Boards- APEA Peds Questions and Correct Answers the Latest Update and Recommended Version
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Course
APEA Peds
Institution
APEA Peds
Hep A Vaccine
- Routine immunization schedule for children at minimum age 1 yr
- 2 doses at least 6m apart
Hep B Vaccine
- 3 dose series
- #1: 0m
- #2: 1-2m
- #3: 6-18m after #1
DTaP Vaccine
- <7 yrs of age
- 5 dose series:
#1: 2m (minimum age 6 wks)
#2: 4m
#3: 6m
#4: 1...
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✓ - >7 yrs
✓ - 11-12 yrs: Tdap booster- contains tetanus, diphtheria, and acellular pertussis
✓ - Tdap can be administered regardless of last interval since the last tetanus- and
diptheria-toxoid- containing vaccine
✓ - After Tdap, pts should receive Td booster 10y (routine)
Pregnancy and Tdap
✓ 1 dose Tdap during each pregnancy, preferably in early part of gestational weeks 27-36
✓ - 4 dose series
✓ - given at 2, 4, 6, and 12-15 mo
✓ - minimum age 6 wks (PCV13), 2 yrs (PPSV23)
Rotavirus Vaccination
✓ - Rotarix: 2-dose series at 2, 4mo
✓ - RotaTeq: 3-dose series at 2, 4, 6 mo
✓ - Do NOT start series on or after age 15 wks, 0 days
✓ - Do NOT continue series after 8mo, 0 days
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✓ - 4-dose series at ages 2, 4, 6-18mo, 4-6 yrs
✓ - administer final dose on or after 4th bday and at least 6m after previous dose
✓ - IPV is not routinely recommended for US residents 18 yrs and older
✓ - Oral polio no longer given in US
MMR or MMRV
✓ - 2 dose series
✓ - #1: 12-15m
✓ #2: 4-6 yrs
✓ - second dose of MMR may be given at any time, provided at least 1mo has elapsed since
1st dose and both doses are given at age 12m or older
✓ - Contraindicated if allergic to neomycin or gelatin
Immunity with Live Attenuated Vaccines
✓ - Live attenuated vaccines must replicate to produce immunity
✓ - Fever, rash after live or attenuated immunizations represent a reaction to viral
replication, not the vaccine
✓ - MMR and varicella are examples
✓ - Give them on the same day or at least 4 wks apart
Live Attenuated Vaccines
✓ - Never give to children < 1 yr, pregnant women, or immunocompromised pts
Varicella vaccine
✓ - Given at age 12-18m, booster 4-6yrs OR age 11-12yrs if child lacks a reliable hx of
chickenpox infection
✓ - If given at age 13 yrs or later, 2 doses are required, at least 1mo apart
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✓ - Recommended annually ages >6m
✓ - Children <8 yrs receiving vaccine for first time need 2 doses separated by 4 wks
✓ - 1 dose annually for all people 9yrs and older
Flu Vaccine Allergic Reactions
✓ - Egg allergy, hives: administer any flu vaccine appropriate for age and health
✓ - Egg allergy, angioedema, resp distress: administer any flu vaccine appropriate for age
and health under supervision of HCP who can mange severe allergic conditions
Meningococcal Conjugate Vaccine (MenACWY)
✓ - Administer to all children 11-12yrs, and ate age 16 yrs
✓ - Or 13-15 yrs if not previously vaccinated; booster age 16-18 yrs
✓ - If administered at age 16-18 yrs: 1 dose
HPV (Human Papillomavirus) Vaccine
✓ - 2- or 3- dose series depending on age at initial vaccination
✓ - age 9-14 yrs: 0, 6-12 mo later
✓ - age >15 yrs (to 26 yrs): 0, 1-2mo, 6mo
Adverse Vaccine Reactions
✓ - Localized (redness/swelling of site), systemic (fever), or allergic (hives, anaphylaxis)
✓ - Most common runs among adolescents are to: HPV, Men ACWY, and Tdap (syncope)
✓ - Allergic rxns occur within 1h (usually 15 min)
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