Vaccines

Question 1

Which of the following is NOT a live vaccine?

MMR
BCG
Influenzae

Answer 1

The influenza vaccine is an inactivated preparation of the virus.

Question 2

Which of the following is NOT created using extracts of a micro-organism?

Pneumococcal vacine
Hep B vaccine
Tetanus vaccine

Answer 2

The tetanus vaccine is detoxified exotoxins produced by a micro-organisms

They are classed as different in BNF section on Vaccines.

Question 3

Live attenuated vaccines produce what type of immuninity?

Answer 3

Durable but not always as long lasting as natural infection.

Question 4

Which type of vaccines may require a series of injectons of vaccine to produce an adequate antibody response?

Answer 4

it should not be used as an alternative to unfractionated heparin in pulmonary embolism in patients with haemodynamic instability, or who may receive thrombolysis or pulmonary embolectomy.

Question 5

What type of vaccine is the tetanus vaccine?

Answer 5

detoxified exotoxins produced by a micro-organism (e.g. tetanus vaccine)

Question 6

What type of vaccine is the influenzae vaccine?

Answer 6

inactivated preparations of the virus (e.g. influenza vaccine)

Question 7

What type of vaccine is the BCG vaccine?

Answer 7

Live attenuated

Question 8

What type of vaccine is the Hep B vaccine?

Answer 8

extracts of a micro-organism, which may be derived from the organism (e.g. pneumococcal vaccine) or produced by recombinant DNA technology (e.g. hepatitis B vaccine).

Question 9

What type of vaccine is the measles, mumps and rubella vaccine?

Answer 9

Live attenuated

Question 10

What type of vaccine is the pneumococcal vaccine?

Answer 10

extracts of a micro-organism, which may be derived from the organism (e.g. pneumococcal vaccine) or produced by recombinant DNA technology (e.g. hepatitis B vaccine).

Question 11

Babies born preterm should receive all routine immunisations based on what?

Answer 11

Their actual date of birth.

The risk of apnoea following vaccination is increased in preterm babies, particularly those born at or before 28 weeks gestational age.

Question 12

The risk of apnoea following vaccination is increased in preterm babies, particularly those born at or before what week of gestational age?

Answer 12

The risk of apnoea following vaccination is increased in preterm babies, particularly those born at or before 28 weeks gestational age.

Question 13

When should neonates at risk of BCG be given the vaccine?

Answer 13

At birth

Live vaccine

Question 14

When should neonates at risk of Hep B be given the vaccine?

Answer 14

At birth:

Exctract vaccine

Question 15

What vaccines are given at 2 months of age? (4)

Answer 15

1. Diphtheria with tetanus, pertussis, hepatitis b, poliomyelitis and HiB. (First dose)
2. Men B (first dose)
3. Pneumococcal (first dose)
4. Rotavirus (first dose)

Question 16

What vaccines are given at 3 months? (2)

Answer 16

1. Diphtheria with tetanus, pertussis, hepatitis b, poliomyelitis and HiB (second dose)
2. Rotavirus (second dose)

Question 17

What vaccines are given at 4 months? (3)

Answer 17

1. Diphtheria with tetanus, pertussis, hepatitis b, poliomyelitis and HiB (third dose)
2. Men B (second dose)
3. Pneumococcal (second dose)

Question 18

When are the first three doses of Diphtheria with tetanus, pertussis, hepatitis b, poliomyelitis and HiB given?

Answer 18

2 months
3 months
4 months

Single booster between 3 years and 4 months, and 5 months.

Preferably allow interval of at least 3 years after completing primary course.