Immunizations

Question 0

What is the maximum age for the final dose of the rotavirus vaccine

Answer 0

Maximum age is 8 months and 0 days

Question 1

Before what age should the first dose of Rotavirus vaccine be given

Answer 1

Younger than 15 weeks. (14w6 days is fine, but = or > 15 weeks NO SHOT!)

Question 2

Minimum age for DTaP vaccine?

Answer 2

6 weeks

Question 3

Minimum age for Hib vaccine

Answer 3

6 weeks

Question 4

Minimum age for pneumococcal vaccine?

Answer 4

6 weeks for PCV, 2 years for PPSV

Question 5

Minimum age for IPV?

Answer 5

6 weeks

Question 6

When should the final IPV vaccine be given?

Answer 6

On the 4th birthday and six months out from previous dose

Question 7

Who should get 2 doses of the flu vaccine?

Answer 7

Aged 6 months to 8 years who are receiving the flu shot for the 1st time, or where vaccinated the 1st time last season but only got 1 shot

Question 8

Minimum age for MMR?

Answer 8

12 months

Question 9

Minimum age for Varicella?

Answer 9

12 months

Question 10

Minimum age for Hep A vaccine?

Answer 10

12 months

Question 11

What’s the routine for the meningococcal (MCV4) vaccine for pts with functional asplenia and complement deficiency?

Answer 11

2 doses at least 8 weeks apart starting at age 2, then 1 dose every 5 years thereafter

Question 12

What’s the routine for the meningococcal (MCV4) vaccine for pts with HIV?

Answer 12

2 doses of MCV4 at least 8 weeks apart

Question 13

What’s the routine for the meningococcal (MCV4) vaccine for pts who travel to countries with highly endemic or epidemic dz and during outbreaks caused by vaccine serotype?

Answer 13

Give one dose

Question 14

Who can get the live flu virus?

Answer 14

> 2 yo, healthy, and no wheezing in past 12 months, nonpregnant

Question 15

How soon can Tdap be given after last tetanus?

Answer 15

Doesn’t matter, you are trying to immunize against pertussis

Question 16

Minimum age for Adacel vaccine?

Answer 16

11 y.o.

Question 17

Minimum age for Boostrix vaccine

Answer 17

10 y.o.

Question 18

Minimum age for HPV vaccine?

Answer 18

9 y.o.

Question 19

Which HPV vaccine can be given to males?

Answer 19

HPV 4 to prevent genital warts

Question 20

What’s the routine for the meningococcal (MCV4) vaccine for teenagers?

Answer 20

1 dose at age 11-12 and booster dose at 16

Question 21

If a patient is going to college and hasn’t gotten the MCV4 vaccine, how many doses should they get?

Answer 21

1 dose before starting school

Question 22

Who can receive the PCV 13 vaccine?

Answer 22

Single dose to kids 6 -13 with functional asplenia, HIV, immunocomprising condition, cochlear implant, or CSF leak

Question 23

If the patient has a cochlear implant, when can they receive the PCV 13 vaccine?

Answer 23

At least 8 weeks after the last PCV7 dose and over the age of 2

Question 24

If the patient has functional asplenia or immunocompromising condition, when can they receive the PCV 13 vaccine?

Answer 24

5 years after the last PCV 7, and they only need one dose

Question 25

The Recombivax HB can be given to whom?

Answer 25

Children 11-15 y.o. and need Hep B series, give 2 dose at least 4 months apart

Question 26

Minimal interval between MMR doses?

Answer 26

4 weeks

Question 27

For ages 7-12, that is the minimal interval between varicella doses?

Answer 27

3 months, however if given after 4 weeks, it can be considered valid

Question 28

For ages of 13 & older, what is the minimal interval between varicella doses?

Answer 28

4 weeks

Question 29

When is the fifth dose of DTaP not indicated?

Answer 29

If the fourth dose was administered at age 4 years or older

Question 30

When is the 3rd dose of rotavirus not indicated?

Answer 30

If Rotarix was given

Question 31

When is the fourth dose of IPV not indicated?

Answer 31

If the third dose was administered at age 4 years or older

Question 32

Catch up on HiB, how many shots do you need if you are > 15 m.o.?

Answer 32

Just one

Question 33

Catch up on HiB, how many shots do you need if you > 5 y.o.?

Answer 33

None, unless you have sickle cell, leukemia, HIV, Splenectomy

Question 34

Quirks about Hep B vaccine if mom is HBsAg+

Answer 34

1 dose with 12 hours, complete series, then document that baby has become HBsAb+

Question 35

Post-exposure phophylaxis of Hep A?

Answer 35

If > 1 yo, give Hep A vaccine instead, If less than 1, give immunoglobin

Question 36

When can you NOT give the varicella vaccine?

Answer 36

High dose steroids (> or = 2mg/kg/day) or PREGNANT

Question 37

When do you have to wait to give MMR/V vaccines?

Answer 37

Wait 3 months if pt has received immunoglobins, wait 5 months if given pRBCs, wait 8 months if given IVIG for ITP, wait 11 months if given IVIG (2g/kg) for Kawasaki

Question 38

Can PPD and MMR react?

Answer 38

Yes, MMR can suppress the tuberculin reactivity, so do it on the same day or 6 weeks after the MMR

Question 39

Only true contra-indications for DTaP?

Answer 39

Encephalopathy within 7 days of the vaccine

Question 40

Other contra-indications for DTaP? (can debate whether it should be truly given)

Answer 40

>40.5 fever, persistent crying >3h, or collapse or shock like state within 48 hours, OR seizures w/in 3 days of last dose

Question 41

Do seizures after DTaP cause epilepsy or neurological damage?

Answer 41

There is no evidence

Question 42

What vaccines have egg antigens?

Answer 42

Yellow fever, flu?????(flu can be given to egg allergic if pt is monitored for 30 minutes)

Question 43

What vaccines have streptomycin, neomycin, or polymyxin B antigens?

Answer 43

IPV, OPV

Question 44

What vaccines have Neomycin antigens?

Answer 44

MMR, varicella

Question 45

What vaccines have gelatin?

Answer 45

MMR, varicella, yellow fever

Question 46

Contraindications to giving MMR vaccine?

Answer 46

Anaphylaxis to neomycin or gelatin, pregnancy, or immunodeficiency (except healthy HIV)

Question 47

What vaccines are given SQ?

Answer 47

MMR, Varicella

Question 48

By what chronological age can premies and <2 kg babies get the Hep B vaccine and seroconvert like term babies?

Answer 48

By 1 month!. So give the 1st first dose at 1 month or prior to discharge, which ever comes first. If baby got HBIG/HBV at birth since mom was HBsAg+, that HBV doesn't count toward the HBV series.