Answers
Which of the following influenza vaccines is most appropriate for a 67-
year-old man with no reported allergic reactions?
Quadrivalent live attenuated influenza vaccine (LAIV)
High-dose trivalent IIV
Intradermal quadrivalent IIV
Cell cultured-based quadrivalent IIV
(- Ans: High-dose trivalent IIV
While counseling a 32-year-old man in good health about influenza
vaccination, he reports that he occasionally experiences hives when
consuming eggs (e.g., scrambled eggs), but has no reaction when
consuming foods that contain eggs (e.g., cake). The NP considers the
best course of action is to:
Note the allergy in his records so that immunization will not be offered
in the future.
,Offer vaccination with trivalent recombinant influenza vaccine (RIV3).
Offer vaccination with live attenuated influenza vaccine (LAIV).
Refer him to a specialist for allergy testing prior to immunization with
high-dose trivalent inactivated influenza vaccine (IIV3).
(- Ans: Offer vaccination with trivalent recombinant influenza vaccine
(RIV3).
When considering influenza vaccination for an adult who claims to
experience a hive-form reaction when exposed to eggs without a
history of angioedema or respiratory distress, which of the following is
most appropriate?
Administer any vaccine appropriate for his age and health status
Only offer the recombinant influenza vaccine (RIV3)
Referral for vaccination at an allergy practice.
Do not administer vaccine as it is contraindicated for this patient
(- Ans: Administer any vaccine appropriate for his age and health status
,A 19-year-old woman returns to receive her third dose of the HPV
vaccine series. Her first two doses were with the quadrivalent vaccine,
but the practice currently only stocks the 9-valent HPV vaccine. The NP
considers the best course of action is to:
Complete her vaccination series with the 9-valent vaccine.
Defer completing the vaccination series until the quadrivalent vaccine is
available in the practice.
Refer her to a practice where the quadrivalent vaccine is currently
available.
Restart the series with the 9-valent vaccine and schedule her next two
doses within 6 months.
(- Ans: Complete her vaccination series with the 9-valent vaccine.
A person with a latent tuberculosis infection (True/False):
1. Does not exhibit any signs or symptoms of active infection. __
2. Can spread the disease to others. __
3. Will have a positive tuberculin skin test. __
, 4. Will have >50% lifetime risk of developing active tuberculosis. __
1-False 2-True 3-False 4-False
1-True 2-True 3-False 4-False
1-True 2-False 3-True 4-False
1-False 2-False 3-False 4-False
(- Ans: 1-True 2-False 3-True 4-False
Identify which of the following patients should undergo testing for
tuberculosis (Yes/No).
1. A 22-year-old male with HIV. __
2. A healthy 18-year-old woman who lives with her father who was
recently diagnosed with active tuberculosis infection. __
3. 45-year-old man who was recently released from prison after 2 years
of incarceration. __
4. 32-year-old woman who recently emigrated from Southeast Asia. __
1-No 2-Yes 3-Yes 4-Yes