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How to give vaccines:
Live attenuated vaccines: subcutaneous
Killed vaccines :intramuscular
BCG: intradermal
Rota and oral polio: oral
Nasal influenza:intranasal
Live attenuated vaccines: subcutaneous
Killed vaccines :intramuscular
BCG: intradermal
Rota and oral polio: oral
Nasal influenza:intranasal
Which vaccine should not be given in Patients with uncontrolled neurological disease?
Answer :
DTP vaccines
Answer :
DTP vaccines
Which vaccines are absolutely contraindicated in HIV patients ?
Oral polio and BCG
Oral polio and BCG
If patient given high dose of corticosteroid for more than 4 weeks, when it is safe to give vaccines for him?
Generally after 4 weeks from stopping steroid
Generally after 4 weeks from stopping steroid
A baby delivered for hepatitis B positive mother , what is the best action ?
To give the baby both :hepatitis B vaccine and hepatitis immunoglobulin
To give the baby both :hepatitis B vaccine and hepatitis immunoglobulin
If a patient given intravenous immunoglobulin , what is the best time to give vaccines?
It is advised to delay vaccines for 3 months after intravenous immunoglobulin
It is advised to delay vaccines for 3 months after intravenous immunoglobulin
What are live attenuated vaccines?
BCG
Rota
Oral polio
Yellow Fever
Typhus
MMR
Nasal influenza
Varicella
BCG
Rota
Oral polio
Yellow Fever
Typhus
MMR
Nasal influenza
Varicella
A father brought his 2 months old baby for vaccination . His daughter is 6-years old who is recently had a renal transplant , which vaccine should not be given to the baby?
Answer:oral polio
Answer:oral polio
A child presents with mumps. What’s the most common organ affected outside parotid gland ?
Answer :CNS (meninigioencephalitis )
Answer :CNS (meninigioencephalitis )
A child on oral corticosteroid , he had a contact with a patient with chicken box
What the best action to protect the child on steroid ?
Answer:to give him varicella zoster immunoglobulin
What the best action to protect the child on steroid ?
Answer:to give him varicella zoster immunoglobulin
Most common risk factors for infective endocarditis ?
Cyanotic congrbital heart disease
Complex congenital heart disease
Prosthesis valves or conduits
Previous history of infective endocarditis
Cyanotic congrbital heart disease
Complex congenital heart disease
Prosthesis valves or conduits
Previous history of infective endocarditis
Which congenital heart diseases associated with almost zero risk for infective endocarditis ?
Bicuspid aortic valve
ASD secundum
Bicuspid aortic valve
ASD secundum
Signs and symptoms of infective endocarditis:
Heart failure
Unexplained fever
Change in murmur character
Digital clubbing
Osler nodes
Janeway lesions
Roth spots
Splinter hemorrhage
Splenomegally
Glomerulonephritis
Heart failure
Unexplained fever
Change in murmur character
Digital clubbing
Osler nodes
Janeway lesions
Roth spots
Splinter hemorrhage
Splenomegally
Glomerulonephritis
Which valves affected more commonly in rheumatic carditis ?
Mitral valve then aortic valve
Pulmonary and tricuspid are rarely affected
Mitral valve then aortic valve
Pulmonary and tricuspid are rarely affected
Baby came with cyanosis and oxygen saturation did not respond to 100% oxygen. What is the likely diagnosis?
Cyanotic congenital heart disease
Cyanotic congenital heart disease
Name Cyanotic congenital heart disease ?
Most begins with Ts
Tetralogy of fallot
Transportation of great arteries
Truncus arteriosus
Total anomalous of pulmonary venous return
Tricuspid atresia
Pulmonary atresia
Epstein anomaly
Most begins with Ts
Tetralogy of fallot
Transportation of great arteries
Truncus arteriosus
Total anomalous of pulmonary venous return
Tricuspid atresia
Pulmonary atresia
Epstein anomaly
Which types of ventricular septal defects that are most likely to close spontaneously?
VSD less than 5 mm
Muscular VSD more than perimembranous
VSD less than 5 mm
Muscular VSD more than perimembranous
A child known VSD and came with unexplained fever after dental procedure .
What is the best diagnostic test
This patient most likely has infective endocarditis and best test is doing blood culture 3 times at 3 different time lines preferably during fever spikes
What is the best diagnostic test
This patient most likely has infective endocarditis and best test is doing blood culture 3 times at 3 different time lines preferably during fever spikes
What type of congenital heart disease presented as heart failure ?
Usually congenital heart disease with left to right shunt:
VSD
ASD
PDA
Also congenital heart disease with left side obstruction like:coarctation of aorta
Usually congenital heart disease with left to right shunt:
VSD
ASD
PDA
Also congenital heart disease with left side obstruction like:coarctation of aorta
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