Kaplan Chapter 5-6-7

Question 1

Live attenuated vaccines 10

Answer 1

“Attention! Please Vaccinate
Small, Beautiful Young
Infants with MMR
& Rota!”

Adenovirus (nonattenuated,
given to military recruits), Oral typhoid
Polio (sabin), Varicella
(chickenpox), Smallpox,
BCG, Yellow fever, Influenza
(intranasal), MMR, Rotavirus

Question 2

Live vaccines can be acceptable to be given to 2

Answer 2

selective IgA deficiency
complement defects

Question 3

Post exposure to Measles

Answer 3

-age<6m & mother is not immune–>Ig
-Age 6-12m–> Ig + vaccine
- age > 12m of the baby –>Vaccine within 72 hours of exposure

Question 4

Post exposure to Varcilla 3

Answer 4

• infant age >12m and immunocompetant –> VZV vaccine
• Immunocompromized or pregantnt –> VZIG
  -VZIG also for susceptible pregnant women, newborn whose mother had the onset
  of chickenpox within 5 days before delivery to 48 hours after delivery,

Question 5

Post Exposure to HBV, HAV in non immunized child

Answer 5

-Hepatitis B: after exposure in nonimmune patient, give hepatitis B Ig plus vaccine;
repeat vaccine at 1 and 6 months.
-Hepatitis A: if patient is not vaccinated, give 1 dose of vaccine as soon as possible but
within 2 weeks of exposure

Question 6

vaccine recommended during adolescence, regardless of immunization status; is also recommended even if one has already had pertussis disease.

Answer 6

Tdap

Question 7

Bladder control is usually achieved by age

Answer 7

5yr