Vaccines

Question 1

MMR

Answer 1

-measles, mumps, rubella
-2 doses if you haven’t had it or lack immunity
-don’t give if preg due to live virus
-anaphylaxis with neomycin=don’t give MMR vaccine

Question 2

Tdap

Answer 2

-tetanus, diphtheria and pertussis
-every 10 years unless punctured by rusty nail after 5 years

Question 3

varicella

Answer 3

-2 doses if no evidence of immunity
-no for preg
-not great for certain cancers, allergy to neomycin and gelatin, HIV, congenital immune issues, immunosuppressive drugs

Question 4

PPSV23, PCV15 and PCV20

Answer 4

-PPSV = pneumococcal polysaccharide vaccine
-PCV= pneumococcal conjugate vaccine
-follow recommendations, important for older adults

Question 5

Hep A

Answer 5

2 doses for high risk individuals

Question 6

Hep B

Answer 6

-3 doses for high risk who haven’t completed series
-following spacing precautions

Question 7

Influenza

Answer 7

-1 annual dose
-inactivated flu vaccine for 6 months/older and preg
-recombinant vaccine good for 18/older
-live attenuated flu is nasal spray good for 2-49 yo that are healthy and not preg

Question 8

Meningococcal vaccines

Answer 8

-MenACWY: admin for 16/older or those at high risk= 2 doses
-MenB: 16-23 yo 2 doses
reimmunize if remains high risk

Question 9

HPV

Answer 9

-best prophylaxis before sexually active but helpful for many adults
-admin for 25-45 yo
-prevents new infections not existing so need 0-few partners to be effective

Question 10

Zoster

Answer 10

-2 doses recombinant 50/older
-2nd dose 2-6 months after 1st dose