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Peds Boards 2021 > Preventative > Flashcards

Preventative Flashcards

1
Q

What is the age range for Dtap administration?

A

2 months to 7 years old

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2
Q

What is the maximum age in which Rotavirus vaccination can be given?

A

less than 15 weeks of age

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3
Q

What is the cholesterol screening recommendations for kids?

A

universal screening at 9-11 years old and again at 17-21 years old

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4
Q

What 3 vaccines are not indicated for a child older than 5 years old who has not started their immunizations?

A
  1. Hib
  2. Prevnar
  3. Rotarix
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5
Q

What is the appropriate time frame for live vaccine administration after prolonged, more than 2 mg/kg/day dosing of steroids?

A

at least 4 weeks

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6
Q

What is the recommendation for infants born to Hep B positive mother’s if birth weight is 2 kg or more?

A

Hep B IgG and Hep B vaccine without 12 hours followed by Hep B vaccine at 1 and 6 months

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7
Q

What is the prevnar catch up vaccination recommendation for patients 24-59 months old?

A

1 Prevnar

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8
Q

What is the Hib catch up vaccination recommendation for patients 12-59 months old?

A

1 Hib vaccine

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9
Q

What is the recommendation for Varicella vaccination for HIV positive patients who have not previous received vaccination?

A

as long as CD4 is 15% or higher can be given

3 months between dose 1 and dose 2

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10
Q

What vaccination is contraindicated in a pt with true egg allergy?

A

yellow fever vaccine

flu vaccine can be given unless allergy to flu vaccine itself

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11
Q

What disorder is rarely caused by Hib since vaccinations have been introduced?

A

Meningitis

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12
Q

What is the age range for infants who require additional MMR vaccine before age 12 months if traveling to edemic area?

A

6 to 11 months old

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13
Q

How long should you wait to perform a TB PPD test if MMR vaccine was given previously?

A

4-6 weeks

can be done at same time

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14
Q

What 2 vaccines should not be administered at the same time?

A

PCV13 and Menactra

all required doses of PCV13 should be given before menactra

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15
Q

What is the minimum time interval between dose 2 and 3 of HPV for a patient who started the series at or older than 15 years old?

A

12 weeks after 2nd dose

5 months after 1st dose

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16
Q

How long do you have to wait to give the other vaccine if MMR and Varicella are not given at the same time?

A

at least 4 weeks

17
Q

What routine vaccine under the age of 2 years old should be administered subcutaneously?

A

MMR

Polio and varicella can be given subQ as well

18
Q

What is the minimum timeframe between dose 1 and dose 2 of MMR?

A

4 weeks

19
Q

What is the minimum timeframe between dose 1 and dose 2 of varicella?

A

3 months

20
Q

What is the time frame that MMR needs to be administered before the use of IVIG for the MMR vaccine to be effective?

A

at least 2 weeks before

21
Q

What vaccine is contraindicated in household members of a severely immunocompromised patient?

A

Live attenuated Influenza vaccine

22
Q

What is the recommendation for infants born to Hep B positive mother’s if birthweight is less than 2 kg?

A

Hep B IgG and Hep B vaccine without 12 hours followed by Hep B vaccine at 1, 2 and 6 months

23
Q

How many doses of Hib vaccine should a patient receive after the age of 15 months old?

A

1 (even if it is the only dose)

24
Q

At what age should a preterm infant born with weight less than 2kg born to a Hep B negative mother get Hep B vaccine?

A

1 month old

25
Q

What is the recommended catch-up varicella vaccine schedule for child 13 years or older who has not had wild varicella infection?

A

2 doses at least 1 month apart

26
Q

What is the recommended catch-up varicella vaccine schedule for child less than 13 years old who has not had wild varicella infection?

A

2 doses at least 3 months apart

27
Q

What is the adequate needle length for immunizations of a 2-12 month old?

A 
1 inch
(injected into anteriolateral thigh)
28
Q

What are the parameters for providing the MMR and Varicella vaccines to HIV positive children?

A

CD4 count needs to be 15 or higher

do not give MMRV combo shot

29
Q

What vaccination is required to be stored frozen (-50 degree to -15 degree C)?

A

Varicella containing vaccinations (including MMRV)

30
Q

What is an absolute contraindication to the Rotavirus vaccine?

A

history of intussusception

31
Q

When should tetanus prophylaxis be given for a wound?

A
  1. clean wound and no tetanus shots in 10 years

2. dirty wound and tetanus shots in 5 years

32
Q

What is the age cut off for an initial Hib vaccine in a child who is unvaccinated?

A

5 years old

33
Q

What is the risk associated with giving a child Proquad (MMRV) vaccine between the ages of 12 months to 47 months old?

A

febrile seizures

better to give each shot individually during this age group

34
Q

What two vaccines should not be giving if a patient was treated with IVIG?

A
  1. MMR

2. Varicella

35
Q

In what clinical scenario is Rotateq (3 dose series) favored over Rotarix (2 dose series)?

A

anaphylaxis to latex

36
Q

What clinical scenario warrants administering meningococcal vaccine before the age of 11 years old?

A

history of complement deficiency

either use Menveo or Menactra

37
Q

What is the recommendation for prophylaxis management of an immunocompetent child 1 year old or older who is exposed to individual with Measles?

A

Provide MMR vaccine within 72

give IgG if pregnant, less than 12 months old, or immunocompromised

38
Q

What is the recommendation for a patient traveling to an area where Polio is endemic and had 4 previous polio vaccines with the last being more than 1 year ago?

A

give extra Polio vaccine

39
Q

What is preferred method for post-exposure prophylaxis in the setting of active Hep A infection?

A

Hep A vaccine (or second line is hep A IgG) to unvaccinated close contacts

Peds Boards 2021 (22 decks)

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