Preventative

Question 1

What is the age range for Dtap administration?

Answer 1

2 months to 7 years old

Question 2

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

Answer 2

less than 15 weeks of age

Question 3

What is the cholesterol screening recommendations for kids?

Answer 3

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

Question 4

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

Answer 4

1. Hib
2. Prevnar
3. Rotarix

Question 5

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

Answer 5

at least 4 weeks

Question 6

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

Answer 6

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

Question 7

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

Answer 7

1 Prevnar

Question 8

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

Answer 8

1 Hib vaccine

Question 9

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

Answer 9

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

3 months between dose 1 and dose 2

Question 10

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

Answer 10

yellow fever vaccine

flu vaccine can be given unless allergy to flu vaccine itself

Question 11

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

Answer 11

Meningitis

Question 12

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

Answer 12

6 to 11 months old

Question 13

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

Answer 13

4-6 weeks

can be done at same time

Question 14

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

Answer 14

PCV13 and Menactra

all required doses of PCV13 should be given before menactra

Question 15

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?

Answer 15

12 weeks after 2nd dose

5 months after 1st dose

Question 16

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

Answer 16

at least 4 weeks

Question 17

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

Answer 17

MMR

Polio and varicella can be given subQ as well

Question 18

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

Answer 18

4 weeks

Question 19

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

Answer 19

3 months

Question 20

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

Answer 20

at least 2 weeks before

Question 21

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

Answer 21

Live attenuated Influenza vaccine

Question 22

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

Answer 22

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

Question 23

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

Answer 23

1 (even if it is the only dose)

Question 24

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

Answer 24

1 month old

Question 25

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

Answer 25

2 doses at least 1 month apart

Question 26

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

Answer 26

2 doses at least 3 months apart

Question 27

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

Answer 27

``` 1 inch (injected into anteriolateral thigh) ```

Question 28

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

Answer 28

CD4 count needs to be 15 or higher | do not give MMRV combo shot

Question 29

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

Answer 29

Varicella containing vaccinations (including MMRV)

Question 30

What is an absolute contraindication to the Rotavirus vaccine?

Answer 30

history of intussusception

Question 31

When should tetanus prophylaxis be given for a wound?

Answer 31

1. clean wound and no tetanus shots in 10 years | 2. dirty wound and tetanus shots in 5 years

Question 32

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

Answer 32

5 years old

Question 33

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

Answer 33

febrile seizures | better to give each shot individually during this age group

Question 34

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

Answer 34

1. MMR | 2. Varicella

Question 35

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

Answer 35

anaphylaxis to latex

Question 36

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

Answer 36

history of complement deficiency | either use Menveo or Menactra

Question 37

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

Answer 37

Provide MMR vaccine within 72 | give IgG if pregnant, less than 12 months old, or immunocompromised

Question 38

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?

Answer 38

give extra Polio vaccine

Question 39

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

Answer 39

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