Influenza
Miscellaneous 1
Pneumococcal and Tetanus
Special Populations
Miscellaneous 2
100
The time of antibody response from influenza vaccine
What is 7-10 days
100
The development of antibiotics slowed the production of this vaccine.
What is pneumococcal
100
Tdap vaccinates against
What is Tetanus, diphtheria, and pertussis
100
The vaccine recommended for all pregnant women, each pregnancy, after 28 weeks.
What is Tdap
100
Live attenuated vaccines
What are MMR, varicella, zoster, and intranasal influenza
200
Chemoprophylaxis for influenza A
What are Amantadine and rimantadine
200
Vaccine indicated for patients on eculizumab or ravulizumab (brand names Soliris and Ultomiris)
What is MenACWY
2 doses, at least 2 months apart and every 5 years
200
Risk factors for early PPSV23 vaccination (name 3)
What are heart disease, lung disease, liver disease, alcoholism, DM2, CSK leak, cochlear implants, smokers, LTAC residents
200
The CD4 count when live vaccines are contraindicated
What is < 200
200
An adult born before 1957 does not need MMR. True or false
What is True
300
A possible severe reaction from influenza vaccine
What is Guillane-barre syndrome
300
A vaccine, other than HPV, that prevents cancer.
What is Hepatitis B
300
The vaccine contraindicated to be given with pneumococcal.
What is zoster vaccine.
Given together, pneumococcal will decrease immunogenicity of zoster vaccine.
300
A vaccine given to women to protect their unborn babies.
What is Rubella
300
Contraindications to live vaccines
What are pregnancy, cancer, or receiving high-dose [> 20 mg] corticosteroids, active chemotherapy.
400
A pregnant healthcare worker was vaccinated for influenza 2 days ago. She has a high risk exposure. Treatment with ? is indicated.
What is chemoprophylaxis with oseltamivir.
400
Vaccines contraindicated in patients with neomycin or gelatin allergy
What is varicella and zoster
400
A 33-year-old male presents for his first health maintenance evaluation. He has recently immigrated to the United States from Malawi, and received no preventive treatment growing up. How should tetanus be prevented in this individual?
What is Tdap now, in 1 month and 12 months.
400
Meningococcal vaccine NOT recommended in adults with HIV.
What is MenB
Adults with HIV are not recommended to receive the MenB vaccines because meningococcal disease in this population is primarily caused by serogroups C, W and Y.
400
You are evaluating a 60-year-old man with diabetes and hypertension in November. He has received no immunizations for at least 15 years. List the immunizations he is due for.
What are influenza, Tdap, pneumococcal (DM).
500
The difference between antigenic shift and antigenic drift.
500
Agency where adverse vaccine reactions are reported.
What is VAERS.
Vaccine adverse event reporting system
500
Gertrude is a 63-year-old woman who comes to see you in October to update her health maintenance. She and her husband both have chronic HIV infection; her most recent CD4 count was 800. She wants to protect herself, and requests every immunization that is medically indicated for her. She also has diabetes, controlled with metformin, but is not hypertensive, and is on no other medications. Physical examination is unremarkable. On review of systems, she last had a tetanus booster at age 18, when she entered college. Childhood immunizations are unknown. Name the indicated immunizations.
What are Tdap, influenza and pneumococcal.
MMR is NOT indicated, as she is considered immune (born after 1957)
500
The difference between immunity from breastfeeding and immunity from vaccination.
What is long lasting immunity - breastfeeding provides short-term antibodies that last weeks to months.
500
Problems with development of this vaccine lead to the "cutter incident"
What is polio vaccine
The cutter incident occurred in 1955 when Cutter labs in Berkeley produced polio vaccine with live polio - 120,000 people received vaccine, 40,000 of them fell ill, 200 paralyzed and 10 died.