Vaccines – Exam Review Set 3

What this deck covers

Vaccines – Exam Review Set 3 in 50 board-style clinical cases with worked explanations. Each case gives you a clinical vignette, four options, the correct answer, and an explanation of why each of the other three is wrong, with the guideline or textbook it follows named on the answer.

Board-style teaching questions for paediatricians and trainees preparing for paediatric board, MRCPCH and licensing examinations. Written from published guidelines and standard paediatric textbooks, with the source named on every answer.

The 50 cases, in order

1. One jab before the winter
2. Protecting a baby not yet born
3. Can the bed net go
4. Who the vaccine is for
5. Falling, then rising again
6. Behind, and about to be discharged
7. No antibody, then a steep rise
8. Too young, in an outbreak
9. What the room needs
10. On steroid, and boosters due
11. The needle was too short
12. The fridge that read wrong
13. One ingredient, and one question
14. A band that stops at the midline
15. Thirty spots, and no fever
16. A dose before the needle
17. A boy who bleeds, and jabs due
18. What will hurt least
19. Why that salt is in there
20. What happens after the injection
21. Ninety-one per cent, and cases anyway
22. Three moves, and no papers
23. A hundred and four per cent
24. Forty who did not come
25. A record before the first day
26. Small, and the clock running
27. Unbooked, and nothing known
28. Still an inpatient, and due
29. Nine days old, and rigid
30. A mother still infectious
31. Pale and floppy, then fine
32. Four hours of crying
33. One injection or two
34. The one that does stop a dose
35. A lump two months later
36. A different box on the shelf
37. A skin test and a live vaccine
38. An operation in nine days
39. A card, and a memory
40. Why again, at fourteen
41. Fasting, and a dose overdue
42. Three missed appointments
43. One at a time, please
44. What happened at the blood test
45. Will the standard one do
46. He caught what he was not given
47. The last clinic before adult care
48. Two hours, and no fridge
49. Yes to four, not to the fifth
50. He has already had it

Diagnoses and management options tested

Across the fifty cases you are asked to choose between options such as: Passive protection, Any child over nine years of age, He responded once and the protection has since waned, Everything due may be given today as scheduled, Tell him the ingredient lists are not accurate, Do not give it beforehand; treat fever if it occurs, It keeps the antigen stable during freezing, Give only the vaccines due at their current ages, Support it only if exclusion from school is enforced, Withhold it until discharge, Complete the course; this does not contraindicate it, Complete every remaining dose exactly as scheduled, Next week, The course was given incorrectly.

Clinical pearls from this deck

• Given antibody is borrowed, not learned. No booster, no schedule slot, and it fades before the next winter.
• Protect the baby through the mother when his own response would arrive too late. The window in pregnancy is the whole trick.
• A partial vaccine explained as a complete one costs lives. Say the net stays, in the same breath as the offer.
• Here the question is not who is at risk, but what the immune system has already met. Test before you offer.
• Read the coverage before you blame the programme. High coverage with new serotypes is replacement, not failure.
• The child is in front of you and the fridge is down the corridor. That is the whole argument.

Work through the deck once for recognition, then again a week later to test yourself — each question gives the answer and explains why every other option fails.

More from this system: all vaccines case decks · pediatric reference values.