Immunizations

Question 1

Hep B
how many?
timing?

Answer 1

Series of 3

0-2-6 months

Question 2

What is management for newborn with HBsAg + mother?

Answer 2

Administer Hep B vaccine and HBIG within 12 hours of birth

Question 3

When should baby born to Hep B + mother be tested for HBsAg and antibody?

Answer 3

After Hep B series is complete

age 9 to 18 months

Question 4

If mother’s Hep B status is unknown at birth, what is the “deadline” for giving HBIG?

Answer 4

HBIG should be given by the end of first week of life

Question 5

Final dose of Hep B should be given at or after what age?

Answer 5

6 months

Question 6

Rotavirus
how many?
timing?

Answer 6

Series of 3

2-4-6

minimum age 6 weeks
maximum age for FIRST DOSE 14 weeks, 6 days

Question 7

What is maximum age for giving Rotavirus vaccine?

Answer 7

32 weeks is the maximum age for giving Rotavirus

8 months

Question 8

What is the risk of Rotavirus?

Answer 8

Increased (though still small) risk of intussuception 3 weeks after administration.

Question 9

DTaP
how many?
timing?

Answer 9

5 total

2-4-6 months and two boosters – 15 months and 4 years

Question 10

What is the maximum age for giving DTaP?

Answer 10

6 years of age is the maximum for DTaP

Question 11

Does DTaP have more Diphtheria or Tetanus?

Answer 11

Diphtheria

Tdap has more Tetanus

Question 12

When is Tdap recommended?

Answer 12

At age 11 - 12 years

and then every 10 years (Tetatus every 10)

Question 13

Hib
how many?
timing?

Answer 13

total of 4

2-4-6 months + booster at 12 months

Question 14

What are the major benefits of Hib?

Answer 14

Decrease in ear infections and pneumonia

Question 15

What is the maximum age for giving Hib and Pneumovax (PS23)?

Answer 15

4 years

Question 16

Pneumococcal

(PCV13 aka Prevnar)

how many?
timing?

Answer 16

total of 4

2-4-6 months + 12 months (booster)

Question 17

Pneumococcal

(PS23 aka Pneumovax)

this is a supplemental dose - 23 vs 13 which is regular

who might need?

Answer 17

IMMUNO-COMPROMISED children should receive one additional dose at age 24 months.

Question 18

What is the maximum age for giving Pneumovax (PS23)?

Answer 18

4 years is the maximum age for Pneumovax (PS23)

Question 19

Examples of immuno-compromising conditions?

Answer 19

Sickle cell anemia
HIV
Renal failure
Asthma
Diabetes
Splenic dysfunction

Question 20

Polio vaccine (IPV)

how many?
timing?

Answer 20

Series of 4

2-4-6 months and 4 years

Question 21

Is IPV injectable or oral?

Inactivated or live?

Answer 21

IPV is Injectable and Inactivated

Question 22

Is OPV injectable or oral?

Inactivated or live?

Answer 22

OPV is Oral and Live

OPV is discouraged and only possible for doses 3 and 4

Question 23

Influenza vaccine (TIV = trivalent inactivated vaccine)

how many?
timing?

Answer 23

One dose of influenza annually

Question 24

Who needs two doses of influenza vaccine, 1 month apart?

Answer 24

Children younger than 9 years receiving influenza for the FIRST TIME get two doses, 1 month apart

Question 25

Influenza | Who gets 0.25 mL dosing?

Answer 25

Children 6 months to 35 months get 0.25 mL All others get 0.5 mL

Question 26

What is FluMist? Is it a live virus?

Answer 26

Flu vaccine by nasal spray LAIV = LIVE attenuated inactive vaccine Shed for 6 months

Question 27

Who can get FluMist?

Answer 27

Healthy people aged 2 to 49 years

Question 28

MMR how many? timing?

Answer 28

Series of 2 12-15 months and 4-6 years **the two doses must be at least 28 DAYS apart

Question 29

Can MMR be given simultaneously with PPD?

Answer 29

Yes, but prefer to separate by 4 - 6 weeks This avoids suppressive response to PPD

Question 30

Varicella how many? timing?

Answer 30

Series of 2 12 months and 4-6 years **the two doses must be at least 3 months apart

Question 31

Can varicella be given at the same time as MMR?

Answer 31

Prefer to separate by one month from MMR If given together, titers are increased in both but may be too much and cause illness

Question 32

Hepatitis A how many? timing?

Answer 32

Series of 2 Given age 1 - 2 years, doses 6 months apart

Question 33

How is Hep A transmitted?

Answer 33

The oral-fecal route

Question 34

Meningococcal vaccine (MCV4) how many? timing?

Answer 34

Series of 2 age 11 or 12 years and a booster at age 16

Question 35

What is the reasoning for the timing of MCV4?

Answer 35

There is an increased rate of meningococcal disease between 16 and 21 years of age

Question 36

Does an adolescent receiving first dose of MCV4 at age 16 or later need a booster dose?

Answer 36

No

Question 37

HPV how many? timing?

Answer 37

Series of 3 age 11 or 12, then 1 month after first, 6 months after first

Question 38

What are the oncologic strains of HPV?

Answer 38

types 16 and 18

Question 39

What are the strains of HPV associated with genital warts?

Answer 39

types 6 and 11

Question 40

Which HPV vaccine is quadrivalent?

Answer 40

Gardasil "Quad-asil"

Question 41

Which vaccines are LIVE?

Answer 41

``` MMR Varicella Rotavirus Flumist Shingles (herpes zoster) Smallpox ```

Question 42

What is an advantage of LIVE vaccines?

Answer 42

The are good "teachers" often confer lifelong immunity in 1-2 doses.

Question 43

Typical adverse reactions to immunizations?

Answer 43

Local erythema, tenderness, and muscle soreness | Low grade fever

Question 44

Those with a history of anaphylaxis to | STREPTOMYCIN should not have which vaccinations?

Answer 44

IPV and varicella

Question 45

Which vaccines are contraindicated in those who are pregnant or immunocompromised?

Answer 45

MMR and varicella

Question 46

What ALLERGIES may be a contraindication to receiving the INFLUENZA vaccine?

Answer 46

Those with EGG or LATEX allergy may not be able to receive the flu vaccine.

Question 47

What are reportable VAERS events?

Answer 47

Anaphylaxis Encephalitis Death

Question 48

Which vaccines are given in a series of 2?

Answer 48

MMR Varicella Hep A Meningococcal