APhA Immunization Self-Study Assessment with Complete Solutions

The childhood/adolescent and adult immunization schedules are updated and published annually during which months? - ANSWER-January or February The monitoring system that health care providers should use to report serious adverse events after vaccination is: - ANSWER-VAERS. How often are the Healthy People targets for vaccination rates updated? - ANSWER-Every 10 years According to ACIP, which of the following is a contraindication to receiving HZV? - ANSWER-Current treatment for lymphoma. At what point during pregnancy is it recommended to administer the influenza vaccine? - ANSWER-Anytime is safe Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not been previously vaccinated? - ANSWER-MCV4. David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July prior to starting kindergarten. David's immunization record reveals that he has received the following vaccines: 3 doses of HepB 4 doses of PCV13 2 doses of HepA 3 doses of IPV 2 doses of rotavirus 1 dose of MMRV 4 doses of DTaP 4 doses of Hib Which vaccines should David receive at this visit? - ANSWER-DTaP, IPV, MMR, and varicella. Which of the following statements is true regarding varicella-containing vaccines? - ANSWER-The potency of HZV is greater than that of varicella vaccine. Which disease is almost certain to cause death if infected patients do not receive postexposure prophylaxis? - ANSWER-Rabies. Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? - ANSWER-VIS. HealthMap Vaccine Finder is a free online tool that allows pharmacists to: - ANSWER-List their vaccination services so patients can find them when searching the website for nearby immunizers. According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: - ANSWER-60 years and older. Alan is a 47-year-old man who has no documentation of a primary series of tetanus-containing vaccine. Which of the following would be an appropriate primary series for Alan? - ANSWER-Tdap today; Td in 4 weeks; Td 6 months after the second dose. Vaccines as well as exposure to natural disease are both examples of which type of immunity? - ANSWER-Active immunity Which of the following patients is a candidate for both MenACWY and MenB vaccines? - ANSWER-A 10 year-old who just had his spleen removed. Kate is a 24-year-old woman with asthma. She requests a refill of her albuterol inhaler on November 1st. Kate's immunization record indicates that she completed the primary series of MMR, varicella, DTaP, HepA, and HepB vaccines, and she received a dose of Tdap 2 years ago. For complete coverage, which of the following vaccines should she receive? - ANSWER-PPSV23, IIV, and HPV. A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? - ANSWER-IPV. What is the time interval for which the development of Guillain-Barré syndrome following influenza vaccination would result in a precaution for future influenza vaccines? - ANSWER-Within 6 weeks HZV should not be administered to a patient with a history of anaphylaxis to: - ANSWER-Gelatin. Name the vaccine-preventable disease that may be contracted by unimmunized children from adults serving as reservoirs for the disease, which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death. - ANSWER-Pertussis. Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? - ANSWER-For the patient's lifetime. During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? - ANSWER-Assess Which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines? - ANSWER-The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time. All Medicare Part B enrollees are covered for which vaccines? - ANSWER-Influenza, PPSV23, and PCV13 Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children younger than 5 years of age? - ANSWER-Haemophilus influenzae type b. A health care provider who has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B-positive patient. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides: - ANSWER-Prompt immunity Robert is a 48-year-old pharmacist who is preparing to provide immunizations in his pharmacy for the first time next fall. He has no documentation of receiving the hepatitis B vaccine and would like to be vaccinated before administering vaccines in his practice. What is the recommended routine schedule for vaccination against hepatitis B? - ANSWER-0, 1, and 6 months. According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? - ANSWER-⅝ inch. Which of the following is most likely to result in an influenza pandemic? - ANSWER-Antigenic shift in an influenza A virus. When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications, what does the orange bar represent? - ANSWER-Precautions for vaccination. Why are adjuvants added to vaccines? - ANSWER-To strengthen the immune response to the antigen. Which of the following statements about live attenuated vaccines is true? - ANSWER-They should generally be avoided in immunocompromised individuals. In which publication does the CDC initially publish new or updated vaccine recommendations? - ANSWER-Morbidity and Mortality Weekly Report (MMWR) Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases? - ANSWER-Performing a medication review for a patient who has diabetes. Herd immunity refers to which of the following situations? - ANSWER-Vaccination of enough individuals in a community to protect those who cannot be vaccinated. Which of the following vaccines is recommended for infants to receive within 24 hours of birth? - ANSWER-Hepatitis B. Ava has arrived at the clinic for her well-child visit. She is 4 months old. Ava's immunization record reveals that she has received the following vaccines: 2 doses of HepB 1 dose of Hib 1 dose of rotavirus 1 dose of PCV13 1 dose of DTaP 1 dose of IPV Which vaccines should Ava receive at today's visit? - ANSWER-DTaP, Hib, PCV13, IPV, and rotavirus. Federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting? - ANSWER-Long-term care facilities Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? - ANSWER-Diphtheria. In the event that a young child is fussy following the receipt of a vaccine, pharmacists should advise parents to: - ANSWER-Comfort the child and engage in quiet activities. If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? - ANSWER-5 years. How is the live, cholera vaccine administered? - ANSWER-Orally.