APHA IMMUNIZATION ACTUAL TEST PAPER WITH COMPLETE
ANSWERS
◍ HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine
should not be administered to a patient with a history of anaphylaxis
to: Answer: Gelatin
◍ Alan is a 47-year-old man who has no documentation of a primary
series of tetanus-containing vaccine. Which of the following would be
an appropriate primary series for Alan? Answer: 1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Td booster every 10 years after 3rd dose
◍ Candidate for PPSV23? Answer: All adults 65+ years
Immunocompromised (alcoholism, chronic liver; heart; lung disease,
diabetics, cochlear implants, CSF leak) patients ages 19-64
Children with asthma only if theyre treated with high dose
corticosteriods
,◍ Name the vaccine-preventable disease that may be contracted by
unimmunized children from adults serving as reservoirs for the
disease, which causes a paroxysmal cough and potentially can result
in pneumonia, seizures, encephalopathy, hypoxia, and death. Answer:
Pertussis
◍ Which of the following vaccines may be administered to males and
females aged 9 through 26 years to reduce the likelihood of acquiring
genital warts? Answer: 9vHPV
◍ Which of the following key questions is important to ask a patient
before administering IIV? Answer: Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be
resolved before getting vaccine.
◍ Live attenuated vaccines.. Answer: produced by weakening the
virus or bacteria to reduce the likelihood that it can cause disease
end to produce more persistent, longer-lasting immunity than
inactivated vaccines
must replicate in order for the body to produce an immune response
could cause disease in immunocompromised patients
, Circulating antibodies may interfere with a live attenuated vaccine's
ability to replicate.
◍ Inactivated vaccines... Answer: are produced by killing the
virus/bacteria
includes polysaccharide vaccines (conjugated [protein altered] or
unconjugated), toxoids, or cellular vaccines
◍ Which type of vaccine involves stimulation of B cells without the
assistance of T helper cells? Answer: A pure polysaccharide
*not recommended for children <2 because of their immature immune
system
◍ Conjugated vaccines.. Answer: provide longer lasting protection
the immune response that changes to a T cell mediated response
allows children <2 to form an immune response
◍ T/F
Both live attenuated vaccines and recombinant vaccines mimic
natural infection and involve T cells in the immune response. Answer:
True
ANSWERS
◍ HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine
should not be administered to a patient with a history of anaphylaxis
to: Answer: Gelatin
◍ Alan is a 47-year-old man who has no documentation of a primary
series of tetanus-containing vaccine. Which of the following would be
an appropriate primary series for Alan? Answer: 1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Td booster every 10 years after 3rd dose
◍ Candidate for PPSV23? Answer: All adults 65+ years
Immunocompromised (alcoholism, chronic liver; heart; lung disease,
diabetics, cochlear implants, CSF leak) patients ages 19-64
Children with asthma only if theyre treated with high dose
corticosteriods
,◍ Name the vaccine-preventable disease that may be contracted by
unimmunized children from adults serving as reservoirs for the
disease, which causes a paroxysmal cough and potentially can result
in pneumonia, seizures, encephalopathy, hypoxia, and death. Answer:
Pertussis
◍ Which of the following vaccines may be administered to males and
females aged 9 through 26 years to reduce the likelihood of acquiring
genital warts? Answer: 9vHPV
◍ Which of the following key questions is important to ask a patient
before administering IIV? Answer: Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be
resolved before getting vaccine.
◍ Live attenuated vaccines.. Answer: produced by weakening the
virus or bacteria to reduce the likelihood that it can cause disease
end to produce more persistent, longer-lasting immunity than
inactivated vaccines
must replicate in order for the body to produce an immune response
could cause disease in immunocompromised patients
, Circulating antibodies may interfere with a live attenuated vaccine's
ability to replicate.
◍ Inactivated vaccines... Answer: are produced by killing the
virus/bacteria
includes polysaccharide vaccines (conjugated [protein altered] or
unconjugated), toxoids, or cellular vaccines
◍ Which type of vaccine involves stimulation of B cells without the
assistance of T helper cells? Answer: A pure polysaccharide
*not recommended for children <2 because of their immature immune
system
◍ Conjugated vaccines.. Answer: provide longer lasting protection
the immune response that changes to a T cell mediated response
allows children <2 to form an immune response
◍ T/F
Both live attenuated vaccines and recombinant vaccines mimic
natural infection and involve T cells in the immune response. Answer:
True
