PREVENTIVE MEDICINE

Question 1

How long to wait to give live vaccines after finishing a course of steroids that is > 14 days?

Answer 1

4 weeks

Question 2

When to give first dose of HepB vaccine to infant whose mom is HbsAg negative?

Answer 2

At discharge or 1 month (whenever comes first)

(note that for infant weight < 1kg, wait for 1 month to ensure seroconversion)

Question 3

What are contraindications to rotavirus vaccine? (2)

Answer 3

1 - SCID
2- History of intussussception

Question 4

After which age Hib vaccine is no longer required in immunocompetent children (regardless of number of Hib shots already received)

Answer 4

15 months

Question 5

How to transport a broken tooth to dental office to maximize the chance of viability to reinsert?

Answer 5

In isotonic fluid (cold cow milk)

Question 6

Live vaccines, if not given on the same day, should be given how far apart from one another?

Answer 6

4 weeks

Question 7

Minimum interval between HepA vaccines

Answer 7

6 months

Question 8

Minimum interval between varicella vaccines

Answer 8

If < 13 years old: 3 months
If >= 13 years old: 1 month (4 weeks)

Question 9

Criteria to give live vaccine in children with HIV

Answer 9

CD4 T-cell % > 15%

Question 10

At what age can Tdap or Td vaccines can be used?

Answer 10

> 7 years old

Question 11

How many total doses of PCV13 a patient with high risk should have ? When they should be given?

Answer 11

4 doses

at 2,4,6 months and 12-15 months

Question 12

How far apart should 2nd dose of PPSV23 be given from 1st dose (for high-risk patients)?

Answer 12

5 years

Question 13

Most common side effect of varicella vaccine

Answer 13

A localized varicella-like rash

Question 14

How far apart between 1st and 2nd dose of HepA vaccine?

Answer 14

6-12 months

Question 15

How to decide between 2-dose vs 3-dose series of HPV vaccine?

Answer 15

If start series at < 15yo -> 2-dose series
If start series at > 15yo -> 3-dose series

Question 16

Which test provides the best measurement of sensorineural hearing loss in children who has meningitis?

Answer 16

Auditory brainstem responses (ABR)

Question 17

Current guidelines for dyslipidemia screening in pediatric

Answer 17

Selective screening between 2 -8 years of age
Universal screening 9 - 11 years
Universal screen 17 - 21 years

Question 18

Youngest age to get MMR vaccine if needed

Answer 18

6 months

(but shots between 6-12 months do NOT count toward the required 2 doses)

Question 19

The only vaccine that should NOT be given to close relative of immunocompromised patient

Answer 19

Live attenuated influenza vaccine

Question 20

Recommended schedule for MCV4 vaccine

Answer 20

12 yo then 16 yo

Question 21

By what age rotavirus MUST be started ? (do not start if patient is over this age)

Answer 21

15 months

Question 22

By what age rotavirus series must be completed?

Answer 22

8 months

Question 23

First permanent teeth to erupt

Answer 23

First molars

Question 24

Which vaccines are administered subQ ? (others are IM)

Answer 24

MMR, Varicella, IPV

Question 25

Preferred sites for IM shots in children > 2 years (2)

Answer 25

1 - Anterolateral aspect of upper thigh
2 - Deltoid region of upper arm

Question 26

At which age Hib is no longer required

Answer 26

5 years old

Question 27

What is a rare but potentially life-threatening side effect of all statins

Answer 27

Rhabdomyolysis

Question 28

What are common side effects of statin? (4)

Answer 28

1 - Anorexia
2 - Nausea
3 - Myalgias
4 - Elevated LFTs