Preventive Pediatrics

Question 1

Inactivated Vaccines

Answer 1

Hepatitis B
DPT
HiB
PCV
Inactivated Polio
Influenza
Hepatits A
Meningococcal vaccine
HPV
Typhoid
Rabies

Question 2

Live attenuated vaccines

Answer 2

BCG
Oral polio
Measles
MMR
Varicella
Rotavirus
Japanese Encephalitis
Influenza (intranasal)
Typhoid

Question 3

Instruction for administering 2 LIVE Vaccines

Answer 3

You may give multiple LIVE vaccines simultaneously; otherwise wait 4 weeks interval

Question 4

2 permanent contraindications to vaccination

Answer 4

> Previous anaphylactic reaction
Encephalopathy 7 days following Pertussis vaccine

Question 5

2 temporary contraindications to live vaccines

Answer 5

> Pregnant
Immunosuppression

Question 6

BCG vaccine

1) dosage
2) route
3) schedule

Answer 6

BCG Vaccine

1) 0.05ml
2) ID
3) within 2 months from birth

Question 7

Hepatitis B Vaccine

1) dosage
2) route
3) schedule

Answer 7

Hepatitis B Vaccine

1) 0.5mL
2) IM
3) within 12 hours of birth, 6-10-14 weeks

Question 8

DPT Vaccine

1) dosage
2) route
3) schedule

Answer 8

DPT Vaccine)

1) 0.5ml
2) IM
3) 6-10-14wks, 1 yr, 4 yr

Question 9

HiB Vaccine

1) dosage
2) route
3) schedule

Answer 9

HiB Vaccine

1) 0.5mL
2) IM
3) 6-10-14wks, 1yr

Question 10

Inactivated Polio vaccine

1) dosage
2) route
3) schedule

Answer 10

Inactivated Polio vaccine

1) 0.5ml
2) IM
3) 14 wks, 9mos

Question 11

Oral Polio Vaccine

1) dosage
2) route
3) schedule

Answer 11

Oral polio vaccine

1) 2 drops
2) Oral
3) 6-10-14wks

Question 12

Pneumococcal vaccine (PCV)

1) dosage
2) route
3) schedule

Answer 12

Pneumococcal vaccine (PCV)

1) 0.5mL
2) IM
3) 6-10-14wks, 1yr

Question 13

Catch-up dosing for PCV in previously unimmunized children aged 1-5 yrs (PCV 10 and PCV 13)

Answer 13

PCV 10
1-5 years: 2 doses 2 months apart

PCV 13
12-24 months: 2 doses 2 months apart
2-5 years: 1 dose

Question 14

Rotavirus vaccine

1) dosage
2) route
3) schedule

Answer 14

Rotavirus vaccine

1) drops
2) Oral
3) RV1: 2 doses, RV5: 3 doses
6-12 weeks, not given beyond.

Question 15

Earliest age to administer the Influenza vaccine

Answer 15

6 months
(2 doses 4 weeks apart)

Question 16

Measles vaccine

1) dosage
2) route
3) schedule

Answer 16

Measles vaccine

1) 0.5ml
2) SC
3) 9 months (6 months if with outbreak)

Question 17

MMR Vaccine

1) dosage
2) route
3) schedule

Answer 17

MMR Vaccine

1) 0.5ml
2) SC
3) 12 months (2 doses 4 weeks apart)

Question 18

Varicella vaccine

1) dosage
2) route
3) schedule

Answer 18

Varicella vaccine

1) 0.5ml
2) SC
3) 12 months, 15 months

Question 19

Hepatitis A Vaccine (inactivated)

1) route
2) schedule

Answer 19

Hepatitis A Vaccine (inactivated)

1) IM
2) 12 months (2 doses 6 mo apart)

Question 20

Hepatitis A Vaccine (Live attenuated)

1) route
2) schedule

Answer 20

Hepatitis A Vaccine (Live attenuated)

1) SC
2) 18 months SD

Question 21

Jap Encephalitis Vaccine (Live attenuated)

1) route
2) schedule

Answer 21

Jap Encephalitis Vaccine (Live attenuated)

1) SC
2) 9 months

For unvaccinated
9-17 years: 2 doses 12 mos apart
≥18 years: 1 dose

Question 22

HPV vaccine schedule

Answer 22

9-14 years: 2 dose series (0, 6 mos)

≥15 years: 3 dose series (0, 2, 6 mos)

Question 23

HPV vaccine/s given to males 9-18 years

Answer 23

quadrivalent vaccine
nonavelent vaccine

Question 24

Tdap vaccine schedule for fully immunized (6-10-14wks, 1yr, 4yrs)

Answer 24

Every 10 years

Question 25

Tdap vaccine schedule for fully immunized pregnant women

Answer 25

1 dose IM from 27-30 weeks AOG

Question 26

Tdap vaccine schedule for unimmunized pregnant women

Answer 26

5 doses after 27 weeks AOG (0-1-6-18-30w) or 3 doses after 27 weeks AOG (0-1-6w)

Question 27

Appropriate Hep B vaccination for preterm infant < 2kg born to mother with unknown HBsAg status

Answer 27

HBV + HBIG within first 12 hours of life * HBV dose not counted as part of series. need additional 3 HBV doses.

Question 28

Appropriate Hep B vaccination for term infant > 2kg born to mother with unknown HBsAg status

Answer 28

HBV within 12 hours of life, determine mothers HBsAg, if (+) then administer HBIG no later than 7 days from birth

Question 29

Meningococcal vaccine (MCV4-D) schedule

Answer 29

route: IM or SC min age: 9 months schedule: 2 doses 3 months apart > 2 years: single dose

Question 30

Typhoid vaccine schedule

Answer 30

route: IM minimum age: 2 years booster: every 2-3 years

Question 31

Cholera vaccine schedule

Answer 31

route: Oral min age: 12 months schedule: 2 doses 2 weeks apart