Immunization Exam
Which of the following is not a permanent contraindication to vaccination? -A condition which would compromise the ability of the vaccine to produce immunity or protection from infection -For rotavirus vaccine, severe combined immunodeficiency or history of intussusception -Severe allergic reaction to a vaccine component or following a prior dose -Encephalopathy not due to another identifiable cause occurring within 7 days of pertussis vaccination
A condition which would compromise the ability of vaccine to produce immunity or protection from infection
Which is true about the incidence of measles in the United States? -Measles incidence is usually around 200 cases annually -A majority of cases are a result of importation in unvaccinated populations -A 2-dose series is required for anyone born before 1957 when traveling -When traveling internationally with an infant, do not worry about their vaccine status
A majority of cases are a result of importation in unvaccinated populations
Which of the following is a candidate for the 9vHPV vaccine? -27-year-old healthy female -27-year-old male on prednisone 10 mg daily -11-year-old healthy male -35-year-old healthy male
11-year-old healthy male
Which of the following individuals has a risk factor for poor response to the hepatitis B vaccine series? -A newborn infant who is apparently healthy -A 16-year-old female with asthma -A 21-year-old paramedic -A 66-year-old male who is waiting for a cadaveric kidney transplant
A 66-year-old male who is waiting for a cadaveric kidney transplant
Which of the following is a CDC best practice in regards to vaccine storage and handling? -A bio-safe glycol-based or buffered thermometer should be used to monitor the temperature of the refrigerator -One pharmacy employee should be designated to be in charge of storage and handling in case of a temperature related emergency -Refrigerated vaccines should be kept on the top shelf of the refrigerator -Refrigerator and freezer temperature logs should be monitored only at night before closing the pharmacy
A bio-safe glycol-based or buffered thermometer should be used to monitor the temperature of the refrigerator
Which of the following is NOT an example of active immunity? -Infection with natural disease -Administration of a live attenuated viral vaccine -Administration of high titer immune globulin -Administration of a recombinant immunogenic protein
Administration of a high titer immune globulin
Which of the following scenarios are healthcare professionals encouraged to use VAERS for reporting? -Only serious, life-threatening adverse reactions -Serious adverse reactions for which causation is firmly established -Any clinical significant adverse event after vaccination -Only adverse reactions that have not been previously reported
Any clinical significant adverse reaction after vaccination
Which of the following influenza vaccines may be administered to a patient who experiences only hives when eating eggs or egg-containing foods? -Live attenuated influenza vaccine (LAIV) -Recombinant influenza vaccine (RIV4) -Inactivated influenza vaccine (IIV3 or IIV4) -Any recommended and age-appropriate influenza vaccine that is otherwise appropriate for the person's health status
Any recommended and age-appropriate influenza vaccine that is otherwise appropriate for the person's health status
Joe is a 28-year-old accountant who traveled to Bangkok for a two-month visit two years ago. As part of his preparations for that trip he received a dose of hepatitis A vaccine. He has received only a Tdap booster for a finger laceration since his return. He is now planning a trip to Beijing and seeks your advice regarding hepatitis A vaccination. What do you recommend? -He should receive a double dose of hepatitis A vaccine prior to his departure. -He should receive a half dose of hepatitis A vaccine now and another dose in 6 months. -He should start the hepatitis A series over and receive .a dose now and another dose in 6 months. -He should receive a dose of hepatitis A vaccine now to complete the series.
He should receive a dose of hepatitis A vaccine now to complete the series.
Which of the following is a contraindication to receipt of the rotavirus vaccine? -History of anaphylaxis to eggs -History of intussusception -History of Guillian-Barre Syndrome -Receipt of another live attenuated vaccine on the same day
History of intussusception
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 2017. What vaccines would you recommend for him? -IIV, RZV, and hepatitis B vaccine series -IIV, RZV, PCV13, and hepatitis B vaccine series -IIV, RZV, MMR, and hepatitis B vaccine series -IIV, PCV13, varicella vaccine, and hepatitis B vaccine series
IIV, RZV, PCV13, and hepatitis B vaccine series
Which of the following antibody class is the mediator of allergy and anaphylaxis? -IgA -IgE -IgG -IgM
IgE
3. *Which influenza vaccine would you recommend Jane receive?* -Inactivated influenza vaccine (IIV) -Live attenuated influenza vaccine (LAIV) -High dose inactivated influenza vaccine (IIV-HD) -IIV or IIV-HD -IIV, LAIV, or IIV-HD
Inactivated influenza vaccine (IIV)
Mary received a blood transfusion following a recent motor vehicle accident. Response to which of the following vaccines will be most affected by this event? -Pneumococcal polysaccharide vaccine (PPSV) -Inactivated influenza vaccine (IIV) -Measles vaccine -Tetanus-diptheria
Measles vaccine
Which of the following vaccines is contraindicated for a pregnant woman? -Tetanus, diptheria, pertussis vaccine (Tdap) -23-valent pneumococcal polysaccharide vaccine (PPSV23) -Measles, mumps, and rubella vaccine (MMR) -Inactivated influenza vaccine (IIV)
Measles, mumps, and rubella vaccine (MMR)
The recommendations for prevention of vaccine preventable diseases made by the Advisory Committee on Immunization Practices (ACIP) are published in which of the following? -The New England Journal of Medicine (NEJM) -Morbidity and Mortality Weekly Report (MMWR) -The Annals of Internal Medicine -Immunofacts
Morbidity and Mortality Weekly Report (MMWR)
Which of the following is an example of passive immunity compared to active immunity? -Passive immunity is long-lasting -Passive immunity develops in response to infection or after giving a vaccine or toxoid -Passive immunity protects almost immediately -Passive immunity does not interfere with the development of immune responses from live vaccines
Passive immunity protects almost immediately
Which of the following is a contraindication to receiving live vaccines? -Diabetic patient -Allergy to penicillin -Chronic liver disease -Prednisone 40 mg po daily (started 1 month ago)
Prednisone 40 mg po daily (started 1 month ago)
How should you proceed if vaccine arrives from the manufacturer under questionable conditions? -Place the vaccine in stock and use it first -Repack the vaccine and return it to the manufacturer -Store the vaccine as recommended separately from other stock, label with "Do Not Use", and call the manufacturer's quality control office for advice -Store the vaccine as recommended separately from other stock and call the Centers for Disease Control and Prevention for advice
Store the vaccine as recommended separately from other stock, label with "Do Not Use", and call the manufacturer's quality control office for advice
Which of the following is true regarding vaccine preparation? -For large flu clinics, it is good practice to draw up large quantities (15 doses) at one time -Manufacturer-filled syringes may be used for 48 hours once the sterile seal is broken -Multi-dose vials may be used for 7 days once opened -Syringes other than those filled by the manufacturer should be administered immediately
Syringes other than those filled by the manufacturer should be administered immediately
Which of the following describes a difference between Tdap and DTaP? -DTaP is used in children and adults for primary series -Tdap has a lower dose of diphtheria toxoid for use in individuals aged 10-11 years and older -DTaP has a lower dose of diphtheria toxoid for use in individuals less than 7 years -Tdap should be used for all three doses of the primary tetanus-diphtheria series for adults
Tdap has a lower dose of diphtheria toxoid for use in individuals aged 10-11 years and older
Which of the following is the appropriate strategy for giving the Vaccine Information Statement (VIS) to patients? -The VIS should be given to the patients 1 week prior to the immunization visit to allow time to review -The VIS can be posted in the clinic for the patient to read while they wait -The VIS should be given to the patient prior to immunization so the patient has time to review it and ask questions -The VIS is required for only immunization of pediatric patients
The VIS should be given to the patient prior to immunization so the patient has time to review it and ask questions
Which of the following is the reason that a second dose of measles vaccine is recommended for all college students? -Vaccine-induced immunity wanes over ten years and reimmunization provides a boost -Most children received a killed vaccine for their first dose -The measles vaccine used a decade ago was much less effective than the current formulation -The second dose provides another opportunity for seroconversion for those who failed to respond to the first dose
The second dose provides another opportunity for seroconversion for those who failed to respond to the first dose
Which of the following items should be included in immunization records for vaccines administered in the pharmacy? -The vaccine and date administered, vaccine manufacturer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the initials and title of the practitioner administering the vaccine -The date administered, site of administration, vaccine manufacturer and lot number, and the VIS publication date with the date given to the patient/parent or guardian -The vaccine and date administered, site of administration, site of vaccine storage, vaccine manufacturer and lot number, VIS publication date with the date given to the patient/parent or guardian -The vaccine and date administered, vaccine manufacturer and lot number, and the VIS publication date with the date given to the patient/parent or guardian
The vaccine and date administered, vaccine manufacturer and lot number, VIS publication date with the date given to the patient/parent or guardian, and the initials and title of the practitioner administering the vaccine
Which of the following best describes immunization information registries? -All registries are used exclusively for tracking childhood immunizations -All children born in the United States have their immunizations recorded in an immunization registry -The value of the registry is that it allows healthcare providers to access immunization records to facilitate clinical decision making -Immunization registries are used only to measure immunization coverage rates
The value of the registry is that it allows healthcare providers to access immunization records to facilitate clinical decision making
Why is the safety of vaccines held to a higher standard than for most medications? -The public is willing to accept a high degree of risk to avoid most infectious diseases -They are administered to healthy people to prevent disease rather than to sick people to cure disease -The risks associated with vaccines are perceived by the individual to be voluntary risks -The diseases prevented by vaccination are generally not life threatening
They are administered to healthy people to prevent disease rather than to sick people to cure disease
Which of the following is true regarding Vaccine Information Statements (VIS)? -The VIS can serve as the "informed consent" for vaccination -They are meant to prevent questions to healthcare providers regarding vaccines -They are updated every month -They are designed to provide information about vaccines, or, in the case of a minor, the child's parent or guardian about the risks and benefits of each vaccine
They are designed to provide information about vaccines, or, in the case of a minor, the child's parent or guardian about the risks and benefits of each vaccine
How do you avoid creating a vacuum in a multi-dose vial?
pull back plunger to equal dose of vaccine (usually 0.5 cc [mL]) and insert and inject syringe air into vaccine vial, then withdraw vaccine liquid like usual after vial is inverted to needed dose
2. *You recommend that Jane receive the following vaccines: influenza, Tdap, PCV13, and HepB. When should Jane receive PPSV23?* -8 weeks after PCV13 -1 year after PCV13 -Age 65 -PPSV23 is not indicated for this patient
8 weeks after PCV13
Administer intramuscular injections at a __ degree angle.
90
Which of the following individuals is a candidate for hepatitis A vaccine? -A 6-month-old female presenting to the pediatrician for the 6-month wellness exam -A 15-month-old male also receiving a 3rd dose of hepatitis B vaccine -A 25-year-old male college student preparing to study abroad in Canada -A 45-year-old female daycare employee
A 15-month-old male also receiving a 3rd dose of hepatitis B vaccine
For which of the following individuals is the human papillomavirus vaccine series indicated? -A 30-year-old female who has a sister with cervical cancer -A 28-year-old male with a history of genital warts -A 16-year-old female who recently became sexually active -A 5-year-old female who presents for a well child visit prior to entering school
A 16-year old female who recently became sexually active
For which of the following individuals is inactivated influenza vaccine (IIV) NOT recommended? -A 2-month-old healthy infant -A 62-year-old female who sneezes when in contact with feathers -A 68-year-old male who received a heart transplant 6 years ago -A 28-year-old female who is in her first trimester of pregnancy
A 2-month-old healthy infant
For which of the following individuals is a mumps vaccine recommended? -A 65-year-old who is healthy and has no record of every receiving a dose of MMR -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 -A 26-year-old female who received a single dose of MMR at age 12 months and is pregnant -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
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
For which of these individuals is pneumococcal polysaccharide vaccine recommended today? -A 67-year-old with type 2 diabetes who received PPSV23 on her 65th birthday -A medical student prior to her pediatric clerkship -A 23-year-old healthy male who smokes -A 14-month-old child who completed the infant series for whom repair of a congenital heart defect is planned
A 23-year-old healthy male who smokes
Which of the following patients should receive one dose of pneumococcal conjugate vaccine (PCV13)? -A 40 year old female status post recent splenectomy -A 25 year old smoker -55 year old male with COPD -64 year old female with hypertension
A 40 year old female status post recent splenectomy
For which of the following individuals would it be acceptable to use live attenuated influenza vaccine? -A 13 year old girl with asthma -a 19 month old healthy child -A 50 year old construction worker with type 2 diabetes -A 48 year old mechanical engineer whose spouse has type 2 diabets
A 48 year old mechanical engineer whose spouse had type 2 diabets
Which of the following patients can receive RZV? -A 35-year-old man recently diagnosed with cancer who will start chemotherapy in two weeks -A 48-year-old female with a current shingles rash -A 57-year-old male with COPD treated with inhaled fluticasone/salmeterol -A 78-year-old female receiving anti-rejection drugs for a kidney transplant two years ago
A 57-year-old male with COPD treated with inhaled fluticasone/salmeterol
What three lengths of needles should be available when you are providing immunizations?
-5/8" -1" -1 1/2"
Which of the following is/are presyncopal signs? Select all that apply -Tachycardia -Anxiety -Sweating -Clammy skin
-Anxiety -Sweating -Clammy skin
1. Use the following scenario for questions 1-4: /Jane is a 62 year old female who has recently been diagnosed with end stage renal failure. She presents to the community pharmacy for a refill of her prescription for prednisone 60 mg daily. She states that she is now on hemodialysis and is currently being evaluated for listing on the kidney transplant list. During the transplant work up, it was documented that she has immunity to varicella. The pharmacist takes an immunization history and discovers that she has not received any vaccines in the past 10 years. / Jane also completed a vaccine questionnaire: *Using the adult immunization schedule published by the CDC, please select all the vaccines you would recommend Jane receive _today_.* -Influenza -Td/Tdap -MMR -VAR -RZV -ZVL -HPV -PCV13 -PPSV23 -HepA -HepB -MenACWY -MenB -Hib
-Influenza -Td/Tdap -PCV13 -HepB
What do you need to record after administering a vaccine (select all that apply)?
-Name of vaccine -Vaccine manufacturer -Dose of vaccine -Lot number -Expiration date -Site of administration -Issue date of VIS -Name of immunizer -Date of administration
Which of the following is/are true regarding live attenuated vaccines? -The injectable live attenuated vaccines usually product immunity with one dose -Live attenuated vaccines generally have milder reactions versus inactivated vaccines -They are stronger versions of the "wild" virus -All of the above
-The injectable live attenuated vaccines usually product immunity with one dose
A vaccine-related error should be reported to which of the following programs? (Select all that apply) -Medwatch (FDA) -VAERS (FDA) -VERP (ISMP)
-VAERS (FDA) -VERP (ISMP)
What four immunization administration techniques did the video discuss?
-intramuscular -subcutaneous -oral -nasal
Which of the following patients is a candidate for varicella vaccine? -6-month-old who needs IIV3 simultaneously and again in 28 days -12-month-old who received MMR two weeks ago -5-year-old who received DTaP four weeks ago -37-year-old pregnant female
5-year-old who received DTaP four weeks ago
Temperature and freezer logs must be kept for a period of at least: -1 year -3 years -5 years -7 years
3 years
Administer subcutaneous injections at a __ degree angle.
45
HPV vaccine is currently indicated for females and males as young as 9 years old and up to age 26. A mother is considering vaccination for her young son, but some commercials that she recalls lead her to believe this vaccine is for prevention of cervical cancer, and does not see how this will benefit her son. How do you explain to this mother the importance of this vaccine to her son? -Yes, this does prevent cervical, vulvar, and vaginal cancer in women; however it also protects against genital warts, anal cancer, as well as other cancer strains -There are benefits for protection for him contracting strains of virus as well as spreading the virus to others -This is the most commonly sexually transmitted infection -All of the above
All of the above
Hepatitis B is a virus spread by parenteral routes including blood transfusions, sharing of needles, sexual contact, and mother to neonate. Which is true about hepatitis B? -Renal failure will decrease response to hepatitis B vaccine -Patients with diabetes are at an increased risk of hepatitis B due to sharing of diabetes supplies including blood glucose meters -Using needles which are not long enough will decrease response rates -Death commonly occurs as a result of cirrhosis and hepatocellular carcinoma -All of the above
All of the above
Which of the following is a valid contraindication to vaccination? -Minor acute illness -Anaphylaxis after a previous dose or vaccine component -Syncope after a previous vaccination -Allergies to products not in vaccine
Anaphylaxis after a previous dose or vaccine component
Which of the following is a contraindication to receipt of routine vaccines? -Allergy to penicillin -Patient is taking an antibiotic -Anaphylaxis to a previous dose -Patient is breastfeeding
Anaphylaxis to a previous dose
Which of the following vaccines is recommended for all healthcare workers? -Annual influenza vaccine -PPSV23 -Hepatitis A vaccine -HPV
Annual influenza vaccine
How should the disposal of sharps containers be handled? -Arranged with the local waste management company -Done when the container is full to the top -Dispose routinely with the regular garbage pickup -The are of little concern because of the puncture-proof nature of the containers
Arranged with the local waste management company
Which of the following skills is among the standards of practice among immunizing pharmacists? -First aid training -Advanced cardiac life support -Basic life support (CPR) -Emergency medical technician
Basic life support (CPR)
Which of the following is a meningococcal serogroup B vaccine? -Bexsero -Boostrix -Engerix-B -Menveo
Bexsero
Which of the following is specifically listed as a VAERS reportable event for tetanus vaccine? -Encephalopathy -Chronic arthritis -Thrombocytopenic purpura -Brachial neuritis
Brachial neuritis
Which of the following is the appropriate schedule for polio immunization in the United States? -Not used anymore because disease is almost eradicated -Childhood immunization series with IPV at 2, 4, 6-18 months, and 4-6 years of age -Childhood immunization series with IPV at 2, 4, 6-18 months, and 4-6 years of age with a booster dose every 10 years -Childhood immunization series with IPV at 2, 4, 6-18 months of age
Childhood immunization series with IPV at 2, 4, 6-18 months, and 4-6 years of age
Which of the following is a likely benefit of annual influenza immunization of school-aged children? -Changes resistance patterns in influenza viruses -Causes school absenteeism around immunization time that will be offset by the decrease in absenteeism during peak influenza season -Decreases the magnitudes of influenza epidemics in the community -Dramatically decreases the high rates of mortality of influenza in this population
Decreases the magnitudes of influenza epidemics in the community
Which of the following statements is true? -Employers must offer the hepatitis B vaccine series to immunizing employees free of charge -Employees do not have the right to decline hepatitis B vaccination -All of the above -Immunizers must finish the hepatitis B vaccine series prior to providing immunizations
Employers must offer the hepatitis B vaccine series to immunizing employees free of charge
Which of the following is true regarding bloodborne pathogen exposure and immunizations? -Providing immunizations is a high risk activity for exposure -Every pharmacy providing immunizations must have a bloodborne pathogen exposure control plan -No extra immunizations or training need to be offered to employees that provide immunizations -The FDA is the main authority providing guidance on minimizing exposure
Every pharmacy providing immunizations must have a bloodborne pathogen exposure control plan
A patient using a fluticasone metered-dose inhaler BID for asthma is considered immunocompromised. -True -False
False
Anaphylaxis generally will not occur until 1-2 hours after administration of a vaccine. -True -False
False
If the date on the label of a vaccine or diluent has a specific month and year, the vaccine can be used only until the first day of the month listed. -True -False
False
Polio is currently considered eradicated worldwide. -True -False
False
Which of the following influenza vaccines is produced using no eggs and no influenza virus? -Afluria (IIV4) -Flucelvax (ccIIV4) -Flumist (LAIV4) -Flublok (RIV4)
Flublok (RIV4)
A 26-year-old female received her second dose in her series of varicella vaccine two weeks ago. Today she stepped on a rusty nail while working on her farm. Her last tetanus-diptheria (Td) dose was 6 years ago. Which of the following immunization strategies is appropriate? (Hint: Table 3-1 in General Best Practices) -No booster is necessary -Give DTaP now -Give Tdap now -Give Td in two weeks
Give Tdap now
Which of the following is an advantage of immunization in nontraditional settings, such as a pharmacy? -Increased access and convenience for the patient -High cost of immunization to the patient -Consolidated immunization records for the patient -Decreased public awareness regarding vaccinations
Increased access and convenience for the patient
Which of the following describes the benefits of using standard orders for immunization? -Makes immunization less costly -Increases immunization coverage for a number of adults in a variety of practice settings -Limits liability of all healthcare providers -Is generally perceived as substandard practice by immunization policy making bodies
Increases immunization coverage for a number of adults in a variety of practice settings
Which of the following is the appropriate timing for influenza vaccine administration? -Influenza vaccine should be administered only from October 15 until December 31 -Influenza vaccine should be administered as soon as the clinician has a vaccine supply and if possible by October and should continue throughout the season -Live attenuated influenza vaccine (LAIV) can be administered as early as August, but inactivated influenza vaccine (IIV) should not be administered earlier than October 15 -Influenza vaccine should be administered as soon as the clinician has a vaccine supply but should stop no later than October 31
Influenza vaccine should be administered as soon as the clinician has a vaccine supply and if possible by October and should continue throughout the season
Which of the following most accurately describes the federally-mandated training for employees with blood and body fluid exposure? -Initial training and annual retraining are required for bloodborne pathogens -Use of safer injection devices may be included in the initial training only -A handout alone can be used for retraining -A standardized training program can be used for all employees with exposure
Initial training and annual retraining are required for bloodborne pathogens
Most, but not all, states allow student pharmacist interns to administer vaccines. Which of the following is/are true in regards to student pharmacist immunization? -None of the above are true -Interns who provide immunizations must be current in CPR and blood borne pathogens training -Interns do not need to complete a certification course if the supervising pharmacist is certified -An intern can delegate administration of a vaccine to a technician
Interns who provide immunizations must be current in CPR and blood borne pathogens training
Which of the following is true regarding /Haemophilus influenzae/ type b vaccine? -Is a polysaccharide vaccine conjugated to a protein to improve immunogenicity in infants -Is indicated in patients with COPD -Is administered as a single dose to infants with a repeat dose prior to entering school -All of the above
Is a polysaccharide vaccine conjugated to a protein to improve immunogenicity in infants
Refrigerator and freezer temperature(s): -Must be checked three times daily -Longs must be kept on hand for 7 years -Logs should be posted near the pharmacist work station -Must be maintained between +36 and +46 F and -58 and +5 F respectively
Must be maintained between +36 and +46 F and -58 and +5 F respectively
Which of the following describe appropriate storage conditions for inactivated vaccines? -Must not be frozen -Are stored at room temperature -Are not affected by storage temperature -Should be stored in the door of the refrigerator
Must not be frozen
Which of the following describes a limitation of the quadrivalent meningococcal conjugate vaccine? -No protection from serogroup B -Associated with a high risk of Guillain-Barre syndrome -Requires multiple doses to induce protection from infection -Licensed only for use in young children up to 7 years
No protection from serogroup B
All pregnant women should optimally receive one dose of Tdap when? -Pregnant women should not receive the vaccine -Optimally between 27 and 36 weeks gestation of their first child -Optimally between 27 and 36 weeks gestation of each pregnancy -After the birth of their first child
Optimally between 27 and 36 weeks gestation of each pregnancy
Which of the following is an appropriate response to a patient who tells you that she is concerned that she will get influenza from the inactivated influenza vaccine (IIV)? -Although the injectable influenza vaccine is a live attenuated viral vaccine, it has never been known to cause influenza in a vaccinated individual -Other than a higher incidence of sore arm, influenza vaccine has a side effect profile similar to placebo -Injectable influenza vaccine rarely causes influenza in those who receive the vaccine, but the illness is very mild -The influenza vaccine will not cause influenza if the circulating strand matches those contained in the current vaccine
Other than a higher incidence of sore arm, influenza vaccine has a side effect profile similar to placebo
Which of the following can be done to prevent vaccine storage problems? -Utilize a multi-outlet power strip to plug-in both the freezer and refrigerator -Utilize extension cords to plug into an outlet that is rarely utilized -Plug in both the refrigerator and freezer into one outlet -Place containers of water labeled "do not drink" into refrigerator to stabilize temperatures
Place containers of water labeled "do not drink" into refrigerator to stabilize temperatures
Which of the following vaccines should NOT be stored frozen? -Pneumococcal polysaccharide vaccine -Varicella vaccine -Zoster vaccine live -MMR vaccine
Pneumococcal polysaccharide vaccine
Which process correctly describes cocooning against pertussis? -Infant vaccine series begins at 2 months and continues at 4, 6, 15-18 months, and a booster at 4-6 years -Process of vaccinating close contacts including mother, father, siblings, grandparents, and out of home care providers -Wrapping infant tightly in a blanket to act as a protective barrier -Taking long naps with a newborn
Process of vaccinating close contacts including mother, father, siblings, grandparents, and out of home care providers
Which of the following describes the roll of helper T cells in mounting an immune response to a vaccine? -Directly kills infected cells -Produces large amounts of antigen specific antibodies -Produces cytokines that stimulate B cells to produce antibodies -Present antigen to antibodies
Produces cytokines that stimulate B cells to produce antibodies
Which of the following describes the Vaccine Injury Compensation Program? -Absolves the immunization provider from personal negligence -Protects the immunization provider and vaccine manufacturer from personal liability -Covers all licensed vaccines -Requires that the injured party prove negligence
Protects the immunization provider and vaccine manufacturer from personal liability
The Countermeasures Injury Compensation Program (CICP): -Provides benefits to seriously injured individuals from using certain antivirals -Reviews all of the adverse effects submitted through the VAERS program -Reimburses pharmacies the cost of expired or unused vaccines -Was established from the National Childhood Vaccine Injury Act
Provides benefits to seriously injured individuals from using certain antivirals
Sam is a 48-year-old male presenting to a pharmacy wondering if he would be able to get the new zoster vaccine. You explain the guidelines to Sam, which explanation is correct? -RZV is indicated only in patients over age 65 as that is what is covered by insurance. -RZV is indicated in immunocompetent patients aged 50 and older. -RZV is a live vaccine and can only be administered at least 60 days between any other vaccine. -RZV is a subcutaneous injection and one can expect injection site pain for up to 2 weeks post-injection.
RZV is indicated in immunocompetent patients aged 50 and older.
Pharmacists are an integral part of increasing vaccination rates in the community. Which of the following would be the LEAST effective strategy for a pharmacist to employ? -Call the patient to remind them of immunizations that are due -Recommend that a patient return for a vaccine at a later time when it is less busy -Encourage all pharmacy staff to be up to date on immunizations -Provide a strong recommendation to receive an eligible vaccine
Recommend that a patient return for a vaccine at a later time when it is less busy
Which of the following methods describes how vaccines are covered under Medicare Part D? -Reimbursement based on negotiated amount based on vaccine, dispensing fee, sales tax, and vaccine administration fee -With a universal copay of $10 for every patient enrolled -As a medical benefit -Provider must submit a bill plus invoice documenting vaccine cost for reimbursement
Reimbursement based on negotiated amount based on vaccine, dispensing fee, sales tax, and vaccine administration fee
Rotavirus is a common childhood illness accounting for 1/3 of hospitalizations due to diarrhea. What is the appropriate vaccine recommendation for a 2-month-old child with a known history of latex allergy? -Rotarix at age 2 and 4 months -Rotarix at age 2, 4, and 6 months -Rotateq at age 2 and 4 months -Rotateq at age 2, 4, and 6 months
Rotateq at age 2, 4, and 6 months
The liquid diluent for the Shingrix vaccine: -Is sterile water -Should be stored in the freezer -Is 0.9% sodium chloride -Should be stored in the refrigerator
Should be stored in the refrigerator
For a post-kidney transplant patient on chronic immunosuppression with no history of pneumococcal vaccination, which of the following is correct? -PPSV23 alone is indicated when patients are 65 years of age or older -PCV13 alone is indicated when patients are 50 years of age or older -Single dose of PCV13 followed by a single dose of PPSV23 8 weeks later -Single dose of PPSV23 followed by a single dose of PCV13 8 weeks later
Single dose of PCV13 followed by a single dose of PPSV23 8 weeks later
Which of the following is specifically listed as a VAERS reportable event for measles vaccine? -Thrombocytopenic purpura -Leukopenia -Brachial neuritis -Chronic arthritis
Thrombocytopenic purpura
Which of the following should be completed in all pharmacies that provide immunizations? -Recapping needles after providing immunizations to prevent needlesticks -Wearing gowns, gloves, and goggles when giving vaccines -Training employees about bloodborne pathogens and the pharmacy's bloodborne exposure control plan -Posting an orange biohazard symbol on the refrigerator door that is used to store vaccines
Training employees about bloodborne pathogens and the pharmacy's bloodborne exposure control plan
Is the following statement true or false? Increasing the interval between doses of a multi-dose vaccine does not diminish the effectiveness of the vaccine. -True -False
True
Joe is a 20-year-old patient stating that he remembers having the chicken pox when he was young. He is a candidate for the varicella vaccine. -True -False
True
One of the Clinical Immunization Safety Assessment (CISA) project's main goal is to serve as a vaccine safety resource for consultation on clinical vaccine safety issues. -True -False
True
Per OSHA (Occupational Safety and Health Administration), bloodborne pathogens training may be completed every 2 years for immunizers. -True -False
True
What should you give a patient before you administer a vaccine in order to make them aware of the benefits and risks of a vaccine?
VISs (Vaccine Information Statements)
Which of the following is true regarding the timing of immunization? -Vaccinate two weeks before elective splenectomy or after acute recovery from splenectomy -Vaccinate premature infants based on gestational age rather than chronological age -Vaccinate cancer patients immediately upon completion of chemotherapy or radiation -Vaccinate organ transplant patients three months after transplantation
Vaccinate two weeks before elective splenectomy or after acute recovery from splenectomy
Which of the following represents a true contraindication to measles vaccine? -History of thrombocytopenia -Vaccine candidate is pregnant -Moderate or severe acute illness with or without fever -Vaccine candidate's mother is pregnant
Vaccine candidate is pregnant
The primary vaccine coordinator at a practice site should be responsible for: -a) Administering all vaccines at the practice site -b) Ensuring that vaccines are stored and handled correctly -c) Ensuring that staff is adequately trained -d) Both b and c
d) Both b and c
