What allergies are contraindicated to the MMR and Varicella
vaccine? (hint; there are 2)
Neomycin and Gelatin (which are perservatives in the vax)
Which vaccines are contraindiacted in a patient who is allergic
to neomycin or gelatin?
MMR and Varicella
The MMR and Varicella vaccine are contraindicated in what
four patients?
- Those w/ allergies to gelatin or Neomycin
- Pregnancy
- Immunosuppresion
- Recent reciept of blood product
If the varicella is not given on the same day as PPD or MMR,
they must be seperated by __ weeks.
4 weeks
The MMR-V combination vaccine is licensed for children aged
___ months to ___ years.
12 months - 12 years
The MMR-V combination vaccine cannot be given to what
children?
HIV infected
,Those who have contracted meningococcal disease are place on
strict isolation as they remain infectious until after ____ hours of
therapy.
24 hours (those who are suspected of contact with diseased pt
are given prophylaxis with rifampin, ceftriaxone or cipro)
What are the names of the two physically demonstrable
symptoms of meningitis?
Brudzinski's sign and Kernig's sign
Severe neck stiffness causes a patients hip and knees to flex
when the neck is flexed.
A. Brudzinski's sign
B. Kernig's sign
A
Severe stiffness of the hamstrings causes an inability to
straighten the leg when the hip is flexed to 90 degrees.
A. Brudzinski's sign
B. Kernig's sign
B
Which two HPV types are responsible for most cases of HPV
related cancer?
16 and 18
Which two HPV types are responsible for most cases of HPV
related cancer? SATA
A. HPV 16
,B. HPV 31
C. HPV 18
D. HPV 45
E. HPV 58
A, C
The CDC recommends ___ doses of HPV vaccine for
adolescents ages 11 and 12 and ___ doses if receving the
vaccine at age 15-26
2 doses if 11-12; 3 doses if 15-26
Individuals who have had the HPV vaccine do not need to have
routine cervical screenings. T or F?
F
Those with immunocompromising conditions such as HIV
should receieve ___ dose series of HPV vax.
3
Patients who develope hives or swelling of the lips/throat after
receving the gardasil vaccine should understand that these are
normal side effects. T or F?
F
Gardasil is a vaccine for __.
HPV (9-valent, so targets 9 HPV strands)
Who is most vulnerable for contracting rotavirus?
Infants 6-12 months
, What must you educate parents/family members on whose infant
had just had the rotavirus?
Meticulous handwashing as the vaccine is a live vax and the
virus can be spread through their stool.
If the pertussis vaccine (DTaP) is contraindiacted in for a patient
what can be done?
They can get the booster (DT)
A parent complains of their infant nearly rolling off the
beds/sofas, you should explain that adding pillows to the side of
the infant will keep the infant from falling off. T or F?
F
When a child is learning to first walk, ___ is best.
Barefoot ( socks, long pants and rubber shoes can cause
imbalance and falls)
Instead of using walkers you should educate a parent that ___
are a better alternative.
Saucers
Back to sleep should be done until __ year of age to reduce risk
of sleep related death.
1
Cardiorespiratroy monitors should not be used to reduce the risk
of SIDS. T or F?
T
At what point is swaddling no longer appropriate?