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Peds Rotation > Immunizations > Flashcards

Immunizations Flashcards

1
Q

Who should get Tdap shots?

A

Kids 11-12 yrs old

EVERY SINGLE pregnancy 27-36 weeks

Booster for 19yo+ who never got it before

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2
Q

For whom is HPV vaccine recommended (and insurance usually pays for it)

A

9-26 year old females
9-21 year old males
(+men 22-26 who have sex with men, or are immunocompromised)

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3
Q

Contraindications to DTaP

A

Encephalopathy (coma, LOC, or seizures) within 7 days of a DTaP dose

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4
Q

What was the leading cause of bacterial meningitis in kids under 5 before 1977?

A

Hib (Haemophilus influenzae B)

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5
Q

How many doses of Varicella are given?

A

2

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6
Q

When is first dose of Hib given?

A

2 months

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7
Q

When is first dose of varicella?

Second?

A

First: 12-15 Months
Second: 4-6 years
(Same as MMR)

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8
Q

Contraindications to IPV vaccine?

A

Anaphylactic reaction to neomycin/streptomycin/polymyxin B

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9
Q

What are the contraindications to MMR?

A

PREGNANCY (it’s live!)
Anaphylaxis to neomycin or gelatin
Immunosuppression

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10
Q

Can babies younger than 6 months get flu shot

A

NOpe

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11
Q

How many doses of HAV are given?

A

2 doses separated by 6-18 months!!!

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12
Q

How many types of HPV does Gardasil protect against?

A

9!

6, 11, 16, 18 + 31, 33, 45, 52, 58

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13
Q

What are the two contraindications for EVERY vaccine, live or otherwise?

A

Severe allergic reaction to the vaccine or any component of it

Moderate or Severe illness that day regardless of fever (mild illness ok)

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14
Q

When is the first dose of Hep B given?

A

Birth

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15
Q

When is the first dose of DTaP given?

A

2 months

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16
Q

How many doses of Hib are given?

A

2 or 3 for primary series plus a booster dose

…so 3 or 4 total

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17
Q

What are some uncommon vaccine reactions?

A

-ANAPHYLAXIS (that vaccine is ALWAYS contraindicated for you forever if this happens)

  • seizures
  • inconsolable crying >3hrs
  • Fever higher than 105
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18
Q

How many doses of DTaP are given?

A

5

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19
Q

How many doses of PCV13 are given?

A

4

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20
Q

Can pregnant lady get HPV vacccine?

A

Not recommended

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21
Q

How many doses of rotavirus are given?

A

Rotarix-2

RotaTeq-3

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22
Q

Is it ok to get a vaccine if you have a mild illness and/or low grade fever?

A

YEP

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23
Q

When is the first dose of HAV (Hepatitis A Vaccine)

A

12-23 months

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24
Q

When is first dose of pneumococcal conjugate (PCV13) given?

A

2 months

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25
Q

When is first dose of Quadrivalent Meningococcal Polysaccharide Vaccine given?
Booster?

A

First: 11-12 Years old
Booster: 16 years

26
Q

What is cocooning?

A

Giving a Tdap shot to a kid around 11-12 yrs old who already finished all 5 DTaP shots

27
Q

When is first dose of IPV (inactivated poliovirus)

A

2 months

28
Q

Who is at high risk for meningitis and should get Quadrivalent meningococcal vaccine before 11yrs or after 18?

A
  • no/dysfunctional spleen(sickle cell)
  • community outbreak
  • college kids in dorms

-military, microbiologists, travel to Africa

29
Q

Who would get PPSV23 (pneumococcal polysaccharide) in addition to PCV13?

A

High risk kids over 2

30
Q

How is Rotavirus given

A

ORALLY (doesn’t matter if baby throws up after! 👍)

31
Q

What are the contraindications to Hep B shot?

A

Life threatening allergy to yeast (vaccine is produced in yeast cells)

32
Q

What are the names of the Quadrivalent meningococcal polysaccharide vaccines?

A

Menactra

Menveo

33
Q

Which HPV strains are the worst

A

16 and 18

34
Q

What ages can get the live flu vaccine (FluMist)?

A

Over 2 years, under 49

35
Q

Premature babies follow the same vaccine schedule as other babies except for what vaccine and why?

A

Hepatitis B because they have to weigh at least 2kg (4.4lbs)

36
Q

What are the contraindications to flu shot

A
  • severe allergy to shot or its components (antibiotics, latex, gelatin)
  • Guillain Barre syndrome within 6 wks of vaccination (just a precaution, not contraindication)
37
Q

When is HPV given?

A

11-12 years old (boys and girls)

38
Q

Why didn’t we give FluMist in 2016 and 2017?

A

Reduced efficacy

39
Q

What are the contraindications to Varicella vaccine?

A

🤰 PREGNANCY (its live!!)
Anaphylaxis to neomycin or gelatin
Immunosuppression

(Exact same as MMR)

40
Q

When is first dose of MMR?

Second dose?

A

First: 12-15 months
Second: 4-6 years

41
Q

Is an egg allergy a contraindication for flu shot?

A

Nope

If they have a REALLY bad egg allergy, just keep them in the office and watch them afterwards

42
Q

Who is recommended to get a flu shot

A

everyone over 6 months should get one annually

43
Q

What are the contraindications to HAV?

A

Severe allergy to the first dose or vaccine additives

44
Q

What is the minimum interval between live vaccines?

A

28 days

45
Q

What is MMRV vaccine

A

MMR+Varicella together

Same schedule and contraindications as MMR + Varicella separately

(Associated w more side effects)

46
Q

Are we giving FluMist in 2018

A

Yea

47
Q

How many doses of MMR do you get

A

2

48
Q

Which vaccines are live-attenuated?

A

MMR
FluMist
Varicella
Rotavirus

49
Q

How many Hep B shots do you get?

A

3

50
Q

What are some mild vaccine reactions?

A 
Fussiness (<3 hrs, consolable)
Malaise
Low grade fever (<101.5)
Pain,redness,swelling @ site
Headache
Loss of appetite
Myalgia (muscle pain)
51
Q

Who NEVER gets live vaccines?

A

Pregnant women

Severely immunocompromised

52
Q

What are the contraindications of Rotavirus vaccine?

A
  • HISTORY OF INTUSSUSCEPTION (telescoping intestines)
  • Latex allergy (rotarix)
  • Immunodeficiency (it’s live)
  • Moderate-Severe gastroenteritis that day
53
Q

Who should get vaccinated for serogroup B Meningitis?

A

People over 10 at increased risk: asplenia
College campuses with outbreaks

-microbiologists, ppl w complement deficiencies

54
Q

What are contraindications to Hib vaccine

A

Severe allergy to latex (stoppers in vials have latex)

Younger than 6 wks (first dose usually isn’t even given until 2 months??🤔)

55
Q

How many doses of IPV are given? (Inactivated Polio)

A

4

56
Q

How many doses of HPV are given?

A

Usually 2, but if they’re over 15 years old, they get 3. (Or if they’re immunocompromised)

57
Q

When is first dose of Rotavirus?

A

2 months

58
Q

Can pregnant lady get FluMist

A

Nope it is LIVE

59
Q

What virus does AZ have a higher risk of?

A 
Hepatitis A 
(Maricopa kids must get 1st dose within 15 days of starting daycare or school)
60
Q

Kids up to 8 years old require how many doses of flu shot the first year they get one?

A

2 doses (more than 4 wks apart)

61
Q

For whom is it realty important to get flu shots?

A

Children 6-59 months (almost 5yo)
Pregnant lady
Chronic disease (asthma, DM)
Immunosuppressed ppl

62
Q

What is the leading cause of bacterial meningitis in America now?

A

Streptococcus pneumoniae

Prevented by PCV13

Peds Rotation (13 decks)

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