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CMN 571 FINAL QUESTIONS WITH COMPLETE SOLUTIONS GRADED A+
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Laws related to administering vaccines: VIS - CORRECT ANSWER All vaccine providers, public or private, are required by the National Vaccine Childhood Injury Act to give the appropriate VIS to the patient (or parent or legal representative) prior to every dose of specific vaccines. The ap...

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  • September 21, 2024
  • 124
  • 2024/2025
  • Exam (elaborations)
  • Questions & answers

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CMN 571 FINAL 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
Laws related to administering vaccines: VIS - CORRECT ANSWER All vaccine
providers, public or private, are required by the National Vaccine Childhood Injury
Act to give the appropriate VIS to the patient (or parent or legal representative)
prior to every dose of specific vaccines.



The appropriate VIS must be given prior to the vaccination, and must be given
prior to each dose of a multi-dose series. It must be given regardless of the age of
the recipient.



What is required to be recorded in the medical record? - CORRECT ANSWER
The edition date of the VIS (found on the back at the right bottom corner).

The date the VIS is provided (i.e., the date of the visit when the vaccine is
administered).

The office address and name and title of the person who administers the vaccine.

The date the vaccine is administered.

The vaccine manufacturer and lot number.



Vaccines at birth - CORRECT ANSWER Hep B



Vaccines at 4 months - CORRECT ANSWER D - Dtap

R - Rotovirus

H - HIB

I - IPV

,CMN 571 FINAL 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
P - PCV



Vaccines at 2 months - CORRECT ANSWER B - Hep B

D - Dtap

R - Rotovirus

H - HIB

I - IPV

P - PCV



Vaccines at 6 months - CORRECT ANSWER B - Hep B

D - Dtap

R - Rotovirus

H - HIB

I - IPV

P - PCV



Vaccines at 12-15 months - CORRECT ANSWER M - MMR

A - HepA

D - Dtap

H - HIB

P - PCV

,CMN 571 FINAL 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
V- Varicella



Vaccines at 4-6 years - CORRECT ANSWER VERY - Varicella

D - DTAP

I - IPV

M - MMR



Active immunity - CORRECT ANSWER Resistance developed in response to
infection with an agent resulting in antibody production. Active immunity is usually
permanent. Can be either naturally acquired through exposure and infection with
the disease or artificially acquired through immunization. Onset is 2-4 weeks and
duration is years to lifetime.



Passive Immunity - CORRECT ANSWER A person is given antibodies to a
disease rather than producing them through his or her own immune system. This
is short term immunity through introduction of antibodies to a disease. Can occur
naturally as in the passage of antibodies from the mother to the fetus during
pregnancy or artificially acquired through injection of antibodies such as gamma
globulin. Onset is within 24 hours of the dose and duration is about 4-6 months.



Herd Immunity - CORRECT ANSWER This occurs when a significant portion of
the population is vaccinated and that provides a portion of immunity for those that
have not developed immunity. The population (herd) helps prevent disease in the
unprotected population. The herd protects those who can not safely get

, CMN 571 FINAL 2024-2025 QUESTIONS
WITH COMPLETE SOLUTIONS GRADED A+
vaccinations. Generally 90 -95% of the population should be to be vaccinated to
have effective Herd immunity.



Hep B Vaccine - CORRECT ANSWER 3 dose schedule: 1st Should be given
within 24 hours of birth (12 hours if mother + or unknown HBsAg status). 2nd at 2
months and 3rd at 6 months.

Low rate of adverse events.

Contraindications: Do not give to anyone with serious allergic reaction to yeast.

Can be solo vaccine (engerix-B/Recombivax HB) or combined with Dtap & IPV
(pediarix)



Rotavirus Vaccine - CORRECT ANSWER Rotavirus is the most common cause
of severe gastroenteritis among young children.

Two vaccines available - RV5 (Rotateq) and RV1 (Rotarix).

RV5 is 3 dose schedule at 2, 4, 6 months. RV1 is 2 dose schedule at 2 & 4 months.

Risks and contraindications: Risk of intussusception, should not be given to infants
with history. RV1 should not be given to infants with severe latex allergy (package
is latex). Both vaccines are contraindicated in SCID. Should be deferred in infants
with acute moderate to sever gastroenteritis.



DTaP Vaccine - CORRECT ANSWER For prevention of diphtheria, tetanus, and
pertussis (whooping cough)

Can be in combo with IPV & HepB, combo with IPV & HIB, or combo with IPV.

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