Vaccines Flashcards

1
Q

active immunity

A

protection produced within the person
self-generated

results from:
- antigen exposure
- pathogen exposure
- natural infection
- vaccine induced immunity

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2
Q

passive immunity

A

pre-formed protection
received externally
temporary
when immediate immunity is needed

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3
Q

what are some examples of passive immunity?

A

outbreaks
post exposure prophylaxis
- rabies
- HIV
- Hep B

maternal antibodies
- protects baby for first 6 months

IgG for rabies

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4
Q

vaccines

A

simulate immune response without causing disease

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5
Q

what are the 2 outcomes of vaccines?

A

complete protection

partial protection (mild symptoms)

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6
Q

vaccine induced immune responses (primary and secondary)

A

primary
- induced by vaccine
- slow
- few antibodies produced
- 7-14 days

secondary
- induced by prior exposure
- faster
- more antibodies produced
- 1-2 days

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7
Q

when should you vaccinate before travelling?

A

7-14 days
length of primary vaccine induced immune response

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8
Q

how do vaccines work?

A
  1. contain weakened, inactivated or specific pathogen components
  2. deliver antigens to immune system
  3. activation of B and T cells
  4. B cells produce antibodies, T cells destroy infected cells
  5. memory B and T cells for for future immunity
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9
Q

what are the 7 vaccine strategies?

A
  1. live attenuated
  2. inactivated (killed)
  3. polysaccharides
  4. toxoid
  5. subunit
  6. mRNA
  7. recombinant
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10
Q

live attenuated vaccine

A

weakened pathogen

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11
Q

what vaccine produces the best immune response?

A

live attenuated

can replicate

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12
Q

what are some examples of live attenuated vaccines?

A

MMR
varicella
rotavirus
yellow fever

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13
Q

what vaccines are contraindicated in immunocompromised and pregnancy?

A

live attenuated

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14
Q

inactivated (killed) vaccine

A

contain pathogens killed with heat or chemicals

safer for immunocompromised (can’t replicate)

not as immunogenic (require boosters)

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15
Q

what do inactivated vaccines often require?

A

boosters

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16
Q

what are some examples of inactivated (killed vaccines)?

A

hep A

influenza

17
Q

polysaccharide vaccine

A

outer coating of bacteria

short-lived immunity

18
Q

what are some examples of polysaccharide vaccines?

A

Hep B

pneumococcus

meningococcus

19
Q

toxoid vaccine

A

inactivated bacterial toxins

20
Q

what are some examples of toxoid vaccine?

A

diptheria
pertussis
tetanus

21
Q

subunit vaccine

A

specific pathogen protein pieces

22
Q

what are some examples of subunit vaccines?

A

pertussis
pneumococcus

23
Q

mRNA vaccine

A

instructs cell to produce viral protein

24
Q

what is an example of an mRNA vaccine?

25
Q

recombinant vector vaccine

A

uses harmless bacteria/virus as vector

26
Q

what is an example of a recombinant vector vaccine?

27
Q

what are some characteristics of a good viral vector?

A

stable
safe
immunogenic
doesn’t integrate into host DNA

28
Q

what are some properties of a good vaccine?

A

stable
easy to transport
long-term protection
cost effective

29
Q

individual vaccine protection

A

protects vaccinated person

30
Q

community vaccine protection (herd immunity)

A

reduces risk of transmission among population
requires 70-90% of population to be vaccinated to stop the spread

31
Q

herd immunity is not effective for ___________________

A

respiratory tract infections

32
Q

what is the herd immunity threshold for measles?

33
Q

what is the herd immunity threshold for pertussis?

34
Q

what factors influence vaccine efficacy?

A

compliance
environment
population density
immune status
infectiousness of disease

35
Q

vaccines are the most _____________________________-intervention

A

effective public health intervention

36
Q

what diseases were eradicated with vaccines?

A

smallpox
rinderpest