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CMN 571 Final Exam Questions And Answers
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CMN 571 FinalLaws related to administering vaccines: VIS - VERIFIED ANS 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? - VERIFIED ANS 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 - VERIFIED ANS Hep B
Vaccines at 4 months - VERIFIED ANS D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
Vaccines at 2 months - VERIFIED ANS B - Hep B
D - Dtap
R - Rotovirus
,H - HIB
I - IPV
P - PCV
Vaccines at 6 months - VERIFIED ANS B - Hep B
D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
Vaccines at 12-15 months - VERIFIED ANS M - MMR
A - HepA
D - Dtap
H - HIB
P - PCV
V- Varicella
Vaccines at 4-6 years - VERIFIED ANS VERY - Varicella
D - DTAP
I - IPV
M - MMR
Active immunity - VERIFIED ANS 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 - VERIFIED ANS 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 - VERIFIED ANS 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 vaccinations. Generally 90 -95% of the population should be to be vaccinated to have effective Herd
immunity.
Hep B Vaccine - VERIFIED ANS 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 - VERIFIED ANS 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 - VERIFIED ANS For prevention of diphtheria, tetanus, and pertussis (whooping cough)
Can be in combo with IPV & HepB, combo with IPV & HIB, or combo with IPV.
Should be deferred in individuals with progressive neuromuscular disorders until neuro status is clarified
and stabilized.
, Moderate to severe systemic effects: fever, inconsolable crying, hypotonic-hyporesponsive episodes.
HIB Vaccine - VERIFIED ANS Haemophilus influenzae type B - causes a wide spectrum of serious
infections bacterial illnesses, particularly in young children, including meningitis, epiglottitis, pneumonia,
septic arthritis, and cellulitis. Can be solo vaccine or combo with Dtap and IPV. Given as series of 3 or 4
doses (depending on formula) OMP is 3 - T is 4.
Not recommended in children over 5 yrs
Should not be given to infants under 6 weeks
Adverse effects are uncommon.
Pneumococcal vaccine - VERIFIED ANS Streptococcus pneumoniae - leading cause of invasive bacterial
disease in children, causes febrile bacteremia, bacterial sepsis, meningitis, and pneumonia. Also a
common cause of otitis media and sinusitis. Two vaccines in use: PCV13 and PCV23 (only 2yrs and older).
PCV13 given in 4 doses.
Both vaccines should be deferred during moderate or severe acute illness with or without fever.
Adverse effects: fever, injection site reactions, irritabilit, and increased or decreased sleep.
Not proven - when given in conjunction with flu vaccine increased risk of febrile seizures.
Poliomyelitis - VERIFIED ANS Polioviruses cause acute flaccid paralysis via destruction of the motor
neurons.
IPV only vaccine available in the US, CANNOT cause polio.
Can be combined wth Dtap, Hep B, or HIB.
4 Dose series
Contraindications/Precautions: Should be deferred during moderate to severe illnesses with or without
fever. Pregnancy is a precaution.
No serious adverse reactions described.
Influenza - VERIFIED ANS Occurs each winter-early spring, often associated with significant morbidity
and mortality in certain high risk groups.
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