Brainscape's Knowledge GenomeTM

Browse over 1 million classes created by top students, professors, publishers, and experts.


See full index

Hamilton 2020 Questions > Vaccinations > Flashcards

Vaccinations Flashcards

1
Q

You are referred Wei, a 6 year old adopted from an orphanage in China. The parents were given essentially no past medical history. There is a makeshift vaccination booklet filled out in Mandarin; the parents had it translated but the vaccines listed do not look typical and the dosing intervals are unusual.
What is the most appropriate management plan?
1. Contact the Chinese embassy to get contact information for a Chinese public health professional to advise.
2. See what vaccines she missed, if any. Give those to get her up-to-date.
3. Check immunity for all vaccine-preventable diseases. Only reimmunize if she is proven to lack immunity to a given antigen.
4. Ignore record and start vaccines from scratch.

A
  1. Ignore record and start vaccines from scratch.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
2
Q

You decide to redo Wei’s vaccinations completely. Which of the following would you give her? (She is 6 years old.)

  1. DPTaP-Hib x 3, PCV13 x 3, MMRV x 2
  2. Tdap-IPV x 3, PCV13 x 3, MMR x 2
  3. Tdap-IPV x 3, MMRV x 2, Men-C-C
  4. Tdap-IPV x 3, MMR x 2, Men-C-ACWY
  5. Tdap-IPV x 3, Men-C-C, HPV x 3
A
  1. Tdap-IPV x 3, MMRV x 2, Men-C-C
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
3
Q

Which is correct re: Live Attenuated Influenza Vaccine use?

  1. LAIV should not be used in children because of demonstrated low effectiveness.
  2. LAIV can be used in young children but is not preferred over the inactivated influenza vaccine (IIV).
  3. LAIV should be preferred over IIV in young children because of superior efficacy in RCTs.
  4. Young children should always receive LAIV over IIV unless there is a contraindication to its administration.
A
  1. LAIV can be used in young children but is not preferred over the inactivated influenza vaccine (IIV).
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
4
Q

Which/who of the following is NOT most highly recommended to get the flu shot?

  1. pregnant women and girls
  2. children aged 6-12 months
  3. children aged 24-59 months
  4. children with oppositional defiant disorder
  5. children with diabetes mellitus
A
  1. children with oppositional defiant disorder
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
5
Q

Which of the following vaccines is not live?

  1. MMR (Priorix®)
  2. Varicella (Varivax®)
  3. Meningococcus serogroup B (Trumemba®)
  4. Rotavirus (Rotateq®)
  5. Rotavirus (Rotarix®)
A
  1. Meningococcus serogroup B (Trumemba®)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
6
Q

For which of these is post-exposure prophylaxis not achieved primarily through vaccination?

  1. Measles
  2. Haemophilus influenzae b
  3. Hepatitis A
  4. Hepatitis B
  5. Varicella
A
  1. Haemophilus influenzae b
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
7
Q

Which of the following statements is correct about the rotavirus vaccine?

  1. There is no conclusive evidence linking current rotavirus vaccines to intussusception.
  2. Rotavirus is not a significant cause of severe gastroenteritis in paediatrics.
  3. Rotavirus is the leading cause of medically attended gastroenteritis in the USA.
  4. Rotavirus vaccine can be given at any time in the first year of life.
  5. Fecal shedding commonly occurs for weeks after vaccination of healthy infants.
A
  1. Fecal shedding commonly occurs for weeks after vaccination of healthy infants.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
8
Q

Who should NOT be immunized against rotavirus?

  1. Infants with a history of documented rotavirus infection
  2. Infants born to women on biologic agents (eg. infliximab/Remicade)
  3. Premature infants
  4. Infants in the same household as a transplant patient (because of faecal shedding)
  5. Infants receiving valganciclovir for CMV
A
  1. Infants born to women on biologic agents (eg. infliximab/Remicade)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
9
Q

Which is NOT a high-risk condition for pneumococcal infection?

  1. asthma
  2. nephrotic syndrome
  3. erythaema migrans
  4. neurologic swallowing disorder
  5. asymptomatic chronic hepatitis B
A
  1. erythaema migrans
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
10
Q

Which vaccine product is preferred for infants who are at high risk for severe invasive meningocoggal disease?

  1. Men-C-C (eg. Menjugate)
  2. Men-C-ACWY-DT (Menactra)
  3. Men-C-ACWY-CRM (Menveo)
  4. Men-C-ACWY-TT (Nimenrix)
  5. None of the above
A
  1. Men-C-ACWY-CRM (Menveo)
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
11
Q

Which is NOT a high-risk category for meningococcal infection?

  1. chronic granulomatous disease
  2. travellers to the Hajj
  3. complement deficiency
  4. hyposplenia
  5. primary antibody deficiency
A
  1. chronic granulomatous disease
How well did you know this?
1
Not at all
2
3
4
5
Perfectly
12
Q

Amy (17 y.o.) received 2 doses of HPV4 in grade 7. Her parents are now wondering if she should get HPV9. You answer:

  1. The province doesn’t pay for HPV9 for those who already got HPV4 and benefit is likely negligible.
  2. It may help – and adequate coverage could be gotten from a single HPV9 booster after the priming HPV4 course.
  3. It may help – but she would need an entire new 2-dose HPV9 series.
  4. It may help – but she would need an entire new 3-dose HPV9 series.
A
  1. It may help – but she would need an entire new 3-dose HPV9 series.
How well did you know this?
1
Not at all
2
3
4
5
Perfectly

Hamilton 2020 Questions (29 decks)

Brainscape helps you reach your goals faster, through stronger study habits.
© 2024 Bold Learning Solutions. Terms and Conditions