NIP[

Question 1

Roadmap for scaling up the current expanded
program of immunization into a national
immunization program over the next 5 years

Answer 1

PHILIPPINE IMMUNIZATION STRATEGIC PLAN,
2016-2022

Question 2

Provision of birth dose of BCG and Hepatitis B
immunization to the newborn

Answer 2

PhilHealth newborn service package

Question 3

Provision of Tetanus Toxoid

Answer 3

maternity care package reimbursed by
PhilHealth

Question 4

derived from wild viruses or
bacteria which are modified or weakened in
laboratories.

Answer 4

Live attenuated

Question 5

produced by growing the bacteria
or virus in culture media which are then subjected
to heat or chemical agents

Answer 5

Inactivated

Question 6

1. Whole virus
2. Whole bacteria
3. Subunit or fractional virus
4. Pure polysaccharides and conjugates
5. Toxoids

Answer 6

INACTIVATED VACCINES

Question 7

Influenza, IPV, rabies

Answer 7

whole virus

Question 8

Pertussis, Typhoid, Cholera

Answer 8

Whole bacteria

Question 9

Influenza, hepa b

Answer 9

SUbunit or fractional virus

Question 10

Hib, PPV, PCV

Answer 10

Pure poly and conjugtes

Question 11

PREC HIV:
if + do not give

PREC FOR TB:
if +, ISONIAZID for 6 months

DOSAGE: 0.5 ml

Answer 11

BCG (TUBERCULOSIS)

Question 12

birth dose must be given if risk for perinatal transmissions

DOSAGE: 0.5 ml

Answer 12

HEPA B

Question 13

• live attenuated
• mucosal/gut immunity
• inexpensive
• easy to administer
• protects unvaxxed close contacts
• by drops

DOSAGE: 2 drops; mouth

Answer 13

POLIO OPV

Question 14

• killed virus
• immunity through blood
• no risk of VAPP and VDPV

DOSAGE: 0.5 ml

Answer 14

POLIO IPV

Question 15

TETANUS: 5 DOSES
3 - INFANCY
1 - EARLY CHILDHOOD (1-6)
2 - ADULTHOOD (12-15)

DPT:
3 - INFANCY
1 - 2 YRS OLD
2 - SCHOOL AGE W/ TD VAXX

DOSAGE: 05. ml

Answer 15

DPT+HEPA B+HIB + PENTA
(DIPHTHEIRA, PERTUSSIS, TETANUS, HEPA B, HEAMO INFLU TYPE B)

Question 16

PCV
3 - IFANTS = 6,10, 14 WKS OLD

PPV:
1 - 60 /65 YRS OLD

DOSAGE: 0.5 ml

IF CHILD FEBRILE: POSTPONE VAXX

Answer 16

PNEUOMOCOCCAL (STREPTOCOCCUS PNEUMONIAE)

Question 17

BOOSTER = SCHOOL AGE G1 & G7

CONTRA FOR MCV:
1. pregnant
2. allergy to neomycin and gelatin
3. congenital and acquired immune disorders & AIDS

REAX:
1. RASH 5-12 DAYS AFTER ADMIN
2. THROMBOCYTEPENIA

REAX: WITH RCV:
1. JOINT PAIN IN ADULT WOMEN
2. PAROTITIS IN MUMPS COMPONENTS

DOSAGE: 0.5 ml

Answer 17

MMR/MR (MEASLES, MUMPS, RUBELLA)

Question 18

ROTARIX:
- MONOVALENT
- LIVE ATTENUATED
- 2 DOSES

ROTATEQ
- live
- oral pentavalent

CONTRA:
1. SEVERE ALLERGIC REAX TO PREV DOSE
2. IMMUNODEFICIENCY
3. UNCORRECTED CONGENITAL MALFORMATION OF GI TRACT

POSTPONES FOR: ACUTE GASTOENTE

Answer 18

ROTORAVIRUS)

Question 19

CONTRAINDICATIONS:
1. Allergy with vaxx and its components
2. pregnant
3. condition w/c results to decreased immune system fx
4. acute & severe chronic diseases
5. encephalopathy and other NS diseases

REAX:
1. High fever
2. Irritability, nausea, dizziness

CAUTION WITH:
1. Hx of seizure, chronic diseases
2. allergies
3. lactating

POSTPONE for 3 MONTHS IF:
1. given immunoglobulin

DOSAGE: 0.5 ML

Answer 19

JAPANESE ENCEPHALITIS

Question 20

3 = INFANCY AS PENTAVALENT
2 = SCHOOL AGE G1 & G7 AS TD

PREGNANT w/ childhood DPT/ PENTA
- should be given 3 doses of TD
- if not, 5 DOSES

PENTA, DT, TD
-NOT given to indiv who suffered severe reax to prev dose

DOSAGE: 0.5 ml

Answer 20

TD (TETANUS & DIPTHERIA)

Question 21

• Bivalent HPV vaxx
• Quadrivalent
• Nonvalent

2 DOSES = 6 MONTHS APART
FEMALE = 9-10 YRS OLD

DOSAGE: 0.5 ml

Answer 21

HPV (HUMAN PAPILLOMA VIRUS)

Question 22

• TRIVALENT = 2 INFLU VIRUSES & ANTI INFLU B VIRUS
• QUADRIVALENT = PROTECTS AGAINST 2 INFLU A AND 2 INFLU B

ADULTS (60) = ONCE/ YR

DOSAGE: 0.5ml

Answer 22

SEASONAL INFLUENZA (A &B)