GUIDE 2026 FULL QUESTIONS AND
SOLUTIONS GRADED A+
◍ 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: Answer: Increase the proportion of persons who are
vaccinated annually against seasonal influenza
◍ Opportunities for Advocacy and Collaboration include: Answer:
Membership in state Immunization coalition to serve as an expert on
policy and practice issues affecting pharmacy
◍ Which of the following diseases have been eradicated worldwide,
allowing vaccination to be discontinued? Answer: Smallpox -
eradicated in 1980 by WHO
◍ 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? Answer:
Prevention, Partnership, Quality, Documentation and Empowerment
◍ Active Immunity Answer: Long-term protection but takes 2 weeks
to work
◍ Innate Immunity Answer: Barrier defense mechanism
,◍ Adaptive Immunity Answer: Also known as acquired
◍ Passive Immunity Answer: Antibodies from an external source
◍ Antigens Answer: Evoke the immune response and bind to specific
antibodies
◍ T/F: Vaccines contain antibodies which are recognized by the
immune system. Answer: False
◍ What can a pharmacist do to reduce the risk of getting hepatitis B
after exposure? Answer: 1. Post-exposure prophylaxis is needed right
away
2. Give both Hep B immune globulin (HBIG) and Hepatitis B vaccine
3. HBIG contains antibodies that provide immediate protection via
passive immunity
4. When a person is fully vaccinated, the hepatitis B vaccine provides
long-term protection.
◍ Live Vaccines are: Answer: 1. Attenuated
2. Stimulates both humoral and cell-mediated immune response
3. May be interfered with by circulating antibodies
4. Not given to children less than 12 months of age due to presence of
maternal antibodies
, ◍ Inactivated Vaccines are: Answer: 1. Killed virus or bacteria
2. Does not replicate
3. Stimulates humoral immunity (antibodies)
4. May be given to people who have received blood products or live
vaccines, regardless of timing.
5. Predominantly given to infants (less than 12 months) because they
may have circulating maternal antibodies which could reduce the
effectiveness of a live vaccines.
◍ T/F: Inactivated vaccines do NOT have minimum intervals
between administered vaccines Answer: True
◍ T/F: Inactivated vaccines are not affected by live vaccines and visa
versa. Answer: True
◍ If two live vaccines are given simultaneously sly on the same day,
then you must wait _____ minimum interval. Answer: 28-day
minimum interval so that each vaccine can replicate properly.
◍ Live vaccines followed by blood products (contain antibodies)
require ______minimum interval. Answer: 2 weeks.
◍ Which of the following is an example of passive immunity?
a.) Contracting measles
b.) Hep B Vaccine
c.) Skin Barrier