Tetanus Control — Flashcards

Flashcard 1: Seizures following the administration of the DTP vaccine are classified as a vaccine _____ related reaction.

Answer: product

Flashcard 2: BCG, MR, and JE vaccines are light-sensitive and stored in _____-colored vials.

Answer: amber

Flashcard 3: In a diphtheria contact who has received full doses of diphtheria toxoid vaccine and the last dose was within the last 5 years, what is the management?

Answer: Chemoprophylaxis only (e.g., Erythromycin) :: No booster dose of vaccine is required if the last dose was < 5 years ago.

Flashcard 4: The goal of Intensified Mission Indradhanush (IMI) is to achieve _____ full immunization coverage.

Answer: 90%

Extra: Mission Indradhanush (MI) was launched in 2014. Intensified Mission Indradhanush (IMI) was launched in 2017 to accelerate the drive towards reaching 90% Full Immunization Coverage (FIC) in specific districts and cities. IMI 5.0 (2023) has expanded the target age to children up to 5 years and focuses on Measles-Rubella elimination.

Flashcard 5: In Rabies prophylaxis, _____ consists of touching or feeding animals, licks on intact skin. What is the management? None

Answer: Category I

Extra: ### WHO Categories of Rabies Exposure and PEP | Category | Type of Exposure | Post-Exposure Prophylaxis (PEP) | | :--- | :--- | :--- | | **I** | Touching or feeding animals, licks on intact skin | **None** (wash exposed skin) | | **II** | Nibbling of uncovered skin, minor scratches or abrasions without bleeding | **Vaccine** + local wound treatment | | **III** | Single or multiple transdermal bites or scratches, licks on broken skin; contamination of mucous membrane with saliva from licks; exposures to bats | **Vaccine** + **Rabies Immunoglobulin (RIG)** + local wound treatment |

Flashcard 6: In an **Ice-Lined Refrigerator (ILR)**, _____ vaccines are kept at the **bottom** (coldest part).

Answer: OPV, MR, BCG, and JE

Extra: In an ILR, the temperature is lowest at the bottom (near the ice lining). **ILR Storage Layers:** - **Bottom:** Heat-sensitive vaccines (OPV, Measles/MR, BCG, JE). - **Top:** Freeze-sensitive vaccines (TT, DPT, Pentavalent, Hepatitis B, PCV, IPV). *Note: In a domestic refrigerator, the coldest part is at the top shelf, but ILR is the standard equipment for the cold chain.*

Flashcard 7: BCG vaccine is diluted with _____

Answer: normal saline

Extra: 

Flashcard 8: walk in cold room(WICR) can store vaccines for upto _____ time

Answer: 3 months

Extra: 

Flashcard 9: What is the dose, route, and schedule for the DPT vaccine (including primary series and boosters)?

Answer: • **Dose**: 0.5 ml • **Route**: IM • **Schedule**: - **Primary**: 3 doses as part of Pentavalent vaccine (at 6, 10, and 14 weeks) - **Booster 1**: 16–24 months (Site: Anterolateral mid-thigh) - **Booster 2**: 5–6 years (Site: Upper arm) *(DPT vaccine contains Diphtheria toxoid, Pertussis killed bacteria, and Tetanus toxoid)*

Flashcard 10: 1. Identify → Pneumococcal Conjugate Vaccine (PCV) 2. Dose, route and schedule → _____

Answer: 0.5 ml IM at anterolateral mid-thigh; 2 primary doses at 6 & 14 weeks followed by a booster dose at 9 months