Vaccine Overview
1.
Which of the following demonstrates passive immunity?
a.
b.
c.
d.
2.
The immune response to live-attenuated influenza vaccine
The immune response to inactivated influenza vaccine
The immune response of a neonate to hepatitis B vaccine
The immune status of a neonate due to maternal influenza vaccine
A 3 year old boy presents to your practice as a new patient. You want to
confirm his vaccinations. The best initial plan is:
a. Presume he has never been immunized and start his vaccine
series.
b. Assume the child is up-to-date since he was in daycare previously.
c. Administer varicella today since he most likely did not get a
booster.
d. Access the Immunization Information System for your state.
3.
Which of the following persons should NOT get nasal live-attenuated
influenza vaccine?
a. A 30 year old pregnant woman
b. A 3 year old boy with an episode of wheezing with bronchitis 2
years ago
c. A 4 year old healthy girl
d. A 42 year old nurse
4.
Which of the following persons should not get a varicella vaccine?
a. A 27 year old school teacher who has never had chickenpox and is
contemplating pregnancy in 3-6 months.
b. A 52 year old daycare worker who can’t remember if she had
chickenpox
c. A 15 year old girl who had varicella vaccine at age 5
d. A 10 year old boy who had a non-vesicular rash when his brother
had chickenpox
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs
5.
Which of the following is a rare occurrence after vaccination?
a.
b.
c.
d.
6.
Redness and swelling at injection site
Mild fever
Anaphylaxis
Injection site pain
Which of the following vaccines should be postponed if a patient is on
chemotherapy for leukemia?
a.
b.
c.
d.
MMR
Varicella
Live-attenuated influenza
All of the above
Match the information you are seeking with the most appropriate website to find
the information.
7.
8.
9.
10.
11.
a.
b.
c.
d.
e.
____General immunization information
____Travel vaccine information
____Descriptions of pediatric vaccines
____Where to access a state vaccine registry
____How to report your observed adverse reaction to a vaccine
http://wwwnc.cdc.gov/travel/yellowbook/search.aspx
http://www.cdc.gov/vaccines
http://www.cdc.gov/vaccines/programs/iis/contact-state.htm
http://www.cdc.gov/vaccines/pubs/pinkbook/pink-chapters.htm
http://vaers.hhs.gov/esub/index
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs
Vaccine Overview Answers
1.
d.
Passive immunity occurs with the transfer of antibodies to humans.
The most common example is the transfer of maternal antibodies
through the placenta to the neonate.
2.
d.
Each state has an Immunization Information System to record
immunizations for children.
3.
a.
Pregnancy is a contraindication for live-vaccines. Under the age of
5, a child with one or more episodes of wheezing during the past
year should not get live-attenuated influenza vaccine (LAIV – nasal
spray). However, a child who had an episode of wheezing with
bronchitis more than 1 year ago can receive LAIV.
4.
b.
A 52 year old is born prior to 1966, and thus is assumed immune to
varicella.
5.
c.
Anaphylaxis is a rare occurrence after vaccination.
6.
d.
All live vaccines are contraindicated in immunocompromised
patients, such as this patient on chemotherapy for leukemia.
7.
b.
General immunization information – www.cdc.gov/vaccines
8.
a. Travel vaccine information –
www.cdc.gov/travel/yellowbook/search.aspx
9.
d. Descriptions of pediatric vaccines –
www.cdc.gov/vaccines/pubs/pinkbook/pink-chapters.htm
10.
c. Where to access a state vaccine registry –
www.cdc.gov/programs/iis/contact-state.htm
11.
e. How to report your observed adverse reaction to a vaccine
http://vaers.hhs.gov/esub/index
AFMRD Presents: A Comprehensive Immunization Curriculum for Family Medicine Residency Programs