APhA Immunization Exam Questions with accurate answers, rated A 2022/2023

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APhA Immunization Exam Questions with accurate answers, rated A 2022/2023 What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? - ✔�... �Fixed 1-inch needles are acceptable for patients weighing 60 kg (132 lb) or less. HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should not be administered to a patient with a history of anaphylaxis to: - ✔✔Gelatin Alan is a 47-year-old man who has no documentation of a primary series of tetanus-containing vaccine. Which of the following would be an appropriate primary series for Alan? - ✔✔1) Tdap 2) Td 4 weeks later 3) Td 6-12 months later Td booster every 10 years after 3rd dose Candidate for PPSV23? - ✔✔All adults 65+ years Immunocompromised (alcoholism, chronic liver; heart; lung disease, diabetics, cochlear implants, CSF leak) patients ages 19-64 Children with asthma only if theyre treated with high dose corticosteriods Name the vaccine-preventable disease that may be contracted by unimmunized children from adults serving as reservoirs for the disease, which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death. - ✔✔Pertussis Which of the following vaccines may be administered to males and females aged 9 through 26 years to reduce the likelihood of acquiring genital warts? - ✔✔9vHPV Which of the following key questions is important to ask a patient before administering IIV? - ✔✔Are you sick today? *Mild illness is okay, but moderate to severe acute illness need to be resolved before getting vaccine. Live attenuated vaccines.. - ✔✔produced by weakening the virus or bacteria to reduce the likelihood that it can cause disease end to produce more persistent, longer-lasting immunity than inactivated vaccines must replicate in order for the body to produce an immune response could cause disease in immunocompromised patients Circulating antibodies may interfere with a live attenuated vaccine's ability to replicate. Inactivated vaccines... - ✔✔are produced by killing the virus/bacteria includes polysaccharide vaccines (conjugated [protein altered] or unconjugated), toxoids, or cellular vaccines Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? - ✔✔A pure polysaccharide *not recommended for children <2 because of their immature immune system Conjugated vaccines.. - ✔✔provide longer lasting protection the immune response that changes to a T cell mediated response allows children <2 to form an immune response T/F Both live attenuated vaccines and recombinant vaccines mimic natural infection and involve T cells in the immune response. - ✔✔True The incubation period for influenza can range from: - ✔✔1-4 days What is the time interval for which the development of Guillain-Barré syndrome following influenza vaccination would result in a precaution for future influenza vaccines? - ✔✔6 weeks The monitoring system that health care providers should use to report serious adverse events after vaccination is: - ✔✔VAERS Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? - ✔✔11 or 12 year olds *if series has not been started by age 15, then a 3 dose series is needed *3 dose series recommended for immunocompromised patients *1st/2nd dose- given at 0 and 6-12 months *if 2nd dose is given sooner than 5 months after the first dose then a 3rd dose is needed Why should refrigerated vaccines be stored in the middle of the refrigerator? - ✔✔because the temperature in the middle does not fluctuate as much. A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? - ✔✔Hep A, IPV, MMR, Rabies, smallpox, varicella, zoster, influenza When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications, what does the orange bar represent? - ✔✔Orange-indicates theres a precaution for the vaccine * Yellow-vaccine recommended according to routine schedule Purple-recommended for people with an additional risk factor for which the vaccine would be indicated Yellow/black- vaccine recommended, additional doses may be necessary based on medical condition White-no recommendation Red-vaccine is contraindicated A health care provider who has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B-positive patient. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides: - ✔✔Immediate protection *its passive immunity so its short-lived, but provides protection right away Contraindication of HZV - ✔✔HZV is a live vaccine so its contraindicated in immunocompromised patients, pregnant women, and those who have experienced a severe allergic reaction to the vaccine components (neomycin, gelatin) Viruses associated with the development of cancer: - ✔✔HPV and Hep B There should be a flat hard surface in the area where vaccines will be administered to ensure: - ✔✔there is space to perform CPR If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which vaccine is likely to be needed by many of the victims? - ✔✔Td or Tdap According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? - ✔✔5/8 in needle at 45 degrees in the outer upper arm (SC) How often are the Healthy People targets for vaccination rates updated? - ✔✔every 10 years Which of the following patients is a candidate for both MenACWY and MenB vaccines? - ✔✔A 10 year old who just had his spleen removed *MenA can be administered at 2months, MenB not recommended until 10 yrs HIV infection and being in the military are risk factors for MenA What must be documented for VIS? - ✔✔-patient name -date vaccine was administered -vaccine manufacturer, lot number -name, address, title of the administer -date printed on VIS -date VIS was given to patient or guardian *signatures of patient/guardian not required by federal law, but some employers/companys may require signatures Who should receive MMR vaccine? - ✔✔2 dose series at 12-15 months and 4-6 years *no additional doses needed MMR is a live vaccine, not recommended until 12 months old Adults w/o immunity evidence (being born before 1957, documentation of MMR vaccine, lab evidence of disease) should receive one dose Healthcare professionals should receive 2 doses If a patient received the first dose of HepB but did not return for the remaining doses in the series, under what circumstances should the HepB series be restarted? - ✔✔Do not have to start series over (oral typhoid is the exception) *Increasing the interval between doses of a multi-dose vaccine series does not diminish the ultimate effectiveness of the vaccine, but it does delay protection for the patient. Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb? - ✔✔SC at 45 degree angle *weight of patient does not matter in regards to route of administration HPV vaccine is recommended for.. - ✔✔Both males and females ages 9-26 years *routinely recommended for 11 or 12 years of age Tom is a 9-year old boy who has never had an influenza vaccine. Tom's mother shows you his up-to-date immunization record and reports that he has never had any adverse reactions to vaccinations. What dose and schedule of IIV should be administered to Tom? - ✔✔One dose during flu season *influenza vaccine can be given beginning at 6 months 6 months-8 years who have not previously been vaccinated need 2 doses, 4 weeks apart 9 years-one dose during flu season 6 months-2 years 0.25mL dose 3+ years- 0.5mL dose Emily is a 16-year-old high-school student with no chronic medical conditions. Emily's immunization record shows that she completed the primary series for IPV, HepA, Hib, DTaP, and MMR, and she had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would be the most appropriate recommendation for her today? - ✔✔Tdap MCV4 HPV Hep B influenza vaccine if flu season True regarding varicella-containing vaccines: - ✔✔HZV (Zostavax) contains 14 times more antigen than varicella vaccine the greater potency is necessary for an adequate immune response in older patients who have immunity to varicella because they had chicken pox Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? - ✔✔Rabies *it affects the CNS If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza? - ✔✔Hives only-can receive vaccine If patient experienced anaphylaxis or required an epi pen -CAN still receive vaccine but it must be in a medical setting where they can be supervised by medical professionals to assist with any complications The childhood/adolescent and adult immunization schedules are updated and published annually during which months? - ✔✔once a year at the end of January or early February How is the live, cholera vaccine administered? - ✔✔single oral dose at least 10 days prior to potential exposure *should not eat/drink for 1 hour before or after vaccine RotaTeq (RV5) should be administered as a: - ✔✔3-dose series at 2,4,6 months Rotarix (RV1) should be administered as a: - ✔✔2 dose oral series at 2 and 4 months Diagnosis-based screening to identify people at risk for vaccine-preventable diseases: - ✔✔identifies patients in need of vaccines based on the presence of a particular diagnosis. ex: diabetes Procedure based screening to identify people at risk for vaccine-preventable diseases: - ✔✔involves assessing vaccine needs based on a patient's receipt of a surgical, medical, or pharmacy-based procedure. ex: splenectomy Occurrence based screening to identify people at risk for vaccine-preventable diseases: - ✔✔takes advantage of an event, such as a hospital admission, clinic visit, or emergency department visit to identify people who need to be vaccinated ex: discharge counseling Live attenuated vaccines (11) - ✔✔Cholera HZV LAIV MMR MMRV Rotavirus TB (BCG) Typhoid (Ty21a) Vaccinia (smallpox) Varicella Yellow Fever *all others are inactivated For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? - ✔✔No minimum interval between doses *IIV is inactivated HZV is live inactivated do not interfere with live Interval between 2 live vaccines NOT given simultaneously: - ✔✔4 weeks [Show More]

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