APhA Immunization Self-Study Exam Questions with accurate answers, rated A

APhA Immunization Self-Study Exam Questions with accurate answers, rated A The childhood/adolescent and adult immunization schedules are updated and published annually during which months? - ✔✔These are typically ma ...

APhA Immunization Self-Study Exam Questions with accurate answers, rated A The childhood/adolescent and adult immunization schedules are updated and published annually during which months? - ✔✔These are typically made available at the end of January or early February. 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? - ✔✔If the patients fall behind with vaccinations given in a multi-dose series, it usually is not necessary to start the series over. Oral typhoid is the one exception. According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her lifetime? - ✔✔3 doses Upon giving a VIS to a patient who is to receive a vaccine under the National Childhood Vaccine Injury Act, what must be documented? - ✔✔Patient name Date the vaccine was administered Vaccine manufacturer and lot number Name Address Title of person administering the vaccine Date printed on the VIS Date the VIS was given to the vaccine recipient David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July prior to starting kindergarten. David's immunization record reveals that he has received the following vaccines: 3 doses of HepB 4 doses of PCV13 2 doses of HepA 3 doses of IPV 2 doses of rotavirus 1 dose of MMRV 4 doses of DTaP 4 doses of HiB Which vaccines should David receive at this visit? - ✔✔5th dose of DTaP 4th dose of IPV 2nd dose of MMR 2nd dose of Varicella John is a 46-year-old man with diabetes. He requests a refill of his diabetes testing supplies on October 21st. His immunization record indicates that he has completed the primary series of MMR, DTaP, HepA, and HepB vaccines. John has a documented history of chickenpox, and his last Td booster dose was 19 years ago. Which of the following vaccines should he receive? - ✔✔1 dose of IIV 1 dose of Tdap 1 dose of PPSV23 What is the standard dose of epinephrine for managing anaphylaxis? - ✔✔0.01 mg/kg/dose with a maximum of 0.5 mg per dose Which of the following tetanus booster vaccines would be most appropriate for administration to a 12-year-old boy who has completed a primary series with DTaP and has no known allergies? - ✔✔1 dose of Tdap, followed by 1 dose of Td every 10 years after. 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: - ✔✔prompt immunity If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? - ✔✔5 years Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He leaves in 3 weeks and will be gone a month. He received his first dose of hepatitis A vaccine today. Alex should be counseled to return for his second dose of hepatitis A vaccine: - ✔✔6 months For a patient who needs to receive IIV and HZV, which of the following best describes appropriate administration of these vaccines? - ✔✔Administer these 2 vaccines at this visit. HPV vaccine is recommended for which of the following individuals? - ✔✔Both males and females between ages 9 through 26 years. recommended to give at 11 or 12 years of age. 12 year old boy What is meant by the term "immunization neighborhood"? - ✔✔the collaboration, coordination, and communication among immunization stakeholders dedicated to meeting the immunization needs of the patient and protecting the community from vaccine-preventable diseases Immunization stakeholders collaborate to meet community immunization needs. Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? - ✔✔Low effectiveness of this vaccine was seen during the 2013-2014 and 2015-2016 influenza seasons 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? - ✔✔precautions for vaccination Which of the following statements is true regarding how vaccines evoke an immune response? - ✔✔The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells. According to ACIP recommendations, HZV is INDICATED for the prevention of herpes zoster in adults aged: - ✔✔60 and older Which of the following statements is true regarding varicella-containing vaccines? - ✔✔The potency of HZV is 14x greater than that of varicella vaccine HealthMap Vaccine Finder is a free online tool that allows pharmacists to: - ✔✔List their vaccination services so patients can find them when searching the website for nearby immunizers. What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb? - ✔✔1 inch Which of the following is most likely to result in an influenza pandemic? - ✔✔antigenic shift in influenza A Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive: - ✔✔2 doses of the varicella vaccine at least 4 weeks apart HZV should not be administered to a patient with a history of anaphylaxis to: - ✔✔gelatin* or neomycin *can be found in MMR, rabies, typhoid, varicella, yellow fever too According to the Advisory Committee on Immunization Practices (ACIP), which of the following would be considered adequate evidence of immunity to varicella, indicating that administration of varicella vaccine is unnecessary? - ✔✔documentation of 2 doses of varicella vaccine at least 4 weeks apart history of varicella or herpes zoster diagnosis verification of varicella or herpes zoster disease by a health care provider laboratory evidence of immunity or disease born before 1980 ***self report is no longer considered evidence of immunity Diagnosis of chickenpox by a health care provider Which of these vaccines is a live attenuated vaccine? - ✔✔cholera herpes zoster LAIV MMR MMRV rotavirus tuberculosis (BCG) typhoid (Ty21a) vaccinia (smallpox) varicella yellow fever ZOSTER Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? - ✔✔VIS Herd immunity refers to which of the following situations? - ✔✔Vaccination of enough individuals in a community to protect those who cannot be vaccinated. Which viruses are associated with the development of cancer? - ✔✔HPV HepB The incubation period for influenza can range from: - ✔✔1 to 4 days Which of the following vaccines may be administered to boys and young men aged 9 through 26 years to reduce the likelihood of acquiring genital warts? - ✔✔HPV9 Robert is a 48-year-old pharmacist who is preparing to provide immunizations in his pharmacy for the first time next fall. He has no documentation of receiving the hepatitis B vaccine and would like to be vaccinated before administering vaccines in his practice. What is the recommended routine schedule for vaccination against hepatitis B? - ✔✔3 dose series 0, 1, and 6 months Which of the following patients would be a candidate for PPSV23? - ✔✔All adults 65 and older those considered high risk for pneumococcal disease cerebrospinal fluid leak cochlear implants diabetes chronic heart disease chronic lung disease chronic liver disease alcoholism 19-64 yo with asthma or who smoke cigarettes 25 year old man who smokes cigarettes 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? - ✔✔1 dose (0.5 mL) of IIV today