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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

A

0.1 mL

24
Q

How many doses is needed if Monovalent RV1 is given

A

2 doses

25
Q

How many doses of rotavirus vaccine should be given of Pentavalent RV 5 was initiated

A

3 doses

26
Q

Rotavirus should not be started for infants ____

A

> 15 weeks

27
Q

Pneumococcal vaccine is not recommended for ages ___

A

> 5 years old

28
Q

Rotavirus is not given later than 32 weeks of age due to increased risk of ___

A

intussusception

29
Q

4th dose of hep B vaccine shall be given if the third dose was given at age ___

A

<6 months

30
Q

4th dose of hep B vaccine is needed for preterm infants less than ___ kg

A

2kg

And first dose was given at birth

31
Q

[Maternal Hep B infection]

What vaccines will you give to the infant?

A
  1. HBV + HBIG (0.5mL) within 12 hours of life
32
Q

If the maternal status of the mother is unknown, what will you give to the patient

A
  1. HBV within 12 hours of life

2. Determine mother’s status

33
Q

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?

A

Give HBIg no later than 7 days of life

34
Q

What is the WHO 2018 rabies preexposure prophylaxis schedule?

A
  1. 2 site ID at day 0 and 7

2. 1 site IM at day 0 and 7

35
Q

[Rabies Vaccine]

What is the dose of HRIG for passive vaccination?

A

HRIG - 20 U/kg

36
Q

What is the DOC for patients suspected of tetanus?

A

Co-amoxiclav 40mg/kg/day for 7 days

37
Q

[Tetanus vaccine]

For those with dirty wounds and uncertain TT or <3 doses of TT vaccine given, what will you give?

A
  1. TD or TDAP

2. TIG

38
Q

[Tetanus vaccine]

For children younger than 7 years old with less than 3 doses of DTaP was given, you can give

A

DTaP

39
Q

[Tetanus vaccine]

For 7 years old and older, with < 3 doses of DTaP, you can give ___

A

Td

40
Q

[Tetanus vaccine]

For adolescents age 11-18 years old with <3 doses of DTaP ____

A

Give Tdap

41
Q

[Tetanus vaccine]

adolescent 11-18 years old who never received Tdap, you can give

A

Tdap.

42
Q

[Tetanus vaccine]

for adolescents who previously received Tdap and Tdap is not available, you can give ____

A

Td

43
Q

[Tetanus vaccine]

Regardless of history of tetanus immunizations, HIV positve patietns should be given ____

A

TIG

44
Q

Post exposure prophylaxis for varicella shall be given within ____

A

Give within 96 hours

1 vial 125U/1.25mL per 10kg IM max 5 vials

45
Q

Post exposure prophylaxis for varicella for newborn should be given_____ after delivery

A

48 hours after delivery

or <5days predelivery

46
Q

What is the postexposure prophylaxis for Diphtheria/

A
  1. Erythromycin 40-50mg/kg/day

2. Benzathine Pen G

47
Q

What are the DOC for postexposure prophylaxis for Meningococcemia

A
  1. Rifampicin
  2. Ceftriaxone
  3. Ciprofloxacin (adults)
48
Q

In IM via buttocks, do not inject at the ___ area

A

upper outer area

49
Q

[Iron supplementation]

For LBW infants

A

15mg elemental iron / 0.6 mL

0.3mL once a day starting 2 months of age until 6 months

50
Q

[Iron supplementation]

For infants 6-11 months

A

15mg elemental iron / 0.6 mL

0.6mL OD for 3 months

51
Q

[Iron supplementation]

children 1-5 years old

A

30mg/5mL

5 mL OD for 3 months

52
Q

[Iron supplementation]

Adolecents

A

Tablet with 60mg iron and 400 mcg folic acid

53
Q

Recommended age for deworming

A

Age 1-12 years old

54
Q

[Deworming]

Dose of albendazole for age 12-23 mos

A

200mg SD every 6 months

55
Q

[Deworming]

Dose of albendazole for 24 months and up

A

400mg SD q6months

56
Q

[Deworming]

dose of mebendazole for 12 months and above

A

500mg SD q 6 months

57
Q

What are the contraindications to deworming

A
  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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