APHA IMMUNIZATION EXAM SCRIPT COMPLETE QUESTIONS AND
ANSWERS
⩥ Where in the world might you contract Typhoid and Paratyphoid fever
and what factor increases your chance to contract the disease? Answer:
Southern Asia; the longer you stay the higher your chance at contracting
the disease.
⩥ A person may have the Typhoid fever for how many days before
displaying any symptoms? Answer: 6-30 days.
⩥ If Typhoid fever goes untreated, what is expected to occur to the
individual? Answer: After 2-3 weeks, intestinal hemorrhages can occur
⩥ An individual went to the hospital and was diagnosed with Malaria.
The doctor was wrong and mistakes the patients symptoms for what
other disease? Answer: Typhoid fever
⩥ What is the main drug class used to treat Typhoid fever? Also list the
secondary drugs used if resistance has occurred to the number one
choice? Answer: Fluoroquinolones are first line treatment.
,Injectable 3rd generation cephalosporins can also be used when
resistance is observed.
⩥ How effective are the Typhoid vaccines and how affective are they
against Paratyphoid fever? Answer: 50%-80% Effective for typhoid
fever and not affective for Paratyphoid fever.
⩥ What is the ORAL Typhoid Fever vaccine called? Answer: Vivotif
⩥ What type of vaccine is Vivotif? Answer: Oral capsule, Live,
Attenuated vaccine
⩥ Describe the age and dosing requirement of Vivotif? Answer: Persons
6 years and older need 4 doses of Vivotif oral capsule every 48 hours
apart.
⩥ What is the IM Typhoid Fever vaccine called? Answer: Typhim Vi
⩥ What type of vaccine is Typhim Vi? Answer: Vi capsular
polysaccharide vaccine
⩥ Describe the age and dosing requirements of Typhoid Vi? Answer:
Persons 2 years or older need 1 dose of the IM 0.5mL injection
, ⩥ The Vivotif series needs to be completed _______ number of weeks
prior to travel and the Typhim Vi needs to be completed ______ number
of weeks prior to exposure. Answer: 1 week, 2 weeks
⩥ If a booster is required, A person needs booster of Vivotif every
______ number of years and _______ number of years for Typhim Vi
Answer: 5 years, 2 years
⩥ What are the storage requirements of the ORAL typhoid vaccine and
how do you administer the Oral Typhoid vaccine? Answer: It needs to
stay refrigerated, administer with cool liquids 1-hour before a meal.
⩥ What does Ty21a stand for and what does ViCPS stand for? Answer:
Vivotif vaccine, Typhim Vi vaccine.
⩥ Immunocompromised individuals need to avoid which Typhoid
vaccine? Answer: Vivotif (Ty21a)
⩥ How many days should a women who is taking nitrofurantoin wait
before starting the Vivotif vaccine series? Answer: 72 hours after last
dose of antibiotics
⩥ Both Typhoid Fever vaccines should not be administered if the patient
is... Answer: -Pregnant
-Has Acute Febrile Illness
ANSWERS
⩥ Where in the world might you contract Typhoid and Paratyphoid fever
and what factor increases your chance to contract the disease? Answer:
Southern Asia; the longer you stay the higher your chance at contracting
the disease.
⩥ A person may have the Typhoid fever for how many days before
displaying any symptoms? Answer: 6-30 days.
⩥ If Typhoid fever goes untreated, what is expected to occur to the
individual? Answer: After 2-3 weeks, intestinal hemorrhages can occur
⩥ An individual went to the hospital and was diagnosed with Malaria.
The doctor was wrong and mistakes the patients symptoms for what
other disease? Answer: Typhoid fever
⩥ What is the main drug class used to treat Typhoid fever? Also list the
secondary drugs used if resistance has occurred to the number one
choice? Answer: Fluoroquinolones are first line treatment.
,Injectable 3rd generation cephalosporins can also be used when
resistance is observed.
⩥ How effective are the Typhoid vaccines and how affective are they
against Paratyphoid fever? Answer: 50%-80% Effective for typhoid
fever and not affective for Paratyphoid fever.
⩥ What is the ORAL Typhoid Fever vaccine called? Answer: Vivotif
⩥ What type of vaccine is Vivotif? Answer: Oral capsule, Live,
Attenuated vaccine
⩥ Describe the age and dosing requirement of Vivotif? Answer: Persons
6 years and older need 4 doses of Vivotif oral capsule every 48 hours
apart.
⩥ What is the IM Typhoid Fever vaccine called? Answer: Typhim Vi
⩥ What type of vaccine is Typhim Vi? Answer: Vi capsular
polysaccharide vaccine
⩥ Describe the age and dosing requirements of Typhoid Vi? Answer:
Persons 2 years or older need 1 dose of the IM 0.5mL injection
, ⩥ The Vivotif series needs to be completed _______ number of weeks
prior to travel and the Typhim Vi needs to be completed ______ number
of weeks prior to exposure. Answer: 1 week, 2 weeks
⩥ If a booster is required, A person needs booster of Vivotif every
______ number of years and _______ number of years for Typhim Vi
Answer: 5 years, 2 years
⩥ What are the storage requirements of the ORAL typhoid vaccine and
how do you administer the Oral Typhoid vaccine? Answer: It needs to
stay refrigerated, administer with cool liquids 1-hour before a meal.
⩥ What does Ty21a stand for and what does ViCPS stand for? Answer:
Vivotif vaccine, Typhim Vi vaccine.
⩥ Immunocompromised individuals need to avoid which Typhoid
vaccine? Answer: Vivotif (Ty21a)
⩥ How many days should a women who is taking nitrofurantoin wait
before starting the Vivotif vaccine series? Answer: 72 hours after last
dose of antibiotics
⩥ Both Typhoid Fever vaccines should not be administered if the patient
is... Answer: -Pregnant
-Has Acute Febrile Illness
