Immunization

After reconstitution, Zostavax must be administered within: A. 30 minutes B. One hour C. Two hours if stored back in the refrigerator D. One day if stored back in the freezer

A

If a 68 year old woman received her first dose of Prevnar 13 vaccine ever in her lifetime today, when and which will be the next pneumococcal vaccine? A. Wait 6-12 months then administer Pneumovax 23 SC or IM B. Wait one year then administer Prevnar 13 IM C. Wait one year then administer Prevnar 13 SC D. None of the above

A

Patient weighs 250 lbs. What is the ideal combination of needle gauge and needle length for IM route? A. 25G, 1 1/2 inches B. 22G, 1 inch C. 25G, 5/8 inch D. 25G, 1 inch

A

To avoid a false negative test result, how much longer would you need to wait after receiving Zostavax vaccines 5 weeks ago before getting the tuberculin skin test? A. No wait needed B. 1 additional day C. 1 additional week D. 4 additional weeks

A

To avoid a false negative test result, how much longer would you need to wait after receiving a flu shot before getting the tuberculin skin test? A. No wait needed B. 1 day C. 1 week D. 4 weeks

A

What type of vaccine must a patient wait to be given until 3 months after discontinuation of chemotherapy? A. Live vaccines B. Inactivated vaccines C. All refrigerated vaccines D. All vaccines

A

Which of the following statements concerning DTaP and Tdap is false? A. Both DTaP and Tdap are typically indicated for patients between the ages of 6 weeks to 6 years of age B. Administer IM C. Tdap is used as a booster for patients 11-64 every 10 years D. If a woman delivers a baby and has not received a Tdap vaccination, she should still receive it post-delivery

A

Who develops written recommendations for routine administration of vaccines to children and adults in the civilian population? A. CDC Advisory Committee on Immunization Practices B. FDA Executive Committee on Vaccination Protocols C. AARP CPC Vaccination Promotion and Practice Committee D. ABC (Adults Babies Children) Vaccination Protocols

A

A patient, who had recently discovered that she is pregnant, walks into the pharmacy with questions about the Tdap vaccine. Which of the following statements should you tell her (Select all that apply)? A. Tell your spouse and close family members to get the Tdap vaccine B. Come back during your third trimester (between 27-36 weeks) C. If you had a Tdap shot within 10 years from your last pregnancy, you do not need a Tdap shot D. All of the statements are true

A, B

Which statements about HPV vaccine are false (Select all that apply)? A. Currently requires 1 dose B. The vaccine is live C. Indicated for patients from 13-35 years of age D. HPV types 6 and 11 cause genital warts

A, B, C

Which of the following vaccines are administered intramuscularly? A. Tdap B. Pneumococcal (Prevnar 13) C. Hepatitis A (Havrix) D. HPV (Gardiasil 9) E. Measles Mumps Rubella (MMR)

A, B, C, D

Which of the following vaccines are given IM? A. Tdap B. Hepatitis A (Havrix) C. MMR (M-M-R II) D. Varicella (Varivax) E. Shingles (Zostavax) F. Hepatitis B (Engerix-B) G. Shingles (Shingrix)

A, B, F, G

Which of the following examples may cause steroid-induced immunosuppression leading to an increased chance of a potential serious adverse reaction from the vaccine (Select all that apply)? A. 20 mg or more per day of prednisone x 14 days B. Use of Advair C. 2 mg/kg or more per day of prednisone x 14 days D. 20 mg or more per day of prednisone x 3 days

A, C

Which of the following vaccines are given SC? A. Yellow Fever (YF) B. Hepatitis A (Havrix) C. MMR (M-M-R II) D. Varicella (Varivax) E. Shingles (Zostavax) F. Shingles (Shingrix)

A, C, D, E

Which two conditions are contraindicated for live vaccines (Select all that apply)? A. Pregnancy B. Elderly C. Children D. Immunosuppressed patients E. None of the above

A, D

Which of the following statements about oral typhoid vaccine are true (Select all that apply)? A. Brand name is Vivotif B. Store capsules at room temperature C. Take with food and hot water D. Take on empty stomach with cold or lukewarm water E. Take one capsule on alternate days (Day: 1, 3, 5, 7) and requires one week to build resistance to exposure

A, D, E

How long must a patient wait before getting an antibody treatment after getting a live vaccine? A. One week B. Two weeks C. Three weeks D. Four weeks

B

How many doses of Varivax are required for both children and adults that do not have evidence of immunity to varicella? A. One B. Two C. Three D. Four

B

If a 68 year old woman received Pneumovax 23 vaccine today, when and which will be the next pneumococcal vaccine? A. Wait 6-12 months then administer Pneumovax 23 SC or IM B. Wait one year then administer Prevnar 13 IM C. Wait on year then administer Prevnar 13 SC D. None of the above

B

Which of the following is a myth? A. Flu vaccines take two weeks to take effect B. If a patient receives a flu vaccine, they will not get the flu C. Flu-like symptoms (fever, muscle pain, headache...) are side effects of the flu vaccine D. Local reactions (pain, swelling, and redness) at the injection site are common side effects of flu vaccines E. None of the above

B

A 65 year old patient received MMR (measles, mumps, and rubella) vaccine two weeks ago. He comes into your pharmacy requesting the following: Zostavax (shingles, Prevnar 13 (pneumococcal), Adacel (Tdap), and Fluzone HD (flu). Which of the vaccine(s) can be given today (Select all that apply)? A. Zostavax B. Prevnar 13 C. Adacel D. Fluzone High Dose

B, C, D

Which of the following vaccines would a pharmacist need to reconstitute with a diluent? A. Typhoid (Vivotif) B. Varicella (Varivax) C. MMR (M-M-R II) D. Shingles (Zostavax) E. Shingles (Shingrix)

B, C, D, E

A history of anaphylaxis to _____ and _____ is contraindicated for varicella, zoster, and MMR vaccines. A. Eggs B. Gelatin C. Lactose D. Polyethylene glycol E. Neomycin

B, E

A patient weighs 300 lbs. What is the ideal combination of needle gauge and needle length for SQ route? A. 25G, 1 1/2 inches B. 22G, 1 inch C. 25G, 5/8 inch D. 25G, 1 inch

C

After chemotherapy has been discontinued, how long should the patient wait before receiving a live vaccine? A. At least one month B. At least two months C. At least three months D. At least six months

C

After reconstitution, Shingrix must be administered immediately or stored in the refrigerator and used within: A. 30 minutes B. One hour C. Six hours D. One day

C

An adult patient weighs 90 lbs. What is the ideal combination of needle gauge and needle length for the intramuscular route? A. 25G, 1 1/2 inches B. 20G, 1 inch C. 25G, 1 inch D. 18G, 1 inch

C

Hepatitis B is a 3 dose series (Dose: 0, 1, and 6 months). Patient had one dose on 1/1/17 and 2/1/17. The patient came in today (12/1/17) worried because he did not come in for the last dose until now. What is the best way to proceed to help the patient catch up? A. He is out of luck and must start over with the series due to low levels of antibodies B. Give the patient two doses of Hep B vaccine today to catch up C. Give the patient one dose of Hep B vaccine today D. Tell patient that the third dose is optional and is only recommended

C

How long must a patient wait before getting a live vaccine treatment after getting an antibody treatment? A. Wait one week B. Wait one month C. Wait at least 3 months D. No wait required

C

How long should a patient wait to get a TB skin test if he/she had a MMR vaccine two days ago? A. One week after live vaccine administration B. Two weeks after live vaccines administration C. Three weeks after live vaccine administration D. Four weeks after live vaccine administration

D

Little Mikey is 4 years old and is about to start preschool. He is up to date on all his vaccines except for Hepatitis A. He only had one dose at age 1. What is the best route for him to catch-up and attend school? A. He must start over and have two doses of Hep A vaccine 6 months apart B. He must start over and have two doses of Hep A vaccine 12 months apart C. He must start over and have three doses of Hep A vaccine 6 months apart D. He simply just needs one dose of Hep A vaccine ASAP

D

What is the dosing schedule for Shingrix? A. One dose administered IM B. Two doses administered SC at least 6 months apart C. One dose administered SC D. Two doses administered IM at least 2 months apart

D

Which FDA agency do you report significant adverse events to with regard to vaccines? A. FBI B. TSA C. CIA D. VAERS E. RMBS

D

Which pair of vaccines can e administered either IM or SC? A. Pneumococcal (Prevnar 13) and Pneumococcal (Pneumovax 23) B. Hepatitis A and B (Twinrix) and MMR (M-M-R II) C. Pneumococcal (Prevnar 23) and Pneumococcal (Pneumovax 13) D. Pneumococcal (Pneumovax 23) and Polio (IPOL)

D

Which of the following are NOT live attenuated vaccines (Select all that apply)? A. Measles, mumps, rubella (M-M-R II) B. Typhoid (Vivotif) C. Shingles (Zostavax) D. Pneumococcal (Prevnar 13) E. Pneumococcal (Pneumovax 23)

D, E

Which of the following vaccines must be stored in the freezer (Select all that apply)? A. Hepatitis A and B (Twinrix) B. Pneumococcal (Prevnar 13) C. Tdap (Adacel) D. Shingles (Zostavax) E. Varicella (Varivax)

D, E

True or False: Thimerosal may cause autism in children

False

True or false: All live vaccines must be stored in the freezer

False

True or false: Before reconstitution, Shingrix should be stored in the freezer

False

True or false: If Shingrix is accidentally stored in the freezer, it is appropriate to defrost and use the vaccine

False

True or false: Zostavax is used to prevent and treat shingles

False

How do you administer MMR vaccine (subcutaneous or intramuscular?)

Subcutaneous

True or false: As of the end of 2016, only Gardasil 9 will be sold and Cervarix will be discontinued in the US.

True

True or false: Flu vaccination may cause flu-like symptoms life fever, muscle pain, and weakness

True