APHA IMMUNIZATION SELF STUDY
ASSESSMENT TEST PAPER 2026 COMPLETE
80 QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A+
⩥ What is youngest age that hepatitis B vaccine is recommended in
infants and children?
a) 6 months
b) at birth
c) 1 year
d) 4 weeks. Answer: b) at birth
ACIP recommends hepatitis b vaccine for all infants within 24 hours of
birth.
⩥ ACIP recommends the hepatitis A vaccine be administered to all
children starting at which age?
a) 11 years
b) 12 months
c) 5 years
d) 6 months. Answer: b) 12 months
,All children beginning at 1 year of age should get this vaccine.
⩥ Which of the following is a clinical feature of hepatitis B but not
hepatitis A?
a) chronic infection
b) jaundice
c) fulminant hepatitis
d) dark urine Answer: a) chronic infection
Hepatitis A has not been shown to cause chronic infection as is the case
with other viral hepatitis infections.
⩥ When counseling the parent of a 1-year-old receiving the MMR
vaccine, they should be told that their child may get a measles-like rash
after how long from vaccination?
a) 1 week
b) 48 hours
c) immediately
d) 6 weeks Answer: a) 1 week
Systemic reactions, such as a rash, take 7-10 days to develop.
Immediately and 48 hours is too early for this reaction; 6 weeks is
unlikely to be related to vaccination.
,⩥ Which of the following individuals are contraindicated from receiving
the MMR vaccine?
a) 30-year-old with asplenia
b) 75-year-old with COPD
c) 23-year-old in her 3rd trimester
d) 50-year-old with a low platelet count Answer: c) 23-year-old in her
3rd trimester
Pregnancy is contraindication to live vaccines. The other patients are not
immunocompromised or pregnant.
⩥ Which of the following is the primary reason we have measles
outbreaks in the U.S.?
a) Low effectiveness of the MMR vaccine
b) There is a shortage of MMR vaccine in the U.S.
c) Low MMR vaccination rates nationally
d) Unvaccinated people with measles coming to the U.S. Answer: d)
Unvaccinated people with measles coming to the U.S.
Imported measles is the main source of measles outbreaks in the U.S.
We have high MMR vaccination rates nationally while some
communities and schools may have very low vaccination rates, which
help to sustain measles transmission. The MMR vaccine is very effective
even compared to other vaccines. There is no shortage of MMR in the
U.S.
, ⩥ A young adult presenting with swelling of the parotid glands most
likely has which of the following diseases:
a) mumps
b) measles
c) rubella
d) congenital rubella Answer: a) mumps
Symptoms only consistent with mumps.
⩥ A child received the MMR vaccine when he was 9 months of age
before moving out of the country with his parents. He is now 4 years old
and about to enter Kindergarten. How many, if any, doses of MMR
should the child receive now?
a) 2
b) 3
c) 1
d) None Answer: a) 2
The MMR dose administered before 12 months of age needs to be re-
administered and the child is due for a dose of MMR at 4 years of age.
⩥ During a public health declared mumps outbreak, a 21-year-old
college student with a history of 2 MMR vaccine doses as a child wants
ASSESSMENT TEST PAPER 2026 COMPLETE
80 QUESTIONS AND VERIFIED CORRECT
ANSWERS GRADED A+
⩥ What is youngest age that hepatitis B vaccine is recommended in
infants and children?
a) 6 months
b) at birth
c) 1 year
d) 4 weeks. Answer: b) at birth
ACIP recommends hepatitis b vaccine for all infants within 24 hours of
birth.
⩥ ACIP recommends the hepatitis A vaccine be administered to all
children starting at which age?
a) 11 years
b) 12 months
c) 5 years
d) 6 months. Answer: b) 12 months
,All children beginning at 1 year of age should get this vaccine.
⩥ Which of the following is a clinical feature of hepatitis B but not
hepatitis A?
a) chronic infection
b) jaundice
c) fulminant hepatitis
d) dark urine Answer: a) chronic infection
Hepatitis A has not been shown to cause chronic infection as is the case
with other viral hepatitis infections.
⩥ When counseling the parent of a 1-year-old receiving the MMR
vaccine, they should be told that their child may get a measles-like rash
after how long from vaccination?
a) 1 week
b) 48 hours
c) immediately
d) 6 weeks Answer: a) 1 week
Systemic reactions, such as a rash, take 7-10 days to develop.
Immediately and 48 hours is too early for this reaction; 6 weeks is
unlikely to be related to vaccination.
,⩥ Which of the following individuals are contraindicated from receiving
the MMR vaccine?
a) 30-year-old with asplenia
b) 75-year-old with COPD
c) 23-year-old in her 3rd trimester
d) 50-year-old with a low platelet count Answer: c) 23-year-old in her
3rd trimester
Pregnancy is contraindication to live vaccines. The other patients are not
immunocompromised or pregnant.
⩥ Which of the following is the primary reason we have measles
outbreaks in the U.S.?
a) Low effectiveness of the MMR vaccine
b) There is a shortage of MMR vaccine in the U.S.
c) Low MMR vaccination rates nationally
d) Unvaccinated people with measles coming to the U.S. Answer: d)
Unvaccinated people with measles coming to the U.S.
Imported measles is the main source of measles outbreaks in the U.S.
We have high MMR vaccination rates nationally while some
communities and schools may have very low vaccination rates, which
help to sustain measles transmission. The MMR vaccine is very effective
even compared to other vaccines. There is no shortage of MMR in the
U.S.
, ⩥ A young adult presenting with swelling of the parotid glands most
likely has which of the following diseases:
a) mumps
b) measles
c) rubella
d) congenital rubella Answer: a) mumps
Symptoms only consistent with mumps.
⩥ A child received the MMR vaccine when he was 9 months of age
before moving out of the country with his parents. He is now 4 years old
and about to enter Kindergarten. How many, if any, doses of MMR
should the child receive now?
a) 2
b) 3
c) 1
d) None Answer: a) 2
The MMR dose administered before 12 months of age needs to be re-
administered and the child is due for a dose of MMR at 4 years of age.
⩥ During a public health declared mumps outbreak, a 21-year-old
college student with a history of 2 MMR vaccine doses as a child wants
