Version Exam Questions And Correct
Answers (2025\2026)Edition.
Active immunity - Answer resistance developed response to an antigen
Which is the most cost-effective form of prevention in healthcare? - Answer Primary
prevention
When a critical portion of the population is immunized against a contagious disease, most
members of the group, even the unimmunized, are protected against that disease because
there is less opportunity for an outbreak, this is defined as? - Answer Community immunity
Primary prevention - Answer Efforts to prevent an injury or illness from ever occurring.
Education, counseling, immunizations
Active immunization - Answer administration of antigens so patient actively mounts a
protective immune response
Passive immunity - Answer person receives sect antibodies, usually after the administration of
immune globulin (IG), after exposure to an infective agent- Temporary immunity
passing of antibodies from mother to fetus
Secondary prevention - Answer -focuses on early identification of individuals or communities
experiencing illness
-examples: communicable disease screening, early detection diabetes; screening for HTN
Tertiary prevention - Answer minimize disease associated complications and negative health
effects of the conditions
Examples: medications/lifestyle modifications to normalize blood glucose
What is the role of zanamivir (Ralenza) and oseltamivir (Tamiflu) in the treatment of influenza? -
Answer Initiation of therapy early in acute influenza illness can help minimize the severity of
disease when the illness is causes by a nonresistant viral strain.
,The most common mode of influenza virus transmission is via: - Answer respiratory droplet
In an immunocompetent adult, the length of incubation for the influenza virus is on average? -
Answer 1-4 days
Signs and symptoms of uncomplicated influenza infection - Answer fevere, mylagia, HA,
malaise, nonproductive cough, sore throat, rhinitis typically resolves within 1 weeks
Adult patients with influenza are infectious for how long? - Answer 1 day before symptoms- 5
days after onset of illness
Children up to 10 days
Immunocompromised infectious up to 3 weeks
Children younger than 9 should who are receiving their initial influenza immunization should
receive how many doses? - Answer 2 separated by 4 or more weeks.
Which is true of the MMR vaccine? - Answer Live (attenuated) virus
Two doses given at least 1 month apart are recommended for adults who have not been
previously immunized
Discouraged during pregnancy
Pneumococcal disease is caused by - Answer Gram positive diplococcus streptococcus
pneumoniae
Average risk for pneumococcal vaccination - Answer <65 years of age without chronic medical
condition
no vaccination needed
Increased risk for pneumococcal vaccination - Answer >19 and <65 years of age
immunocompetent
Cigarette smokers or chronic conditions
(DM, COPD, CV disease, liver, kidney)
Should receive PPSV23 and repeat after 5 years
, HIV diagnoses patients and pneumococcal vaccination considerations - Answer 100 times
more at risk
receive vaccination as soon as possible
PCV13 followed by PPSV23 8 wks later
Second PPSV23 after 5 years, third dose after 65 y.o.
The HBV vaccine should be offered - Answer during the treatment for sexually transmitted
diseases in unimmunized adults
A woman who has been sexually active with a man newly diagnoses with acute hepatitis B and
has not been previously immunized should be advised to? - Answer receive hepatitis b
immune globulin HIBG
receive hepatitis B immunization series
Hepatitis B. Vaccine should to be given to a person with a history of anaphylactic reaction to: -
Answer Baker's yeast
Risks associated with chronic hepatitis B include - Answer Hepatocellular carcinoma
Cirrhosis
continued infectivity
In the United States, universal childhood HBV began in what year? - Answer 1982
Hepatitis B vaccination series description: - Answer three injection series
if interrupted between 1-2 shots give 2nd ASAP
if interrupted between 2-3 give 3rd at least 8 wks apart
90-95% develop HBsAb following 3 doses
Which patient population is routinely screened for HBsAg? - Answer All pregnant women at
the first prenatal visit regardless of vaccination history
Booster doses of HBV are recommended in which populations? - Answer Hemo patients with