Vaccines

Question 1

DTap schedule?

Answer 1

2,4,6, 12-18, and 4-6 years

5 doses, only 3 needed for immunuity

Question 2

When is TdaP usually given?

Answer 2

Routine at 11-12 years

Question 3

What type of vaccine is Hib?

Answer 3

capsular polysaccharide

Question 4

Schedule of Hib depends on what and how do they differ?

Answer 4

2 different types: PRP-T and PRP-OMP
T has 3 doses and booster
OMP has 2 dose and booster

Can be mixed by must follow longer schedule

Question 5

Prevenar 13 , what is it and what type of vaccine

Answer 5

Pnuemococcal CONJUGATE vaccine

Question 6

What reasons can a child get additional dose of Prevnar?

Answer 6

Increased risk, give additional dose at 6-18 years if

1. Anatomic asplenia
2. HIV or immunocompromised
3. Cochlear implants or CSF leaks
4. Chronic renal failure or nephrotic syndrome

Question 7

What population is Prevnar 23 (polysaccarhide) use for?

Answer 7

High risk kids less than 2 years old
Give >8 weeks after last dose
Revaccinate high risks once after 5 years

Question 8

Dose schedule for meningococcal conjugate vaccine

Answer 8

1 dose at 11-12, 2nd dose at 16 years

Question 9

Meningococcal B vaccine given to?

Answer 9

16-23 yr olds not at risk

Question 10

High risk populations can be given Menigo B vaccine starting at what age?

Answer 10

10 years

Question 11

What vaccine can confer an immunity for up to 30 years?

Answer 11

Hep B

Question 12

Hep B dose schedule for term infant with HbsAG negative mother

Preterm

Answer 12

1st dose at birth
2nd at 1-2 months
3rd 6-18 months but > 2 months after last dose

1st dose at 1 month or at time or discharge (whichever is first)

Question 13

Hep B dose schedule for HbsAG positive mother

Answer 13

Immunoglobulin and 1st dose within 12 hours of birth

test HbsAg and Antibody at 9-12 months (if both are neg, infant does not have immunity = revaccinate)

Question 14

Hep A dosing schedule

Answer 14

2 doses at least 6 months apart starting at 1 year old

Question 15

What type of vaccine is made with virus like particles?

Answer 15

HPV

Question 16

HPV dose schedule difference if given <14 and <15

Answer 16

14 and under: 2 doses, 6 months apart

15 and over: 3 doses

Question 17

Measles: vaccine type and reaction

Answer 17

Live vaccine, fever and rash 7-12 days after vaccination

Question 18

Measles dose schedule

If outbreak, what age?

Answer 18

1st dose at 1 year
2nd dose at 5 years

Outbreak: as young as 6 months

Question 19

AE of Rubella vaccine

Answer 19

mild rash, gever, adenopathy, transient arthralgia

Question 20

Aspirin should be avoided for 6 weeks after what immunization and why?

Answer 20

Varicella, high risk of Reye’s

Question 21

How is Rotavirus vaccine given

Answer 21

Oral

Question 22

Rotavirus has a slight increased risk of what?

Answer 22

Intussusception

Question 23

Which vaccine can be deferred if concern of new neurological disease is suspected?

Answer 23

Pertussis