Immunization Training: Modules 1-10

The quadrivalent meningococcal conjugate vaccines contain which of the following serotypes? - A - B - C - D - W - X - Y

- A - C - W - Y

Recommendations for influenza vaccination include which of the following? - administer to patients 6 mo+ - patients with lifetime history of Guillain-Barré syndrome should not receive an influenza vaccination - adverse reactions tend to last no longer than 1-2 days - vaccination in July/August is likely to cause sub optimal immunity later in the season

- Administer to patients 6 mo+ - Adverse reactions tend to last no longer than 1-2 days - Vaccination in July/August is likely to cause sub optimal immunity later in the season

What are two broad categories that vaccines are classified? - influence of vaccines - live attenuated vaccines - oral vaccines - injectable vaccines - inactivated vaccines

- Live attenuated vaccines - Inactivated vaccines

HPV or human papillomavirus infections that infect a non-mucosal, cutaneous epithelium usually leads to which of the following? - anal warts - Palmer warts - plantar warts - increase cervical cancer

- Palmer warts - Plantar warts

What clinical factors need to be considered before administering a live attenuated vaccine? - patients who are currently immunocompromised - Live attenuated vaccines administered in the previous 28 days - inactivated vaccines administered in the previous 28 days - Patient's current fall risk

- Patients who are currently immunocompromised - Live attenuated vaccines administered in the previous 28 days

Which of the following vaccines are recommended for a persons older than 10 years? - TD - DT - TdaP - DTap - DTaP-IPV

- TD - TdaP

Which of the following are examples of invasive meningococcal disease? - urethritis - pneumonia - meningitis - septicemia - conjunctivitis

- pneumonia - meningitis - septicemia

Which of the following are part of the 4 steps set by NVAC as the standards for adult immunization practice? - Assess - Discuss - Recommend - Review - Administer/Refer - Document

1. Assess 2. Recommend 3. Administer/Refer 4. Document

Which of the following is true regarding the use of mRNA vaccine technology? - mRNA vaccine technology requires replication similar to live attenuated vaccine - mRNA is the genetic blueprint that tells your body how to make a particular proteins subunit of a virus which, after being produced, will elicit an immune response - mRNA vaccine technology elicited to me and Response and protects the house by altering the host DNA - mRNA is extremely stable in a hosts body

mRNA is the genetic blueprint that tells your body how to make a particular proteins subunit of a virus which, after being produced, will elicit an immune response

Which of the following symptoms are usually associated with influenza? - normal temperature - chills - nauseous/vomiting - sneezing

Chills

What type of vaccine is meningococcal quadrivalent vaccine? - polysaccharide - conjugate - viral vector - recombinant

Conjugate

What is the name of the document published by the CDC that describes the risks and benefits of a vaccine in later terms? - vaccine information statement - patient care process - adult immunization schedule - screening checklist for contraindications to vaccines for adults

Vaccine information statement

Which of the following vaccines listed is alive attenuated vaccine? - varicella (VAR) - hepatitis B - hepatitis A - recombinant zoster vaccine (RZV)

Varicella (VAR)

Which of the following is a group at high risk for complications from Streptococcus pneumoniae? - Young children - men who have sex with men - College student - healthcare providers

Young children

An electronic prescription for glipizide 10mg is received by pharmacist for a new patient. The prescription indicates a diagnosis of E11, type 2 diabetes mellitus. In addition to filling the prescription, the pharmacist could assess the patient for potential immunizations to recommend. What form of assessment is the pharmacist utilizing? - mass screening - diagnosis based screening - occurrence based screening - procedure based screening

Diagnosis based screening

In 2019, which of the following vaccine oreventable diseases had fewer than 100 cases in the US?

Diphtheria and polio

T/F Healthy people 2030 identified a goal of 100% for proportion of persons vaccinated annually with seasonal influenza vaccination

False

T/F Vaccines contain antibodies which are recognized by the immune system

False

Counseling on vaccine safety should include: - A history of severe allergic reaction (anaphylaxis) to a previous toast or component of influenza vaccine is no longer a contraindication - nasal congestion is more common with the influenza vaccine administered intramuscularly - injection site pain should resolve within 5-10 minutes post vaccination - fever, chills, malaise could occur within 6 to 12 hours post vaccination and may last up to 1-2 days.

Fever, chills, malaise could occur within 6 to 12 hours post vaccination and may last up to 1-2 days.

A 10-year-old child received one dose of the hepatitis A vaccine at 1 year of age but never returned for a second dose. Which of the following is true regarding the need for a second dose of the hepatitis A vaccine for this child? - no further doses of hepatitis a vaccine are required - restart the series and give two doses, six months apart - wait until the child is 18 years of age and give the second dose if there are other risk factors - give one dose now as catch up

give one dose now as catch up

Which of the following is the most common type of tetanus? - generalized - Cephalic - local - neonatal

Generalized

Using shared clinical decision making which of the following recommendations is most appropriate for a 65-year-old living in a skilled nursing facility with multiple comorbid conditions? This patient has no record of receiving either pneumococcal vaccine and is immune competent. - PPSV23 only - PPSV23 now, 1 year later PCV13 - give PCV13 now, then give PPSV23 1 year later - PCV13 only

Give PCV13 now, then give PPSV23 1 year later

Which of the following factors does not need to be considered when utilizing share decision making to evaluate the need to vaccinate an adult (27-45 years of age) with 9vHPV vaccine? - patient sexual history, including lifetime sexual partners - HPV antibody tests - patients immuno competency - patient's current relationship status

HPV antibody tests

Which of the following scenarios is an appropriate shared clinical decision-making for meningococcal vaccine? - healthy 16-year-old who received meningococcal be vaccine - 2-year-old with complement deficiency who received MenACWY - 29-year-old with asplenia who receives MenB vaccine - 25-year-old microbiologist who receives MenACWY

Healthy 16-year-old who received meningococcal be vaccine

Which of the below statements regarding human papillomavirus (HPV) serotypes is true? - High risk serotypes are estimated to cause 99% of cervical pre-cancers - HPV low risk serotypes, such as type 16, cause about 50% of all cervical cancer cases worldwide. - they're only nine known zero types of HPV - HPV is a small RNA virus transmitted via sexual skin to skin contact

High risk serotypes are estimated to cause 99% of cervical pre-cancers

Which of the following vaccines is not recommended during pregnancy? - inactivated influenza vaccine (IOV) - human Papilloma virus vaccine (HPV) - tetanus, diphtheria, acellular pertussis (T dap) - hepatitis B (HepB)

Human Papilloma virus vaccine (HPV)

What is the definition of collaboration, coordination, and communication among all those involved in meeting the immunization goals of patients and communities?

Immunization neighborhood

Under the direction of the US Department of Health and Human Services the healthy people initiative has identified the following as a goal for 2030: -Increase the proportion of persons who are vaccinated annually against seasonal influenza - Develop a single system nationwide for vaccine tracking - Achieve 95% vaccination for all vaccines in the annual published vaccine schedule - Maintain all goals from 2020 as well as all goals were achieved

Increase the proportion of persons who are vaccinated annually against seasonal influenza

The national vaccine advisory committee 2013 standards for adult immunization practice and the 2016 international pharmaceutical Federation global report identify pharmacist as:

Integral to increasing vaccination rates

Which of the following are true regarding the influenza virus? - only take the influenza has surface antigens of hemagglutinin (HA) and Neuraminidase (NA) - it is transmitted through respiratory droplets that contain the virus - people exposed are contagious within minutes of exposure - It cannot be transmitted from surfaces

It is transmitted through respiratory droplets that contain the virus.

A 16-year-old patient presents to the pharmacy for her first dose of 9vHPV. The patient is instructed to wait in the pharmacy for 15 minutes after receiving the dose. 3 minutes after receiving the dose, the patient experiences syncope. What is the recommended response to treat the patient syncope? - Lay the patient flat on the ground and elevate her legs. Monitor the patient's vitals and initiate emergency services if the patient does not regain consciousness. - Stand the patient up into a vertical position - Call 911 and wait for emergency services to address the situation - Call the patient's emergency contact to take her to the emergency department

Lay the patient flat on the ground and elevate her legs. Monitor the patient's vitals and initiate emergency services if the patient does not regain consciousness.

Active immunity

Long-term protection that takes two weeks to work

When administering measles, mumps, rubella (MMR) and pneumococcal conjugate vaccine (PCV13) to a patient at their 15 month appointment, what must be considered regarding vaccine spacing? - MMR and PCV14 may be administered simultaneously or any interval between doses - MMR and PCV 13 may be administered simultaneously or must be separated by a 28 day minimum interval - Vaccines should never be administered simultaneously. As such these vaccine should be separated by a seven day minimum interview - MMR and PCV 13 should not be administered simultaneously. They must be separated by a 28 day minimum interval

MMR and PCV14 may be administered simultaneously or any interval between doses

Which of the following is true of the emergency use authorization process? - manufactures must include a plan for safety monitoring - Clinical trial data are not required - risks are not evaluate it until long-term safety data is available - used when approved or licensed alternatives are too expensive

Manufactures must include a plan for safety monitoring

Which of the following is classified as a live vaccine? - IIV4 - human papilloma virus vaccine (9vHPV) - recombinant zoster vaccine (RZV) - measles, mumps, rubella (MMR) - DTap - TdaP

Measles, mumps, rubella (MMR)

Which of the following vaccines is contraindicated for an adult patient with HIV and a CD4 count less than 200mm^2? - human papilloma virus vaccine (HPV) - recombinant zoster vaccine (RZV) - inactivated influenza vaccine (IIV) - measles, mumps, rubella (MMR)

Measles, mumps, rubella (MMR)

Opportunities for advocacy and collaboration include: - There's no need for advocacy since the vaccine schedules dictate what people need to receive - Replace services offered by the local health department so they don't have to offer immunizations - Membership in state immunization coalition to serve as an expert on policy and practice issues affecting pharmacy - Discussing with other healthcare professionals on ways to set prices for vaccines to increase revenue

Membership in state immunization coalition to serve as an expert on policy and practice issues affecting pharmacy

A nine-year-old was just diagnosed with asplenia. The child is up-to-date on all routinely recommended vaccines. Which additional vaccine does this child need? - Hib - PCV13 - MenACWY - MemB

MenACWY

Which of the following is an invasive pneumococcal disease? - sinusitis - meningitis - otitis media - pneumonia without bacteremia

Meningitis

A healthy 70-year-old female who received PPSV23 at 65 years of age is inquiring about pneumococcal vaccination. Which of the following should you recommend? - PPSV23 - PCV13 now and then PPSV23 1 year later - No pneumococcal vaccination is recommended - PCV13

No pneumococcal vaccination is recommended

A three year old child recently underwent a splenectomy. Previous to the surgery, the child was up-to-date on all pediatric vaccinations. According to the CDC, which of the following vaccines should be recommended? - PPSV23 - PCV13 - PCV20 - PCV 15

PPSV23

Which of the following is true for the 23 Valent pneumococcal polysaccharide vaccine (PPSV23)? - PPSV23 should not be given to children less than 3 years of age - PPSV23 relies on T cell to Mount an immune response - PPSV23 is a live vaccine - PPSV23 is routinely recommended for all children

PPSV23 should not be given to children less than 2 years of age

The whooping cough associated with pertussis occurs in this stage of the disease: - catarrhal - paroxysmal - convalescence - initial

Paroxysmal

A male patient presents to the pharmacy for shingles vaccine appointment. The patient is a new patient to the pharmacy. Which of the following information would be most appropriate to collect as part of the patient care process? - patients age and vaccine history - current health and allergies - patients age, current health, vaccine history, and allergies - patient's age, eyecolor, and allergies

Patients age, current health, vaccine history, and allergies

Which of the following is one of the five guidelines identified by the APHA board of trustees in 2019 to assist pharmacist and incorporating immunization activities into their practice? - Prevention - Solidarity - Quantity - Power

Prevention

How is Streptococcus pneumonia primarily transmitted? - Direct contact with an open wound - spores in the environment - fecal oral route - respiratory droplets or secretions

Respiratory droplets or secretions

Which of the following diseases have been eradicated worldwide allowing vaccination to be discontinued? - Polio - Tetanus - Mumps - Smallpox

Smallpox

Which organ plays an important role in eliminating encapsulated bacteria, such as streptococcus pneumoniae? - kidneys - liver - spleen - pancreas

Spleen

Which of the following vaccines is used as a booster every 10 years? - DTap-IPV - Td - DTaP - DT

Td

T/F The period of person is most contagious with influenza can be as long as 5-10 days.

True

Which vaccine technology listed below is an ingredient added typically to inactivated vaccines to boost its immune response by targeting pathogen recognition receptors that are expressed on dendritic cells to trigger a pro inflammatory response? This technology creates more robust mean response, it can also increase local site reactions and systemic reactions, such as fevers, chills, and body aches. - conjugation - attenuation - mRNA technology - Adjuvants

Adjuvants

Innate immunity

Barrier defense mechanism

What is the youngest age that the meningococcal B vaccine is recommended for children at risk? - 2yr - 4yr - 6yr - 10yr

10yr

The advisory committee on immunization practices (ACIP) recommends routine vaccination with a meningococal conjugated quadrivalent vaccine (MenACWY) in which of the following age groups? - 7-8 years of age - 2-3 years of age - 11-12 years of age - 4-6 years of age

11-12 years of age

The advisory committee on immunization practices recommend that routine HPV vaccination be initiated for the 9vHBV at which age group? - 13-26 years of age - nine years of age - 11-12 years of age - 9-45 years of age

11-12 years of age

Even a 11-year-old child never got the hepatitis B vaccine series, what is the minimum amount of time that must occur between dose one and dose three when getting this child caught up? - 6 mo - 16 weeks - 8 weeks - 4 weeks

16 weeks

An adolescent received his first meningococcal conjugate quadrivalent (MenACWY) vaccine at age 13 years, when should he receive his booster dose? - 16 years - no boosters need it - 20 years - 14 years

16 years

DTaP is recommended to be administered using which of the following schedules? - 2, 4, 6, 12-15 months, 4-6 years - 11-12 years - 7-10 years - 2, 4, 12-15 months

2, 4, 6, 12-15 months, 4-6 years

What is the recommended timing for T-Tap during pregnancy? - 1-12 week - 27-36 weeks - 13-26 weeks - Before pregnancy

27-36 weeks

A 25-year-old female comes to the pharmacy inquiring about the 9vHPV series. What would be the recommended vaccination series? - 2 doses administered intramuscularly at 0 and 6-12 months - 3 doses administered intramuscularly at 0, 1-2, 6 months - 1 does administered intramuscularly - patient is not eligible to receive the vaccine due to age

3 doses administered intramuscularly at 0, 1-2, 6 months

Based on the adult immunization schedule, at what age is a live attenuated influenza vaccine (LAIV) no longer recommended? - 65 years - 50 years - 19 years - 27 years

50 years

What percentage of HPV infections are cleared by the body and do not develop to CIN2 or CIN3? - 92% - 38% - 70% - 54%

70%

Which of the following patient scenarios regarding influenza vaccination is correct? - A 65yr old patient with thymorosal allergy would be eligible to receive adjuvanted inactivated fluad or high dose ina activated fluzone - A 5yr old to receive one dose of influenza vaccination when they were three years old, should receive only one dose this year - A 40yr old who is allergic to eggs would be contra indicated to receive flu block (RIV4) - An annual influenza vaccination is recommended for 2yr+ due to being a polysaccharide vaccination.

A 65yr old patient with thymorosal allergy would be eligible to receive adjuvanted inactivated fluad or high dose ina activated fluzone

Which of the following statements best meets the definition of precaution? - A condition that may alter or diminish the patients response or may increase the patient's risk of a serious reaction to a vaccine. - A compelling indication for the patient to receive a vaccine - The risk of vaccinating outweighs the benefits from the vaccine and the patient cannot be vaccinated - condition that will likely result in a severe, life-threatening event if the patient receives the vaccine

A condition that may alter or diminish the patients response or may increase the patient's risk of a serious reaction to a vaccine.

Adaptive immunity

Also known as acquired

Which of the following is a potential long-term complication for meningococcal disease? - photophobia - headache - stiff neck - amputations

Amputations

How often are the CDC immunization schedules published? - three times per year - annually - every two years - whenever updated ACIP recommendations are made

Annually

Passive immunity

Antibodies from an external source

_____ evoke the immune response in bind to specific antibodies. - Antigens - Antibodies - Phagocytes - T cells - B cells - Macrophages

Antigens

For which of the following conditions are about PCV 13 and PPSV 23 recommended? - diabetes - chronic liver disease - Asplenia - alcoholism

Asplenia

The community pharmacist, while filling discharge orders from the hospital, recognizes a patient's need for receiving the pneumococcal vaccine during a transition of care to a personal care home. This is an example of what part of the patient care process? - implement - assess - access - follow up, monitor, and evaluate

Assess

In the patient care process, how often should a pharmacist collect information on a patient? - at every clinical encounter - during the first visit only - only if provided by the doctor - collecting information is not vital to the process

At every clinical encounter

Options to increase influenza vaccine effectiveness include: - administer in combination with pneumococcal vaccination to boost titer levels - Receive one influenza vaccination in the fall and one in the spring - administer high-dose influenza vaccination to children ages 2-8 years to ensure appropriate immune response - avoid vaccination in July and August to minimize chances of suboptimal immunity later in the season

Avoid vaccination in July and August to minimize chances of suboptimal immunity later in the season