Schedule Ninjas
A healthy 11-year-old who completed all routine childhood vaccines presents for a well visit. Two vaccines should routinely be administered today.
What are Tdap and MenACWY?
A vaccine series should be restarted after this length of time has elapsed since the last dose.
What is never?
A febrile child develops a descending flaccid paralysis. Public health authorities become immediately involved because of concern for this vaccine-preventable disease.
What is poliomyelitis?
A parent says, "I'm not anti-vaccine, I'm just not sure." This vaccine behavior category best describes them.
What is vaccine hesitancy?
Universal screening for this condition is recommended once between ages 9 and 11 years and again between 17 and 21 years.
What is dyslipidemia (lipid screening)?
An 11-year-old who has never received HPV vaccine can complete the series with only two doses because the first dose was administered before this age.
What is age 15 years?
An unimmunized 14-year-old presents to clinic. The minimum number of MMR doses and the spacing needed to complete the series is this.
What is two doses separated by at least 4 weeks?
A child with fever, cough, coryza, and conjunctivitis should be placed into this type of exam room.
What is negative pressure?
According to the AAP, vaccine confidence refers to belief in these three things.
What are that vaccine safety, vaccine efficacy, and a trustworthy medical system?
A 16-year-old girl presents for a well visit. She is sexually active and asymptomatic. According to the Periodicity Schedule, this laboratory screening should be performed annually regardless of condom use.
What is screening for gonorrhea and chlamydia?
A healthy infant received HepB at birth and then Vaxelis at 2, 4, and 6 months. The total number of HepB-containing doses received is this.
What is four doses?
The minimum age for routine MMR vaccination is this.
What is 12 months?
During a measles outbreak, an unvaccinated child develops pneumonia and later encephalitis. Years later, survivors remain at risk for this fatal neurologic complication.
What is subacute sclerosing panencephalitis (SSPE)?
A parent refuses MMR because measles is "basically gone." The cognitive factor influencing decision-making is this
What is low perceived disease risk?
This screening test is recommended universally at 12 months and again based on risk assessment throughout childhood.
What is lead screening?
A 17-year-old patient will be entering college next year and should receive two doses of this vaccine prior to the school year.
What is meningitis B?
A healthy 10-month-old presents with no prior vaccinations. The vaccine that can no longer be initiated because of age restrictions is this.
What is rotavirus vaccine?
A previously healthy 6-year-old develops inspiratory stridor, drooling, tripod positioning, and thumb-sign on X-ray. The vaccine that dramatically reduced this disease targets this organism.
What is Haemophilus influenzae type b?
A family expresses concerns because of historical mistreatment of their community by medical institutions. The most effective initial response is this
What is acknowledging historical and ongoing reasons for medical mistrust?
A 2½-year-old who missed the 18- and 24-month well visits presents for care. The developmental screening tools that should have been administered at 18 and 24 months are these.
What is MCHAT-R and standardized developmental screener (e.g., SWYC, ASQ, PEDS)?
Vaxelis is a _____-valent vaccine and contains these components.
What is Hexa(6) and DTaP, IPV, Hib, HepB?
A healthy 3-year-old with no documented Hib vaccines presents for care. The recommended Hib vaccine catch-up schedule is this.
What is one dose of Hib vaccine?
Geographic clusters of vaccine refusal have been associated with outbreaks of these three diseases despite high statewide vaccination rates.
What are measles, pertussis, and invasive pneumococcal disease?
A parent spends 15 minutes explaining concerns about vaccine ingredients. Research suggests that one of the strongest predictors of eventual vaccine acceptance remains this.
What is a strong recommendation from a trusted healthcare professional?
During a vaccine-hesitancy encounter, a parent asks why well-child visits are still necessary if vaccines are delayed. Name three other major preventive services routinely delivered through the AAP Periodicity Schedule.
What are developmental screening, mental health screening, vision screening, hearing screening, anemia screening, lead screening, blood pressure screening, oral health assessment, STI screening, or anticipatory guidance? (Any three)