Vaccination Flashcards
One month boy came for vaccine. His older sister (6years old) had renal transplant and now is on immunosuppressive medication. Which vaccine is contraindicated? (Doesn’t say for the baby or for the girl)
A. MMR
B. Oral polio
C. Salk polio
D. Influenza
Answer: B. Due to the risk of spread OPV for immunocompromised girl. OPV (is a live vaccine).
Dtap vaccine is against what?
A. Whooping cough, tetanus, diphtheria
B. Pertussis, tetanus, measles
C. Rubella, tetanus diphtheria
D. Whooping cough, rubella, diphtheria
Answer: a
Diphtheria and pertussis are spread from person to person. Tetanus enters the body through cuts or wounds.
Diphtheria causes a thick covering in the back of the throat. It can lead to breathing problems, paralysis, heart failure, and even death.
Tetanus (lockjaw) causes painful tightening of the muscles, usually all over the body. It can lead to “locking” of the jaw so the victim cannot open his mouth or swallow. Tetanus leads to death in up to 2 out of 10 cases.
Pertussis (whooping cough) causes coughing spells so bad that it is hard for infants to eat, drink, or breathe. These spells can last for weeks. It can lead to pneumonia, seizures (jerking and staring spells), brain damage, and death.
Mother and her child visited the pediatrician for 6 months vaccination, however the mother stated that her child was hospitalized after receiving the 4 months vaccination he develop anaphylaxis , what is the right thing to do?
A. Test the child for which antigen is allergic from
B. Give him steroid/antihistamine post the vaccination
C. Vaccinate him and discharge home
D. Vaccinate him and hospitalize the child for 1 hour
child have came to take the 6 month vaccination the mother mention on 4th month vaccination he developed an anaphylactic What to do now ? repeated with different answer!
A. Do allergen test
B. Give vaccine without DTP
C. Give vaccine with reassurance
D. Give vaccine and observe for 1h
Answer: a
Answer: B (First answer was A, and now B!, needs further checks)
Children who have severe responses should not be given further vaccination especially
answer D by pediatric consultant
Child with epilepsy on anticonvulsant what you will change in his vaccines
A. Change opv to ipv
B. Dtp
C. Remove all vaccines
D. Remove all live vaccines
Answer: b
Baby said hi when he entered the clinic, imitates his mother, feeds his doll, refers to himself “me” and say “eye”:
A. 12 months
B. 15 months
C. 18 months
D. 24 months
Answer: d
Neonate take immunoglobulin from his mother this is
A. Active artificial immunity
B. Passive artificial immunity
C. Active neutral immunity
D. Passive neutral immunity
Answer: D
Naturally acquired passive immunity can be provided during pregnancy, and through breast-feeding
Naturally acquired active immunity occurs when the person is exposed to a live pathogen, develops the disease, and becomes immune as a result of the primary immune response.
Artificially acquired active immunity can be induced by a vaccine, a substance that contains the antigen.
Artificially acquired passive immunity is a short-term immunization by the injection of antibodies, such as gamma globulin, that are not produced by the recipient’s cells.
Child was having rhinorrhea and then developed episodes of cough followed by vomiting. Which of these vaccination may prevent him from having this disease?
Answer: DTaP
5 months old infant his parents were not able to bring him for his 4 months vaccination. What will you do?
A. Arrange for 4 months vaccination
B. Give missed vaccination and next appointment
C. Give vaccine together during next appointment
Answer: B
Give missed vaccination (4 months) and arrange for the a next appointment (for the 6 months vaccination)
Children who have received some of their vaccines shots and then fallen behind schedule can catch up without having to start over
What’s the most common minimum side effect of DTP vaccine?
a. low grade fever
b. erythema over the injection site
Answer:B
Explanation: mild local and systemic reactions are the most common adverse reaction for the vaccine and it includes low grade fever and mild redness and tenderness at the site of injection , both of them are correct but the redness is the minimal effect
All children should receive a series of DTaP at ages 2, 4, and 6 months, with boosters at ages 15-18 months and at 4-6 years. The fourth dose may be given as early as age 12 months if at least 6 months have elapsed since the third dose.
7 years old boy developed Flu after receiving Flu vaccine. His father asked you about the reason. How will you reply?
Answer : Live attenuated vaccine has small risk of infection
In a study of the effectiveness of a school-based immunization program, students who received LAIV had significantly higher rates of symptoms of influenza-like illness (other than wheezing) “
scenario a child didn’t take HBV VACCINE what u will give him ?
Answer: If the vaccine is not given after birth the baby may start the course of hepatitis B vaccines (in combination with other childhood vaccines) beginning at six weeks, then at four and six months of age.
Nine month child .. Take all vaccine regularly what vaccine should be given ?
Answer: 9 months vaccines : Measles , Meningococcal conjugate quadrivalent (MCV4)
6 month baby can’t sit , hypotonia , crossed lower limb .. Which vaccine should be modified ?
Answer: In this case the Dx is cerebral palsy So no need to modified the vaccine and there is no contraindications for vaccination in these group of patient
child with hepatosplenomegaly, current infection. Brother died at 3 years with septic shock. How to give vaccination?
A. Give all.
B. Don’t give until 3 years.
C. Don’t give live vaccines.
D. Don’t give killed vaccines.
Answer: C
patient can’t take BCG vaccine Because he deficiency in
A. IL
B. TNF gama
C. INF gama
Answer:C
