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Chapter 16. Drugs Affecting the Immune System

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Chapter 16. Drugs Affecting the Immune System

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Chapter 16. Drugs Affecting the Immune System



Multiple Choice



Identify the choice that best completes the statement or answers the question.




1. Attenuated vaccines are also known as:

1. Killed vaccines

2. Booster vaccines

3. Inactivated vaccines

4. Live vaccines



2. Live attenuated influenza vaccine (FluMist) may be administered to:

1. All patients over 6 months of age

2. Patients between ages 2 and 49 with no risk factors

3. Patients with an upper respiratory infection (URI) or asthma

4. Pregnant women



3. The reason that two MMR vaccines at least a month apart are recommended is:

, 1. The second dose of MMR “boosts” the immunity built from the first dose.

2. Two vaccines 1 month apart is the standard dosing for all live virus vaccines.

3. If the two MMR vaccine doses are given too close together there is a greater likelihood of severe localized reaction
to the vaccine.

4. Only 95% of patients are fully immunized for measles after the first vaccine, with

99% having immunity after two doses of MMR.



4. The MMR vaccine is not recommended for pregnant women because:

1. Pregnant women do not build adequate immunity to the vaccine.

2. There is a risk of the pregnant women developing measles encephalopathy.

3. There is a risk of the fetus developing congenital rubella syndrome.

4. Pregnant women can receive the MMR vaccine.



5. If the measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as
the first MMR and varicella dose to a child the CDC recommends:

1. Parents be informed of the increased risk of fever and febrile seizures over the

MMR plus varicella two-shot regimen.

2. Patients must also receive MMRV as the second dose of MMR and varicella in order to build adequate immunity.

3. Patients be premedicated with acetaminophen 15 minutes before the vaccine is given.

4. Patients should not be around pregnant women for the first 48 hours after the vaccine is given.



6. The rotavirus vaccine (RotaTeq, Rotarix):

1. Is a live vaccine that replicates in the small intestine, providing active immunity against rotavirus

2. Should not be administered to infants who are or may be potentially immunocompromised

3. Is not given to an infant who has a febrile illness (temperature greater than

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