AANP: Immunizations + practice
questions
1. The "5 A's" model for brief counseling includes:
A) Assess, Advise, Agree, Assist, Arrange
B) Ask, Advise, Assess, Assist, Arrange
C) Assess, Analyze, Act, Assist, Arrange
D) Ask, Advise, Agree, Act, Arrange
Answer: A) Assess, Advise, Agree, Assist, Arrange
2. A 20-year-old sexually active woman with 3 partners in the last year comes to
establish care. Regarding HPV vaccine and cervical cancer screening:
A) She should start HPV vaccine if not done, and a pap smear is recommended given
risky behavior
B) HPV vaccine is not recommended as she's likely exposed; pap smear is not
indicated as she's not 21
C) She should receive HPV vaccine despite likely exposure; pap smear is not
indicated as she's not 21
D) HPV vaccine is not recommended; she needs a pap smear immediately
Answer: C) She should receive HPV vaccine despite likely exposure; pap smear is not
indicated as she's not 21
3. A 24-year-old woman with no medical history comes for annual exam. She's
sexually active and hasn't had immunizations in 10 years. Which vaccines should be
offered?
A) Only influenza vaccine
B) Influenza, HPV, and Tdap
C) Only Tdap and influenza
D) MMR, varicella, and hepatitis B only
Answer: B) Influenza, HPV, and Tdap
4. For a 24-year-old woman planning pregnancy, what antibody titers should be
checked?
A) Hepatitis A and B
B) Rubella and varicella
C) Measles and mumps
D) Influenza and pneumococcal
Answer: B) Rubella and varicella
, 5. A 40-year-old man with 15 pack-year smoking history comes for routine exam.
Which counseling intervention is indicated first?
A) Referral to substance abuse counselor
B) The 5 "R's" model
C) The 5 "A's" model
D) Counseling is not indicated as he's young and asymptomatic
Answer: C) The 5 "A's" model
6. A 58-year-old man with diabetes, normal colonoscopy 5 years ago, normal PSA 2
years ago comes for Medicare visit. Which preventive services are indicated?
A) PSA, repeat colonoscopy, pneumococcal and Tdap vaccines
B) Pneumococcal, hepatitis B, Tdap, and zoster vaccines; no PSA needed
C) Only pneumococcal vaccine
D) Colonoscopy and all vaccines
Answer: B) Pneumococcal, hepatitis B, Tdap, and zoster vaccines; no PSA needed
7. A healthy 66-year-old Caucasian woman with BMI 28, no osteoporosis risk factors,
takes calcium and vitamin D. Regarding osteoporosis screening:
A) Screening indicated as BMI >25
B) No risk factors, screening not indicated
C) Significant risk for fracture, screening indicated
D) Low overall risk, screening not indicated
Answer: C) Significant risk for fracture, screening indicated
8. Allergy contraindication with Flu vaccine:
A) Latex
B) Eggs
C) Penicillin
D) Sulfa
Answer: B) Eggs
9. Allergy contraindication with IPV (inactivated polio vaccine):
A) Eggs
B) Gelatin
C) Streptomycin
D) Neomycin
Answer: C) Streptomycin
10. Important precaution when administering HPV vaccine to adolescents:
questions
1. The "5 A's" model for brief counseling includes:
A) Assess, Advise, Agree, Assist, Arrange
B) Ask, Advise, Assess, Assist, Arrange
C) Assess, Analyze, Act, Assist, Arrange
D) Ask, Advise, Agree, Act, Arrange
Answer: A) Assess, Advise, Agree, Assist, Arrange
2. A 20-year-old sexually active woman with 3 partners in the last year comes to
establish care. Regarding HPV vaccine and cervical cancer screening:
A) She should start HPV vaccine if not done, and a pap smear is recommended given
risky behavior
B) HPV vaccine is not recommended as she's likely exposed; pap smear is not
indicated as she's not 21
C) She should receive HPV vaccine despite likely exposure; pap smear is not
indicated as she's not 21
D) HPV vaccine is not recommended; she needs a pap smear immediately
Answer: C) She should receive HPV vaccine despite likely exposure; pap smear is not
indicated as she's not 21
3. A 24-year-old woman with no medical history comes for annual exam. She's
sexually active and hasn't had immunizations in 10 years. Which vaccines should be
offered?
A) Only influenza vaccine
B) Influenza, HPV, and Tdap
C) Only Tdap and influenza
D) MMR, varicella, and hepatitis B only
Answer: B) Influenza, HPV, and Tdap
4. For a 24-year-old woman planning pregnancy, what antibody titers should be
checked?
A) Hepatitis A and B
B) Rubella and varicella
C) Measles and mumps
D) Influenza and pneumococcal
Answer: B) Rubella and varicella
, 5. A 40-year-old man with 15 pack-year smoking history comes for routine exam.
Which counseling intervention is indicated first?
A) Referral to substance abuse counselor
B) The 5 "R's" model
C) The 5 "A's" model
D) Counseling is not indicated as he's young and asymptomatic
Answer: C) The 5 "A's" model
6. A 58-year-old man with diabetes, normal colonoscopy 5 years ago, normal PSA 2
years ago comes for Medicare visit. Which preventive services are indicated?
A) PSA, repeat colonoscopy, pneumococcal and Tdap vaccines
B) Pneumococcal, hepatitis B, Tdap, and zoster vaccines; no PSA needed
C) Only pneumococcal vaccine
D) Colonoscopy and all vaccines
Answer: B) Pneumococcal, hepatitis B, Tdap, and zoster vaccines; no PSA needed
7. A healthy 66-year-old Caucasian woman with BMI 28, no osteoporosis risk factors,
takes calcium and vitamin D. Regarding osteoporosis screening:
A) Screening indicated as BMI >25
B) No risk factors, screening not indicated
C) Significant risk for fracture, screening indicated
D) Low overall risk, screening not indicated
Answer: C) Significant risk for fracture, screening indicated
8. Allergy contraindication with Flu vaccine:
A) Latex
B) Eggs
C) Penicillin
D) Sulfa
Answer: B) Eggs
9. Allergy contraindication with IPV (inactivated polio vaccine):
A) Eggs
B) Gelatin
C) Streptomycin
D) Neomycin
Answer: C) Streptomycin
10. Important precaution when administering HPV vaccine to adolescents:
