APhA Exam Quiz and answers, latest updates, 2022/2023

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APhA Exam Quiz and answers, latest updates, 2022/2023 Which of the following is a provider factor associated with low vaccination rates in adults? A. Unable to bill insurance. B. Limited famil... iarity with the adult schedule. C. Lack of effective reminder or recall systems. D. Restricted by state regulations. - ✔✔C. Lack of effective reminder or recall systems. Which of the following best describes IIV intradermal administration? A. Administer the vaccine at a 45 degree angle. B. Insert the needle under the skin in the patient's forearm. C. Use a 5/8" needle. D. Place the syringe perpendicular to the skin over the deltoid muscle. - ✔✔D. Place the syringe perpendicular to the skin over the deltoid muscle. Missy is a 36-year-old woman with diabetes mellitus. She requests a refill of her insulin on November 1. She has completed the primary series of MMR, DTaP, and hepatitis A vaccines, and she received a dose of Tdap 2 years ago. She had a physician-confirmed case of chickenpox as a child. Missy is not pregnant. Which of the following vaccines should Missy receive? A. PCV13, HPV, Td, and influenza. B. PPSV23, Hepatitis B, and influenza. C. PPSV23, Td, hepatitis A, and influenza. D. HPV, hepatitis, B, Td, and influenza. - ✔✔B. PPSV23, Hepatitis B, and influenza. Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis? A. 5 mg for all patients. B. 0.5 mg for all patients. C. 0.1 ml per kg body weight, up to a maximum of 5 mg per dose. D. 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. - ✔✔D. 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. Lily is a 15-month-old girl who is up to date with her vaccinations. Which of the following tetanus toxoid-containing vaccines would be appropriate for Lily? A. DT. B. DTaP. C. Td. D. Tdap. - ✔✔B. DTaP. Which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community? A. Vaccines that require refrigeration. B. Vaccines with multiple doses in a series. C. Vaccines only available multi-dose vials. D. Vaccines that can be submitted with roster billing. - ✔✔B. Vaccines with multiple doses in a series Vaccines evoke an immune response because they contain: A. Antibodies that provide immediate protection against disease. B. B cells that directly attack and destroy foreign antigens. C. Antigens that stimulate the production of antibodies. D. T cells that produce antibodies to fight the foreign antigen. - ✔✔C. Antigens that stimulate the production of antibodies. A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following? A. CMS-1500. B. MedWatch. C. Vaccine Error Reporting Program (VERP). D. Vaccine Adverse Events Reporting System (VAERS). - ✔✔D. Vaccine Adverse Events Reporting System (VAERS). Which of the following statements best describes recommendations for vaccine administration during pregnancy? A. No vaccines should be administered during the first trimester. B. Pregnant providers may administer live vaccines. C. Ideally, Tdap should be administered during the first trimester. D. Children should not receive live vaccines if their mother and/or caregiver is pregnant. - ✔✔B. Pregnant providers may administer live vaccines. Which of the following is a symptom of a true allergic reaction? A. Gastrointestinal distress. B. Fever. C. Hives. D. Headache. - ✔✔C. Hives. A patient who reports an allergy to eggs but is able to eat lightly cooked eggs (e.g., scrambled eggs) without a reaction could receive which of the following influenza vaccines? A. LAIV only. B. RIV only. C. ccIIV only. D. Any influenza vaccine. - ✔✔D. Any influenza vaccine. Which of the following is the youngest age at which a child should receive inactivated influenza vaccine? A. Birth. B. 6 months. C. 1 year. D. 2 years. - ✔✔B. 6 months. Theresa is a 23-year-old woman with rheumatoid arthritis who is treated with immunosuppressive therapies. Which of the following vaccines should be avoided for Theresa? A. PPSV23. B. Hepatitis B. C. Tdap. D. Varicella. - ✔✔D. Varicella. Which of the following influenza vaccines would be appropriate to recommend for a 7-month-old girl? A. Flublock. B. Fluad. C. Fluzone. D. Fluzone High-Dose. - ✔✔C. Fluzone. Which of the following statements best describes the approach to take with patients regarding simultaneous administration of vaccines? A. Children younger than 3 years of age should receive only one live vaccine in a single day. B. Children younger than 6 months of age should receive no more than three vaccines of any type in a single day. C. Use of an altered immunization schedule is associated with a lower rate of adverse event reporting to the Vaccine Adverse Event Reporting System (VAERS). D. A delay in the administration of vaccines increases the risks for infection and outbreaks. - ✔✔D. A delay in the administration of vaccines increases the risks for infection and outbreaks. Angie is a 16-year-old high school student with no chronic medical conditions. She completed the primary series of DTaP, IPV, PCV, Hib, and MMR. She received the complete series of hepatitis A and hepatitis B vaccines before entering high school. Which of the following would be the most appropriate recommendation for Angie today? A. She does not require any vaccinations at this time because she is healthy. B. DTaP, HPV, MCV, and influenza (if during influenza season). C. Tdap, HPV, MCV, varicella, and influenza (if during influenza season). D. HPV, MCV, and influenza (if during influenza season). - ✔✔C. Tdap, HPV, MCV, varicella, and influenza (if during influenza season). Which of the following live vaccines is recommended to be administered prior to one year of age? A. Varicella. B. Rotavirus. C. Measles. D. Intranasal influenza. - ✔✔B. Rotavirus. Katy is a 12-year-old middle school student with no chronic medical conditions who comes to your pharmacy on September 30 for her flu shot. She completed the primary series of DTaP, IPV, hepatitis A, hepatitis B, and Hib, and had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would also be appropriate to recommend for Katy today? A. Tdap, HPV, MCV, MMR. B. DTaP, HPV, MCV, MMR. C. Tdap, HPV, MCV. D. Katy not require any additional vaccinations until she turns 16. - ✔✔A. Tdap, HPV, MCV, MMR. Which of the following patients would be a candidate now for revaccination with PPSV23? A. A 66-year-old woman who received the first dose of PPSV23 at 60 years of age. B. A 68-year-old man who received the first dose of PPSV23 at 64 years of age. C. A 71-year-old man who received the first dose of PPSV23 at 65 years of age. D. A 45-year-old woman without a spleen who received the first dose of PPSV23 at 42 years of age. - ✔✔A. A 66-year-old woman who received the first dose of PPSV23 at 60 years of age. Which of the following should be one of the first steps involved in establishing a pharmacy-based immunization program? A. Train pharmacy technicians to bill for vaccines. B. Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice. C. Order the vaccine supply. D. Begin a marketing program. - ✔✔B. Identify state laws and regulations that determine what activities are allowed in the state(s) in which you practice. [Show More]

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