OnlineMedEd: Pediatrics - "Vaccinations"

Question 1

Which vaccine is made with egg (and cannot be given to those with severe egg allergies)?

Answer 1

Yellow fever

Think of yellow yolks.

Question 2

Which two vaccines used to be made with eggs?

Answer 2

• MMRV (now it is never made with egg)

* Flu (some still are, so check)

Question 3

____________ are live vaccines and cannot be given to pregnant women or the immunocompromised.

Answer 3

MMRV and intranasal flu

Question 4

True or false: a temperature of 103 is abnormal after a vaccine.

Answer 4

False.

Fevers are only abnormal if they are greater than or equal to 104.

Question 5

In addition to high fever, ____________ are contraindications to further doses of thath vaccine.

Answer 5

anaphylaxis or inconsolability

Question 6

What are some common fake contraindications to vaccines that testers will try to trick you on?

Answer 6

• Mild sickness

* Family history of vaccine reaction

Question 7

Cover the HBV vaccine guidelines for infected moms, noninfected moms, and questionable mom status.

Answer 7

• Infected mom: give passive IVIG and active HBV vaccine to baby day of delivery
• Negative mom: give vaccine within two months (normal schedule)
• Questionable mom: give vaccine to baby immediately and test mom for HBV antigen

Question 8

What is the general TDaP schedule for adults and kids?

Answer 8

• Kids: get three doses in first year and two from ages 1-4

* Adults: one booster every ten years

Question 9

Getting infected with _______ in the first two years of life does not confer immunity.

Answer 9

HiB - will be chronically infected(?)

Question 10

You need ________ doses for HAV and ________ doses for HBV.

Answer 10

2; 3

Question 11

Adults get the ________ form of DTaP.

Answer 11

TdaP (with a smaller dose of diphtheria toxoid)

Question 12

How is tetanus treated?

Answer 12

• Intubation
• Sedation
• Muscle relaxants

Question 13

In what situation do you give tetanus immunoglobulin?

Answer 13

If someone has not received 3 or more tetanus vaccinations and has a dirty wound.

Question 14

When can you send someone home without treatment for a potential tetanus wound?

Answer 14

If they have a clean wound and have had a booster within ten years or a dirty wound and a booster within three years

Question 15

How should you treat diphtheria?

Answer 15

• Do not disrupt the pseudomembrane! It can bleed and compromise the airway.
• Anti-toxin
• Antibiotics
• Intubation

Question 16

What are the three phases of pertussis?

Answer 16

• I: cold, rhinorrhea (contagious!)
• II: cough with inspiratory wheezing
• III: resolution

Question 17

guidelines for treating a potential tetanus wound

Answer 17

if less than 3 lifetime doses:

• dirty - TDaP and IVIG
• clean - TDaP only

if more than 3 lifetime doses:

• no IVIG ever
• clean
• • if last TDap w/in past 10y –> home
• • if last TDap not w/in past 10y –> TDaP (basically what would happen in outpt office)
• dirty
• • if last TDaP w/in past 5y –> home
• • if last TDap w/in more than 5y –? TDap