CMN 571 EXAM 2 COMPREHENSIVE TEST
PAPER QUESTIONS AND SOLUTIONS
VERIFIED PREPARATION MATERIAL
●● What is required to be recorded in the medical record?
Answer: The edition date of the VIS (found on the back at the right
bottom corner).
The date the VIS is provided (i.e., the date of the visit when the vaccine
is administered).
The office address and name and title of the person who administers the
vaccine.
The date the vaccine is administered.
The vaccine manufacturer and lot number.
●● Vaccines at birth
Answer: Hep B
●● Vaccines at 4 months
Answer: D - Dtap
R - Rotovirus
H - HIB
I - IPV
,P - PCV
●● Vaccines at 2 months
Answer: B - Hep B
D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
●● Vaccines at 6 months
Answer: B - Hep B
D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
●● Vaccines at 12-15 months
Answer: M - MMR
A - HepA
D - Dtap
,H - HIB
P - PCV
V- Varicella
●● Vaccines at 4-6 years
Answer: VERY - Varicella
D - DTAP
I - IPV
M - MMR
●● Active immunity
Answer: Resistance developed in response to infection with an agent
resulting in antibody production. Active immunity is usually permanent.
Can be either naturally acquired through exposure and infection with the
disease or artificially acquired through immunization. Onset is 2-4
weeks and duration is years to lifetime.
●● Passive Immunity
Answer: A person is given antibodies to a disease rather than producing
them through his or her own immune system. This is short term
immunity through introduction of antibodies to a disease. Can occur
naturally as in the passage of antibodies from the mother to the fetus
during pregnancy or artificially acquired through injection of antibodies
such as gamma globulin. Onset is within 24 hours of the dose and
duration is about 4-6 months.
, ●● Herd Immunity
Answer: This occurs when a significant portion of the population is
vaccinated and that provides a portion of immunity for those that have
not developed immunity. The population (herd) helps prevent disease in
the unprotected population. The herd protects those who can not safely
get vaccinations. Generally 90 -95% of the population should be to be
vaccinated to have effective Herd immunity.
●● Hep B Vaccine
Answer: 3 dose schedule: 1st Should be given within 24 hours of birth
(12 hours if mother + or unknown HBsAg status). 2nd at 2 months and
3rd at 6 months.
Low rate of adverse events.
Contraindications: Do not give to anyone with serious allergic reaction
to yeast.
Can be solo vaccine (engerix-B/Recombivax HB) or combined with
Dtap & IPV (pediarix)
●● Rotavirus Vaccine
Answer: Rotavirus is the most common cause of severe gastroenteritis
among young children.
Two vaccines available - RV5 (Rotateq) and RV1 (Rotarix).
RV5 is 3 dose schedule at 2, 4, 6 months. RV1 is 2 dose schedule at 2 &
4 months.
PAPER QUESTIONS AND SOLUTIONS
VERIFIED PREPARATION MATERIAL
●● What is required to be recorded in the medical record?
Answer: The edition date of the VIS (found on the back at the right
bottom corner).
The date the VIS is provided (i.e., the date of the visit when the vaccine
is administered).
The office address and name and title of the person who administers the
vaccine.
The date the vaccine is administered.
The vaccine manufacturer and lot number.
●● Vaccines at birth
Answer: Hep B
●● Vaccines at 4 months
Answer: D - Dtap
R - Rotovirus
H - HIB
I - IPV
,P - PCV
●● Vaccines at 2 months
Answer: B - Hep B
D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
●● Vaccines at 6 months
Answer: B - Hep B
D - Dtap
R - Rotovirus
H - HIB
I - IPV
P - PCV
●● Vaccines at 12-15 months
Answer: M - MMR
A - HepA
D - Dtap
,H - HIB
P - PCV
V- Varicella
●● Vaccines at 4-6 years
Answer: VERY - Varicella
D - DTAP
I - IPV
M - MMR
●● Active immunity
Answer: Resistance developed in response to infection with an agent
resulting in antibody production. Active immunity is usually permanent.
Can be either naturally acquired through exposure and infection with the
disease or artificially acquired through immunization. Onset is 2-4
weeks and duration is years to lifetime.
●● Passive Immunity
Answer: A person is given antibodies to a disease rather than producing
them through his or her own immune system. This is short term
immunity through introduction of antibodies to a disease. Can occur
naturally as in the passage of antibodies from the mother to the fetus
during pregnancy or artificially acquired through injection of antibodies
such as gamma globulin. Onset is within 24 hours of the dose and
duration is about 4-6 months.
, ●● Herd Immunity
Answer: This occurs when a significant portion of the population is
vaccinated and that provides a portion of immunity for those that have
not developed immunity. The population (herd) helps prevent disease in
the unprotected population. The herd protects those who can not safely
get vaccinations. Generally 90 -95% of the population should be to be
vaccinated to have effective Herd immunity.
●● Hep B Vaccine
Answer: 3 dose schedule: 1st Should be given within 24 hours of birth
(12 hours if mother + or unknown HBsAg status). 2nd at 2 months and
3rd at 6 months.
Low rate of adverse events.
Contraindications: Do not give to anyone with serious allergic reaction
to yeast.
Can be solo vaccine (engerix-B/Recombivax HB) or combined with
Dtap & IPV (pediarix)
●● Rotavirus Vaccine
Answer: Rotavirus is the most common cause of severe gastroenteritis
among young children.
Two vaccines available - RV5 (Rotateq) and RV1 (Rotarix).
RV5 is 3 dose schedule at 2, 4, 6 months. RV1 is 2 dose schedule at 2 &
4 months.
