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34 Cards in this Set
- Front
- Back
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Name the live attenuated viral vaccines
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MMR, varicella, yellow fever, nasal influenza
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Name the live attenuated bacterial vaccines
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BCG, oral typhoid
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Name the inactivated killed whole virus vaccines
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polio, rabies, hepatitis A
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Name the protein based vaccines
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hepB, parenteral influenza, acellular pertussis ("aP" in DTaP)
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Name the polysaccharide based vaccines
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toxoid: diphtheria, tetenus
Pure: pneumococcal, Hib, meningococcal Conjugate: Hib, pneumococcal |
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How long should one wait before giving a live vaccine after administration of immunoglobulin?
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live virus vaccine may have diminshed immunogenicity when given shortly before or during the several months after receipt of immunoglobulin (Ig). wait 3 months!!
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What vaccines are contraindicated in immunocompromised?
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mmr, yellow fever, varicella, nasal influenza
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Mom is HBsAg +
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give baby birth dose and HBIG, but get 4 doses total.
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T/F: documented egg allergy is a contraindication to the MMR
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false. MMR derived from chick embryo fibroblast tissue but doesn't contain a lot of x-reacting proteins
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T/F: influenza vaccine (and yellow fever) contain egg protein and can induce immediate hypersensitivity reaction
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True. Rare
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contraindications for X-linked agammaglobulinemia
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OPV, vaccinia and live bacterial
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HIV/AIDS contraindications for vaccines?
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OPV, vaccinia, BCG
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What age group gets Ig + measles vaccine after disease exposure?
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6-12 mo
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when to give VZIG?
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+ vaccine to immunocomp children and household contacts ASAP if disease exposure.
VZIG also if mom had onset 5 d before birth to 2 days after brith. |
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HBsAg neg mom
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Hep B: 1st dose at birth and total 3 before 18 months
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HBsAg pos
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1st dose + Ig at birth and 3 doses be given by 6 months of age
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Why pertussis toxoid? How many doses?
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rates of local reactions, fever lower than whole cell. total 5 doses before school entry
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What situation is it appropriate to adminster TIG?
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dirty wound and less than 3 tetanus toxoid doses or unknown.
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Indication to give Tetanus toxoid in wound management?
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unknown or less than 3 total doses or last dose was more than 10 years ago in a clean wound, or more than 5 years for dirty wound
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which polio vaccine is available in US? how many doses?
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IPV. 4 with last before preschool age.
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What is not covered in HiB conjugated vaccine?
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nontypeable Haemophilus (the one that causes OM)
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When is HiB not given?
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not given after age 5
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Does a 4 year old who has been documented to have been infected with HiB need to be vaccinated?
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yup.
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Describe PC7 vaccine schedule.
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4 dose series for all children age 23 months and younger. give another dose if > 5y and high risk
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when is PCV23 given?
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additional protection to PCV7 in high risk (asplenia) > 2 years of age
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When is varicella vaccine normally given?
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at 12 months of age with second b/w 4-6y.
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What do you do for a child >6 never vaccinated against VZV?
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if 12 >, 2 doses separated by 8 weeks, if >12, one dose
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What side effects can occur with VZV and MMR?
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mild form of disease, non infectious
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Besides children > 1 year of age, who else should get Hep A vaccine?
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chronic liver dz, Homos, IVDA, clotting factor disorders and those at occupational risk (hospital workers)
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What are the indications to get Hep A Ig?
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less than two weeks since exposure
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indications for meningococcal conjugate vaccine?
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all college freshman living in dormitories.
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neomycin and streptomycin are contained in which vaccines?
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MMR and IPV
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if a child is >8 and is getting influenza vaccine...
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should get 2 doses 4 weeks apart if inactivated (typical) or 6 weeks apart if live intranasal vaccine
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contraindications for typical flu shot? live intranasal
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egg allergy. immunocompromised (not given if under 5 or over 49)
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