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Vaccines and Steroids

Total questions: 21

Worksheet time: 22mins

Name
Class
Date
1.

All of the following vaccines are recommended in pregnant patients between 27 and 36 weeks gestation EXCEPT:

a)

MMR

b)

Influenza

c)

Tdap

d)

Abrysvo

2.

Which vaccine is recommended for all newborns before hospital discharge?

a)

Pneumococcal

b)

Hib

c)

MMR

d)

Hepatitis B

3.

A 17 year old girl comes in for a primary care visit and asks about receiving the HPV vaccine. She has never been vaccinated. How many doses are recommended?

a)

1

b)

2

c)

3

d)

4

4.

In children 12–23 months old, giving the first doses of which two vaccines together increases the risk of febrile seizures, so it is recommended to be given separately?

a)

MMR + Varicella

b)

Polio +DTap

c)

Hepatitis A + Hepatitis B

d)

Hib + Rotavirus

5.

What is the recommended minimum interval between administering two live vaccines if they are not given on the same day?

a)

1 week

b)

2 weeks

c)

3 weeks

d)

4 weeks

6.

All of the following are live vaccines EXCEPT:

a)

Varicella

b)

MenACWY

c)

Rotavirus

d)

Intranasal influenza

7.

Which corticosteroid is both the most potent and longest-acting?

a)

Methylprednisolone

b)

Betamethasone

c)

Cortisone

d)

Prednisone

8.

You are a pharmacist on a general pediatrics floor. A patient was recently transferred from the ICU after getting IVIG treatment for Guillain-Barré syndrome. The primary team asks if it is safe to administer the MMR and varicella vaccines today. What is the best answer?

a)

Yes, give today

b)

No, wait 3 months after giving IVIG

c)

No, wait 6 months after giving IVIG

d)

No, wait 11 months after giving IVIG

9.

A pediatric patient is receiving corticosteroids for an autoimmune condition. At what dosing is steroid therapy considered immunosuppressive, potentially affecting vaccine administration?

a)

≥0.5 mg/kg/day of prednisone (or equivalent) for ≥14 days

b)

≥2 mg/kg/day of prednisone (or equivalent) for ≥14 days

c)

10 mg/day of prednisone (or equivalent) for ≥7 days

d)

Any dose of corticosteroids for ≥7 days

10.

Which synthetic corticosteroid has the most salt-retaining activity?

a)

Fludrocortisone

b)

Dexamethasone

c)

Triamcinolone

d)

Prednisone

11.

Which of the following side effects may be associated with LONG TERM use of steroids?

a)

Weight Gain

b)

Glaucoma

c)

Insomnia

d)

Irritability

12.

A 4-year-old is behind on immunizations and comes in for catch-up. They received their first MMR at this visit. What is the minimum interval required before the second dose can be administered?

a)

7 days

b)

28 days

c)

3 months

d)

6 months

13.

A 12-month-old is scheduled for their well-child visit. Their parent is concerned because the child has a mild upper respiratory infection (runny nose, no fever) and is currently on antibiotics for an ear infection. Which of the following is the BEST recommendation regarding vaccines at this visit?

a)

Defer all vaccines until the child completes antibiotics and is fully recovered

b)

Proceed with inactivated vaccines only, defer live vaccines until illness resolves

c)

Administer all age-appropriate vaccines as scheduled

d)

Defer vaccines until the child has been symptom-free for at least 2 weeks

14.

A 10-year-old girl is treated with prednisone 15 mg daily for 5 days for asthma. She is due for her annual influenza vaccine. What is the BEST recommendation?

a)

Defer influenza vaccine for at least 3

b)

Administer the inactivated influenza vaccine today

c)

Administer the intranasal influenza vaccine today

d)

Defer until patient is done with steroids

15.

According to ACIP guidelines, how many days before the recommended minimum age or minimum interval can a vaccine be administered and still be considered valid?

a)

4 days

b)

7 days

c)

30 days

d)

6 months

16.

Which pneumococcal vaccine is not approved in children under 2 years of age?

a)

PCV13

b)

PCV15

c)

PCV20

d)

PPSV23

17.

An 11-year-old comes in for a routine visit. Their last DTaP series was completed at age 6.
Which vaccine should be given today?

a)

Td

b)

DTap

c)

TDap

d)

MMR

18.

Which vaccine should be stored in the freezer (–15 to –50°C // 5 to –58°F) and reconstituted prior to use?

a)

Polio

b)

Tdap

c)

HPV

d)

Varicella

19.

A 15-month-old child comes to the clinic for a well-child visit. They are due for MMR, varicella, PCV15, and HepA vaccines. Which of the following is true regarding administration of multiple vaccines in one visit?

a)

Live and inactivated vaccines must never be given on the same day

b)

Only one live vaccine can be given per visit

c)

Live vaccines can be given on the same day

d)

All inactivated vaccines must be spaced at least 4 weeks apart

20.

A 10-year-old child with asthma is prescribed a short course of oral prednisone. The parent asks how and when to give the medicine. Which of the following is the best counseling point for administering prednisone?

a)

Take the dose in the morning with food

b)

Stop the medication abruptly after 5 days, regardless of instructions

c)

Give the dose at bedtime on an empty stomach

d)

Split the dose throughout the day to reduce side effects

21.

What vaccine can prevent the disease pictured?

a)

Polio

b)

Varicella

c)

TDap

d)

Hib