Child Vaccines

At birth 18 months
Hep B DTap / Hib / OPV / HepA / Variecella / MMR

2 months 24 months
Hep B / RV / DTaP / Hib / PCV / IPV HepA

4 months 4 - 6 years (School age)

Hep B / RV / DTaP / Hib/ PCV/ IPV DTap / OPV / Variecella / MMR

6 months 11 years
Tdap / HPV
Hep B / RV / DTaP / Hib / PCV / IPV / BCG / OPV

12 years
9 months HPV
Measles / MCV4
18 years
12 months MCV4
PCV/ OPV / MCV4 / MMR
Pregnant Vaccines
Influenza :
🤧 ❄️
Given at any stage of pregnancy ( Before , During , post partum )
Any female that will be pregnant during flu season or winter should take the vaccine

Hepatitis B:
Given at any stage of pregnancy ( Before , During , post partum )

DTaP :
Given at any stage of pregnancy ( Before , During , post partum ) Ideally in the 3rd trimester

HPV :
🚫 during pregnancy , Given only ( Before and post partum )
MMR :
🚫 during pregnancy , Given only ( Before and post partum ) / No pregnancy at least 1m after vaccine
- 🚫 Chickenpox :
🚫 during pregnancy , Given only ( Before and post partum ) / No pregnancy at least 3m after vaccine
 VACCINES SMLE Q
Q1.Mother brought his 9th month child to well baby clinical he did not receive any previous vaccine, his mother believes fact that the
vaccine will harm his child, after she read and educated about the benefits of the vaccination then convinced, she told to the
physician just give my child the necessary vaccination. Which of the following are the necessary vaccination to his age 9th month:
A) DTaP
B) DTaP, BCG, IPV, OPV
C)measle, DTaP, BCG, IPV, OPV
D) DTaP, measle, OPV, PCV

Q2.Mother brought her child for 6m vaccination. She doesn’t want the vaccine as previously after getting the vaccine he deteriorate
and they went to ER something serious What to do?
A. Cancel
B. Give
C. Delay
D. Review the previous vaccine

Q3.4years old came with URTI, high fever, drooling of saliva and multiple enlarged lymph node. He dod not receive any vaccine Which
of following vaccine might prevent this condition
A-Hemophlius
B-Streptococcus
C-Diphteria
D-Polio
 VACCINES SMLE Q
Q4.child 6 YO, completed his vaccinations, had injury with rusted nail, what is most appropriate management?
1- give DtaP
2- give TD
3- no need for vaccine .
4- irrigation

Q5.Pediatric have a severe persistent asthma that was vaccinated by influenza and after it develop utricaria, syncope what to do :
⁃ don’t give vaccinations at all
⁃ Don’t give influza vaccine
⁃ Give intranasal influanza vaccine
⁃ Give influnza vaccine with steroids and antihistamine

Q6. 6 months old baby came for vaccination Before you give it , his mother inform you last vaccine he develop skin reaction /sob and
managed in emergency?
- Cancel vaccine
-Delay vaccine
-Give all
-Give some

Q7.6 year old child is brought to the clinic by his mother because she’s afraid that he will get chickenpox after he was exposed to it
from another child, he was asymptomatic for two days, what will you do:
— A- give vaccine
— B- observe the patient
— C- give acyclovir
— D- give IG
VACCINES SMLE Q
Q8.Child with uncontrolled asthma and recurrent exacerbation, important to reduce exasperation :
Influenza vaccine
humidity 50%
Clothes wash
Carpeting the bed and play area

Q9. child missed 6 and 9 monthe vaccin what will you give him?
-catch up vaccination
-give him the vaccin he missed

Q10. Child came with urti and mother reported last vaccine (dtap or tdap idk ) he developed a large swelling at injection site
- give all
- dont give
- give without pertussis component

Q11. School age vaccine?

-DTap , OPV ,Varicella , MMR

Q12. A 9 months had a history of high fever and severe SOB from previous vaccines at 6 months Now he is coming to receive 9
months vaccine You should
A-Don’t give the vaccine
B-Give the vaccines
C-Delay vaccine
D-Figure what vaccine she took
 VACCINES SMLE Q
Q13.A child had a history of high fever and rash from previous DTAP vaccines Now he is coming to receive 2nd dose of DTAP You
should
A-Don’t give the vaccine
B-Do skin test
C-Give paracetamol if developed fever and give antihistamine if develop rash
D-Switch to DTP vaccine

Q14. A child came with ruptured spleen from severe head trauma What is the optimal time to give PCV vaccines after septectomy
A-2weeks
B-4 weeks
C-8 weeks
D-12 weeks

Q15. The new vision for Saudi Arabia 2030 aiming to prolong children life Best way
A-Health education
B-Clinic in every school
C-Antibiotic
D- Vaccination

Q16. Patient recently diagnosed with thalassemia major and planning for regular blood transfusion Which of the following vaccine is
most important
A-Hepatitis A
B- Hepatitis B
C-MMR
D- Varicella
 VACCINES SMLE Q
Q17. Preterm babies with birth weight 1.2 kg and nurse ask you regarding hepatitis B vaccines. Mother is hepatitis B negative
Best action
A-Give when the birth weight 1.8 kg
B-At time of discharge
C-At 2 months of age
D-Give now with half doses

Q18. A child came for vaccinations , his brother known for immunodeficiency , which of the following vaccines should be delayed till
to complete immunology assessment
A-IPV
B-Hib
C-DTaP
D-Varicella

Q19. 12-month-old and supposed to have a scheduled vaccine. He has mild diarrhea . What will you do?
A-Delay the vaccine
B-Obtain a bacterial culture
C-Give the vaccine
D-Start antibiotic

Q20. Patient develop anaphylaxis to vaccination at 4 months schedule, Best actions

A- Wait for allergy screening
B-Defer Hib
C-Defer hepatitis B
D-Defer DTaP

Q21. An infant known with history of intusspession , Which vaccine is contraindicated

• A-BCG
• B-Rota
• C-MMR
• D-Varicella
 VACCINES SMLE Q
Q22. A 28-year-old female with history of recurrent pregnancy loss. She comes now want to improve her immunity before trying to
conceive. What you will give her?
A. Influenza vaccine
B. Rubella vaccine
C. Hepatitis
D. Immunoglobulin

Q23. Married women came in winter to OB /gyn clinic she want to conceive later what vaccine you should give her before conceive?
A. Rubella
B. Influenza
C. Varicella
D. Tdap

Q24. Pregnant in 2nd trimester which vaccine to give her?

A. H. influenza
B. DTAP

Q25. Female have regular cycle every 30 days her last period before 36, she received rubella vaccine before 3 weeks. She was asked
not to get pregnant until 2 months of receiving rubella , But she got pregnant, what’s the most likely pregnancy outcome?
A. Not affected
B. Associated with congenital malformations.

Q26. Pregnant nullipara what vaccine should you give her?

A. Influenza
B. DTaP
C. Rh immunoglobulin
VACCINES SMLE Q
Q27.Pregnant her child school had an outbreak and she’s afraid to get to her child which vaccine she should get ?
A. DtaP
B. Influenza
C. Rubella
D. Varicella

Q28. Girl known to have vertical HIV infection . Has Low T cell count . Which vaccine is contraindicated ?
A) Varicella
B) Diphtheria, tetanus , acellular pertusis
C) Hepatitis B