APha Immunization Final Exam Questions with Answers
(100% Correct Answers)
What type of pathogen causes Typhoid and Paratyphoid fever and how is the diseases
contracted? —Answer: Caused by a Bacteria; Typically contracted by consuming food or water
contaminated with feces from infected individuals.
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.
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, 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
-Severe reaction to previous dose of vaccine
These are drugs used to treat Typhoid Fever starting at first line treatment: —Answer: 1.
Ciprofloxacin
© 2025 All rights reserved
(100% Correct Answers)
What type of pathogen causes Typhoid and Paratyphoid fever and how is the diseases
contracted? —Answer: Caused by a Bacteria; Typically contracted by consuming food or water
contaminated with feces from infected individuals.
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.
© 2025 All rights reserved
, 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
-Severe reaction to previous dose of vaccine
These are drugs used to treat Typhoid Fever starting at first line treatment: —Answer: 1.
Ciprofloxacin
© 2025 All rights reserved
