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APhA Immunization Training Exam
When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical indications, what does the orange bar represent? a. Contraindicated. b. Precautions for vaccination. c. Recommended if an additional risk factor is present. d. Additional doses may be needed based on condition. - b During which step of the Pharmacists' Patient Care Process would a pharmacist analyze a patient's need for certain vaccines? a. Collect b. Assess c. Plan d. Implement - b According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient? a. ½ inch. b. ⅝ inch. c. 1 inch. d. 1½ inch. - b Which of the following is most likely to result in an influenza pandemic? a. Antigenic drift in an influenza A virus. b. Antigenic shift in an influenza A virus. c. Antigenic drift in an influenza B virus d. Antigenic shift in an influenza C virus. - b Why was the live attenuated influenza vaccine (LAIV) removed from the ACIP's influenza vaccine recommendations? a. It was shown to cause influenza in children and adolescents. b. Low effectiveness of this vaccine was seen during the 2013-2014 and 2015- 2016 influenza seasons. c. Serious adverse events were reported with LAIV. d. There was concern about vaccine supply issues. - b
Which of the following best describes an opportunity for pharmacists to use diagnosis- based screening to identify people at risk for vaccine-preventable diseases? a. Performing a medication review for a patient who has diabetes. b. Recommending vaccinations for a patient undergoing a splenectomy. c. Providing hospital discharge counseling to a patient. d. Providing vaccine information at a booth of a health fair. - a What is the standard dose of epinephrine for managing anaphylaxis? a. 0.01 mg per kg body weight, up to a maximum of 0.5 mg. b. 0.1 mg per kg body weight, up to a maximum of 5 mg. c. 0.5 mg for all patients. d. 5 mg for all patients. - a Which of the following tetanus booster vaccines would be most appropriate for administration to a 12-year-old boy who has completed a primary series with DTaP and has no known allergies? a. DTaP. b. DT. c. Td. d. Tdap. - d HPV vaccine is recommended for which of the following individuals? a. 36-year-old woman b. 27-year-old woman. c. 12-year-old boy. d. 8-year-old girl - c 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: a. In 4 weeks. b. In 6 months. c. In 2 years. d. Immediately after travel. - b Which of the following statements is true regarding varicella-containing vaccines? a. The potency of HZV is greater than that of varicella vaccine. b. The potency of varicella vaccine is greater than that of HZV. c. The potency of varicella vaccine is the same as HZV.
a. Within 6 weeks b. Within 6 months c. Within a year d. Within 5 years - a If a vial of influenza vaccine is left out of the refrigerator on the pharmacy counter overnight, what should be done with the vaccine? a. Dispose of it as biohazardous waste immediately. b. Refrigerate immediately and use within 30 days. c. Mark "do not use," place in the refrigerator, and call the manufacturer for further guidance. d. Mark "do not use," place in the freezer, and call the manufacturer for further guidance. - c Which disease is characterized by the development of a membrane on the tonsils, pharynx, or larynx, leading to respiratory obstruction? a. Pertussis. b. Diphtheria. c. Haemophilus influenzae type b. d. Meningitis. - b A 69 year-old man received Td vaccination 4 years ago. He is preparing to travel to see his newborn granddaughter next month. Which of the following vaccines containing tetanus, diphtheria, and/or pertussis would be most appropriate for him? a. Td. b. Tdap. c. He is over 64 years of age; neither Td or Tdap are recommended at this time. d. It is too soon to administer any tetanus-containing vaccines. - b Even though state laws may have specific mandates, how long should pharmacists maintain records of immunizations? a. 5 years. b. 10 years. c. 20 years. d. For the patient's lifetime. - d Which viruses are associated with the development of cancer? a. Human papillomavirus and hepatitis B virus. b. Varicella virus and hepatitis A virus. c. Hepatitis A and herpes zoster. d. Rubella and varicella virus. - a
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: a. Long-term protection b. Both short- and long-term protection c. A booster effect for the vaccine d. Prompt immunity - d Which of the following best describes how to administer Tdap vaccine to an adult patient weighing 185 lb? a. Inject subcutaneously at a 45° angle in the outer aspect of the upper arm. b. Inject intramuscularly at a 45° angle in the deltoid muscle. c. Inject subcutaneously at a 90° angle in the outer aspect of the upper arm. d. Inject intramuscularly at a 90° angle in the deltoid muscle. - d Which of the following immunization strategies is preferred for adults under the age of 65 years with immunocompromising conditions who require both PCV13 and PPSV23? a. PCV13 first, followed by PPSV23 at least 8 weeks later. b. PCV13 first, followed by PPSV23 at least 1 year later. c. PPSV23 first, followed by PCV13 at least 8 weeks later. d. PPSV23 first, followed by PCV13 at least 6 months later. - a In 2014, which vaccination rate was lowest among adolescents 13 through 17 years of age? a. Tdap b. MMR c. Meningococcal (MenACWY) d. HPV - d What is the type of immunity that occurs when a pregnant woman is vaccinated with Tdap to protect the infant from pertussis after birth? a. Active immunity b. Acquired immunity c. Cell-mediated immunity d. Passive immunity - d 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? a. The date the VIS was given to the patient or caregiver and the title of the VIS.
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? a. DTaP today; Td in 4 weeks; Td 6 months after the second dose. b. Tdap today; Tdap in 4 weeks; Tdap 6 months after the second dose. c. DTaP today; DTaP in 4 weeks, DTaP 6 months after the second dose. d. Tdap today; Td in 4 weeks; Td 6 months after the second dose. - d With the exception of rotavirus, the routinely recommended live vaccines are contraindicated in a patient who: a. Is finishing a course of antibiotics. b. Is breastfeeding. c. Is immunosuppressed. d. Received another live vaccine 6 weeks ago. - c According to ACIP recommendations, HZV is indicated for the prevention of herpes zoster in adults aged: a. 18 years and older. b. 50 years and older. - FDA c. 60 years and older. - ACIP d. 65 years and older. - c Kyle is a 5-year-old boy who is up to date with his vaccinations. He has never experienced any adverse effects from vaccinations. At his next well-child check-up, Kyle will be receiving the following vaccines: IPV, MMR, varicella vaccine, and a tetanus-containing vaccine. Which of the following tetanus-containing vaccines would be appropriate for him? a. DTaP. b. DT. c. Td. d. Tdap. - a Which of these vaccines is a live attenuated vaccine? a. IIV4. b. Zoster. c. PPSV23. d. Td. - b If a patient received the first dose of HepB but did not return for the remaining doses in the series, under what circumstances should the HepB series be restarted? a. If more than 2 months have passed since the second dose was due.
b. If more than 1 year has passed since the second dose was due. c. If more than 5 years have passed since the second dose was due. d. The series should not be restarted; resume the series where it was interrupted. - d For which age group is the adjuvanted inactivated influenza vaccine approved? a. 2 through 49 years b. 19 through 64 years c. 4 years and older d. 65 years and older - d Which type of vaccine involves stimulation of B cells without the assistance of T helper cells? a. Live attenuated vaccines b. Conjugated vaccines c. Pure polysaccharide vaccines d. Recombinant vaccines - c Vaccines as well as exposure to natural disease are both examples of which type of immunity? a. Innate immunity b. Temporary immunity c. Active immunity d. Passive immunity - c Why should refrigerated vaccines be stored in the middle of the refrigerator? a. To keep them separated from food on the bottom shelf. b. To be at eye level. c. There are fewer temperature fluctuations. d. They are easier to reach. - c Which of the following key questions is important to ask a patient before administering IIV? a. Are you sick today? b. During the past year, have you received a blood transfusion or immune (gamma) globulin? c. Have you received any vaccinations in the past 4 weeks? d. Do you have cancer, leukemia, AIDS, or any other immune system problem? - a Name the vaccine-preventable disease that may be contracted by unimmunized children from adults serving as reservoirs for the disease, which causes a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death.
d. Rubella - c Which of the following statements about establishing clinics for administering vaccines is true? a. Clinics can only be held within the pharmacy. b. Technicians can administer screening questionnaires and distribute VISs. c. In all states, student pharmacists can administer vaccines during a clinic under appropriate supervision. d. Clinics are better suited to year-round vaccines than to influenza vaccines. - b If a patient is a candidate for revaccination with PPSV23, what is the ACIP-recommended interval between doses of this vaccine? a. 1 year. b. 2 years. c. 3 years. d. 5 years. - d 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: a. Is too young to be vaccinated against influenza b. Should receive 1 dose of IIV4 today followed by a second dose of IIV4 administered 4 weeks later c. Should receive 1 dose of LAIV today followed by a second dose of LAIV administered 4 weeks later d. Should receive 1 dose of IIV3 or IIV4 today followed by a second dose 1 year later - b After reconstitution, within what time frame must HZV be administered? a. 30 minutes. b. 1 hour. c. 24 hours. d. 72 hours. - a Which of the following statements is true regarding how vaccines evoke an immune response? a. T cells bind directly to the antigen contained in the vaccine and activate the humoral immune response. b. The antigen in the vaccine activates B cells, which produce antigen-specific antibodies and memory cells.
c. When exposed to the vaccine, T cells mature into plasma cells and produce antigen- specific antibodies. d. B cells bind directly to the antigen contained in the vaccine and activate the cell- mediated immune response. - b 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? a. Tdap, HPV, MCV, HepB, and influenza, if during influenza season. b. DTaP, HPV, MCV, HepB, and influenza, if during influenza season. c. Tdap, HPV, MCV, and influenza, if during influenza season. d. Because Emily is healthy, she does not require any vaccinations. - a Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? a. 15 year-old boy with no medical conditions, series has not been started b. 11 year-old girl with no medical conditions, series has not been started c. 12 year-old boy with no medical conditions, 1st dose given on May 9th, 2nd dose given on September 14th d. 9 year-old boy who had a heart transplant at age 2 and has a history of sexual abuse, 1st dose given on February 23rd, 2nd dose has not been given - b Which of the following statements about live attenuated vaccines is true? a. They should generally be avoided in immunocompromised individuals. b. Their effectiveness wanes faster than inactivated vaccines. c. They can be either whole cell, fractional, or toxoids. d. Circulating antibodies have no impact on their effectiveness. - a How is the live, cholera vaccine administered? a. Intramuscularly. b. Orally. c. Subcutaneously. d. Intranasally. - b According to ACIP recommendations, what is the maximum number of doses of PPSV23 a patient should receive in his or her lifetime? a. 1 dose. b. 2 doses. c. 3 doses. d. Unlimited. - c
b. Administer aspirin. c. Call the pediatrician. d. Seek emergency care. - a The monitoring system that health care providers should use to report serious adverse events after vaccination is: a. VAERS. b. OSHA. c. CMS-1500. d. VICP. - a According to ACIP, which of the following is a contraindication to receiving HZV? a. Current treatment for lymphoma. b. Age 59 years or younger. c. Past history of herpes zoster. d. Has never received the varicella zoster vaccine (VAR). - a If a patient with an egg allergy experiences hives following influenza vaccination, what is ACIP's recommendation for vaccinating this patient against influenza? a. Administer the recombinant influenza vaccine (RIV) only b. Administer the cell culture-based (ccIIV) or recombinant influenza vaccine (RIV) c. Administer any age-appropriate inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV) d. Refer the patient to a medical setting with the resources to recognize and manage severe allergic reactions - c After completion of a primary vaccine series and documentation of a one-time dose of Tdap, Td booster doses are recommended every: a. 1 year. b. 2 years. c. 5 years. d. 10 years. - d The presence of fever, diffuse maculopapular rash, and Koplik spots are characteristic of which of the following diseases? a. Rubella. b. Varicella. c. Measles. d. Mumps. - c Which of the following diseases are transmitted through mosquito bites?
a. Typhoid fever and Haemophilus influenzae type b. b. Hepatitis A and typhoid fever. c. Yellow fever and Japanese encephalitis. d. Hepatitis A and measles. - c 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? a. 0 and 2 months. b. 0 and 6 months. c. 0, 1, and 2 months. d. 0, 1, and 6 months. - d 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? a. PCV13 and IIV. b. PPSV23, IIV, and HPV. c. PPSV23, IIV, HPV, and Td. d. IIV, HPV, and Td. - b Which of the following is recognized by sociologists as a factor in a patient's decision whether to be vaccinated? a. History of medication use. b. History of chronic medical conditions. c. Influence of a health care provider. d. Discount coupon in local newspaper. - c How often are the Healthy People targets for vaccination rates updated? a. Every year b. Every 5 years c. Every 10 years d. Every 20 years - c At what point during pregnancy is it recommended to administer the influenza vaccine? a. Anytime is safe b. During the 1st trimester c. 27 to 36 weeks
1 dose of PCV 1 dose of DTaP 1 dose of IPV Which vaccines should Ava receive at today's visit? a. DTaP, Hib, PCV13, IPV, rotavirus, and IIV. b. DTaP, Hib, PCV13, IPV, and rotavirus. c. DTaP, HepB, MMR, and varicella. d. DTaP, PCV13, IPV, and IIV. - b Which vaccine does ACIP recommend for all college freshmen, aged 21 years or younger, living in dormitories, who have not been previously vaccinated? a. PPSV23. b. MCV4. c. 9vHPV. d. Varicella. - b Which of the following patients should receive the MMR vaccine? a. A 6-month-old infant with no documentation of MMR vaccine. b. An adolescent with documentation of 2 doses of MMR vaccine. c. An adult (who is not a health care provider) born in 1955 with no documentation of MMR vaccine. d. A pharmacist born in 1975 with documentation of 1 dose of MMR vaccine. - d The childhood/adolescent and adult immunization schedules are updated and published annually during which months? a. January or February b. April or May c. September or October d. November or December - a A history of anaphylaxis caused by gelatin would be a contraindication to receiving which of the following vaccines? a. Varicella. b. Tdap. c. Pneumococcal. d. Hepatitis B. - a Which of the following statements would be accurate when responding to a patient's concerns about the safety of vaccines?
a. In recent years, several hot lots of the vaccine have been known to cause severe adverse events. We do not stock these vaccines. b. Thimerosal in vaccines poses a risk for autism—we can use a vaccine that is thimerosal- free. c. The immune system is capable of stimulating an immune response to multiple vaccines administered at the same time. d. While influenza vaccines may cause the flu, the extent of the illness and risk for hospitalization are greatly reduced. - c 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? a. Td and influenza. b. PCV13, Td, and IIV. c. PPSV23, Tdap, and IIV. d. PCV13 and IIV. - c What is the most common complication of pertussis? a. Seizures b. Pneumonia c. Hypoxemia d. Colic - b Jackie is a 34-year-old woman who received an influenza vaccine from you today. She wants to know how long it will take for the vaccine to begin working to protect her from getting the flu. What would be the most appropriate response to this patient? a. 90 days b. 28 days c. 14 days d. 2 days - c Which of the following patients would be a candidate for PPSV23? a. 12-month-old boy with asthma. b. 25-year-old man who smokes cigarettes. c. 33-year-old woman who is pregnant. d. 50 - year-old woman with no medical conditions. - a HZV should not be administered to a patient with a history of anaphylaxis to: a. Eggs.
b. a community has adequate access to vaccines c. immunization stakeholders collaborate to meet community immunization needs d. patient-centered medical homes provide immunization services - c A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines? a. IPV b. Tdap c. PCV d. HPV - a 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? a. tetanus b. pneumococcal c. MMR d. meningococcal B - a Federal law makes offering an annual influenza vaccination a requirement for continued federal funding in which setting? a. patient-centered medical homes b. accountable care organizations c. long-term care facilities d. home health care - c The incubation period for influenza can range from: a. 1 to 4 days b. 7 to 10 days c. 2 to 3 weeks d. 3 to 4 weeks - a
