Immunizations

Question 1

How much time must elapse before giving a live vaccine to a patient who received a product containing antibodies

Answer 1

wait 3 months or longer before giving vaccine - MMR and varicella containing vaccine (except zoster) consult pink book for blood product/vaccine timeline

Question 2

How much time must elapse before giving antibody containing products after a live vaccine is given

Answer 2

wait 2 weeks before giving antibody

Question 3

Which vaccines( polysaccharide or conjugate) do not consistently produce an effective immune response in children under 2

Answer 3

polysaccharide

Question 4

Live vaccines are withheld until what age

Answer 4

12 months of age - due to mother’s antibodies

Question 5

Age at which inactivated vaccines can be started and exception

Answer 5

2 months (except Hepatitis B - at birth)

Question 6

Which diseases is simultaneous administration of antibody and vaccine recommended as post exposure prophylaxis

Answer 6

hepatitis A, hepatitis B, rabies, tetanus

Question 7

Which vaccines shouldn’t be administered simultaneously?

Answer 7

PCV 13 and Menactra (meningococcal conjugate) - seperated by at least 4 weeks

Question 8

If live vaccines are not given together, how far should they be seperated?

Answer 8

at least 4 weeks

Question 9

Which vaccines are Live vaccines

Answer 9

MMR, MMRV, varicella, zoster, yellow fever, LAIV

Question 10

Effect of increasing the dosing interval in a vaccination series

Answer 10

delayed protection - no decrease in effectiveness

Question 11

effect of decreasing the dosing interval in a vaccination series

Answer 11

may decrease effectiveness

Question 12

Live vaccines and PPD timeline

Answer 12

give on the same day or if vaccine given first wait 4 weeks before placing PPD, if PPD given first wait until after reading to give vaccine

Question 13

Most common vaccine adverse reactions

Answer 13

local reactions - pain, sweling, and redness of injection site - up to 80%, most common with inactive vaccines

Question 14

Systemic adverse reactions to vaccines

Answer 14

fever, malaise, myalgias, headache, loss of appetite, mild manifestations of the disease being protected against, - mild and occurring within 7-21 days of the vaccine

Question 15

Are minor allergic reactions a contraindication to repeat vaccination

Answer 15

no

Question 16

When do anaphylactic allergies occur after a vaccine (timeframe)

Answer 16

minutes to hours

Question 17

S/s of anaphylactic reaction

Answer 17

urticaria, swelling of the mouth and throat, difficulty breathing, wheezing, abdominal cramping, hypotension, shock

Question 18

Amount of corticosteroids to get systemic steroid induced immunosuppression

Answer 18

20+ mg/day prednisone x 14+ days, 2+mg/kg/day prednisone x 14+ days

Question 19

Contraindications to live vaccines

Answer 19

pregnancy, immunosuppression

Question 20

How long after chemotherapy to be able to give live vaccines

Answer 20

at least 3 months after discontinuation of chemo

Question 21

Which vaccines are contraindicated in HIV with a CD4 count

Answer 21

MMR, Varicella

Question 22

Asplenic patients should received which vaccines

Answer 22

PCV13 AND PPSV23. can receive live vaccines if indicated

Question 23

optimum time for Tdap vaccination during pregnancy

Answer 23

27 and 36 weeks

Question 24

Which vaccines are recommended for health care professionals

Answer 24

Hepatitis B, Flu, MMR, Varicella, Tdap

Question 25

DTaP brand names

Answer 25

Daptacel, Infanrix

Question 26

DTaP-IPV brand name

Answer 26

Kinrix

Question 27

DTaP - HepB-IPV brand name

Answer 27

Pediarix

Question 28

DTaP-IPV/Hib brand name

Answer 28

Pentacel

Question 29

DTap series given to who

Answer 29

children

Question 30

DTaP dosing

Answer 30

5 doses at age 2, 4, 6, 12-18 months and 4-6 years. followed by Tdap at 11-12 years

Question 31

Hib vaccine brand names

Answer 31

ActHIB, Hiberix, PedvaxHIB

Question 32

MenCY-Hib vaccine brand names

Answer 32

Menhibrix (Meningococcal serogroups C and Y - Hib)

Question 33

When is Hib vaccination given

Answer 33

children, sometimes adults after splenectomy *Menhibrix - high risk infants 6 weeks - 18 months*

Question 34

Hep A vaccine brand names

Answer 34

Havrix, Vaqta

Question 35

Hep B vaccine brand names

Answer 35

Engerix B, Recombivax HB

Question 36

Hep A / Hep B vaccine brand name

Answer 36

Twinrix

Question 37

Who gets Hep A vaccination

Answer 37

children at 1 year of age (2 doses); adults: men who have sex with men, IVDU, chronic disease, travelers to countries with high incidence

Question 38

Who gets Hep B vaccination

Answer 38

3 dose series at 0, 1, and 6 months for all children and adolescents and adults (HCP, men who have sex with men, sex with multiple partners, IVDU, ESRD, chronic liver disease, diabetics between 19-59)

Question 39

HPV2 vaccine brand name

Answer 39

Cervarix (female only)

Question 40

HPV4 vaccine brand name

Answer 40

Gardasil

Question 41

HPV9 vaccine brand name

Answer 41

Gardasil

Question 42

Who gets HPV vaccination

Answer 42

females 9-26 years old. starting 11-12 or age 9, catch up 13-26 years old. males 9-26 years old. 3 doses (0, 1-2, and 6 months)

Question 43

LAIV brand name

Answer 43

Quadrivalent nasal spray FluMist

Question 44

Flustmist indication

Answer 44

healthy people age 2-49

Question 45

Quadrivalent IIV grown in eggs brand names

Answer 45

Fluarix, Flulaval, Fluzone

Question 46

Trivalent IIV grown in eggs brand names (IIV3)

Answer 46

Afluria, Fluarix, Flulaval, Fluvirin, Fluzone

Question 47

Trivalent IIV grown in cell culture brand names (ccIIV3)

Answer 47

Flucelvax

Question 48

Trivalent high dose IIV grown in eggs brand name

Answer 48

Fluzone high dose

Question 49

Age range for fluzone high dose

Answer 49

65+

Question 50

Trivalent, recombinant egg free IIV brand name

Answer 50

Flublok

Question 51

Precautions to flu vaccinations:

Answer 51

Defer if moderate-severe acute illness; Guillain-Barre within 6 weeks of a prior flu vaccine;

Question 52

Management of influenza vaccine and egg alllergy

Answer 52

if pt can tolerate lightly cooked eggs or only gets hives - give vaccine and monitor for 30 minutes.

Question 53

MMRV brand name

Answer 53

ProQuad; 12 months to 12 years of age

Question 54

Who gets MMR vaccine

Answer 54

children and non-immune adults;

Question 55

MMRV storage

Answer 55

freezer, diluents in refrigerator

Question 56

MCV4 brand name

Answer 56

Menactra, Menveo

Question 57

MPSV4 brand name

Answer 57

Menomune

Question 58

who is high risk for meningococcal revaccination

Answer 58

HIV, asplenia, complement component deficiencies (MCV4 preferred)

Question 59

MenB-4c vaccine brand name and age range

Answer 59

Bexsero 10-25 years

Question 60

MenB-FHbp brand name and age range

Answer 60

Trumenba 10-25 year

Question 61

who gets meningococcal vaccines

Answer 61

1 dose @ 11-12 years, booster at 16-18; 2-55 if high risk

Question 62

who is high risk to receive meningococcal vaccine

Answer 62

college freshman, asplenia, sickle cell, military service, immunodeficiencies, high risk countries, lab workers with N. meningitidis exposure

Question 63

Which meningococcal vaccines cover group b strain and must be used in addition to one of the other vaccines

Answer 63

Bexsero or trumenba

Question 64

PCV13 vaccine brand name

Answer 64

Prevnar 13

Question 65

Who gets PCV13

Answer 65

children 64. minimum age 6 weeks

Question 66

PPSV23 brand name

Answer 66

Pneumovax 23

Question 67

Who gets PPSV23

Answer 67

all adults >64 and some children and adults 2-64. minimum age 2 years.

Question 68

max lifetime doses of PCV13

Answer 68

1

Question 69

Max lifetime doses of PPSV23

Answer 69

3; 2 prior to age 65 spaced at least 5 years apart and 1 post 65

Question 70

Pneumonia vaccination recommendation for all children age 2-15 months

Answer 70

PCV13 - 4 doses ( 2, 4, 6, 12-15 months)

Question 71

Who gets polio vaccination

Answer 71

ALL children

Question 72

IPV vaccine brand name

Answer 72

IPOL

Question 73

RV1 vaccine brand name

Answer 73

Rotarix

Question 74

RV5 vaccine brand name

Answer 74

RoTeq

Question 75

Who gets rotavirus vaccine

Answer 75

All infants. do not initiate series after 15 weeks

Question 76

Td vaccine brand name

Answer 76

Tenivac

Question 77

DT vaccine brand name

Answer 77

Diptheria and Tetanus Toxoid

Question 78

Tdap vaccine brand names

Answer 78

Adacel, Boostrix

Question 79

VAR vaccine brand name

Answer 79

Varivax

Question 80

ZOS vaccine brand name

Answer 80

Zostavax

Question 81

Who gets varicella vaccine

Answer 81

children @ 12 months and 4-6 years. adults without immunity 2 doses at least 4 weeks apart. zostavax for 50/60+

Question 82

Which vaccine cannot be given if allergy to gelatin or neomycin

Answer 82

varicella containing vaccines

Question 83

Rabies vaccine brand names

Answer 83

RabAvert, Imovax

Question 84

Who gets rabies vaccine

Answer 84

high risk prophylaxis or post exposure (with rabies IG)

Question 85

Typhoid vaccine oral capsules brand name

Answer 85

Vivotif Berna (refrigerated)

Question 86

Live attenuated typhoid brand name

Answer 86

Typhim Vi

Question 87

Who gets typhoid vaccine

Answer 87

travelers to asia, africa, and latin america at risk

Question 88

Japanese Encephalitis vaccine brand name

Answer 88

Ixiaro

Question 89

Who gets japanese encephalitis vaccine

Answer 89

those spending 1+ month in endemic areas during transmission season

Question 90

Who gets BCG vaccine

Answer 90

infants and small children in countries with higher TB incidence.

Question 91

When is yellow fever vaccination contraindicated

Answer 91

severe egg or gelatin allergy, immunosuppression, breastfeeding

Question 92

Length of needle for an IM vaccination

Answer 92

1" 22-25 G

Question 93

Length of needle for SC vaccination

Answer 93

5/8" 23-25 G