© I.M.Quizitor Pediatrics Date.

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Presentation transcript:

© I.M.Quizitor Pediatrics Date

SINGLE Quizitor Diphtheria, Tetanus, Pertussis (DTaP/Tdap) Polio (IPV) Hepatitis B (Hep B) H. influenza type b & Pneumococcal (Hib, PCV) Rotavirus & Influenza (Rota, Flu) 100 100 100 100 100 200 200 200 200 200 300 300 300 300 300 400 400 400 400 400 500 500 500 500 500

How many doses of DTaP should be administered routinely How many doses of DTaP should be administered routinely? What is the recommended schedule for these doses? Topic I 100 Question

Five doses: primary series given at 2, 4 and 6 months, and booster doses at 15-18 months and 4-6 years. Notes: A fifth dose is not necessary if the 4th dose is given after the 4th birthday. Do not give DTaP to children >7 years. Go To Single Quizitor Topic I 100 Answer

The fourth dose of DTaP may be administered as early as age 12 months provided how many months have elapsed since the third dose? Topic I 200 Question

6 months Go To Single Quizitor Topic I 200 Answer

What vaccine recommendation aims to protect very young infants from pertussis? Topic I 300 Question

Tdap administration to all pregnant adolescents and adults during each pregnancy (preferred at 27-36 weeks gestation), regardless of the interval since the previous Td/Tdap.      Go To Single Quizitor Topic I 300 Answer

Tdap is recommended at what age for those who completed the childhood DTP/DTaP series? Topic I 400 Question

11-12 years or by entry to 7th grade, regardless of the interval since a previous Td. Go To Single Quizitor Topic I 400 Answer

True or False. Progressive or unstable neurologic disorders (e. g True or False? Progressive or unstable neurologic disorders (e.g., infantile spasms, uncontrolled seizures) are reason for indefinite deferral of pertussis immunization. Topic I 500 Question

True for children with progressive neurologic disorders True for children with progressive neurologic disorders. Note: Children with static neurologic disorders (e.g., CP, controlled seizures) should receive pertussis vaccine. Go To Single Quizitor Topic I 500 Answer

How many doses make up the inactivated poliovirus vaccine (IPV) series? Topic II 100 Question

Four Go To Single Quizitor Topic II 100 Answer

At what ages should children receive IPV? Topic II 200 Question

Primary series at 2, 4 and 6-18 months, and a booster at 4-6 years Go To Single Quizitor Topic II 200 Answer

In the catch-up schedule, the minimum interval between doses of polio vaccines in the primary series is: Topic II 300 Question

4 weeks Go To Single Quizitor Topic II 300 Answer

A fourth dose of IPV is not necessary if the third dose was administered after which birthday and how many months after the previous dose? Topic II 400 Question

4th birthday; at least 6 months after the previous dose Go To Single Quizitor Topic II 400 Answer

IPV is generally not recommended for US residents of what age? Topic II 500 Question

≥ 18 years, unless traveling to a polio-endemic region Go To Single Quizitor Topic II 500 Answer

How many doses of Hepatitis B vaccine are required to complete immunization? Topic III 100 Question

3 Go To Single Quizitor Topic III 100 Answer

Infants born to mothers with known negative HBsAg status should receive the Hep B vaccine at birth and at which subsequent ages? Topic III 200 Question

1-2 months and ≥24 weeks (if using monovalent vaccine); 2, 4, and 6 months (if using combination vaccine containing Hep B) for a total of 4 doses Go To Single Quizitor Topic III 200 Answer

Infants born to mothers with unknown HBsAg status should receive Hep B vaccine within 12 hours of birth and HBIG by what age if the mother is found to be positive? Topic III 300 Question

7 days, if birthweight >2000 grams 7 days, if birthweight >2000 grams. Note: Newborns weighing <2000 grams should receive Hep B vaccine and HBIG within 12 hours of birth. Go To Single Quizitor Topic III 300 Answer

Infants born to mothers with positive HBsAg status should receive Hep B vaccine and HBIG within 12 hours of birth and be tested for Hep B at what age? Topic III 400 Question

Test for HBsAg and anti-HBS after ≥3 vaccine doses and 1-2 months after last dose, typically at the next WCC (at 9-18 months). Go To Single Quizitor Topic III 400 Answer

When should you give the first dose of Hepatitis B vaccine to preterm infants weighing less than 2000 gm? Topic III 500 Question

If born to HBsAg negative mothers: At 30 days or hospital discharge (if <30 days), then continue with the series. If born to HBsAg positive or unknown mothers: Less than 12 hours (with HBIG.) Note: birth dose does not count toward completion of the series. Reinitiate at 1-2 months. Go To Single Quizitor Topic III 500 Answer

What is the recommended vaccination schedule for Hib and PCV vaccines? Topic IV 100 Question

Hib: 2, 4, 6, and 12-15 months (if using ActHib vaccine); 2, 4, and 12-15 months (if using PedvaxHib). Note: If the primary series includes both ActHib and PedvaxHib, a 6-month dose is needed. Either Hib brand can be used as the booster. PCV: 2, 4, 6, and 12-15 months. Go To Single Quizitor Topic IV 100 Answer

Even if a child has never received Hib or pneumococcal conjugate vaccine, they are not recommended for children older than what age? Topic IV 200 Question

>5 years (60 months), unless a child has a high-risk condition (see Footnotes 5 and 6.) Go To Single Quizitor Topic IV 200 Answer

For previously unimmunized healthy children under 5 years, only one dose of Hib vaccine is recommended if the first dose is given at what age? Is this the same for PCV? Topic IV 300 Question

Only 1 dose of Hib if first dose is given >15 months Only 1 dose of Hib if first dose is given >15 months. Not the same as PCV (only 1 dose of PCV if first dose given >24 months.) Go To Single Quizitor Topic IV 300 Answer

Which children should receive additional dose(s) of Hib vaccine? Topic IV 400 Question

Children with high-risk conditions including: chemotherapy recipients, anatomic or functional asplenia (including sickle cell disease), HIV infection, immunoglobulin deficiency, or complement deficiency. (See Footnote 5 for details.) Go To Single Quizitor Topic IV 400 Answer

Which children should receive pneumococcal polysaccharide vaccine (PPSV23) in addition to PCV? Topic IV 500 Question

Children with high-risk conditions including: chronic heart or lung disease (including severe asthma), diabetes, CSF leak, cochlear implant, sickle cell disease and other hemoglobinopathies, anatomic or functional asplenia, HIV infection, chronic renal failure, nephrotic syndrome, treatment with immunosuppressive drugs or radiation, solid organ transplant, or congenital immunity. (See Footnote 6 for details.) Go To Single Quizitor Topic IV 500 Answer

What are the two licensed brands of oral rotavirus vaccine and at which ages are they routinely given? Topic V 100 Question

RotaTeq (pentavalent RV (RV5)): 2, 4, and 6 month visits; Rotarix (monovalent RV (RV1)): 2 and 4 months. Note: If any dose in the series is RV5 or unknown, give 3 doses total Go To Single Quizitor Topic V 100 Answer

No doses can be given after what age? The first dose of RV can be given between 6 weeks and 14 weeks 6 days (before the 15th week birthday). No doses can be given after what age? Topic V 200 Question

8 months 0 days Go To Single Quizitor Topic V 200 Answer

RV should be given to infants with a history of intussusception. True or False: RV should be given to infants with a history of intussusception. Topic V 300 Question

False. Contraindications for rotavirus vaccine include a history of intussusception, SCID and latex allergy (RV1 only). Precautions include chronic GI disease, or immunocompromise other than SCID, or spina bifida or bladder exstrophy (RV1 only). Go To Single Quizitor Topic V 300 Answer

What are the routes and minimum ages for administering inactivated influenza vaccine (IIV) and live attenuated influenza vaccine (LAIV)? Topic V 400 Question

IIV: intramuscular, 6 months; LAIV: intranasal, 2 years. Go To Single Quizitor Topic V 400 Answer

Children with which conditions should not receive LAIV? Topic V 500 Question

Go To Single Quizitor Topic V 500 Answer Age under 2 years or over 49 years; Age 2-17 yrs and taking aspirin or aspirin-containing products; Allergy to eggs or LAIV; Pregnancy; Immunosuppression; Aged 2-4 years with asthma or wheezing in the past 12 months; Have taken influenza antiviral medications in the previous 48 hours; safety of LAIV in children 5 years and older with asthma, chronic pulmonary, cardiovascular [except isolated HTN], renal, hepatic, neurologic, hematologic, or metabolic disorders, including IDDM, has not been established and should be considered precautions. Go To Single Quizitor Topic V 500 Answer