APhA Questions and answers, rated A, 2022/2023 latest update

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APhA Questions and answers, rated A, 2022/2023 latest update Under the direction of the U.S. Department of Health and Human Services, the Healthy People initiative has identified the following as... a goal for 2030: - ✔✔Increase the proportion of persons who are vaccinated annually against seasonal influenza The National Vaccine Advisory Committee 2013 Standards for Adult Immunization Practice and the 2016 International Pharmaceutical Federation global report identify pharmacists as: - ✔✔Integral to increasing vaccination rates Opportunities for Advocacy and Collaboration include: - ✔✔Membership in state immunization coalition to serve as an expert on policy and practice issues affecting pharmacy Which of the following is one of the five guidelines identified by the APhA Board of Trustees in 2019 to assist pharmacists in incorporating immunization activities into their practice? - ✔✔Prevention Which of the following diseases have been eradicated worldwide, allowing vaccination to be discontinued? - ✔✔Smallpox Which of the following statements is false regarding polysaccharide and conjugated vaccines? - ✔✔The conjugate protein used, such as diphtheria, can also provide adequate protection against itself in addition to the polysaccharide Which of the following vaccines listed is a live attenuated vaccine? - ✔✔Varicella (VAR) When administering measles, mumps, rubella (MMR) and pneumococcal conjugate vaccine (PCV13) to a patient at their 15-month appointment, what must be considered regarding vaccine spacing? - ✔✔MMR and PCV14 may be administered simultaneously or at any interval between doses Which vaccine technology listed below is an ingredient added typically to inactivated vaccines to boost its immune response by targeting pathogen recognition receptors that are expressed on dendritic cells to trigger a pro-inflammatory response? Though this technology creates a more robust immune response, it can also increase local site reactions and systemic reactions, such as fevers, chills, and body aches. - ✔✔Adjuvants Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine? - ✔✔Inactivated polysaccharide vaccine Star Pharmacy has been providing influenza vaccines for years and is now implementing a Hepatitis B vaccine program in their pharmacy next month. A crucial step in the Pharmacists' Patient Care Process for this vaccine is: - ✔✔Create a reminder and recall system A male patient presents to the pharmacy for a shingles vaccine appointment. The patient is a new patient to the pharmacy. Which of the following information would be most appropriate to collect as part of the patient care process? - ✔✔Patient's age, current health, vaccine history, and allergies An electronic prescription for glipizide 10mg is received by a pharmacist for a new patient. The prescription indicates a diagnosis of E11, Type 2 diabetes mellitus. In addition to filling the prescription, the pharmacist could assess the patient for potential immunizations to recommend. What form of assessment is the pharmacist utilizing? - ✔✔Diagnosis-based screening The community pharmacist, while filling discharge orders from the hospital, recognizes a patient's need for receiving the pneumococcal vaccine during a transition of care to a personal care home. This is an example of what part of the patient care process? - ✔✔Assess Which of the following statements best meets the definition of precaution? - ✔✔A condition that may alter or diminish the patient's response or may increase the patient's risk of a serious reaction to a vaccine. Based on the adult immunization schedule, at what age is the live attenuated influenza vaccine (LAIV) no longer recommended? - ✔✔50 years If an 11 year old child never got the hepatitis B vaccine series, what is the minimum amount of time that must occur between dose 1 and dose 3 when getting this child caught up? - ✔✔16 weeks Which of the following vaccines is not recommended during pregnancy? - ✔✔Human papillomavirus vaccine (HPV) Which of the following vaccines is contraindicated for an adult patient with HIV and a CD4 count <200 mm2? - ✔✔Measles, mumps, rubella (MMR) A 10 year-old child received one dose of the hepatitis A vaccine at 1 year of age, but never returned for a second dose. Which of the following is true regarding the need for a second dose of the hepatitis A vaccine for this child? - ✔✔Give 1 dose now as catch up A 9 year-old was just diagnosed with asplenia. This child is up to date on all routinely recommended vaccines. Which additional vaccine does this child need? - ✔✔MenACWY Which of the following is TRUE of the emergency use authorization process? - ✔✔Manufacturers must include a plan for safety monitoring Which of the following patient scenarios regarding influenza vaccination is correct? - ✔✔A 65-year-old patient with thimerosal allergy would be eligible to receive adjuvanted inactivated Fluad or high dose inactivated Fluzone Which of the following are true regarding the influenza virus? - ✔✔It is transmitted through respiratory droplets that contain the virus. Which of the following symptoms are usually associated with influenza? - ✔✔chills Counseling on vaccine safety should include: - ✔✔Fever, chills, malaise could occur within 6-12 hours post vaccination and may last up to 1-2 days. Options to increase influenza vaccine effectiveness include: - ✔✔Avoid vaccination in July and August to minimize chances of suboptimal immunity later in the season Which of the following is true for the 23-valent pneumococcal polysaccharide vaccine (PPSV23)? - ✔✔PPSV23 should not be given to children less than 2 years of age How is streptococcus pneumoniae primarily transmitted? - ✔✔Respiratory droplets or secretions A 3-yearmold child recently underwent a splenectomy. Previous to the surgery, the child was up to date on all pediatric vaccinations. According to the CDC, which of the following vaccines should be recommended? - ✔✔PPSV23 Using shared clinical decision-making, which of the following recommendation is most appropriate for a 65-year old living in a skilled nursing facility with multiple co-morbid conditions? This patient has no record of receiving either pneumococcal vaccine and is immune competent. - ✔✔Give PCV13 now, then give PPSV23 one year later For which of the following conditions are both PCV13 and PPSV23 recommended? - ✔✔Asplenia A healthy 70-year old female who received PPSV23 at 65-years of age is inquiring about pneumococcal vaccination. Which of the following should you recommend? - ✔✔No pneumococcal vaccination is recommended Which of the following scenarios is an appropriate shared clinical decision making for meningococcal vaccine? - ✔✔Healthy 16 year old who received meningococcal B vaccine An adolescent received his first meningococcal conjugate quadrivalent (MenACWY) vaccine at age 13 years, when should he receive his booster dose? - ✔✔16 years What type of vaccine is meningococcal quadrivalent vaccine? - ✔✔Conjugate The advisory committee on immunization practices (ACIP) recommends routine vaccination with the meningococcal conjugated quadrivalent vaccine (MenACWY) which of the following age groups? - ✔✔11-12 years of age Which of the following is a potential long term complication from meningococcal disease? - ✔✔Amputations What percentage of HPV infections are cleared by the body and do not develop to CIN2 or CIN3? - ✔✔70% Which of the following factors does not need to be considered when utilizing shared decision making to evaluate the need to vaccinate an adult (27-45 years of age) with 9vHPV vaccine? - ✔✔HPV antibody test results A 16-year old patient presents to the pharmacy for her first dose of 9vHPV. The patient is instructed to wait in the pharmacy for 15 minutes after receiving the dose. Three minutes after receiving the dose, the patient experiences syncope. What is the recommended response to treat the patient's syncope? - ✔✔Lay the patient flat on the ground and elevate her legs. Monitor the patient's vitals and initiate emergency services if the patient does not regain consciousness Which of the below statements regarding Human papillomavirus (HPV) serotypes is true? - ✔✔High risk serotypes are estimated to cause 99% of cervical precancers A 25-year old female comes to the pharmacy inquiring about the 9vHPV series. What would be the recommended vaccination series? - ✔✔3 doses administered intramuscularly at 0, 1-2, 6 months Which of the following is the most common type of tetanus? - ✔✔Generalized Which of the following vaccines is used as a booster every 10 years? - ✔✔Td What is the recommended timing for Tdap during pregnancy ? - ✔✔27-36 weeks The whooping cough associated with pertussis occurs in this stage of disease: - ✔✔Paroxysmal DTaP is recommended to be administered using which of the following schedules? - ✔✔2, 4, 6, 12-15 months, 4-6 years Which of the following is true regarding the recombinant herpes zoster vaccination? - ✔✔It is indicated for prevention of herpes zoster and its complications in patients ≥50 years of age Which of the following is true regarding varicella zoster transmission? - ✔✔Period of contagiousness: 1-2 days before rash to 4-7 days later Which of the following are true regarding vaccine efficacy and safety for the live varicella vaccine and the recombinant zoster vaccine? - ✔✔Both vaccines have over 90% effectiveness in prevention of disease after two doses Which of the following complications are correctly matched to the associated condition? - ✔✔Postherpetic neuralgia-herpes zoster Which of the following correctly describes current ACIP recommendations? - ✔✔The varicella zoster vaccine should be given at 12-15 months and 4-6 years of age The ACIP recommends the hepatitis A vaccine be administered to all children starting at which age? - ✔✔12 months Which of the following vaccines contains a synthetic adjuvant? - ✔✔Heplisav Which of the following is the reason for the most recent hepatitis A outbreaks? - ✔✔Person-to-person transmission Post-vaccination testing for hepatitis B immunity is recommended for which of the following? - ✔✔Health-care workers Which of the following is a clinical feature of hepatitis B but not hepatitis A? - ✔✔Chronic infection What is youngest age that hepatitis B vaccine is recommended in infants and children? - ✔✔At birth A child received the MMR vaccine when he was 9 months of age before moving out of the country with his parents. He is now 4 years old and about to enter Kindergarten. How many, if any, doses of MMR should the child receive now? - ✔✔2 A young adult presenting with swelling of the parotid glands most likely has which of the following diseases: - ✔✔Mumps Which of the following individuals are contraindicated from receiving the MMR vaccine? - ✔✔23-year-old in her 3rd trimester Which of the following is the primary reason we have measles outbreaks in the U.S.? - ✔✔Unvaccinated people with measles coming to the U.S. During a public health declared mumps outbreak, a 21-year old college student with a history of 2 MMR vaccine doses as a child wants to know if she needs a dose of MMR now. Which of the following is the best response? - ✔✔Yes, since there is a declared mumps outbreak When counseling the parent of a 1-year-old receiving the MMR vaccine, they should be told that their child may get a measles-like rash after how long from vaccination? - ✔✔1 week Which vaccination is NOT part of a combined antigen vaccine? - ✔✔Rotavirus A patient presents to the pediatric clinic for their 5-year-old well check before entering kindergarten. They received rotavirus at 2 and 4 months and Pentacel (DTaP/IPV/Hib) at 2 and 4 and 6 and 15 months. What vaccine should they need to receive today? - ✔✔IPV Although the primary series for Hib varies between 2-3 doses, all vaccines are recommended to have a booster dose at age: - ✔✔12-15 months Which disease state(s) can potentially lead to meningitis? - ✔✔Polio and Haemophilus influenzae Which of the following patients is eligible to receive their first dose of the rotavirus vaccine? - ✔✔A 10-week old presenting to the pediatrician for their 2 month well check [Show More]

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