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ACIP Child Immunization Recommendations (Crawford + Bogan): Questions With Correct Answers
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ACIP Child Immunization Recommendations (Crawford+ Bogan): Questions With Correct Answers
Live attenuated viral vaccines Right Ans - MMR, Varicella, Flumist,
Rotavirus
Inactivated viral vaccines Right Ans - IPV, HepA, Influenza
Recombinant vaccines Right Ans - HepB, HPV
Vaccines w/ immunogenic components (bacteria) Right Ans - Pertussis,
HiB, Pneumococcal
only mRNA vaccine Right Ans - Covid-19
IM vaccines Right Ans - DTaP, HepA/B, HiB, Influenza, Pneumococcal
(PCV), Meningococcal, Covid, HPV, IPV, Typhoid
SubQ vaccines Right Ans - MMR, Varicella, MMRV, Pneumococcal (PPSV23 -
can be IM or SQ)
Oral vaccine Right Ans - Rotavirus
General C/I for all vaccines Right Ans - - anaphylaxis to previous
dose/vaccine component
- IC or pregnant individuals should not receive live attenuated viruses
Things that are NOT true C/I for all vaccines Right Ans - - mild, acute illness
+/- fever
- convalescent phase of an illness
- recent exposure to infectious dz
- current abx therapy
- breastfeeding
- mild-mod rxn to previous vaccine
- PCN or other non-vaccine related allergy
, Children 6mo-8yrs who have received at least 2 doses of the influenza vaccine
(trivalent or quadrivalent) prior to July 1, 2022 should receive how many
doses of the influenza vaccine this season (2023-2024)? Right Ans - 1 dose
Children 6mo-8yrs who have NOT received at least 2 doses of the influenza
vaccine (trivalent or quadrivalent) prior to July 1, 2022 should receive how
many doses of the influenza vaccine this season (2023-2024)? Right Ans - 2
doses separated by at least 4 weeks
This also applies to children whose vaccine status cannot be determined
For children >/= 9 years, how many doses of the influenza vaccine should they
receive? Right Ans - 1 dose
Minimum age to receive Flumist (LAIV4)? Right Ans - 2 years
T/F: All persons >/= 6 months with an egg allergy (excluding anaphylaxis)
should receive the influenza vaccine Right Ans - True: As long as the pt has
not had an anaphylactic rxn after a previous dose of any influenza vaccine,
including egg protein, an egg allergy necessitates NO ADDITIONAL safety
measures for the influenza vaccine
New for 2023
You are seeing two children in your clinic (ages 4 and 7). You have seen the 4
year old for several years and know he received IIV4 for the last several years.
The 7 year old is a recent international adoptee whose vaccination status is
unknown. How many flu shots does each child need?
A. They each need 2 doses
B. 1 dose for the 4 yo and 2 doses for the 7 yo
C. They each need only 1 dose
D. 2 doses for the 4 yo and 1 dose for the 7 yo Right Ans - ANSWER: B - 1
dose for the 4 year old, 2 doses for the 7 year old
RATIONALE: youngest child received at least 2 doses of vaccine prior to July
2022, so he only needs 1 this year. Older child's vaccine history is unknown he
would need to receive 2 doses this year (1 per year after that)
Deadline that children should receive Influenza vaccines by this year?
Right Ans - By the end of October d/t COVID
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