WorksheetsVaccines and Steroids
Total questions: 21
Worksheet time: 22mins
All of the following vaccines are recommended in pregnant patients between 27 and 36 weeks gestation EXCEPT:
MMR
Influenza
Tdap
Abrysvo
Which vaccine is recommended for all newborns before hospital discharge?
Pneumococcal
Hib
MMR
Hepatitis B
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?
1
2
3
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?
MMR + Varicella
Polio +DTap
Hepatitis A + Hepatitis B
Hib + Rotavirus
What is the recommended minimum interval between administering two live vaccines if they are not given on the same day?
1 week
2 weeks
3 weeks
4 weeks
All of the following are live vaccines EXCEPT:
Varicella
MenACWY
Rotavirus
Intranasal influenza
Which corticosteroid is both the most potent and longest-acting?
Methylprednisolone
Betamethasone
Cortisone
Prednisone
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?
Yes, give today
No, wait 3 months after giving IVIG
No, wait 6 months after giving IVIG
No, wait 11 months after giving IVIG
A pediatric patient is receiving corticosteroids for an autoimmune condition. At what dosing is steroid therapy considered immunosuppressive, potentially affecting vaccine administration?
≥0.5 mg/kg/day of prednisone (or equivalent) for ≥14 days
≥2 mg/kg/day of prednisone (or equivalent) for ≥14 days
10 mg/day of prednisone (or equivalent) for ≥7 days
Any dose of corticosteroids for ≥7 days
Which synthetic corticosteroid has the most salt-retaining activity?
Fludrocortisone
Dexamethasone
Triamcinolone
Prednisone
Which of the following side effects may be associated with LONG TERM use of steroids?
Weight Gain
Glaucoma
Insomnia
Irritability
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?
7 days
28 days
3 months
6 months
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?
Defer all vaccines until the child completes antibiotics and is fully recovered
Proceed with inactivated vaccines only, defer live vaccines until illness resolves
Administer all age-appropriate vaccines as scheduled
Defer vaccines until the child has been symptom-free for at least 2 weeks
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?
Defer influenza vaccine for at least 3
Administer the inactivated influenza vaccine today
Administer the intranasal influenza vaccine today
Defer until patient is done with steroids
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?
4 days
7 days
30 days
6 months
Which pneumococcal vaccine is not approved in children under 2 years of age?
PCV13
PCV15
PCV20
PPSV23
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?
Td
DTap
TDap
MMR
Which vaccine should be stored in the freezer (–15 to –50°C // 5 to –58°F) and reconstituted prior to use?
Polio
Tdap
HPV
Varicella
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?
Live and inactivated vaccines must never be given on the same day
Only one live vaccine can be given per visit
Live vaccines can be given on the same day
All inactivated vaccines must be spaced at least 4 weeks apart
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?
Take the dose in the morning with food
Stop the medication abruptly after 5 days, regardless of instructions
Give the dose at bedtime on an empty stomach
Split the dose throughout the day to reduce side effects
What vaccine can prevent the disease pictured?
Polio
Varicella
TDap
Hib
