

AZ (Southwestern states)

Question 20

Contraindications for MMR

Answer 20

• Anaphylactic reactions to neomycin or gelatin. • Pregnancy

* Immunosuppression

Question 21

Contraindications for Varicella

Answer 21

*neomycin or gelatin
• Altered immunity
• Pregnancy

Question 22

Contraindications for MMRV

Answer 22

• altered immunity
• anaphylaxis to prev dose
• Pregnancy

Question 23

High risk for meningitis

Answer 23

2mos-10yo

Question 24

Contraindications of meningiococcal vaccines

Answer 24

• Hx of anaphylaxis to component of vaccine including Diptheria/tetamus toxoid
• Latex

Question 25

IIV indications (flushot)

Answer 25

>6mo

Question 26

Dosage for IIV

Answer 26

*chn 6mo-8yo=2 doses

Question 27

Contraindications for IIV

Answer 27

* Anaphylaxis to vaccine components (Abx, latex, gelatin) * Guillain Barre * Hx of egg allergy (hives)

Question 28

Flumist age ranges

Answer 28

*>2yo,

Question 29

Contraindications for Flumist

Answer 29

* Hx of egg/gentamycin/gelatin allergy * chn 2-4 w/ asthma inals 12mo * 2-17yo on asprin * Immunosuppressed * Pregnant * IIV vaccine in the last 48hrs