Professional Documents
Culture Documents
You are admitting a newborn in the GCN and as you review the mothers history you note that there is no documentation of her Hepatitis B status. The mothers HBsAg has been drawn and is pending. The infant has a normal physical exam. Your next step should be: A. Continue with routine GCN management while awaiting maternal HBsAg results, administering Hepatitis B vaccine upon discharge B. Administer Hepatitis B vaccine immediately C. Administer Hepatitis B vaccine and HBIG immediately D. Draw stat HBsAg levels in infant
HBsAg+ mother
HepB vaccine and HBIG ASAP Test for anit-HBs and HBsAg in infant at 9-18 mo (after completion of 3 mo series)
An 18 mo M in your continuity clinic has a severe (anaphylactic) allergy to eggs which vaccine(s) are contraindicated?
A. MMR B. Varicella C. Influenza D. Yellow Fever E. Hib
You are in HONC clinic seeing a 30 y/o F with HgbSS. Her last immunizations were at age 18 mo. What additional vaccines will you administer today? (select all that apply) A. B. C. D. E. F. Influenza Tdap Yellow fever PCV 13 PPSV 23 MCV4
It is October and you are discharging the following infants from the NICU. Who gets synagized? Select all that apply A. 6 mo old FT with tricuspid atresia B. Ex-35 6/7 IDM with feeding intolerance C. 30 month old with CLD, receiving 0.8L NC D. 2 mo old, ex-34 wk healthy M with no chronic disease being discharged to a home with a 4 year old sister
Answer: 6 mo old FT with tricuspid atresia AND 2 mo old, ex-34 wk healthy M with 4 y/o sister
Wait..What is Synagis? Palivizumab: is a monoclonal antibody used to limit the severity of RSV infections in expremies and high-risk infants
You are getting ready to administer vaccinations to a 4 year old patient in your clinic. Which of the following medication regimens would make you hesitate (select all that apply) A. B. 4 y/o with moderate persistent asthma on daily flovent 4 y/o on daily corticosteroids secondary to adrenal insufficiency C. 4 y/o with JIA on a 3 week course of prednisone (dose = 2mg/kg/day) D. 4 y/o severe asthmatic on a 14 day taper of prednisolone (dose = 1mg/kg/day)
Do not give if receiving > 2mg/kg/day of prednisone for 14 days or greater (including QOD) Wait until corticosteroid therapy has been discontinued for at least 1 month
Its November and you are seeing a 6 y asthmatic for WCC mom is finally agreeing to the flu vaccine (after 2 years of encouragement) She requests the intranasal influenza vaccine. What regimen would you recommend?
1. 2. 3. 4. 5.
Intransal Influenza x1 dose IM Influenza x1 dose Intranasal x 2 doses IM Influenza x2 doses Influenza is contraindicated in asthmatics
Do not give Consider performing skin testing to determine safety of administering vaccine
Give
Give
Give
Give: HepB, Tdap, Td, inactivated influenza Do not give: MMR, varicella, intranasal influenza, IPV, OPV