Polio Immunization Module
The recommended dose for IPV for persons of all ages is:
0.5 ml
If a 5-year-old child received OPV for the first 2 doses in another country and now will receive IPV to complete the series, how many doses should be administered?
2
A 4-year-old child adopted from outside the United States is brought to the immunization clinic. He has no record of ever having received polio vaccine. How many doses of IPV are recommended before he starts school next year? ***
3 doses
The 30-year-old nurse is leaving in 9 weeks and will be working with children who have infectious diseases, including polio. The nurse was never vaccinated against polio. How many doses of IPV should the nurse receive before leaving? ***
3 doses
A 2-month-old boy just received his first dose of IPV. According to the recommended polio vaccination schedule, his second dose of IPV should be given at: ***
4 months of age
After receiving 3 doses of IPV, what percentage of recipients develop immunity against poliomyelitis (polio)? ***
99% to 100%
Most persons who become infected with poliovirus have: A. No symptoms of infection B. Minor flu-like symptoms C. Stiffness of the neck, back, and legs D. Flaccid paralysis ***
A
In 1999, ACIP recommended that beginning in 2000, poliovirus vaccination in the United States be changed to: ****
An all-IPV schedule
A 2-year-old child received a dose of IPV at 4 months of age and another dose at 12 months of age. How should this child's polio series be completed? A. Since this child is behind schedule and there has been a lapse between doses, this child will need to restart the series and receive 3 more IPV doses with 4 weeks between each dose, followed by a booster dose between 4 and 6 years of age B. This child will need an IPV dose now and another dose between the ages of 4 and 6 years C. This child will need a third dose of IPV at 4 years of age, which will complete the child's IPV series ***
B
In which circumstance would a healthcare provider recommend polio vaccination for a 20-year-old pregnant woman who resides in the United States? A. To complete her routine immunizations since she did not complete her polio vaccine series as a child. B. If she is a nurse working in the delivery room at the local hospital C. Because she must travel to an area where there is polio to visit her mother who is ill D. Because her baby will be vaccinated with IPV ***
C
In which of the following countries is polio still endemic? A. Kazakhstan B. Niger C. Afghanistan D. Russian Federation ****
C
Which statement is accurate about use of the VIS for IPV vaccination? A. Persons should be given the IPV VIS when the first dose of IPV is given, but do not need to receive a copy when subsequent doses are given. B. Adults receiving IPV vaccine do not need to be offered a copy of the VIS. C. A copy of the IPV VIS should be offered to the parent or patient to keep before each dose of IPV vaccine. D. A copy of the IPV VIS should be signed by the parent or patient and placed in the medical record.
C
True/false: A 30-year-old nurse will be traveling to work for 3 months in a country in which there are still reported outbreaks of poliomyelitis (polio). The nurse never received polio vaccine as a child. Because the nurse is an adult, she or he does not need to receive polio vaccine.
False
True/false: IPV should be kept frozen until needed
False
True/false: Persons who develop postpolio syndrome are contagious and can transmit the poliovirus to other persons
False
True/false: Persons who have already received OPV for a prior dose of polio vaccine (for example, children who have recently immigrated from countries where OPV is still used) should complete the series using OPV.
False
True/false: Polio is caused by bacterial infection
False
True/false: Very rarely, cases of polio caused by wild poliovirus still occur in the US
False
True/false: When administering single-antigen IPV (IPOL) by the subcutaneous route to an infant, the preferred site is the deltoid area
False
A 4-month-old girl just received her second dose of IPV. Her family will be traveling to a country in which there is an outbreak of poliomyelitis (polio). When is the soonest she can receive her third dose of IPV?
In 4 weeks
A 12-month-old infant has a high fever and may have pneumonia. Should he receive his third dose of IPV today?
No
A 4 year-old child has receive no vaccines. Can Kinrix be used to bring this child up-to-date for DTaP and IPV?
No
A 4-month-old infant developed hives and breathing problems shortly after his first dose of IPV. Should he receive a second dose today?
No
A 4-year-old child is entering a preschool class. The child's record indicates polio vaccination at 2 months, 4 months, 6 months, 18 months, and 3 years of age. Is the child up-to-date for polio immunization?
No
A 4-year-old child only needs the fourth doses of DTaP and IPV. Can a liquid DTaP/IPV vial of Pentacel be used without the ActHIB?
No
A child care center employee is reviewing the immunization record of a newly enrolled 8-month-old child. The child received IPV at 4 weeks, 4 months, and 6 months of age. Is the child up-to-date for polio immunization?
No
The most common adverse reaction after IPV injection is:
Pain and redness at the injection site
What is the acronym for a program that supports the Global Polio Eradication Initiative in efforts to eradicate polio?
STOP
How is polio most commonly spread?***
Through the fecal-oral route
True/false: A 21-year-old man is moving to a country that is experiencing a polio outbreak. He received 3 doses of polio vaccine as a child. The man should receive a booster dose of IPV before leaving.
True
True/false: IPV can be administered by either the IM or subQ route
True
True/false: Persons infected with poliovirus are most infectious from 7 to 10 days before and after the onset of symptoms, but poliovirus may be present in the stool from 3 to 6 weeks.
True
A 3-year-old child is behind schedule and is in the clinic for the third doses of DTaP, IPV, and HepB. Can Pediarix be used?
Yes
A 4-year-old child is taking a medication that suppresses her immune system. Should she receive her fourth dose (booster dose) of IPV today?
Yes
A 5-year-old child received 4 doses of Pentacel before age 4. Does this child need another dose of polio vaccine?
Yes
