Vaccination

Question 1

Rotavirus vaccine administration timing

Answer 1

First dose must be administered before 15 weeks.
Last dose must be administered by 8 months.

Question 1

Live Attenuated Vaccines

Answer 1

MMR
Varicella
Yellow Fever
Adenovirus
Rotavirus
Smallpox
Polio - Sabin - Oral
Influenza (Nasal)
Typhoid (Oral)
Cholera (Oral)

Question 2

Killed Viruses

Answer 2

Hep A
Rabies
Influenza (IM)
Polio - Saulk - IPV

Question 3

What drug interferes with Vaxcholera?

Answer 3

Chloroquine
Administration of oral cholera vaccine and Typh-O vaccine should be separated by at least 8 hours.

Question 4

Sub Unit Vaccinations

Answer 4

Hep B
s Pneumoniae
Neissera Menningitidus
HiB
HPV
MCV Quadrivalent meningococcal conjugate vaccine

Question 4

Oral Vaccines and Abx

Answer 4

Delay vaccination with oral typhoid vaccine by >72 hours and delay oral cholera vaccine by >14 days after administration of antimicrobial agents.
Parenteral typhoid vaccine is an alternative to the oral typhoid vaccine for travelers who have recently received antibiotics.

Question 4

Taxoid Vaccines

Answer 4

Tetanus
Diphtheria

Question 5

What interferes with Rabies Vaccine

Answer 5

Chloroquuin.
Use the intramuscular route for people taking chloroquine concurrently.

Question 5

Ixaro minimum age

Answer 5

2 months

Question 5

Ixiaro Dose schedule (Special?)

Answer 5

Two doses 28 days apart
Can be 7 days apart 18-65
The second dose should be 1 week before travel
Third dose if one year or more
OK for Pregnant women with caution

Question 6

Rabies Post Exposure
Vaccinated
Unvaccinated

Answer 6

Clean Wound
Vaccinated two doses modern cell culture 0, 3
Unvaccinated RIG 20/40 IU/kg human/equine into wound with residual in distant site
4 injections over 14 days or
5 injections over 30 days for immunosuppressed

Question 7

Rabies Vaccine Schedule & Route

Answer 7

Three doses
0, 7, 21-28 days IM
No routine boosters

Question 8

Malaria PEP in pregnancy.

Answer 8

Pregnancy is not a contraindication to PEP. In infants and children, the dose of HDCV or PCEC for preexposure or PEP is the same as that recommended for adults.

Question 9

What vaccination should everyone around an infant receive?

Answer 9

Tdap

Question 10

What vaccine should be given in the third trimester?

Answer 10

Tdap

Question 11

Minimum age for varicella

Answer 11

12 months

Question 12

Varicella age schedule
Routine / Accelerated

Answer 12

Age 1 - 4-6
Accelerated <6 2x 3 months apart
Accelerated >7 2x one month

Question 13

Conjugate Polysaccharide Vaccines

Answer 13

HiB, PCV13/15/20, MCV

Question 14

Vaccination with significant egg component?

Answer 14

Yellow Fever

Question 15

IPV Schedule. Vaccinated vs unvaccinated.

Answer 15

Unvaccinated: 0, 4-8 months and third dose 6-12 after second
Vaccinated: One dose

Question 16

PPSV23 Recommendation

Answer 16

> 65
2-4 Pulmonary, Smoker, Asplenic, Immunocompromised

Question 17

Who should get the DTaP and what schedule? Follow up?

Answer 17

Infants. 2,4,6, 15-18, 4-6 years. Tdap at 11-12 years.

Question 18

Vacinees not to be administered simultaneously.

Answer 18

PCV13 and PPSV23
PCV13 and MenACWY-D [Menactra]
Menactra and DTaP)

Question 19

PCV13 Recommendation

Answer 19

Cochlear Implants
CSF Leak
Sickle Cell