Vaccines

Question 1

Tdap. yra 3 kategorijos.

Answer 1

.

Question 2

Tdap. 1 kategorija. how often ir kiek doziu

Answer 2

every 10 years (3 lifetime doses)

Question 3

Tdap. 2 kategorija. >3 lifetime doses.
jeigu > arba < 10 nuo paskutines dozes

Answer 3

<10 years since last vaccination –> clean the wound

> 10 years since last vaccination –> give Td booster

Question 4

Tdap. 3 kategorija. <3 lifetime doses.
jeigu > arba < 5 nuo paskutines dozes

Answer 4

<5 years since last vaccination –> give Td booster
>5 years since last vaccination –> give Td + IVIG

Question 5

Tdap contraindication?

Answer 5

anaphylaxis

Question 6

pneumococcal. if <60 y/o?

Answer 6

One 13-valent at age < 60

Question 7

pneumococcal. if >65 y/o?

Answer 7

one 23-valent at age > 65

Question 8

pneumococcal. contraindications?

Answer 8

dont give 13 and 23-valent at the same time

Question 9

zoster. when to give?

Answer 9

> 60 y/o

Question 10

zoster. contraindication?

Answer 10

dont give in immunocompromised patients

Question 11

flu. for who?

Answer 11

give to everybody, every year

Question 12

flu. contraindications?

Answer 12

if there is egg allergy, instead of using IM form, use the intranasal (live attenuated) form

Question 13

HPV. for who?

Answer 13

Everyone age 9-26 (once)

Question 14

HPV. contraindication?

Answer 14

nebuvo

Question 15

meningococcal. 2 scenarios.
1 scenarijus age 11-18?

Answer 15

preferably 11-12.
Give booster at age 16-21 if primary vaccination was done at age < 16

Question 16

meningococcal. 2 scenarios.
2 scenarijus. for what populations?

Answer 16

give adolescents in college dorms or in army

Question 17

meningococcal. contraindicationss?

Answer 17

nebuvo

Question 18

kita lentele. recommended vaccines. all ages Td/Tdap

Answer 18

Tdap once as substitute for Td booster, then Td every 10 years

Question 19

kita lentele. recommended vaccines. Influenza all ages?

Answer 19

annually

Question 20

kita lentele. recommended vaccines.
pneumococcal age 19-64?

Answer 20

PPSV23 alone
- Chronic heart, lung or liver disease
- DM, smokers, alcoholics

Sequential PCV13 + PPSV23 (very high risk patients)
- CSF leaks, cochlear implants
- sicle cell disease, asplenia
- Immunosompromised (HIV, malignancy)
- CKD

Question 21

kita lentele. recommended vaccines.
pneumococcal age >=65?

Answer 21

Sequential PCV13 + PPSV 23

1 dose of PCV13 followed by PPSV23 at a later time