Pre-Test: Family Medicine (M/C) Exam-Style Test with
100% Correct Answers!!
You are examining a normal-term newborn whose mother is hepatitis B virus (HBV) surface
antigen positive. Which of the following protocols is recommended for the child?
a. Hepatitis B vaccination at 0 to 2 months, a second dose at 1 to 4 months, and a
third dose at 6 to 18 months of age.
b. Hepatitis B vaccination within 12 hours of birth, with the timing of the second and
third doses based on the mother's hepatitis B viral load at the time of delivery.
c. Hepatitis B vaccination and hepatitis B immune globulin within 12 hours of birth, a second
dose of hepatitis B vaccine at 1 to 2 months, and a third dose of
vaccine at 6 months.
d. Hepatitis B vaccination and hepatitis B immune globulin within 12 hours of
birth, a second dose of the vaccine and immune globulin at 1 to 2 months, and
a third dose of the vaccine and immune globulin at 6 months.
e. Hepatitis B vaccination at birth, with serologic testing of the ba correct answers c. Hepatitis
B vaccination and hepatitis B immune globulin within 12 hours of birth, a second dose of
hepatitis B vaccine at 1 to 2 months, and a third dose of
vaccine at 6 months.
You are counseling a mother about her child's immunization schedule. She asks specifically
if her child would benefit from the Haemophilus influenzae type b (Hib) vaccine. Which of
the following statements is true about this vaccine?
a. The vaccine is between 95% and 100% effective in preventing invasive Hib disease.
b. The vaccine will help to prevent otitis media caused by H influenzae.
c. Adverse reactions to the vaccine include an unusual high-pitched cry, high
fevers, and seizures.
d. The first vaccine should be administered at birth.
e. The vaccine cannot be given concurrently with other vaccines. correct answers a. The
vaccine is between 95% and 100% effective in preventing invasive Hib disease.
You are discussing varicella-zoster vaccination with a 24-year-old US-born male health care
worker who does not ever remember having chicken pox. He does not have any
contraindications to vaccine administration. Which of the following statements is true?
a. Based on his age, he is considered immune.
b. Because of his age, only one dose of vaccine is required.
,c. Serologic testing for varicella antibodies is necessary before vaccination.
d. If his wife is pregnant, vaccination should be avoided until after she delivers.
e. After vaccination, he may develop a varicella infection, but when it occurs, it
does not appear to be contagious. correct answers e. After vaccination, he may develop a
varicella infection, but when it occurs, it
does not appear to be contagious.
A patient that you follow has recently started volunteering at a drug treatment hospital and
requires hepatitis B vaccination. You find that he is hepatitis B surface antibody positive.
Which of the following would be the best guideline to follow in this case?
a. No vaccination is necessary based on his laboratory evaluation.
b. Administer one dose of hepatitis B vaccine.
c. Administer two doses of hepatitis B vaccine, at least 1 month apart.
d. Administer two doses of hepatitis B vaccine, at least 6 months apart.
e. Administer three doses of hepatitis B vaccine at the appropriate time interval. correct
answers a. No vaccination is necessary based on his laboratory evaluation.
You are caring for a 23-year-old healthy homosexual male who works as an accountant and
lives alone. He had the "typical childhood vaccinations" and provides documentation of his
immunization record. He is up-to-date on tetanus, and was primarily immunized against
diphtheria, pertussis, polio, hepatitis B, measles, mumps, rubella, and H influenzae type b.
Which of the following vaccinations is indicated for this patient?
a. Varicella
b. Meningococcus
c. Hepatitis A
d. Pneumococcus
e. A booster of the measles-mumps-rubella (MMR) vaccine correct answers c. Hepatitis A
In the prenatal workup for a 24-year-old patient, you discover she is not immune to rubella.
When is the best time to vaccinate her against rubella?
a. Immediately
b. In the second trimester of pregnancy
c. In the third trimester of pregnancy
d. In the early postpartum period
e. At least 4 weeks postpartum correct answers d. In the early postpartum period
A 32-year-old woman comes to your office for a complete physical examination. When
discussing her vaccinations, you discover that she received her primary tetanus series as a
child, and her last tetanus booster was 11 years ago. Which of the following is true?
a. No vaccination is required.
,b. The patient should receive a tetanus-diphtheria (Td) booster.
c. The patient should receive tetanus immune globulin.
d. The patient should receive a diphtheria-tetanus-pertussis (DTP) immunization.
e. The patient should receive tetanus, diphtheria, and acellular pertussis (Tdap)
immunization. correct answers e. The patient should receive tetanus, diphtheria, and acellular
pertussis (Tdap)
immunization.
You are caring for a family and find that the mother would like her children vaccinated
against influenza. Her children are aged 4 months, 24 months, and 5 years. Which of the
following represents current immunization recommendations for influenza?
a. None of her children should be vaccinated.
b. The 4-month-old and the 24-month-old should be vaccinated.
c. The 24-month-old and the 5-year-old should be vaccinated.
d. Only the 24-month-old should be vaccinated.
e. All the children should be vaccinated. correct answers c. The 24-month-old and the 5-year-
old should be vaccinated.
9. You care for a child whose mother wants him immunized against influenza. He is currently
18 months old and has never had the influenza vaccine in the past. Which of the following is
correct regarding this situation?
a. He should not be immunized against influenza.
b. He should receive one dose of the live, attenuated influenza vaccine (LAIV).
c. He should receive two doses of LAIV.
d. He should receive one dose of the trivalent inactivated influenza vaccine (TIV).
e. He should receive two doses of TIV. correct answers e. He should receive two doses of
TIV.
10. You are caring for a 2 1/2-year-old boy who is coming to your office for the first time.
Reviewing his immunization record, you find that he has never received vaccination for
invasive pneumococcal disease using the 7-valent pneumococcal conjugate vaccine. Which
of the following is true regarding recommendations in his case?
a. He is no longer at risk for invasive pneumococcal disease, and does not need to be
vaccinated.
, b. He should only be vaccinated if he has an immunocompromising condition.
c. He should only be vaccinated if he has a congenital or genetic pulmonary
condition.
d. He should be vaccinated, and should start the usual series for primary
vaccination.
e. He should be vaccinated, but with a modified schedule for immunization. correct answers
e. He should be vaccinated, but with a modified schedule for immunization.
You are caring for a 30-year-old woman who asks you about the human papillomavirus
(HPV) vaccination. She is recently divorced and not in a monogamous relationship. She has a
history of genital warts, and had an abnormal Papanicolaou (Pap) test 2 years ago, for which
she underwent colposcopy, biopsy, and cryotherapy. Subsequent Pap tests have been normal.
Which of the following is true?
a. She is unable to be vaccinated because she has a history of genital warts.
b. She is unable to be vaccinated because she has a history of an abnormal Pap
test.
c. She is unable to be vaccinated because she is not in a monogamous
relationship.
d. Vaccination is not recommended for 30-year-old women.
e. She should be vaccinated. correct answers d. Vaccination is not recommended for 30-year-
old women.
You are determining which of the patients in your practice should receive the quadrivalent
HPV vaccination. This vaccine is inappropriate for which of the following patients?
a. An 18-year-old woman with an abnormal Pap test that has yet to be followed up
appropriately
b. A 16-year-old girl who recently delivered her first child and is currently
breast-feeding
c. A pregnant 14-year-old
d. A 12-year-old with asthma currently taking steroids for an exacerbation
e. An 11-year-old victim of sexual abuse correct answers c. A pregnant 14-year-old
A recently retired 67-year-old woman presents to you to establish care. She was a smoker for
a long time, but quit 5 years ago. She is generally healthy, but her prior physician told her
that she has "emphysema." She was prescribed an "inhaler" to use as-needed and only uses it
rarely. She asks about necessary immunizations. Her social history indicates that she lives
with her daughter and often cares for her infant granddaughter. Her chart indicates that she
had a pneumococcal polysaccharide vaccine at age 63 and a Td shot at age 63. Which of the
following vaccines should she receive?
a. MMR
b. Tdap
c. Varicella
d. Pneumococcal polysaccharide
e. Intranasal influenza correct answers b. Tdap
100% Correct Answers!!
You are examining a normal-term newborn whose mother is hepatitis B virus (HBV) surface
antigen positive. Which of the following protocols is recommended for the child?
a. Hepatitis B vaccination at 0 to 2 months, a second dose at 1 to 4 months, and a
third dose at 6 to 18 months of age.
b. Hepatitis B vaccination within 12 hours of birth, with the timing of the second and
third doses based on the mother's hepatitis B viral load at the time of delivery.
c. Hepatitis B vaccination and hepatitis B immune globulin within 12 hours of birth, a second
dose of hepatitis B vaccine at 1 to 2 months, and a third dose of
vaccine at 6 months.
d. Hepatitis B vaccination and hepatitis B immune globulin within 12 hours of
birth, a second dose of the vaccine and immune globulin at 1 to 2 months, and
a third dose of the vaccine and immune globulin at 6 months.
e. Hepatitis B vaccination at birth, with serologic testing of the ba correct answers c. Hepatitis
B vaccination and hepatitis B immune globulin within 12 hours of birth, a second dose of
hepatitis B vaccine at 1 to 2 months, and a third dose of
vaccine at 6 months.
You are counseling a mother about her child's immunization schedule. She asks specifically
if her child would benefit from the Haemophilus influenzae type b (Hib) vaccine. Which of
the following statements is true about this vaccine?
a. The vaccine is between 95% and 100% effective in preventing invasive Hib disease.
b. The vaccine will help to prevent otitis media caused by H influenzae.
c. Adverse reactions to the vaccine include an unusual high-pitched cry, high
fevers, and seizures.
d. The first vaccine should be administered at birth.
e. The vaccine cannot be given concurrently with other vaccines. correct answers a. The
vaccine is between 95% and 100% effective in preventing invasive Hib disease.
You are discussing varicella-zoster vaccination with a 24-year-old US-born male health care
worker who does not ever remember having chicken pox. He does not have any
contraindications to vaccine administration. Which of the following statements is true?
a. Based on his age, he is considered immune.
b. Because of his age, only one dose of vaccine is required.
,c. Serologic testing for varicella antibodies is necessary before vaccination.
d. If his wife is pregnant, vaccination should be avoided until after she delivers.
e. After vaccination, he may develop a varicella infection, but when it occurs, it
does not appear to be contagious. correct answers e. After vaccination, he may develop a
varicella infection, but when it occurs, it
does not appear to be contagious.
A patient that you follow has recently started volunteering at a drug treatment hospital and
requires hepatitis B vaccination. You find that he is hepatitis B surface antibody positive.
Which of the following would be the best guideline to follow in this case?
a. No vaccination is necessary based on his laboratory evaluation.
b. Administer one dose of hepatitis B vaccine.
c. Administer two doses of hepatitis B vaccine, at least 1 month apart.
d. Administer two doses of hepatitis B vaccine, at least 6 months apart.
e. Administer three doses of hepatitis B vaccine at the appropriate time interval. correct
answers a. No vaccination is necessary based on his laboratory evaluation.
You are caring for a 23-year-old healthy homosexual male who works as an accountant and
lives alone. He had the "typical childhood vaccinations" and provides documentation of his
immunization record. He is up-to-date on tetanus, and was primarily immunized against
diphtheria, pertussis, polio, hepatitis B, measles, mumps, rubella, and H influenzae type b.
Which of the following vaccinations is indicated for this patient?
a. Varicella
b. Meningococcus
c. Hepatitis A
d. Pneumococcus
e. A booster of the measles-mumps-rubella (MMR) vaccine correct answers c. Hepatitis A
In the prenatal workup for a 24-year-old patient, you discover she is not immune to rubella.
When is the best time to vaccinate her against rubella?
a. Immediately
b. In the second trimester of pregnancy
c. In the third trimester of pregnancy
d. In the early postpartum period
e. At least 4 weeks postpartum correct answers d. In the early postpartum period
A 32-year-old woman comes to your office for a complete physical examination. When
discussing her vaccinations, you discover that she received her primary tetanus series as a
child, and her last tetanus booster was 11 years ago. Which of the following is true?
a. No vaccination is required.
,b. The patient should receive a tetanus-diphtheria (Td) booster.
c. The patient should receive tetanus immune globulin.
d. The patient should receive a diphtheria-tetanus-pertussis (DTP) immunization.
e. The patient should receive tetanus, diphtheria, and acellular pertussis (Tdap)
immunization. correct answers e. The patient should receive tetanus, diphtheria, and acellular
pertussis (Tdap)
immunization.
You are caring for a family and find that the mother would like her children vaccinated
against influenza. Her children are aged 4 months, 24 months, and 5 years. Which of the
following represents current immunization recommendations for influenza?
a. None of her children should be vaccinated.
b. The 4-month-old and the 24-month-old should be vaccinated.
c. The 24-month-old and the 5-year-old should be vaccinated.
d. Only the 24-month-old should be vaccinated.
e. All the children should be vaccinated. correct answers c. The 24-month-old and the 5-year-
old should be vaccinated.
9. You care for a child whose mother wants him immunized against influenza. He is currently
18 months old and has never had the influenza vaccine in the past. Which of the following is
correct regarding this situation?
a. He should not be immunized against influenza.
b. He should receive one dose of the live, attenuated influenza vaccine (LAIV).
c. He should receive two doses of LAIV.
d. He should receive one dose of the trivalent inactivated influenza vaccine (TIV).
e. He should receive two doses of TIV. correct answers e. He should receive two doses of
TIV.
10. You are caring for a 2 1/2-year-old boy who is coming to your office for the first time.
Reviewing his immunization record, you find that he has never received vaccination for
invasive pneumococcal disease using the 7-valent pneumococcal conjugate vaccine. Which
of the following is true regarding recommendations in his case?
a. He is no longer at risk for invasive pneumococcal disease, and does not need to be
vaccinated.
, b. He should only be vaccinated if he has an immunocompromising condition.
c. He should only be vaccinated if he has a congenital or genetic pulmonary
condition.
d. He should be vaccinated, and should start the usual series for primary
vaccination.
e. He should be vaccinated, but with a modified schedule for immunization. correct answers
e. He should be vaccinated, but with a modified schedule for immunization.
You are caring for a 30-year-old woman who asks you about the human papillomavirus
(HPV) vaccination. She is recently divorced and not in a monogamous relationship. She has a
history of genital warts, and had an abnormal Papanicolaou (Pap) test 2 years ago, for which
she underwent colposcopy, biopsy, and cryotherapy. Subsequent Pap tests have been normal.
Which of the following is true?
a. She is unable to be vaccinated because she has a history of genital warts.
b. She is unable to be vaccinated because she has a history of an abnormal Pap
test.
c. She is unable to be vaccinated because she is not in a monogamous
relationship.
d. Vaccination is not recommended for 30-year-old women.
e. She should be vaccinated. correct answers d. Vaccination is not recommended for 30-year-
old women.
You are determining which of the patients in your practice should receive the quadrivalent
HPV vaccination. This vaccine is inappropriate for which of the following patients?
a. An 18-year-old woman with an abnormal Pap test that has yet to be followed up
appropriately
b. A 16-year-old girl who recently delivered her first child and is currently
breast-feeding
c. A pregnant 14-year-old
d. A 12-year-old with asthma currently taking steroids for an exacerbation
e. An 11-year-old victim of sexual abuse correct answers c. A pregnant 14-year-old
A recently retired 67-year-old woman presents to you to establish care. She was a smoker for
a long time, but quit 5 years ago. She is generally healthy, but her prior physician told her
that she has "emphysema." She was prescribed an "inhaler" to use as-needed and only uses it
rarely. She asks about necessary immunizations. Her social history indicates that she lives
with her daughter and often cares for her infant granddaughter. Her chart indicates that she
had a pneumococcal polysaccharide vaccine at age 63 and a Td shot at age 63. Which of the
following vaccines should she receive?
a. MMR
b. Tdap
c. Varicella
d. Pneumococcal polysaccharide
e. Intranasal influenza correct answers b. Tdap
