PTCB Immunization Exam Questions
1. A 13-year-old male and his mother go to the community pharmacy for a refill on
his ADHD medication. His mother notices the pharmacy's immunization clinic sign
and realizes her son has not seen his primary care provider for several years. She
wonders if he is up-to-date with immunizations. He was up-to-date at his 4 to
6-year-old well child visit and has received no immunizations since. Which of the
following vaccines are recommended for this patient?
● a. LAIV, 9vHPV, Varicella, Td
● b. PCV13, IPV, MMR, Tdap
● c. IIV4, DTaP, Hepatitis B, MMR
● d. Tdap, 9vHPV, MCV4, IIV4 ANSWER: D
2. A 26-year-old female received the second dose in her series of varicella vaccine 2
weeks ago. Today she stepped on a rusty nail while working on her farm. Her last
tetanus-diphtheria (Td) dose was 6 years ago. Which of the following immunization
strategies is appropriate?
● a. Give DTaP now
● b. Give Td in two weeks
● c. Give Tdap now
● d. No booster is necessary ANSWER: C
3. A 65-year-old female taking fluticasone MDI BID for asthma isn't a candidate for
the herpes zoster vaccine.
● a. True
● b. False ANSWER: B
4. A US born 67-year-old was recently diagnosed with diabetes. His vaccine records
indicate that he received his Tdap, pneumococcal (PPSV23), and influenza vaccines
in October 2015. What vaccines would you recommend for him?
● a. Influenza vaccine, PCV13, varicella vaccine, and hepatitis B vaccine series
● b. Influenza vaccine, zoster, PCV13, and hepatitis B vaccine series
● c. Influenza vaccine and hepatitis B vaccine series
● d. Influenza vaccine, zoster vaccine, and hepatitis B vaccine series
ANSWER: B
5. A vaccine-related error should be reported to which of the following programs?
● a. Medwatch (FDA)
● b. VAERS (FDA)
● c. VERP (ISMP)
, ● d. Immunization Information Systems (IIS) ANSWER: C
6. All pregnant women should optimally receive one dose of Tdap when?
● a. Optimally between 27 and 36 weeks gestation of each pregnancy
● b. After the birth of their first child
● c. Optimally between 27 and 36 weeks gestation of their first child
● d. Pregnant women should not receive the vaccine ANSWER: A
7. Anaphylaxis generally will not occur until 1-2 hours after administration of a
vaccine.
● a. True
● b. False ANSWER: B
8. Following the ACIP guidelines, for which of the following individuals is a live
attenuated influenza vaccine (LAIV) recommended?
● a. ACIP does not recommend LAIV for any patients
● b. A 6-month-old healthy infant
● c. A 10-year-old patient with a fear of needles
● d. A 35-year-old pregnant patient ANSWER: A
9. Following the ACIP guidelines, for which of the following individuals is zoster
vaccine recommended?
● a. A 45-year-old patient recovering from shingles rash
● b. A 65-year-old patient who had chicken pox at 7 years of age
● c. A 58-year-old patient with anaphylactic reaction to neomycin
● d. A 55-year-old patient with active shingles rash lesions ANSWER: B
10. For a post-kidney transplant patient on chronic immunosuppression with no
history of pneumococcal vaccination, which of the following is correct?
● a. PCV13 alone is indicated when patients are 50 years of age or older
● b. Single dose of PPSV23 followed by a single dose of PCV13 8 weeks later
● c. PPSV23 alone is indicated when patients are 65 years of age or older
● d. Single dose of PCV13 followed by a single dose of PPSV23 8 weeks later
ANSWER: D
11. For healthy patients 65 years of age and older who are indicated to receive both
PCV13 and PPSV23, what is the recommended time period for separation of
administration of the two vaccines?
● a. No separation needed, simultaneous administration recommended
● b. 1 year
● c. 5 year
, ● d. 6 months ANSWER: B
12. For which of the following individuals is a mumps vaccine recommended?
● a. A 65-year-old who is healthy and has no record of ever receiving a dose of
MMR
● b. A 26-year-old female who received a single dose of MMR at age 12 and is
pregnant
● c. A 22-year-old female who received a single dose of MMR and just accepted
a position as a nurse on a general surgery unit
● d. A 12-year-old who received a single dose of MMR at age 12 months and is
taking prednisone 40 mg daily for inflammatory bowel disease ANSWER: C
13. For which of the following individuals is inactivated influenza vaccine (IIV) NOT
recommended?
● a. A 28-year-old female who is in her first trimester of pregnancy
● b. A 62-year-old female who sneezes when in contact with feathers
● c. A 68-year-old male who received a heart transplant 6 years ago
● d. A 2-month-old healthy infant ANSWER: D
14. For which of the following individuals is Tdap recommended?
● a. A 30-year-old pregnant female of 32 weeks gestation
● b. A 65-year-old female caring for her newborn granddaughter
● c. A 12-year-old who completed the childhood DTaP series
● d. All of the above ANSWER: D
15. For which of the following individuals is the human papillomavirus vaccine series
indicated?
● a. A 28-year-old male with a history of genital warts
● b. A 16-year-old female who recently became sexually active
● c. A 5-year-old female who presents for a well child visit prior to entering
school
● d. A 30-year-old female who has a sister with cervical cancer ANSWER: B
16. For which of the following patients should the trivalent recombinant
hemagglutinin influenza vaccine (RIV3) be administered?
● a. A 50-year-old woman with asthma
● b. A 44-year-old man with diabetes
● c. A 30-year-old man with a history of anaphylaxis to eggs
● d. A 24-year-old woman with no comorbidities ANSWER: C
1. A 13-year-old male and his mother go to the community pharmacy for a refill on
his ADHD medication. His mother notices the pharmacy's immunization clinic sign
and realizes her son has not seen his primary care provider for several years. She
wonders if he is up-to-date with immunizations. He was up-to-date at his 4 to
6-year-old well child visit and has received no immunizations since. Which of the
following vaccines are recommended for this patient?
● a. LAIV, 9vHPV, Varicella, Td
● b. PCV13, IPV, MMR, Tdap
● c. IIV4, DTaP, Hepatitis B, MMR
● d. Tdap, 9vHPV, MCV4, IIV4 ANSWER: D
2. A 26-year-old female received the second dose in her series of varicella vaccine 2
weeks ago. Today she stepped on a rusty nail while working on her farm. Her last
tetanus-diphtheria (Td) dose was 6 years ago. Which of the following immunization
strategies is appropriate?
● a. Give DTaP now
● b. Give Td in two weeks
● c. Give Tdap now
● d. No booster is necessary ANSWER: C
3. A 65-year-old female taking fluticasone MDI BID for asthma isn't a candidate for
the herpes zoster vaccine.
● a. True
● b. False ANSWER: B
4. A US born 67-year-old was recently diagnosed with diabetes. His vaccine records
indicate that he received his Tdap, pneumococcal (PPSV23), and influenza vaccines
in October 2015. What vaccines would you recommend for him?
● a. Influenza vaccine, PCV13, varicella vaccine, and hepatitis B vaccine series
● b. Influenza vaccine, zoster, PCV13, and hepatitis B vaccine series
● c. Influenza vaccine and hepatitis B vaccine series
● d. Influenza vaccine, zoster vaccine, and hepatitis B vaccine series
ANSWER: B
5. A vaccine-related error should be reported to which of the following programs?
● a. Medwatch (FDA)
● b. VAERS (FDA)
● c. VERP (ISMP)
, ● d. Immunization Information Systems (IIS) ANSWER: C
6. All pregnant women should optimally receive one dose of Tdap when?
● a. Optimally between 27 and 36 weeks gestation of each pregnancy
● b. After the birth of their first child
● c. Optimally between 27 and 36 weeks gestation of their first child
● d. Pregnant women should not receive the vaccine ANSWER: A
7. Anaphylaxis generally will not occur until 1-2 hours after administration of a
vaccine.
● a. True
● b. False ANSWER: B
8. Following the ACIP guidelines, for which of the following individuals is a live
attenuated influenza vaccine (LAIV) recommended?
● a. ACIP does not recommend LAIV for any patients
● b. A 6-month-old healthy infant
● c. A 10-year-old patient with a fear of needles
● d. A 35-year-old pregnant patient ANSWER: A
9. Following the ACIP guidelines, for which of the following individuals is zoster
vaccine recommended?
● a. A 45-year-old patient recovering from shingles rash
● b. A 65-year-old patient who had chicken pox at 7 years of age
● c. A 58-year-old patient with anaphylactic reaction to neomycin
● d. A 55-year-old patient with active shingles rash lesions ANSWER: B
10. For a post-kidney transplant patient on chronic immunosuppression with no
history of pneumococcal vaccination, which of the following is correct?
● a. PCV13 alone is indicated when patients are 50 years of age or older
● b. Single dose of PPSV23 followed by a single dose of PCV13 8 weeks later
● c. PPSV23 alone is indicated when patients are 65 years of age or older
● d. Single dose of PCV13 followed by a single dose of PPSV23 8 weeks later
ANSWER: D
11. For healthy patients 65 years of age and older who are indicated to receive both
PCV13 and PPSV23, what is the recommended time period for separation of
administration of the two vaccines?
● a. No separation needed, simultaneous administration recommended
● b. 1 year
● c. 5 year
, ● d. 6 months ANSWER: B
12. For which of the following individuals is a mumps vaccine recommended?
● a. A 65-year-old who is healthy and has no record of ever receiving a dose of
MMR
● b. A 26-year-old female who received a single dose of MMR at age 12 and is
pregnant
● c. A 22-year-old female who received a single dose of MMR and just accepted
a position as a nurse on a general surgery unit
● d. A 12-year-old who received a single dose of MMR at age 12 months and is
taking prednisone 40 mg daily for inflammatory bowel disease ANSWER: C
13. For which of the following individuals is inactivated influenza vaccine (IIV) NOT
recommended?
● a. A 28-year-old female who is in her first trimester of pregnancy
● b. A 62-year-old female who sneezes when in contact with feathers
● c. A 68-year-old male who received a heart transplant 6 years ago
● d. A 2-month-old healthy infant ANSWER: D
14. For which of the following individuals is Tdap recommended?
● a. A 30-year-old pregnant female of 32 weeks gestation
● b. A 65-year-old female caring for her newborn granddaughter
● c. A 12-year-old who completed the childhood DTaP series
● d. All of the above ANSWER: D
15. For which of the following individuals is the human papillomavirus vaccine series
indicated?
● a. A 28-year-old male with a history of genital warts
● b. A 16-year-old female who recently became sexually active
● c. A 5-year-old female who presents for a well child visit prior to entering
school
● d. A 30-year-old female who has a sister with cervical cancer ANSWER: B
16. For which of the following patients should the trivalent recombinant
hemagglutinin influenza vaccine (RIV3) be administered?
● a. A 50-year-old woman with asthma
● b. A 44-year-old man with diabetes
● c. A 30-year-old man with a history of anaphylaxis to eggs
● d. A 24-year-old woman with no comorbidities ANSWER: C
