Vaccines

Question 1

Required Vaccine for Hajj season:

Answer 1

Yellow Fever
Flu
Meningococcal vaccine: All and visitors arriving from African countries must receive oral Cipro 500mg as chemoprophylaxis.
Oral Polio Vaccine (OPV) for visitors coming from Afgan,Pakistam,Nigeria and Chad.

Question 2

Vaccine CI in pregnancy:

Answer 2

Measles,mumps,rubella (MMR) & varicella BCG

Question 3

Which of the following vaccines should be administerd for every pregnant woman?

Answer 3

Pregnant women should receive a dose of Tdap during each pregnancy, ideally between 27 and 36 weeks gestation.

Tdap & Dtap are the same vaccines but Tdap is used for adult and pregnant , Dtap is used for (0-6) years old children

Question 4

Live attenuated vaccine:

Answer 4

Measles, mumps, rubella (MMR)

Question 5

2 years old child come to clinic for taking hepatitis vaccine , we know that he took pneumonia vaccine from month ago , so we should:

Answer 5

Give him the vaccine immediately

Question 6

Non-live (inactivated, killed, sub unit, or recombinant) recommended for adults with autoimmune inflammatory rheumatic conditions

Answer 6

1. Pneumococcus (PCV13 and PPSV23); for all
2. Seasonal influenza virus: annually
3. Hepatitis A virus & Hepatitis B virus: at risk patients. i.e. at occupational risk workers.
4. Meningococcus, Haemophilus influenzae, Human papillomavirus: at risk patients.
5. Tetanus, diphtheria, pertussis (Tdap) or tetanus, diphtheria (Td): All patients per guidelines for healthy adults (eg, single dose of Tdap followed by Td booster every 10 years)
6. Recombinant zoster vaccine: Either zoster vaccine recommended prior to immunosuppression and for those on low-dose immunosuppression; neither recommended for those receiving moderately to highly immunosuppressive medications (ZVL specifically contraindicated)

Question 7

Live, attenuated vaccines include:

Answer 7

1.Zoster vaccine, live (ZVL):for those on low-dose immunosuppression.

2.Measles, mumps, rubella (MMR)**:who have not be previously vaccinated and/or lack evidence of measles immunity
Yellow fever: Patients residing in or traveling to endemic areas (tropical areas of Africa and Central and South America)

*****Contraindicated for immunosuppressed patients

Question 8

Types of vaccines:

Answer 8

Non-live (inactivated, killed, subunit, or recombinant)

Live, attenuated

Question 9

vaccinations are indicated for patients after splenectomy

Answer 9

Pneumococcal, meningococcal, and Haemophilus influenzae (Hib)

Question 10

Hepatitis A prophylaxis

Answer 10

Postexposure prophylaxis (PEP) with hepatitis A (HepA) vaccine or immune globulin (IG