CMN 571 Final Exam Newest 2024 -2025 Complete 330 Actual Exam
Questions with 100% Correct Detailed Answers (Verified) Rated A+
1. Laws related to All vaccine providers, public or private, are required
administering vac- by the National Vaccine Childhood Injury Act to give
cines: VIS 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 vac-
cination, and must be given prior to each dose of a
multi-dose series. It must be given regardless of the age
of the recipient.
2. What is required The edition date of the VIS (found on the back at the
to be recorded right bottom corner).
in the medical The date the VIS is provided (i.e., the date of the visit
record? 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.
3. Vaccines at birth Hep B
4. Vaccines at 4 D - Dtap
months R - Rotovirus
H - HIB
I - IPV
P - PCV
5. Vaccines at 2 B - Hep B
months D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
6. Vaccines at 6 B - Hep B
months D - Dtap
R - Rotovirus
H - HIB
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I - IPV
P - PCV
7. Vaccines at 12-15 M - MMR
months A - HepA
D - Dtap
H - HIB
P - PCV
V- Varicella
8. Vaccines at 4-6 VERY - Varicella
years D - DTAP
I - IPV
M - MMR
9. Active immunity 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 ar-
tificially acquired through immunization. Onset is 2-4
weeks and duration is years to lifetime.
10. Passive Immunity A person is given antibodies to a disease rather than
producing them through his or her own immune sys-
tem. 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 dur-
ing 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.
11. Herd Immunity 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 popula-
tion. The herd protects those who can not safely get vac-
cinations. Generally 90 -95% of the population should
be to be vaccinated to have effective Herd immunity.
12. Hep B Vaccine
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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)
13. Rotavirus Vaccine Rotavirus is the most common cause of severe gas-
troenteritis among young children.
Two vaccines available - RV5 (Rotateq) and RV1 (Rotar-
ix).
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.
14. DTaP Vaccine 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 neu-
romuscular disorders until neuro status is clarified and
stabilized.
Moderate to severe systemic effects: fever, inconsolable
crying, hypotonic-hyporesponsive episodes.
15. HIB Vaccine Haemophilus influenzae type B - causes a wide spec-
trum of serious infections bacterial illnesses, particu-
larly 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
, CMN 571 Final
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Should not be given to infants under 6 weeks
Adverse effects are uncommon.
16. Pneumococcal Streptococcus pneumoniae - leading cause of invasive
vaccine bacterial disease in children, causes febrile bacteremia,
bacterial sepsis, meningitis, and pneumonia. Also a
common cause of otitis media and sinusitis. Two vac-
cines 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.
17. Poliomyelitis Polioviruses cause acute flaccid paralysis via destruc-
tion 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 dur-
ing moderate to severe illnesses with or without fever.
Pregnancy is a precaution.
No serious adverse reactions described.
18. Influenza Occurs each winter-early spring, often associated with
significant morbidity and mortality in certain high risk
groups.
Annual vaccination is recommended for all persons over
6 months.
Fluzone for over 6 months. (fluvirin >4yrs and fluarix
>3yrs, and afluria >9yrs)
Intranasal not currently recommened
Optimal time to vaccinate is as soon as the vaccine is
available in early fall.
Two doses are recommended for children under 9yrs
who did not recieve two doses in the past.
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