1. I.M.Quizitor
Pediatrics
Date

2. SINGLE Quizitor
Measles, Mumps,
Rubella, &
Varicella
Hepatitis A
Meningococcal
Human
Papillomavirus
General
Questions &
Pain
Management
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

3. The two doses each of MMR and varicella vaccine are recommended routinely at which ages?
Topic I
100
Question

4. 12-15 months and 4-6 years
Note: Children who will travel outside of the US follow a different MMR schedule:
1) Infants 6-11 months old receive 1 dose prior to departure then 2 more doses: the 1st at months and the 2nd at least 4 weeks later. (The dose given <12 months does not count toward completion of the series because lingering maternal antibodies could inactivate this live virus vaccine.) 2) Children 12 months and older should receive 2 doses prior to departure: the 1st at months and the 2nd at least 4 weeks later.
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Quizitor
Topic I
100
Answer

5. The second doses of MMR and varicella vaccine may be administered prior to 4-6 years, provided at least how much time has elapsed since the first dose?
Topic I
200
Question

6. The minimum interval between doses of MMR is 4 weeks
The minimum interval between doses of MMR is 4 weeks. For varicella vaccine, it is 3 months for children 12 months to 12 years (if the second dose was administered at least 4 weeks after the first dose, it can be accepted as valid); for persons aged 13 years and older, the minimum interval between doses is 4 weeks.
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Quizitor
Topic I
200
Answer

7. Combination MMRV vaccine (ProQuad) is not recommended in which situations due to increased risk of febrile seizure?
Topic I
300
Question

8. 1). First dose (if given at age 12-47
1) First dose (if given at age months), unless parents express a preference for MMRV 2) Personal or family history of seizures
    
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Quizitor
Topic I
300
Answer

9. A 10 year old received one dose of varicella vaccine at age 1 year
A 10 year old received one dose of varicella vaccine at age 1 year. Should this child receive additional varicella vaccine? Why or why not?
Topic I
400
Question

10. All children should receive 2 doses of varicella vaccine
All children should receive 2 doses of varicella vaccine. Older children who did not receive the 4-6 year dose should be given a “catch up” dose to prevent entering adulthood susceptible to varicella. (A single dose only protects 70-85%.)
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Quizitor
Topic I
400
Answer

11. A 13-year-old has no history of chickenpox or varicella vaccination
A 13-year-old has no history of chickenpox or varicella vaccination. How many varicella vaccine doses does she need and when?
Topic I
500
Question

12. 2 doses 4 weeks apart (the interval is 4 weeks between doses starting at 13 years)
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Quizitor
Topic I
500
Answer

13. At what age should the initial dose of Hepatitis A vaccine be given routinely?
Topic II
100
Question

14. 12-23 months
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Quizitor
Topic II
100
Answer

15. How many doses of Hepatitis A vaccine are recommended?
Topic II
200
Question

16. 2 doses
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Quizitor
Topic II
200
Answer

17. What is the minimum interval between Hepatitis A vaccine doses?
Topic II
300
Question

18. 6 months
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Quizitor
Topic II
300
Answer

19. True or False? Household contacts (including babysitters) of children adopted from countries with endemic Hepatitis A should be immunized 2 or more weeks before arrival of the adoptee.
Topic II
400
Question

20. True
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Quizitor
Topic II
400
Answer

21. Hepatitis A vaccine is recommended for post-exposure prophylaxis to incompletely vaccinated children if exposed to Hepatitis A within what time frame?
Topic II
500
Question

22. The past 2 weeks
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Topic II
500
Answer

23. Which two quadrivalent meningococcal vaccines are recommended for routine use in the US and against which serogroups do they protect?
Topic III
100
Question

24. 1). Menactra (MCV4-D) 2). Menveo (MCV4-CRM)
1) Menactra (MCV4-D) 2) Menveo (MCV4-CRM) Both protect against serogroups A, C, Y, and W135
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Quizitor
Topic III
100
Answer

25. At which ages should one of the quadrivalent meningococcal conjugate vaccines (MCV4) be given routinely to healthy adolescents?
Topic III
200
Question

26. 1). All teens 11-18 years: give 1st dose at 11-12
1) All teens years: give 1st dose at years and a booster at 16 years. 2) College entry (if age years and not previously immunized); previously unvaccinated older adolescents and college students may also elect to receive the vaccine. Note: Teens years old with HIV infection should receive a 2-dose primary series of MCV4 (with at least 8 weeks between doses).
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Topic III
200
Answer

27. To protect teens during the peak meningococcal disease risk (16-21 years), when should you give an MCV booster to patients who did not receive their first dose at years? What are the risk factors for meningococcal disease in this age group?
Topic III
300
Question

28. If first dose given at 13-15 years, booster at 16-18 years.
If first dose given at 16 years or older, no booster.
Give booster at college entry if age <22 years and more than 5 years since first dose; consider booster for existing college students who meet same criteria.
Risk factors for meningococcal disease: crowded living conditions, exposure to smoking (active/passive), URIs. Accordingly, college freshmen living in dorms and military recruits are at increased risk.
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Quizitor
Topic III
300
Answer

29. Which new meningococcal vaccines were approved to protect against serogroup B (MenB) and for which age groups?
Topic III
400
Question

30. Go To Single Quizitor Topic III 400 Answer
Bexsero (2-dose series, at least 4 weeks apart) and Trumenba (3-dose series at 0, 2, 6 months). The CDC recommends completion of one series (do not mix MenB products) for high risk individuals ages 10 years or older. High risk is defined as children with:
Persistent complement component deficiencies
Anatomic or functional asplenia, or
At increased risk because of a serogroup B meningococcal disease outbreak
Given recent outbreaks of MenB on college campuses, the CDC also gave a “permissive” recommendation: MenB may be given, based on individual decision-making, to adolescents and young adults years, preferentially years. This recommendation allows for coverage by VFC and most insurance companies.
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Quizitor
Topic III
400
Answer

31. Which children should receive meningoccal vaccine before the standard age of 11 years?
Topic III
500
Question

32. Go To Single Quizitor Topic III 500 Answer
Infants and children with high-risk conditions: anatomic or functional asplenia (including sickle cell disease), and persistent complement component deficiency. (NOTE: These children should receive a meningococcal conjugate vaccine (Menveo, MenHibrix, or Menactra) series as infants/toddlers and MenB vaccine series starting at age 10 years.)
Children who travel to countries in which meningococcal disease is hyperendemic or epidemic, including the sub- Saharan “meningitis belt” or the Hajj.
(NOTE: These children should receive either Menactra or Menveo as MenHibrix (Hib-MenCY) does not protect against serogroups A or W.)
See Footnote 11 for number and timing of doses.
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Quizitor
Topic III
500
Answer

33. Which HPV vaccines are licensed in the US and for which ages and genders?
Topic IV
100
Question

34. Gardasil, quadrivalent vaccine (4vHPV4) for females and males 9-26 years (No longer covered by VFC)
Gardasil 9, 9-valent vaccine (9vHPV) for females and males 9-26 years
Cervarix, bivalent vaccine (2vHPV) for females years (No longer covered by VFC)
NOTE: The HPV vaccine schedule may change in or To review the most recent recommendations, please refer to the CDC website:
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Quizitor
Topic IV
100
Answer

35. Which conditions do these HPV vaccines prevent if administered prior to exposure?
Topic IV
200
Question

36. 1) Gardisil (4vHPV4 and 9vHPV) prevents cervical, vaginal, vulvar, and anal cancers and precancerous lesions and genital warts in females, and anal cancer and cancerous lesions and genital warts in males.
In addition, although there are no data on the efficacy of HPV vaccine to prevent oropharyngeal and penile cancers, most of these HPV-associated cancers are caused by the HPV types prevented by the vaccines.
2) Cervarix (HPV2) prevents cervical cancers and precancers in females.
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Quizitor
Topic IV
200
Answer

37. How many doses of HPV vaccine are recommended and at what ages and intervals?
Topic IV
300
Question

38. 3 doses: 1st dose given at 11-12 years
2nd dose: 1-2 months after 1st dose
3rd dose: 6 months after 1st dose (and at least 12 weeks after the 2nd)
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Quizitor
Topic IV
300
Answer

39. Which children should start the HPV vaccine series before age 11 years Which age should they begin?
Topic IV
400
Question

40. Administer HPV vaccine beginning at age 9 years to children with any history of sexual abuse or assault.
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Quizitor
Topic IV
400
Answer

41. True or False?
Females who complete the 3-dose series of Gardasil as recommended do not need routine cervical cancer screening.
Topic IV
500
Question

42. False
HPV vaccination does not substitute for routine cervical cancer screening.
All women aged should continue to undergo cervical cancer screening per standard of care.
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Quizitor
Topic IV
500
Answer

43. True or False?
The timing of immunizations for premature infants should be corrected for gestational age.
Topic V
100
Question

44. False.
Premature infants should be immunized according to their post-natal (chronological) age.
Exception: Hep B vaccine for preterm infants weighing <2000 gm.
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Quizitor
Topic V
100
Answer

45. True or False?
Children who are behind on vaccines (time elapsed between vaccines exceed the recommended intervals) must restart the series.
Topic V
200
Question

46. False.
Never restart the series. Continue the series from the last administered dose (unless the child is now too old to receive the vaccine (e.g., Rotavirus vaccine for infants older than 8 months or Hib vaccine for low-risk children older than 60 months).
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Quizitor
Topic V
200
Answer

47. True or False?
CDC immunization guidelines state that children should be given all vaccines for which they are eligible at the time that they are seen, regardless of the number of injections
Topic V
300
Question

48. There is no maximum number of injections.
True.
There is no maximum number of injections.
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Quizitor
Topic V
300
Answer

49. True or False?
The AAP recommends routine preemptive administration of acetaminophen for managing injection pain.
Topic V
400
Question

50. False.
Two large controlled trials showed that infants who received acetaminophen following immunization had significant lower antibody geometric mean concentration compared to infants who did not receive acetaminophen. (See Reference by Prymula et al.)
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Quizitor
Topic V
400
Answer

51. children (4 years and older)?
What are the components of effective pain management for immunization injections for:
infants
children (4 years and older)?
Topic V
500
Question

52. See PCC policies in “Resources” section
Infants: Combined oral sucrose, breastfeeding/sucking on bottle or pacifier, and parent holding;
Children: Combined topical vapocoolant spray (Pain Ease) and distraction with a party blower or pinwheel.
See PCC policies in “Resources” section
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Quizitor
Topic V
500
Answer