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BOARDS > Preventative Peds > Flashcards

Preventative Peds Flashcards

1
Q

DTaP

A

2, 4, 6, 15 mo and 4 yr

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2
Q

Tdap contraindications

A

encephalopathy within 7 days of pertussis containing vaccine

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3
Q

when to give tetanus immune globulin

A

if wound is dirty and patient has had <3 tetanus vaccines or unknown vaccine history

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4
Q

when to give tetanus vaccine for clean wound

A

if <3 tetanus vaccines, unknown vaccine history, OR >10 yrs since last tetanus vaccine

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5
Q

when to give tetanus vaccine for dirty wound

A

if >5 yrs since last tetanus vaccine. if <3 total tetanus vaccines/unknown vaccine history give vaccine and TIG

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6
Q

hib vaccine

A

2, 4, 6 months

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7
Q

hep b vaccine

A

birth, 1 month, 6-18 month

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8
Q

baby born to Mom who is HBsAg positive

A

hep B immunization AND hep B immunoglobulin in first 12 hours of life

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9
Q

when to check serologies on baby born to Mom with hep B

A

9 to 12 months

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10
Q

hep B vaccine in preemies

A

give it in first 30 days but if <2 kg does not count towards the series of 3

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11
Q

post-exposure prophylaxis with hep B needle

A

nothing if vaccinated and antibody positive. HBIG and vaccine series if antibody negative or unvaccinated

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12
Q

hep A vaccine

A

1 year and 6 months later

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13
Q

recommendation for travel to areas endemic for hep A

A

passive immunization w. immune globulin if <1 yr, vaccine 4 wks prior if >1 yr

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14
Q

Menactra strains

A

A, C, Y and W-135

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15
Q

Menactra vaccine

A

11 and 16 yrs (at age 2 if complement deficient or asplenic)

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16
Q

MMR vaccine

A

12 months and 4 yrs (can be given after 28 days, but if given before 12 months it doesn’t count)

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17
Q

what to give with measles exposure

A

if <72 hours and >6 months old MMR vaccine protects, if >72 hours give measles immunoglobulin

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18
Q

MMR can’t be given within __

A

4 weeks of other live vaccine (but can be given at same time)

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19
Q

most common MMR vaccine side effect

A

high fever within 12 days that last 1 to 2 days, sometimes rash

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20
Q

hep A vaccine allergic components

A

aluminum hydroxide and phenoxyethanol

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21
Q

MMR vaccine allergic components

A

neomycin and gelatin

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22
Q

MMR absolute contraindications

A

severe allergy, pregnant, severely immunocompromised

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23
Q

MMR and PPD

A

can place at the same time but then not for 4 to 6 weeks after

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24
Q

MMRV association

A

febrile seizures at 12-23 months

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25
Q

varicella vaccine

A

1 and 4 years

26
Q

PCV13 vaccine

A

2, 4, 6 and 12 months (one additional if high risk)

27
Q

PPSV23 vaccine

A

given after 2 yrs if chronic heart or lung disease or DM, given after 6 yrs if immunocompromised, CSF leaks or cochlear implants. immunocompromised get a 2nd dose 3 to 5 yrs later

28
Q

interval between PCV13 and PPSV23

A

8 wks

29
Q

of doses of IPV

A

4 (2, 4, 6 months and 4 yrs)

30
Q

first dose of rotavirus vaccine should not be given after ____

A

15 months

31
Q

must complete rotavirus series by ___

A

8 months of age

32
Q

of doses of rotavirus

A

3 (2, 4, 6 months) or 2 if rotatrix

33
Q

when to give vaccines before transplant

A

2 wks prior for inactivated, 1 month prior for live (then restart inactivated 6 months after transplant)

34
Q

premature infants and rotavirus vaccine

A

give if at least 6 wks and getting discharged

35
Q

contraindications for rotavirus vaccine

A

SCID and history of intussusception

36
Q

when to give 2 flu shots

A

first year receiving if 6 months to 8 yrs

37
Q

vaccine to avoid w/ egg allergy

A

yellow fever

38
Q

epic pen jr for patients that weigh

A

<30 kg

39
Q

routine BP screening starts at age

A

3 yrs

40
Q

cholesterol screening guidelines

A

at 5 to 9 yrs if family history, but universal at 9-11 yrs

41
Q

rear facing car seat if

A

<20 lbs and <2 yrs (45 degree angle)

42
Q

forward facing car seat if

A

> 20 lbs

43
Q

booster seat if

A

> 40 pounds and <4’9”

44
Q

front seat if

A

> 13 yrs

45
Q

water heaters should be set at

A

120 degrees

46
Q

most common cause of death in patients w/ epilepsy

A

drowning

47
Q

drowning is most common in

A

African american males

48
Q

hearing screen by no later than

A

1 month

49
Q

routine screening for anemia at age

A

12 months

50
Q

start seeing dentist by

A

within 6 months of first tooth eruption but no later than 12 months

51
Q

begin routinely asking about drugs and alcohol at

A

11 years

52
Q

first teeth to erupt

A

mandibular incisors (then maxillary incisors)

53
Q

live vaccine given before 12 months

A

rotavirus

54
Q

subcutaneous vaccines

A

5 (MMR, varicella, MMRV, PPSV23, IPV)

55
Q

joint pain after MMR is likely from

A

rubella component

56
Q

cut off age for starting Hib vaccine

A

5 yrs

57
Q

varicella vaccine contraindication w/ steroids

A

if taking >2 mg/kg/day for >2 weeks (wait 1 month after discontinuing)

58
Q

what vaccine is contraindicated in someone with SCID

A

rotavirus

59
Q

proper BP cuff size

A

covers >/= 2/3 length of upper arm and >/= 3/4 arm circumference

60
Q

universal lead screening at

A

12 and 24 months

61
Q

tests for strabismus

A

corneal light reflex and unilateral cover test

BOARDS (24 decks)

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