Peds CE 2

Question 1

MMR - live or inactive

Answer 1

live

Question 2

MMR or MMRV dose

Answer 2

2 dose series

12-15 months
4-6 years

Question 3

MMR or MMRV - second dose considerations

Answer 3

the second dose of MMR may be given at any time, provided at least 1 month has elapsed since the first dose and both doses are given at age 12 months or older

Question 4

MMR/MMRV contraindicated in who - allergy

Answer 4

allergic to neomycin or gelatin

Question 5

contraindicated if allergic to neomycin or gelatin

Answer 5

MMR/MMRV

Question 6

a live attenuated vaccine requires what

Answer 6

replication within the host to provide immunity

Question 7

fever, rash after live or attenuated immunization represents what

Answer 7

reaction to viral replication, not the vaccine

Question 8

never give live vaccines to who

Answer 8

children under 1
pregnant women
immunocompromised pts

Question 9

live vaccines examples
2

Answer 9

MMR
varicella

Question 10

varicella vaccine - live or inactive

Answer 10

live

Question 11

varicella dose

Answer 11

given at 12-18 months
booster at 4-6 years

OR

11-12 years get vaccine if child lacks a reliable hx of chickenpox infection

Question 12

varicella - if given at age 13 or older

Answer 12

2 doses are required, given at least 1 month apart

Question 13

influenza vaccine - live or inactive
2

Answer 13

intranasal is live but weakend
INJ is inactive

Question 14

influenza vax is recommended to who

Answer 14

annually ages > 6 months

Question 15

influenza vax dose in children

Answer 15

children < 8 receiving for first time need 2 doses separated by 4 weeks

Question 16

children < 8 receiving for first time need 2 doses separated by 4 weeks

Answer 16

influenza vax

Question 17

influenza vaccine - egg allergy produces hives

Answer 17

ok to give

Question 18

flu vaccine for egg allergy, angioedema, respiratory distress

Answer 18

administer any flu vax appropriate for age and health under supervision of HCP who can manage severe allergic conditions

Question 19

MenACWY - live or inactive

Answer 19

inactive

Question 20

MenACWY dose

Answer 20

administer to all children 11-12 years and at age 16 years
OR
13-15 years if not previously vax with booster at 16-18 years

Question 21

HPV vax - live or inactive

Answer 21

inactive

Question 22

MenACWY - if administered at age 16-18

Answer 22

give 1 dose

Question 23

HPV vax dose

Answer 23

2 or 3 doses depending on age of initial vax

If patient 9-14 years old: 0, 6-12 months
If patient >15 years old to 26 years old: 0 months, 1-2 months, 6 months

Question 24

HPV vax age range

Answer 24

9-26 years

Question 25

HPV - pt starts at age 15 doses

Answer 25

3 doses at age 15 and older
0, 1-2 months, 6 months

Question 26

HPV vax and pregnancy

Answer 26

do not give to pregnant individuals as CDC recs against it d/t not enough information at this time

Question 27

do you need to check pregnancy status before giving HPV vax

Answer 27

No

Question 28

adverse reaction - allergic
2

Answer 28

hives
anaphylaxis

Question 29

most common reactions among adolescents are to which vaccines
3

Answer 29

HPV
MenACWY
Tdap (syncope)

Question 30

allergic reaction to vax usually occurs when

Answer 30

within 1 hour - most often within 15 minutes

Question 31

spacing of vaccines valid and invalid

Answer 31

given 4 days prior to scheduled time is valid; given 5 days prior is invalid and dose should be repeated

Question 32

chickenpox and shingles are related how

Answer 32

As they are caused by the same virus, varicella-zoster virus. After a person recovers from chickenpox, the virus lays dormant/inactive in the body and can be reactivated years later and cause shingles.

Question 33

shingles vax name

Answer 33

Shingrix

Question 34

can you get Shingrix if you’ve had chickenpox

Answer 34

yes - adults 50 and older should get it separated by 2-6 months apart or adults with weakend immune systems