immunization self-studies modules
What is the recommended timing for Tdap during pregnancy?
27-36 weeks
A contraindication to receiving a COVID-19 vaccination includes:
A known (diagnosed) allergy to a component of a COVID-19 vaccine.
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?
Assess
What is youngest age that hepatitis B vaccine is recommended in infants and children?
At birth
Which of the below statements regarding Human papillomavirus (HPV) serotypes is true?
High risk serotypes are estimated to cause 99% of cervical precancers
Which COVID-19 vaccination has 2 doses administered 28 days apart?
Moderna
Which of the following is one of the five guidelines identified by the APhA Board of Trustees in 2019 to assist pharmacists in incorporating immunization activities into their practice?
Prevention The 5 guidelines are: Prevention, Partnership, Quality, Documentation, Empowerment
If patients believe that influenza vaccines can cause influenza because they were ill after receiving the vaccine last year, pharmacists should educate them that:
Some people experience systemic reactions to influenza vaccine that include mild flu-like symptoms
Which of the following statements is false regarding polysaccharide and conjugated vaccines?
The conjugate protein used, such as diphtheria, can also provide adequate protection against itself in addition to the polysaccharide.
Which of the following correctly describes current ACIP recommendations?
The varicella zoster vaccine should be given at 12-15 months and 4-6 years of age.
Which of the following is the primary reason we have measles outbreaks in the U.S.?
Unvaccinated people with measles coming to the U.S.
When administering an intramuscular injection, pharmacists should:
Use a 22- to 25-gauge needle.
Which of the following vaccines must be frozen?
Zostavax
When counseling the parent of a 1-year-old receiving the MMR vaccine, they should be told that their child may get a measles-like rash after how long from vaccination?
1 week
ACIP recommends the hepatitis A vaccine be administered to all children starting at which age?
12 months
If an 11 year old child never got the hepatitis B vaccine series, what is the minimum amount of time that must occur between dose 1 and dose 3 when getting this child caught up?
16 weeks
A child received the MMR vaccine when he was 9 months of age before moving out of the country with his parents. He is now 4 years old and about to enter Kindergarten. How many, if any, doses of MMR should the child receive now?
2
DTaP is recommended to be administered using which of the following schedules?
2, 4, 6, 12-15 months, 4-6 years
Which of the following individuals are contraindicated from receiving the MMR vaccine?
23-year-old in her 3rd trimester
A 25-year-old female comes to the pharmacy inquiring about the 9vHPV series. What would be the recommended vaccination series?
3 doses administered intramuscularly at 0, 1-2, 6 months
Refrigerated vaccines should be maintained at temperatures between:
35°F and +46°F
Based on the adult immunization schedule, at what age is the live attenuated influenza vaccine (LAIV) no longer recommended?
50 years
What percentage of HPV infections are cleared by the body and do not develop to CIN2 or CIN3?
70%
Which of the following patients is eligible to receive their first dose of the rotavirus vaccine?
A 10-week-old presenting to the pediatrician for their 2-month well check.
Which of the following statements best meets the definition of precaution?
A condition that may alter or diminish the patient's response or may increase the patient's risk of a serious reaction to a vaccine.
When reconstituting a vaccine for injection, pharmacists should:
Always refer to the vaccine's package insert for specific information.
When preparing vaccines for administration, pharmacists should:
Always use aseptic technique.
_______ evoke the immune respone and bind to specific antibodies
Antigens
Options to increase influenza vaccine effectiveness include:
Avoid vaccination in July and August to minimize chances of suboptimal immunity later in the season.
Which of the following are true regarding vaccine efficacy and safety for the live varicella vaccine and the recombinant zoster vaccine?
Both vaccines have over 90% effectiveness in prevention of disease after two doses.
Which of the following symptoms are usually associated with influenza?
Chills
Which of the following is a clinical feature of hepatitis B but not hepatitis A?
Chronic infection
An electronic prescription for glipizide 10mg is received by a 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?
Diagnosis-based screening
Why is it important to preserve the cold chain for vaccines?
Exposure to heat, cold, or light outside recommended ranges can reduce vaccine potency.
T or F? Vaccines contain antibodies which are recognized by the immune system
False
Counseling on vaccine safety should include:
Fever, chills, malaise could occur within 6-12 hours post vaccination and may last up to 1-2 days.
Which of the following is the most common type of tetanus?
Generalized
A simple way to communicate information about risks and benefits of vaccines to all patients is to:
Give them Vaccine Information Statements
Which of the following factors does not need to be considered when utilizing shared decision-making to evaluate the need to vaccinate an adult (27-45 years of age) with 9vHPV vaccine?
HPV antibody test results
Which of the following vaccines contains a synthetic adjuvant?
Heplisav
Which of the following vaccines is not recommended during pregnancy?
Human papillomavirus vaccine (HPV)
Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine?
Inactivated polysaccharide vaccine
Under the direction of the U.S. 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
Which if the following is true regarding transmission of SARS-CoV-2?
Infected individuals who may be presymptomatic, asymptomatic, or symptomatic can transmit the virus.
Which of the following is TRUE of the emergency use authorization process?
Manufacturers must include a plan for safety monitoring
Which of the following vaccines is contraindicated for an adult patient with HIV and a CD4 count <200 mm2?
Measles, mumps, rubella (MMR)
A 9 year-old was just diagnosed with asplenia. This child is up to date on all routinely recommended vaccines. Which additional vaccine does this child need?
MenACWY
A young adult presenting with swelling of the parotid glands most likely has which of the following diseases:
Mumps
The cold chain for vaccines:
Must be maintained from manufacture until the vaccine is administered to the patient.
The whooping cough associated with pertussis occurs in this stage of disease:
Paroxysmal
A male patient presents to the pharmacy for a 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?
Patient's age, current health, vaccine history, and allergies
Which of the following is true regarding varicella zoster transmission?
Period of contagiousness: 1-2 days before rash to 4-7 days later.
Which disease state(s) can potentially lead to meningitis?
Polio and Haemophilus influenzae
Although the primary series for Hib varies between 2-3 doses, all vaccines are recommended to have a booster dose at age:
12-15 months
Which vaccination is NOT part of a combined antigen vaccine?
Rotavirus
Which of the following patient scenarios regarding influenza vaccination is correct?
A 65-year-old patient with thimerosal allergy would be eligible to receive adjuvanted inactivated Fluad or high dose inactivated Fluzone.
The first step in AHRQ's "SHARE" approach to vaccines is to:
Seek your patient's participation in a discussion.
The National Vaccine Advisory Committee 2013 Standards for Adult Immunization Practice and the 2016 International Pharmaceutical Federation global report identify pharmacists as:
Integral to increasing vaccination rates
Which of the following are true regarding the influenza virus?
It is transmitted through respiratory droplets that contain the virus.
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 at any interval between doses.
When administering a subcutaneous injection, pharmacists should:
Pinch a fold of skin over the triceps muscle
Which of the following complications are correctly matched to the associated condition?
Postherpetic neuralgia-herpes zoster
Which of the following vaccines is used as a booster every 10 years?
Td
Vaccine hesitancy is defined as:
The delay in acceptance or refusal of a vaccination despite the availability of vaccination services.
Which of the following is true regarding 3rd dose and booster doses for COVID-19?
The third dose and booster dose recommendations for immunocompromised patients are only for mRNA vaccines.
When storing vaccines in the refrigerator, pharmacists should:
Use water bottles to help stabilize temperatures.
Which of the following is true regarding the use of mRNA in vaccine technology?
mRNA is the genetic blueprint that tells your body how to make a particular protein subunit of a virus which, after being produced, will elicit an immune response.
Which of the following diseases have been eradicated worldwide, allowing vaccination to be discontinued?
small pox
Post-vaccination testing for hepatitis b immunity is recommended for which of the following?
healthcare workers
Star Pharmacy has been providing influenza vaccines for years and is now implementing a Hepatitis B vaccine program in their pharmacy next month. A crucial step in the Pharmacists' Patient Care Process for this vaccine is:
Create a reminder and recall system.
Which of the following is considered a systemic symptom of anaphylaxis?
Diarrhea and vomiting
Which of the following is the reason for the most recent hepatitis A outbreaks?
Person-to-person transmission
Documentation requirements for COVID-19 vaccinations include:
Report administration data to your jurisdiction's system (e.g., IIS) within 72 hours after administration.
During a public health declared mumps outbreak, a 21-year-old college student with a history of 2 MMR vaccine doses as a child wants to know if she needs a dose of MMR now. Which of the following is the best response?
Yes, since there is a declared mumps outbreak.
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? Though this technology creates a more robust immune response, it can also increase local site reactions and systemic reactions, such as fevers, chills, and body aches.
Adjuvants
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?
Give 1 dose now as catch up
A patient presents to the pediatric clinic for their 5-year-old well check before entering kindergarten. They received rotavirus at 2 and 4 months and Pentacel (DTaP/IPV/Hib) at 2 and 4 and 6 and 15 months. What vaccine should they need to receive today?
IPV
Post-vaccination counseling for patients should include:
Information about adverse reactions that require contact with the health care system
Which of the following is true regarding the recombinant herpes zoster vaccination?
It is indicated for prevention of herpes zoster and its complications in patients ≥50 years of age.
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. Three minutes after receiving the dose, the patient experiences syncope. What is the recommended response to treat the patient's 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.
Opportunities for Advocacy and Collaboration include:
Membership in state Immunization coalition to serve as an expert on policy and practice issues affecting pharmacy
Which of the following is true regarding risk for COVID-19?
Older adults and people with underlying medical conditions are some of the patients at highest risk for severe disease and complications.
To prevent errors of vaccine administration, pharmacists should:
Select the appropriate needle length.
