6 326
订阅者
+1224 小时
+1097 天
+72830 天
帖子存档
6 330
A 3-year-old boy with acute lymphoblastic leukemia was exposed to his older sister who developed Varicella (chickenpox).
Because the child is immunocompromised and had no history of varicella vaccination, he received intravenous varicella-zoster immune globulin (VariZIG) within 96 hours of exposure.
He remained asymptomatic.
Three weeks later, during follow-up, his parents ask whether he should now receive the varicella vaccine.
What is the best next step?
A. Give varicella vaccine today
B. Give two doses today
C. Delay varicella vaccine for 5 months
D. Permanently avoid varicella vaccine
E. Repeat IVIG and vaccinate tomorrow
6 330
A child received a routine immunization containing diphtheria, tetanus, and acellular pertussis. Within 48 hours, the child developed a persistent high-pitched inconsolable cry lasting more than 3 hours and a temperature of 41°C. Six weeks later, the child developed progressive ascending weakness and areflexia, and was diagnosed with Guillain–Barré syndrome (GBS).
The child is now due for the next scheduled immunization.
What is the most appropriate vaccine to administer next?
A. Continue DTaP
B. Give DT
C. Give Td
D. Give Tdap
E. Stop all future vaccinations
6 330
A previously healthy 15-month-old child is brought to the clinic because the parents noticed multiple small red-purple spots over the legs and trunk, easy bruising, and a brief episode of gum bleeding. The child is otherwise active with no fever or signs of severe illness. Examination shows petechiae and ecchymoses. Laboratory studies reveal isolated thrombocytopenia with normal hemoglobin and white blood cell count.
Which of the following is the most likely vaccine associated with this presentation?
A. MMR vaccine due to measles component
B. MMR vaccine due to mumps component
C. MMR vaccine due to rubella component
D. DPT vaccine
E. BCG vaccine
6 330
A 2-month-old infant received BCG at birth. During follow-up, no scar is seen over the vaccination site. The child is healthy and the vaccination is documented.
What is the next step?
A. Repeat BCG immediately
B. Perform tuberculin skin test first
C. Start anti-TB treatment
D. Reassure and do not revaccinate
E. Give double dose of BCG
6 330
Indications for infective endocarditis antibiotic prophylaxis in congenital heart disease (AHA):
1. Unrepaired cyanotic congenital heart disease (including palliative shunts/conduits)
2. Completely repaired CHD with prosthetic material/device → during first 6 months after repair
3. Repaired CHD with residual defects adjacent to prosthetic patch/device
4. Previous infective endocarditis
5. Prosthetic cardiac valve or prosthetic material for valve repair
6. Cardiac transplant recipients with valvulopathy
6 330
صباح الخير دكاترة هذا شرح محاضرة ال Immunisation , مجرد تباوعون حتحفظون مباشرةً ان شاء الله ، چان المفروض انشره قبل هذا الوقت بس النت چانت بيه مشكلة ، موفقين جميعًا 🤍🙏🏻
6 330
We will explain all things about “Immunisation” in videos , solving WIZARI exam also :”)
6 330
اي شي محتاجين بس اكتبوا بالتعليقات ، كلشي تحتاجوه مثبت بالقناة ، موفقين يا رب 🤍🙏🏻
Don’t forget why you started one , exam is small compared with the career ahead.
6 330
A 3-year-old child presents in profound septic shock and deteriorates into pulseless electrical activity during resuscitation. Multiple attempts at peripheral venous access fail, and intraosseous placement is unsuccessful. The airway is secured with endotracheal intubation and effective ventilation is confirmed. Despite ongoing CPR, vascular access remains unavailable. Which of the following is the MOST appropriate next intervention?
A. Administer epinephrine through the endotracheal tube
B. Continue chest compressions until central access is obtained
C. Give an additional fluid bolus through a nasogastric tube
D. Attempt dopamine administration via endotracheal tube
E. Delay medication until venous access is achieved
