Preventative Peds

Question 1

DTaP

Answer 1

2, 4, 6, 15 mo and 4 yr

Question 2

Tdap contraindications

Answer 2

encephalopathy within 7 days of pertussis containing vaccine

Question 3

when to give tetanus immune globulin

Answer 3

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

Question 4

when to give tetanus vaccine for clean wound

Answer 4

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

Question 5

when to give tetanus vaccine for dirty wound

Answer 5

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

Question 6

hib vaccine

Answer 6

2, 4, 6 months

Question 7

hep b vaccine

Answer 7

birth, 1 month, 6-18 month

Question 8

baby born to Mom who is HBsAg positive

Answer 8

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

Question 9

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

Answer 9

9 to 12 months

Question 10

hep B vaccine in preemies

Answer 10

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

Question 11

post-exposure prophylaxis with hep B needle

Answer 11

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

Question 12

hep A vaccine

Answer 12

1 year and 6 months later

Question 13

recommendation for travel to areas endemic for hep A

Answer 13

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

Question 14

Menactra strains

Answer 14

A, C, Y and W-135

Question 15

Menactra vaccine

Answer 15

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

Question 16

MMR vaccine

Answer 16

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

Question 17

what to give with measles exposure

Answer 17

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

Question 18

MMR can’t be given within __

Answer 18

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

Question 19

most common MMR vaccine side effect

Answer 19

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

Question 20

hep A vaccine allergic components

Answer 20

aluminum hydroxide and phenoxyethanol

Question 21

MMR vaccine allergic components

Answer 21

neomycin and gelatin

Question 22

MMR absolute contraindications

Answer 22

severe allergy, pregnant, severely immunocompromised

Question 23

MMR and PPD

Answer 23

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

Question 24

MMRV association

Answer 24

febrile seizures at 12-23 months

Question 25

varicella vaccine

Answer 25

1 and 4 years

Question 26

PCV13 vaccine

Answer 26

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

Question 27

PPSV23 vaccine

Answer 27

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

Question 28

interval between PCV13 and PPSV23

Answer 28

8 wks

Question 29

of doses of IPV

Answer 29

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

Question 30

first dose of rotavirus vaccine should not be given after ____

Answer 30

15 months

Question 31

must complete rotavirus series by ___

Answer 31

8 months of age

Question 32

of doses of rotavirus

Answer 32

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

Question 33

when to give vaccines before transplant

Answer 33

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

Question 34

premature infants and rotavirus vaccine

Answer 34

give if at least 6 wks and getting discharged

Question 35

contraindications for rotavirus vaccine

Answer 35

SCID and history of intussusception

Question 36

when to give 2 flu shots

Answer 36

first year receiving if 6 months to 8 yrs

Question 37

vaccine to avoid w/ egg allergy

Answer 37

yellow fever

Question 38

epic pen jr for patients that weigh

Answer 38

<30 kg

Question 39

routine BP screening starts at age

Answer 39

3 yrs

Question 40

cholesterol screening guidelines

Answer 40

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

Question 41

rear facing car seat if

Answer 41

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

Question 42

forward facing car seat if

Answer 42

>20 lbs

Question 43

booster seat if

Answer 43

>40 pounds and <4'9"

Question 44

front seat if

Answer 44

>13 yrs

Question 45

water heaters should be set at

Answer 45

120 degrees

Question 46

most common cause of death in patients w/ epilepsy

Answer 46

drowning

Question 47

drowning is most common in

Answer 47

African american males

Question 48

hearing screen by no later than

Answer 48

1 month

Question 49

routine screening for anemia at age

Answer 49

12 months

Question 50

start seeing dentist by

Answer 50

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

Question 51

begin routinely asking about drugs and alcohol at

Answer 51

11 years

Question 52

first teeth to erupt

Answer 52

mandibular incisors (then maxillary incisors)

Question 53

live vaccine given before 12 months

Answer 53

rotavirus

Question 54

subcutaneous vaccines

Answer 54

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

Question 55

joint pain after MMR is likely from

Answer 55

rubella component

Question 56

cut off age for starting Hib vaccine

Answer 56

5 yrs

Question 57

varicella vaccine contraindication w/ steroids

Answer 57

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

Question 58

what vaccine is contraindicated in someone with SCID

Answer 58

rotavirus

Question 59

proper BP cuff size

Answer 59

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

Question 60

universal lead screening at

Answer 60

12 and 24 months

Question 61

tests for strabismus

Answer 61

corneal light reflex and unilateral cover test