Vaccines

Question 1

Eculizumab needs what vaccination
Timing

Answer 1

MenACYW and MenB
two weeks before start, repeat every 5 years if remaining the medication

Question 2

Who should get MenB in adolescents and young adults

Answer 2

asplenia
complement deficiency
on eculizumab or ravalizumab
microbiologist working with Neisseria meningitides

Question 3

Tdap recommendation in pregnant women

Answer 3

with every pregnancy in 3rd trimester

Question 4

what populations should get hep A vaccine plus IG for post exposure ppx

Answer 4

liver disease or immunocompromised

Question 5

hep a post exposure prophylaxis for infants < 12 months

Answer 5

IG only within 2 weeks of exposure

Question 6

post exposure prophylaxis for anthrax

Answer 6

60 days of antibiotic ppx and 3 doses of anthrax vaccine

Question 7

Hep A post exposure ppx if healthy and previously vaccinated

Answer 7

nothing

Question 8

Hep B vaccination in HCW

Answer 8

3 dose series

Question 9

what two vaccines are contraindicated in HIV with CD4 < 200

Answer 9

varicella and MMR

Question 10

at what age should you receive high dose flu vaccines

Answer 10

65 and older

Question 11

age recommendation for inactivated flu vaccine

Answer 11

6 months and older if no contraindications

Question 12

egg allergy with anaphylaxis, what do you give for flu vaccine

Answer 12

ok to get inactivated flu vaccine but need monitoring after

Question 13

egg allergy with hives, what do you give for flu vaccine

Answer 13

ok to get inactivated vaccine, no monitoring needed

Question 14

who doesn’t need measles vaccine

Answer 14

those born before 1957
those with lab documented immunity

Question 15

when can measles vaccine be given post transplant

Answer 15

2 years post transplant
no active GVHD
at least 1 year off immunosuppressive medications

Question 16

who should get two doses of MMR

Answer 16

school age children
college students
HCW
international travelers

Question 17

HPV vaccine 9-14 how many doses

Answer 17

2 dose

Question 18

HPV vaccine > 14 or immunocompromised how many doses

Answer 18

3 doses

Question 19

Age recommendation for PCV 20 or 15

Answer 19

65 and older if not vaccinated before

Question 20

special populations to give PCV 20 ages 19-64

Answer 20

asplenia
Lung disease
Heart Disease
Liver Disease
Smokers
CSF Leak
Diabetes
Alcoholics
HIV

Question 21

HBV vaccine recommendations in HIV

Answer 21

Recombivax or Engerix 3 dose series
Heplisav 2 dose series

Question 22

Shingrix vaccine recommendation

Answer 22

all adults 50 years and old
doesn’t matter if they had old shingles vaccine

Question 23

Shingrix additional recommendation

Answer 23

18+ if immunocompromised including HIV

Question 24

hepatitis A vaccination for people adopting a child from endemic areas
timing

Answer 24

all close personal contacts including babysitters
at least 2 weeks prior to arrival of child within 60d of arrival

Question 25

Who should get hep A vaccination in adults

Answer 25

travelers MSM Drug use those who work with monkeys chronic liver disease homeless

Question 26

who should get yellow fever vaccine

Answer 26

9 months or greater traveling to or living in high risk areas

Question 27

do you need repeat yellow fever vaccine?

Answer 27

no a single dose provides lifelong protectionw

Question 28

who needs a yellow fever repeat vaccination

Answer 28

pregnant at the time of the first vaccine underwent HSCT after first vaccine HIV

Question 29

who needs meningitis vaccine for travel

Answer 29

those going to meningitis belt (Africa) from Dec to June Give ACYW

Question 30

special requirement destination for needed meningitis vaccine

Answer 30

Hajj or Umrah in saudi arabia

Question 31

vaccine protection of oral typhoid live attenuated

Answer 31

every 5 years

Question 32

when to give oral typhoid vaccine

Answer 32

at least 1 week before travelw

Question 33

when to give IM typhoid vaccine

Answer 33

2 weeks before travel

Question 34

how long does protection of IM typhoid vaccine last

Answer 34

2 years

Question 35

who should get JEV

Answer 35

Asia going to rural areas, irrigated areas (rice paddies), outbreak area, going for more than one month

Question 36

PEP for rabies

Answer 36

2 dose vaccine

Question 37

Post Exposure PPX for rabies immunocompetent

Answer 37

HRIG and 4 dose vaccine

Question 38

post exposure PPX for rabies immunocompromised

Answer 38

HRIG and 5 doses of vaccine

Question 39

post exposure PPX for rabies if they have had vaccine prior

Answer 39

2 doses of vaccine, don't need HRIG

Question 40

who needs post vaccination HBV anti-S ab titers

Answer 40

HCW infants born to HBsAg mothers HD HIV Immunocompromised (SCT, SOT) sex partners or HBsAg positive persons