General Vaccine
Knowledge
Knowledge
Are vaccines active or passive immunity?
Active
What book (color) can you go to if you want to find information about vaccines?
Pink Book!
(hint: know the books and colors for your NAPLEX!)
What is a yellow card and what is it used for?
Yellow "proof of vaccination" card that is used to enter countries that require the yellow vaccination prior to entry
Are vaccinations restricted in pregnancy?
Yes - live vaccinations should be avoided
Vaccinations such as RSV and Tdap and influenza are encouraged in pregnant patients.
What is a steroid taper used for?
Use to gradually decrease a patient's steroid dose to prevent return of disease / inflammation and to prevent withdrawal symptoms.
What is the difference between a live vaccination and a inactivated or "not live" vaccination?
Live: use a live, weak form of the virus (attenuated)
Inactive: "killed" version
Bonus: mRNA use viral proteins
Name 5 routes of vaccination
IM, Intranasal, Subcutaneous, Subdermal, Oral
Which 3 routine pediatric vaccinations are live?
Bonus: which annual vaccine is also live and is available for intra-nasal administration?
MMR, Rotavirus, Varicella
FluMist
Which vaccination is specifically considered for young adults going to college or the military (who will begin to live in communal spaces?)
Meningococcal
What is the difference between prednisone and prednisolone?
Prednisone is the precursor to prednisolone
Also prednisone is a tablet where prednisolone is a liquid
Which common childhood vaccinations can help to prevent cancer?
Human papillomavirus vaccine (HPV) and Hepatitis B vaccines are two that can prevent cervical and liver cancer respectively.
If live vaccines are not administered on the same day, how far apart should they be spaced?
At least 4 weeks
T/F A single dose of the yellow fever vaccine is always sufficient
False, for people traveling to at risk areas (like certain areas of Africa and Asia) a booster dose is recommended
Patients should refrain from receiving live vaccinations for how long after receiving IVIG?
11 months
What steroid dosing is considered "high dose"?
2mg/kg or 20mg/day
Duration >10-14 days
What is the only disease that has been completely eradicated through vaccination?
Small Pox
Which 2 vaccinations are typically offered / administered for newborns?
Hep B and RSV
Which combination vaccine is known to potentially increase the risk for febrile seizures when administered together?
MMR and varicella
What vaccinations should be considered in asplenia patients?
meningococcal, HIB, pneumococcal, and influenza.
How long should vaccinations be avoided after patients receive high dose steroids?
1 month
Which vaccine is contraindicated in children with a history of intussception?
Rotavirus
Which Haemophilus influenzae type b (HiB) vaccination (which name brand) is a three dose series compared to the typical 4 dose series?
Pedvax
What is different about the live typhoid vaccine compared to the inactivated vaccine?
The live vaccine is taken by mouth while the inactive version is an injection.
Which patients are eligible to receive vaccinations through the vaccines for children (VFC) program?
Children under 19 years old, that have no insurance, have Medicaid, are underinsured, or are native Americans (include Alaskan natives)
betamethasone
dexamethasone
methylprednisolone
triamcinolone
prednisone/prednisolone
hydrocortisone
cortisone