Immunizations

Question 1

Why pertussis still around?

Answer 1

Vaccine isn’t that immunogenic, so immunity wanes

Question 2

Why measles still around?

Answer 2

Non-vaccination

Travel

Question 3

Diphtheria dangerous how?

Answer 3

Toxins

Arrythmias

Question 4

Diphtheria presentation?

Answer 4

High temp, puss on tonsils, toxin-mediated

Question 5

Pertussis concerns?

Answer 5

Hypoxia encephalopathy

From coughing episodes

Question 6

Pertussis DDx

Answer 6

Swab: PCRs

Serology Bloods

Question 7

Pertussis treatment?

Answer 7

Clarithromycin

Azithromycin

Question 8

How long pertussis cough lasts for?

Answer 8

“The 100 day cough”

Question 9

What bacteria can cause periorbital cellulitis?

Answer 9

Haemophilus B

Staph, strep

Question 10

Mumps complications

Answer 10

Orchitis
Encephalitis
Parotid enlargement

Question 11

How is polio spread?

Answer 11

Fecal oral

Question 12

How is mumps spread?

Answer 12

Close contact

Question 13

How to differentiate varicella rash?

Answer 13

Vesicular
Variable sizes
Centrally distributed

Question 14

Why varicella hospitalizations?

Answer 14

Secondary cellulitis

Question 15

When use ZiG, Zoster immunoglobulin?

Answer 15

Within 72 hours

Immunocompromised
Pregnant

Question 16

Varicella spread How?

Answer 16

Respiratory

Question 17

3 CSF of Measles

Answer 17

Cough
Conjuntivitis
Choryza

Question 18

Complication of Mealses

Answer 18

Otitis media
Pneumonia
Encephalitis

Question 19

Hep B complications?

Answer 19

HCC
Cirrhosis
Liver

Question 20

Congenital Rubella complications?

Answer 20

Deafness
Heart defects
Blind
Mental retardation

Question 21

Age groups for meningococcal vaccines

Answer 21

Teens

Young

Question 22

Rx for meningococcal?

Answer 22

Ceftriaxone

BenzylPenicillin

Question 23

why can’t give travel vaccines of meningococcal to young patient?

Answer 23

They are polysaccharide vaccines. Dont’ work on kids

Question 24

What doesn’t work in herd immunity?

Answer 24

Tetanus (comes from ground not ppl)

Question 25

Vaccine side effects

Answer 25

``` Sore Swelling Red Mild fever, crying, lethargic Muscle aches Fainting, lumps ```

Question 26

Rare reactions of vaccines.

Answer 26

Convulsion Pale limp, un responsive baby Anaphylaxis Intussusception (rotavirus)

Question 27

Live vaccines, things to consider re: side effects

Answer 27

Side effects occur a week later: MMR 1:10 Varicella: can get a few vesicles Rota: Diarrhoea, vomiting

Question 28

If one child needs vaccines but a. Sibling is immunosuppressed, what do you do?

Answer 28

Still give live-vaccine to child who is NOT immunosuppressed

Question 29

Relative contraindications for vaccines?

Answer 29

Evolving undiagnosed neurological illness Temperature >38.5

Question 30

What bacteria can cause periorbital cellulitis?

Answer 30

Haemophilus B Staph, strep

Question 31

Mumps complications

Answer 31

Orchitis Encephalitis Parotid enlargement

Question 32

How is polio spread?

Answer 32

Fecal oral

Question 33

How is mumps spread?

Answer 33

Close contact

Question 34

How to differentiate varicella rash?

Answer 34

Vesicular Variable sizes Centrally distributed

Question 35

Why varicella hospitalizations?

Answer 35

Secondary cellulitis

Question 36

When use ZiG, Zoster immunoglobulin?

Answer 36

Within 72 hours Immunocompromised Pregnant

Question 37

Varicella spread How?

Answer 37

Respiratory

Question 38

3 CSF of Measles

Answer 38

Cough Conjuntivitis Choryza

Question 39

Complication of Mealses

Answer 39

Otitis media Pneumonia Encephalitis

Question 40

Hep B complications?

Answer 40

HCC Cirrhosis Liver

Question 41

Congenital Rubella complications?

Answer 41

Deafness Heart defects Blind Mental retardation

Question 42

Age groups for meningococcal vaccines

Answer 42

Teens | Young

Question 43

Rx for meningococcal?

Answer 43

Ceftriaxone | BenzylPenicillin

Question 44

why can't give travel vaccines of meningococcal to young patient?

Answer 44

They are polysaccharide vaccines. Dont' work on kids

Question 45

What doesn't work in herd immunity?

Answer 45

Tetanus (comes from ground not ppl)

Question 46

Vaccine side effects

Answer 46

``` Sore Swelling Red Mild fever, crying, lethargic Muscle aches Fainting, lumps ```

Question 47

Rare reactions of vaccines.

Answer 47

Convulsion Pale limp, un responsive baby Anaphylaxis Intussusception (rotavirus)

Question 48

Live vaccines, things to consider re: side effects

Answer 48

Side effects occur a week later: MMR 1:10 Varicella: can get a few vesicles Rota: Diarrhoea, vomiting

Question 49

If one child needs vaccines but a. Sibling is immunosuppressed, what do you do?

Answer 49

Still give live-vaccine to child who is NOT immunosuppressed

Question 50

Relative contraindications for vaccines?

Answer 50

Evolving undiagnosed neurological illness Temperature >38.5