PRE-TEST FAMILY MEDICINE (M/C)
QUESTIONS CORRECTLY
ANSWERED.
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 ANS- 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. ANS- 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. ANS- 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. ANS- 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 ANS- 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 ANS- 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. ANS- 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.
QUESTIONS CORRECTLY
ANSWERED.
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 ANS- 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. ANS- 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. ANS- 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. ANS- 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 ANS- 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 ANS- 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. ANS- 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.
