Vaccines Flashcards

(18 cards)

1
Q

What is active immunity and how is it acquired?

A

Active immunity is acquired by exposure to disease or vaccination. It stimulates the immune system to produce antibodies and memory cells.

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2
Q

What is passive immunity?

A

Passive immunity is the transfer of antibodies (e.g., via placenta, breast milk, or immunoglobulins). It provides temporary protection.

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3
Q

What are live attenuated vaccines? Give examples.

A

Live attenuated vaccines contain weakened forms of the virus or bacteria. Examples: MYROMETRIPS, varicella.

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4
Q

Which vaccines are inactivated?

A

Inactivated vaccines include those with killed pathogens or toxoids. Examples: hepatitis B, meningococcal, tetanus, diphtheria.

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5
Q

Can live vaccines cause the disease they prevent?

A

Rarely, live vaccines can cause a mild form (e.g., rash after MMR). Inactivated vaccines cannot cause the disease.

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6
Q

Which live vaccines are contraindicated in pregnancy?

A

All live replicating vaccines.

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7
Q

Which vaccines are recommended in pregnancy?

A

Inactivated vaccines: influenza (any stage), pertussis (from 16 weeks), RSV (from 28 weeks).

PIRSV

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8
Q

Which vaccines are contraindicated in immunosuppression?

A

Live replicating vaccines due to risk of uncontrolled infection.

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9
Q

What vaccines are recommended for asplenic patients?

A

Meningococcal ACWY + B, influenza, PCV13/15 and PPV23 (except eculizumab patients who don’t need PPV23).

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10
Q

What is MY ROME TRIPS used for?

A

Mnemonic for live vaccines: Measles, Yellow fever, Rotavirus, Oral polio, Mumps, Epidemic typhus, TB, Rubella, Influenza (live), Plague, Shingles.

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11
Q

How should vaccines be spaced?

A

Live vaccines should be spaced by at least 4 weeks.

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12
Q

What are the absolute contraindications to vaccination?

A

Anaphylaxis to a previous dose or component (e.g., neomycin, egg).

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13
Q

At what ages is rotavirus vaccine given?

A

At 8 weeks and 12 weeks (oral).

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14
Q

Which vaccines are given at 8 weeks?

A

6-in-1 (DTaP/IPV/Hib/HepB), MenB, rotavirus.

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15
Q

Which vaccines are given at 12 months?

A

Hib/MenC, PCV, MMR, MenB.

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16
Q

When is the MMR vaccine given?

A

First dose at 12 months, second at 3 years 4 months.

17
Q

What vaccines are given at age 14?

A

Td/IPV booster, MenACWY.

18
Q

Which vaccines are given to older adults?

A

Influenza (annually), shingles (from 65 or 70–79), pneumococcal (from 65), RSV (from 75).