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Jason's MD3 Paeds > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Why pertussis still around?

A

Vaccine isn’t that immunogenic, so immunity wanes

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2
Q

Why measles still around?

A

Non-vaccination

Travel

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3
Q

Diphtheria dangerous how?

A

Toxins

Arrythmias

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4
Q

Diphtheria presentation?

A

High temp, puss on tonsils, toxin-mediated

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5
Q

Pertussis concerns?

A

Hypoxia encephalopathy

From coughing episodes

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6
Q

Pertussis DDx

A

Swab: PCRs

Serology Bloods

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7
Q

Pertussis treatment?

A

Clarithromycin

Azithromycin

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8
Q

How long pertussis cough lasts for?

A

“The 100 day cough”

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9
Q

What bacteria can cause periorbital cellulitis?

A

Haemophilus B

Staph, strep

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10
Q

Mumps complications

A

Orchitis
Encephalitis
Parotid enlargement

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11
Q

How is polio spread?

A

Fecal oral

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12
Q

How is mumps spread?

A

Close contact

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13
Q

How to differentiate varicella rash?

A

Vesicular
Variable sizes
Centrally distributed

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14
Q

Why varicella hospitalizations?

A

Secondary cellulitis

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15
Q

When use ZiG, Zoster immunoglobulin?

A

Within 72 hours

Immunocompromised
Pregnant

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16
Q

Varicella spread How?

A

Respiratory

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17
Q

3 CSF of Measles

A

Cough
Conjuntivitis
Choryza

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18
Q

Complication of Mealses

A

Otitis media
Pneumonia
Encephalitis

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19
Q

Hep B complications?

A

HCC
Cirrhosis
Liver

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20
Q

Congenital Rubella complications?

A

Deafness
Heart defects
Blind
Mental retardation

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21
Q

Age groups for meningococcal vaccines

A

Teens

Young

22
Q

Rx for meningococcal?

A

Ceftriaxone

BenzylPenicillin

23
Q

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

A

They are polysaccharide vaccines. Dont’ work on kids

24
Q

What doesn’t work in herd immunity?

A

Tetanus (comes from ground not ppl)

25
Q

Vaccine side effects

A 
Sore
Swelling
Red
Mild fever, crying, lethargic
Muscle aches
Fainting, lumps
26
Q

Rare reactions of vaccines.

A

Convulsion
Pale limp, un responsive baby

Anaphylaxis
Intussusception (rotavirus)

27
Q

Live vaccines, things to consider re: side effects

A

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

28
Q

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

A

Still give live-vaccine to child who is NOT immunosuppressed

29
Q

Relative contraindications for vaccines?

A

Evolving undiagnosed neurological illness

Temperature >38.5

30
Q

What bacteria can cause periorbital cellulitis?

A

Haemophilus B

Staph, strep

31
Q

Mumps complications

A

Orchitis
Encephalitis
Parotid enlargement

32
Q

How is polio spread?

A

Fecal oral

33
Q

How is mumps spread?

A

Close contact

34
Q

How to differentiate varicella rash?

A

Vesicular
Variable sizes
Centrally distributed

35
Q

Why varicella hospitalizations?

A

Secondary cellulitis

36
Q

When use ZiG, Zoster immunoglobulin?

A

Within 72 hours

Immunocompromised
Pregnant

37
Q

Varicella spread How?

A

Respiratory

38
Q

3 CSF of Measles

A

Cough
Conjuntivitis
Choryza

39
Q

Complication of Mealses

A

Otitis media
Pneumonia
Encephalitis

40
Q

Hep B complications?

A

HCC
Cirrhosis
Liver

41
Q

Congenital Rubella complications?

A

Deafness
Heart defects
Blind
Mental retardation

42
Q

Age groups for meningococcal vaccines

A

Teens

Young

43
Q

Rx for meningococcal?

A

Ceftriaxone

BenzylPenicillin

44
Q

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

A

They are polysaccharide vaccines. Dont’ work on kids

45
Q

What doesn’t work in herd immunity?

A

Tetanus (comes from ground not ppl)

46
Q

Vaccine side effects

A 
Sore
Swelling
Red
Mild fever, crying, lethargic
Muscle aches
Fainting, lumps
47
Q

Rare reactions of vaccines.

A

Convulsion
Pale limp, un responsive baby

Anaphylaxis
Intussusception (rotavirus)

48
Q

Live vaccines, things to consider re: side effects

A

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

49
Q

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

A

Still give live-vaccine to child who is NOT immunosuppressed

50
Q

Relative contraindications for vaccines?

A

Evolving undiagnosed neurological illness

Temperature >38.5

Jason's MD3 Paeds (28 decks)

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