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Pediatrics > Preventive Pediatrics > Flashcards

Preventive Pediatrics Flashcards

1
Q

What are your live vaccines

A
  1. BCG
  2. Measles
  3. MMR
  4. Varicella
  5. Rota
  6. Influenza (intranasal)
  7. Typhoid (oral)
  8. JE
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2
Q

[Vaccine spacing]

Which vaccine are not be given simultaneously

A

Yellow fever and Cholera vaccine

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3
Q

[Vaccine spacing]

Can you give,

Live vaccine today
Live vaccine tomorrow?

A

NO! Wait for 4 weeks.

Or give it simultaneously

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4
Q

What are the 2 permanent contraindications to vaccination?

A
  1. Anaphylactic reacion

2. Encephalopathy not due to another identifiable cause occurring within 7 days after pertussis vaccination

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5
Q

What are the 2 temporary contraindications to live vaccine but not with inactivated vaccines?

A
  1. Pregnancy

2. Immunosuppression

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6
Q

What are the indications for passive immunization

A
  1. Congenital or acquired B-lymphocyte cell defect
  2. When time does not permit adequate protection by active immunization
  3. When a person susceptible to a disease is exposed to or has a high likelihood of exposure
  4. When disease is already present and antibody may aid in suppressing toxin
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7
Q

What are the vaccines that should be given at birth?

A
  1. BCG

2. HepB

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8
Q

What vaccines are given at 6 weeks?

A
  1. DPT
  2. Hib
  3. Polio
  4. Pneumococcal
  5. Rotavirus
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9
Q

If with measles outbreak, vaccination can be given at ___

A

6 months

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10
Q

When will you initiate influenza vaccination

A

6 months

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11
Q

If there is no outbreak, measles can be given starting

A

9 months

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12
Q

What are the vaccines given at 9 motnhs

A
  1. Measles

2. JE

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13
Q

At 12 months, these vaccines can be given

A
  1. MMR
  2. Varicella
  3. Hep A
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14
Q

Fully immunized children with Tetanus, Diphtheria and Pertsussis means that ___

A
  1. 5 doses DTP OR

2. 4 doses if 4th dose given on or after 4th birthday

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15
Q

Td booster shall be given every

A

10 years

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16
Q

Fully immunized pregnant adolescent shall be given Tdap after ___ weeks AOG

A

20 weeks

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17
Q

Unimmunized pregnant adolescent shall be given Tdap vaccination at ____

A
  1. Give 3 dose of Td/Tdap 0-1-6

2. Replace Tdap with Td at 20 weeks AOG

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18
Q

What is the earliest age to give your HPV vaccine

A

9 years old

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19
Q

DPT booster is given usually at ___

A

1 year old and 4 year old

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20
Q

Polio booster is given usually___

A

on or after 4th birthday

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21
Q

When will you give pneumococcal booster?

A

6 months after 3rd dose

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22
Q

How many mL of BCG vaccine will you give to an infant < 12 months

A

0.05 mL

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23
Q

How many mL of BCG vaccine will you give to an infant > 12 months

24
Q

How many doses is needed if Monovalent RV1 is given

25
How many doses of rotavirus vaccine should be given of Pentavalent RV 5 was initiated
3 doses
26
Rotavirus should not be started for infants ____
>15 weeks
27
Pneumococcal vaccine is not recommended for ages ___
>5 years old
28
Rotavirus is not given later than 32 weeks of age due to increased risk of ___
intussusception
29
4th dose of hep B vaccine shall be given if the third dose was given at age ___
<6 months
30
4th dose of hep B vaccine is needed for preterm infants less than ___ kg
2kg And first dose was given at birth
31
[Maternal Hep B infection] What vaccines will you give to the infant?
1. HBV + HBIG (0.5mL) within 12 hours of life
32
If the maternal status of the mother is unknown, what will you give to the patient
1. HBV within 12 hours of life | 2. Determine mother's status
33
Patient's mother initially had an unknown HBV status, you gave the patient HBV vaccine. Later on, it was found out that she is positive. What will you give?
Give HBIg no later than 7 days of life
34
What is the WHO 2018 rabies preexposure prophylaxis schedule?
1. 2 site ID at day 0 and 7 | 2. 1 site IM at day 0 and 7
35
[Rabies Vaccine] What is the dose of HRIG for passive vaccination?
HRIG - 20 U/kg
36
What is the DOC for patients suspected of tetanus?
Co-amoxiclav 40mg/kg/day for 7 days
37
[Tetanus vaccine] For those with dirty wounds and uncertain TT or <3 doses of TT vaccine given, what will you give?
1. TD or TDAP | 2. TIG
38
[Tetanus vaccine] For children younger than 7 years old with less than 3 doses of DTaP was given, you can give
DTaP
39
[Tetanus vaccine] For 7 years old and older, with < 3 doses of DTaP, you can give ___
Td
40
[Tetanus vaccine] For adolescents age 11-18 years old with <3 doses of DTaP ____
Give Tdap
41
[Tetanus vaccine] adolescent 11-18 years old who never received Tdap, you can give
Tdap.
42
[Tetanus vaccine] for adolescents who previously received Tdap and Tdap is not available, you can give ____
Td
43
[Tetanus vaccine] Regardless of history of tetanus immunizations, HIV positve patietns should be given ____
TIG
44
Post exposure prophylaxis for varicella shall be given within ____
Give within 96 hours 1 vial 125U/1.25mL per 10kg IM max 5 vials
45
Post exposure prophylaxis for varicella for newborn should be given_____ after delivery
48 hours after delivery | or <5days predelivery
46
What is the postexposure prophylaxis for Diphtheria/
1. Erythromycin 40-50mg/kg/day | 2. Benzathine Pen G
47
What are the DOC for postexposure prophylaxis for Meningococcemia
1. Rifampicin 2. Ceftriaxone 3. Ciprofloxacin (adults)
48
In IM via buttocks, do not inject at the ___ area
upper outer area
49
[Iron supplementation] For LBW infants
15mg elemental iron / 0.6 mL 0.3mL once a day starting 2 months of age until 6 months
50
[Iron supplementation] For infants 6-11 months
15mg elemental iron / 0.6 mL 0.6mL OD for 3 months
51
[Iron supplementation] children 1-5 years old
30mg/5mL 5 mL OD for 3 months
52
[Iron supplementation] Adolecents
Tablet with 60mg iron and 400 mcg folic acid
53
Recommended age for deworming
Age 1-12 years old
54
[Deworming] Dose of albendazole for age 12-23 mos
200mg SD every 6 months
55
[Deworming] Dose of albendazole for 24 months and up
400mg SD q6months
56
[Deworming] dose of mebendazole for 12 months and above
500mg SD q 6 months
57
What are the contraindications to deworming
1. Severe malnutrition 2. High grade fever 3. Profuse diarrhea 4. Abdominal pain 5. Serious illness 6. Hypersensitivity to antihelminthic drugs

Pediatrics (15 decks)

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