APhA Immunization And Final Exam F2,Vaccination Seminar Post-Assessment, Post Assessment
To reduce liability, pharmacists administering immunizations
... [Show More] should take the following three steps: - CORRECT ANSWER Receive specialized training and stay current with vaccine information updates; educate patients about the benefits and risks of vaccinations; and emulate local standards of care.
Can technicians administer vaccinations? - CORRECT ANSWER No
Pregnant women should not get what kind of vaccines? - CORRECT ANSWER Live
Antigenic shifts produce ________ changes in type _____ antigens - CORRECT ANSWER MAJOR; A
Antigenic drifts produce ________ changes in type ______ antigens - CORRECT ANSWER minor; A and B
Children are more likely to get what type of influenza strain? - CORRECT ANSWER B
Which type of influenza strain is responsible for pandemics? - CORRECT ANSWER A
How long does immunity from the influenza vaccine typically last? - CORRECT ANSWER 6-8 months
If a baby is born prematurely, do you need to adjust their vaccination schedule to begin at their due date? - CORRECT ANSWER No, no adjustment--use actual birthday
True or false: you should never vaccinate somebody with a mild illness? (mild fever, upper respiratory tract infection, otitis media, mild diarrhea) - CORRECT ANSWER False--you can vaccinate people with mild illnesses
Will administering multiple vaccines on one day produce adverse effects? - CORRECT ANSWER No
Can a pregnant pharmacist administer a live vaccine? - CORRECT ANSWER Yes
Which publication does the CDC generally use to quickly notify providers of updates to vaccine recommendations? - CORRECT ANSWER MMWR.
What is the only flu vaccine approved for patients under 3 years old? - CORRECT ANSWER Fluzone IIV
What is an example of mass screening? - CORRECT ANSWER Providing vaccine information at a booth of a health fair.
What is an example of a procedure-based screening? - CORRECT ANSWER Recommending vaccinations for a patient undergoing a splenectomy.
What is an example of an occurrence-based screening? - CORRECT ANSWER Providing hospital discharge counseling to a patient.
What type of immunity targets pathogens that are circulating freely in body fluids, such as blood, plasma, and lymph. - CORRECT ANSWER Humoral immunity
What is the written vaccine update source also known as the "pink book?" - CORRECT ANSWER Epidemiology and Prevention of Vaccine-Preventable Diseases.
What form is required to receive compensation for giving a vaccination? - CORRECT ANSWER CMS-1500.
All Medicare Part B enrollees are covered for which two vaccines? - CORRECT ANSWER Influenza and pneumococcal.
Robert is a 48-year-old pharmacist who is preparing to provide immunizations in his pharmacy for the first time next fall. He has no documentation of receiving the hepatitis B vaccine and would like to be vaccinated before administering vaccines in his practice. What is the recommended routine schedule for vaccination against hepatitis B? - CORRECT ANSWER 0, 1, and 6 months.
Which of the following statements is true regarding administration of LAIV? - CORRECT ANSWER Administer with the patient's head tilted slightly backward.
Live vaccines are contraindicated in a patient who: - CORRECT ANSWER Is immunosuppressed.
Which of the following diseases has been successfully eradicated worldwide through vaccination efforts? - CORRECT ANSWER Smallpox
David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July prior to starting kindergarten. David's immunization record reveals that he has received the following vaccines:
3 doses of HepB
4 doses of PCV
2 doses of HepA
3 doses of IPV
3 doses of rotavirus
1 dose of MMR
4 doses of DTaP
1 dose of varicella
4 doses of Hib
Which vaccines should David receive at this visit? - CORRECT ANSWER DTaP, IPV, MMR, and varicella.
Which of the following statements is true regarding how vaccines evoke an immune response? - CORRECT ANSWER The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells.
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: - CORRECT ANSWER 60 years and older.
A health care provider who previously has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B positive patient during a seasonal influenza clinic. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides: - CORRECT ANSWER Prompt immunity while the vaccine provides long-term protection.
Which of the following vaccines containing tetanus, diphtheria, and/or pertussis would be most appropriate for administration to a 69-year-old man who is preparing to travel to see his newborn granddaughter next month? - CORRECT ANSWER Tdap.
What is the FDA-licensed age range for the use of LAIV? - CORRECT ANSWER 2 to 49 years of age.
Which of the following best describes how to administer MMR vaccine to an adult patient weighing 155 lb? - CORRECT ANSWER Inject subcutaneously at a 45° angle in the outer aspect of the upper arm.
Which vaccine does ACIP recommend for all college freshmen, living in dormitories, who have not been previously vaccinated? - CORRECT ANSWER MCV
Which of the following diseases are transmitted through mosquito bites? - CORRECT ANSWER Yellow fever and Japanese encephalitis.
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? - CORRECT ANSWER 5 years
Which of the following key questions is important to as a patient before adminestering IIV? - CORRECT ANSWER are you sick today?
How often are the Healthy People targets for vaccination rates updated? Every *blank years* - CORRECT ANSWER 10 years
Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? *blank* polysaccharide *blank* - CORRECT ANSWER pure vaccines
Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered under the National Childhood Vaccine Injury Act (NCVIA)? - CORRECT ANSWER VIS
RotaTeq (RV5) should be administered as a: *blank*-dose series to infants *blank,blank,blank* months of age - CORRECT ANSWER 3 246
If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine?
*blank years* - CORRECT ANSWER 5 years
After reconstitution, within what time frame must HZV be administered?
*blank mins* - CORRECT ANSWER 30 mins
Prior to the introduction of a vaccine, what was the leading cause of bacterial meningitis in children younger than 5 years of age? *Haemophilus influenzae type BLANK* - CORRECT ANSWER b
HealthMap Vaccine Finder is a free online tool that allows pharmacists to:
*List their vaccination BLANK so patients can find them when searching the website for nearby immunizers.* - CORRECT ANSWER services
Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations?
*for the patients BLANK* - CORRECT ANSWER lifetime
Justin is a healthy 16-year-old boy who has no documentation of varicella vaccine or history of the disease. He should receive:
*BLANK# of doses of varicella vaccine separated by at least BLANK# weeks* - CORRECT ANSWER 2 4
Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not been previously vaccinated? - CORRECT ANSWER MCV4
Emily is a 16-year-old high-school student with no chronic medical conditions. Emily's immunization record shows that she completed the primary series for IPV, HepA, Hib, DTaP, and MMR, and she had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would be the most appropriate recommendation for her today?
*BLANK, HPV, MCV, HepB, and influenza, if during influenza season* - CORRECT ANSWER Tdap
Which of these vaccines is an inactivated vaccine? - CORRECT ANSWER Tdap
Herd immunity refers to which of the following situations?
*Vaccination of BLANK individuals in a community to protect those who BLANK be vaccinated.* - CORRECT ANSWER enough cannot
If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza?
Administer any age-appropriate *ACTIVATED/inactivated* influenza vaccine (IIV) or recombinant influenza vaccine (RIV) - CORRECT ANSWER inactivated
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9?
*BLANK year-old girl with NO medical conditions, series has not been started* - CORRECT ANSWER 11
John is a 46-year-old man with diabetes. He requests a refill of his diabetes testing supplies on October 21st. His immunization record indicates that he has completed the primary series of MMR, DTaP, HepA, and HepB vaccines. John has a documented history of chickenpox, and his last Td booster dose was 19 years ago. Which of the following vaccines should he receive?
*PPSV23, Tdap, and IIV* - CORRECT ANSWER PPSV23, Tdap, and IIV
What is the time interval for which the development of Guillain-Barré syndrome following influenza vaccination would result in a precaution for future influenza vaccines?
*within BLANK# weeks* - CORRECT ANSWER 6
For which age group is the adjuvanted inactivated influenza vaccine approved?
*BLANK# years and older* - CORRECT ANSWER 65
Which of the following best describes how to administer MMR vaccine to an adult patient weighing 210 lb?
Inject *blank* at a *BLANK° angle in the outer aspect of the upper arm. - CORRECT ANSWER subq 45
Which of the following best describes an opportunity for pharmacists to use diagnosis-based screening to identify people at risk for vaccine-preventable diseases?
Performing a *BLANK* review for a patient who has *blankS* - CORRECT ANSWER medication diabetes
Which of the following is the best example of a group with which individual pharmacists can collaborate to increase immunization rates in their communities?
*Immunization BLANKs* - CORRECT ANSWER coalitions
The childhood/adolescent and adult immunization schedules are updated and published annually during which months?
*January OR BLANK* - CORRECT ANSWER february
If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which vaccine is likely to be needed by many of the victims? - CORRECT ANSWER Tetanus
There should be a flat hard surface in the area where vaccines will be administered to ensure:
There is room for the patient to *sit/lie down* if fainting occurs or CPR is required. - CORRECT ANSWER lie down
Vaccines as well as exposure to natural disease are both examples of which type of immunity?
*blank immunity* - CORRECT ANSWER active
Which of the following diseases are transmitted through mosquito bites?
*Blank fever and Blank encephalitis* - CORRECT ANSWER yellow japanese
If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine?
*mark "do NOT use", and place in the BLANK, and call the manufacturer for further guidance* - CORRECT ANSWER fridge
Alan is a 47-year-old man who has no documentation of a primary series of tetanus-containing vaccine. Which of the following would be an appropriate primary series for Alan?
Tdap *next/today*, Td in *blank#* weeks, Td *blank#* months after the second dose - CORRECT ANSWER today 4 6
A health care provider who has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis B-positive patient. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides:
*blank* immunity - CORRECT ANSWER prompt
Which of the following is most likely to result in an influenza pandemic?
Antigenic *shift/formation* in an influenza A virus - CORRECT ANSWER shift
Which of the following statements about pharmacy-based vaccination programs is true?
Administratively, *BLANK* for vaccines covered by Medicare Part D may be easier for pharmacists than physicians. - CORRECT ANSWER billing
What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth?
*blank immunity* - CORRECT ANSWER passive
Which of the following patients would be a candidate for PPSV23?
*blank# year-old man who *blanks* - CORRECT ANSWER 25 smokes
Tom is a 9-year old boy who has never had an influenza vaccine. Tom's mother shows you his up-to-date immunization record and reports that he has never had any adverse reactions to vaccinations. What dose and schedule of IIV should be administered to Tom?
inject *blank# mL; *blank#* of dose/s - CORRECT ANSWER 0.5 1
Adolescents should be routinely vaccinated with MCV4 on the following schedule:
1 dose at age *blank to blank years, followed by a booster dose at age 16 years. - CORRECT ANSWER 11 12
According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient?
*#/# inch* - CORRECT ANSWER 5/8
Which of the following statements is true regarding varicella-containing vaccines?
The potency of *BLANK* is greater than that of the varicella Vaccine - CORRECT ANSWER hzv
The incubation period for influenza can range from:
*blank TO blank* days - CORRECT ANSWER 1 to 4
Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He leaves in 3 weeks and will be gone a month. He received his first dose of hepatitis A vaccine today. Alex should be counseled to return for his second dose of hepatitis A vaccine:
in *blank* months - CORRECT ANSWER 6
Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb?
Inject *IM/subq* at a 90 degree angle in the *blank* muscle - CORRECT ANSWER im deltoid
What is the standard dose of epinephrine for managing anaphylaxis?
*blank* mg/kg, UP TO a max of *BLANK* mg - CORRECT ANSWER 0.01 0.5
Which of the following statements about live attenuated vaccines is true?
They should be *given/avoided* to immunocompromised individuals - CORRECT ANSWER avoided
According to the Advisory Committee on Immunization Practices (ACIP), which of the following would be considered adequate evidence of immunity to varicella, indicating that administration of varicella vaccine is unnecessary?
diagnosis of *blank* by a health care provider - CORRECT ANSWER chickenpox
A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines?
*varicella/tdap* - CORRECT ANSWER varicella
David is a healthy 5-year-old boy who is scheduled to see his pediatrician for a checkup in July prior to starting kindergarten. David's immunization record reveals that he has received the following vaccines:
3 doses of HepB
4 doses of PCV13
2 doses of HepA
3 doses of IPV
2 doses of rotavirus
1 dose of MMRV
4 doses of DTaP
4 doses of Hib
Which vaccines should David receive at this visit?
DTap, IPV, MMR, and *influenza/varicella* - CORRECT ANSWER varicella
According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged:
*60/65* and older - CORRECT ANSWER 60
Which of the following statements is true regarding how vaccines evoke an immune response?
The antigen in the vaccine activates *B/T* cells, which produce antigen-specific antibodies and memory cells. - CORRECT ANSWER b
Kimberly is a 34 year-old woman who is 30 weeks pregnant. She received a Td booster dose 1 year ago when she cut her hand while working in the kitchen. She has no documentation of receiving a Tdap vaccine. The most appropriate recommendation would be to administer:
*zoster/Tdap* as soon as possible - CORRECT ANSWER Tdap
After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: *blank years* - CORRECT ANSWER 10 years
Upon giving a VIS to a patient who is to receive a vaccine cover under the National Childhood Vaccine Injury Act, what must be documented?
The date the VIS was *printed/given* to the patient or caregiver and the date printed on the VIS - CORRECT ANSWER given
Barbara is a 60-year-old woman who presents to the pharmacy for two vaccines: HZV and IIV. Which of the following are the appropriate doses and routes for administering these vaccines to this patient?
Your Choice
HZV 0.65 mL *subq/IM*; IIV 0.5 mL *subq/IM* - CORRECT ANSWER subq im
What is meant by the term "immunization neighborhood"?
Immunization *coalition/stakeholders* collaborate to meet community immunization needs. - CORRECT ANSWER stakeholders
During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? SOAP? - CORRECT ANSWER A
Which influenza vaccine is approved to be used with the jet injector needle-free system?
The only vaccines approved for such use are *blank* and *Blank* Quadrivalent. This approval is for individuals ages *# through # years* - CORRECT ANSWER afluria 18 through 64 years
Why are water bottles recommended to be placed in refrigerators in which vaccines are stored? - CORRECT ANSWER stabilize the temp
Which of the following vaccines is recommended for infants to receive at birth? - CORRECT ANSWER Hepatitis B
The documentation system that health care providers should use to report serious adverse events after vaccination is: - CORRECT ANSWER VAERS.
Which of the following statements is true regarding varicella-containing vaccines? - CORRECT ANSWER The potency of HZV is greater than that of varicella vaccine
Which of the following is a requirement of Occupational Safety and Health Administration's (OSHA's) Bloodborne Pathogens Standard? - CORRECT ANSWER Health care providers must use safety devices when administering injectable vaccines.
Where should vaccines that require refrigeration be stored? - CORRECT ANSWER In the middle of the refrigerator.
What is the minimum needle length is recommended for administering HepB vaccine to an adult patient weighing 130 lb? - CORRECT ANSWER 1 inch.
Which of the following statements would be accurate when responding to a patient's concerns about vaccines? - CORRECT ANSWER The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time.
Which type of immune response targets pathogens that have entered the cells of the host? - CORRECT ANSWER Cell-mediated immunity.
In the event that a young child is fussy following the receipt of a vaccine, pharmacists should advise parents to: - CORRECT ANSWER Comfort the child and engage in quiet activities.
RotaTeq should be administered as a: - CORRECT ANSWER 3-dose series to infants at 2, 4, and 6 months of age.
Which of the following documents must be given to every patient or patient's caregiver before administration of a vaccine covered by the NCVIA? - CORRECT ANSWER VIS.
Alex is a 32-year-old man who is scheduled to travel to a country where hepatitis A is endemic. He received his first dose of hepatitis A vaccine today. Alex should be counseled to return for his second dose of hepatitis A vaccine: - CORRECT ANSWER A second dose of vaccine is not recommended for this patient.
Which of the following vaccine-preventable diseases had the highest incidence in the United States in 2012? - CORRECT ANSWER Pertussis.
Which disease was the leading cause of acquired mental retardation before introduction of a vaccine? - CORRECT ANSWER Rubella.
HealthMap Vaccine Finder is a free online tool that allows pharmacists to: - CORRECT ANSWER List their vaccination services so patients can find them when searching the website for nearby immunizers.
Mark, a 65-year-old man, is a candidate for the following vaccines: IIV3 or IIV4, PPSV23, zoster, and a booster dose of Td. Which of these vaccines is a live attenuated vaccine? - CORRECT ANSWER Zoster.
Federal law makes offering an influenza vaccination a requirement for continued federal funding in which setting? - CORRECT ANSWER Long-term care facilities.
John is a 46-year-old man with diabetes. He requests a refill of his diabetes testing supplies on October 21st. His immunization record indicates that he has completed the primary series of MMR, DTaP, HepA, and HepB vaccines. John has a documented history of chickenpox, and his last Td booster dose was 19 years ago. Which of the following vaccines should he receive? - CORRECT ANSWER PPSV23, Tdap, and IIV.
Kate is a 24-year-old woman with asthma. She requests a refill of her albuterol inhaler on November 1st. Kate's immunization record indicates that she completed the primary series of MMR, varicella, DTaP, HepA, and HepB vaccines, and she received a dose of Tdap 2 years ago. For complete coverage, which of the following vaccines should she receive? - CORRECT ANSWER PCV13 and IIV.
Which of the following vaccines may be administered to boys and young men aged 9 to 26 years to reduce the likelihood of acquiring genital warts? - CORRECT ANSWER HPV4.
Name the vaccine-preventable disease that may be contracted by unimmunized children from adults (who can serve as a reservoir for the disease), which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death. - CORRECT ANSWER Pertussis.
Emily is a 16-year-old high-school student with no chronic medical conditions. Emily's immunization record shows that she completed the primary series for IPV, HepA, Hib, DTaP, and MMR, and she had a physician-diagnosed case of chickenpox at 2 years of age. Which of the following would be the most appropriate recommendation for her today? - CORRECT ANSWER Tdap, HPV, MCV, HepB, and influenza, if during influenza season.
What is meant by the term "immunization neighborhood"? - CORRECT ANSWER Immunization stakeholders collaborate to meet community immunization needs.
Which of the following statements is true regarding the difference in coverage between Gardasil and Cervarix? - CORRECT ANSWER Gardasil will provide protection against diseases caused by HPV types 6, 11, 16, and 18, whereas Cervarix will provide protection against diseases caused by HPV types 16 and 18.
Kimberly is a 34-year-old woman who is 30 weeks pregnant. She received a Td booster dose 1 year ago when she cut her hand while working in the kitchen. She has no documentation of receiving a Tdap vaccine. The most appropriate recommendation would be to administer: - CORRECT ANSWER Tdap as soon as possible.
Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? - CORRECT ANSWER Influence of a health care provider.
Which of the following vaccines should be administered to all pregnant women? - CORRECT ANSWER IIV.
Aiden is a 6-month-old healthy boy with no known allergies. He has received vaccinations in the past with no reported adverse reactions. Aiden's father asks about having his son vaccinated against influenza. The most appropriate response would be to inform the father that Aiden: - CORRECT ANSWER Should receive 1 dose of Fluzone today followed by a second dose of Fluzone administered 4 weeks later.
If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? - CORRECT ANSWER Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance.
Tom is a 9-month-old boy who received his last set of vaccinations 3 months ago. Tom's mother shows you his up-to-date immunization record and reports that he has never had any adverse reactions to vaccinations. You notice that he has not received an influenza vaccine in the past. What dose of IIV should be administered to Tom? - CORRECT ANSWER 0.25 mL.
The incubation period for influenza can range from: - CORRECT ANSWER 1 to 4 days.
How often should an adult patient with a history of heart failure receive IIV to prevent influenza? - CORRECT ANSWER Annually.
Which of the following is the best example of a group that individual pharmacists can collaborate with to help increase immunization rates? - CORRECT ANSWER Immunization coalitions. [Show Less]