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Which of the following is a provider factor associated with low vaccination rates in adults? A. Unable to bill insurance. B. Limited familiarity with the adult schedule. C. Lack of effective reminder or recall systems. D. Restricted by state regulations. C. Lack of effective reminder or recall systems. Which of the following best describes IIV intradermal administration? A. Administer the vaccine at a 45 degree angle. B. Insert the needle under the skin in the patient's forearm. C. Use a 5/8" needle. D. Place the syringe perpendicular to the skin over the deltoid muscle. D. Place the syringe perpendicular to the skin over the deltoid muscle. Missy is a 36-year-old woman with diabetes mellitus. She requests a refill of her insulin on November 1. She has completed the primary series of MMR, DTaP, and hepatitis A vaccines, and she received a dose of Tdap 2 years ago. She had a physician-confirmed case of chickenpox as a child. Missy is not pregnant. Which of the following vaccines should Missy receive? A. PCV13, HPV, Td, and influenza. B. PPSV23, Hepatitis B, and influenza. C. PPSV23, Td, hepatitis A, and influenza. D. HPV, hepatitis, B, Td, and influenza. B. PPSV23, Hepatitis B, and influenza. Which of the following is the recommended dose of 1:1000 epinephrine for managing anaphylaxis? A. 5 mg for all patients. B. 0.5 mg for all patients. C. 0.1 ml per kg body weight, up to a maximum of 5 mg per dose. D. 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. D. 0.01 ml per kg body weight, up to a maximum of 0.5 mg per dose. Lily is a 15-month-old girl who is up to date with her vaccinations. Which of the following tetanus toxoid-containing vaccines would be appropriate for Lily? A. DT. B. DTaP. C. Td. D. Tdap. B. DTaP. Which of the following types of vaccines represents an opportunity to collaborate with physicians to meet the needs of the community? A. Vaccines that require refrigeration. B. Vaccines with multiple doses in a series. C. Vaccines only available multi-dose vials. D. Vaccines that can be submitted with roster billing. B. Vaccines with multiple doses in a series Vaccines evoke an immune response because they contain: A. Antibodies that provide immediate protection against disease. B. B cells that directly attack and destroy foreign antigens. C. Antigens that stimulate the production of antibodies. D. T cells that produce antibodies to fight the foreign antigen. C. Antigens that stimulate the production of antibodies. A patient experiences anaphylaxis after receiving an influenza vaccine in your pharmacy. A report should be filed using which of the following? A. CMS-1500. B. MedWatch. C. Vaccine Error Reporting Program (VERP). D. Vaccine Adverse Events Reporting System (VAERS). D. Vaccine Adverse Events Reporting System (VAERS). Which of the following statements best describes recommendations for vaccine administration during pregnancy? A. No vaccines should be administered during the first trimester. B. Pregnant providers may administer live vaccines. C. Ideally, Tdap should be administered during the first trimester. D. Children should not receive live vaccines if their mother and/or caregiver is pregnant. B. Pregnant providers may administer live vaccines. Which of the following is a symptom of a true allergic reaction? A. Gastrointestinal distress. B. Fever. C. Hives. D. Headache. C. Hives. A patient who reports an allergy to eggs but is able to eat lightly cooked eggs (e.g., scrambled eggs) without a reaction could receive which of the following influenza vaccines? A. LAIV only. B. RIV only. C. ccIIV only. D. Any influenza vaccine. D. Any influenza vaccine. Which of the following is the youngest age at which a child should receive inactivated influenza vaccine? A. Birth. B. 6 months. C. 1 year. D. 2 years. B. 6 months. Theresa is a 23-year-old woman with rheumatoid arthritis who is treated with immunosuppressive therapies. Which of the following vaccines should be avoided for Theresa? A. PPSV23. B. Hepatitis B. C. Tdap. D. Varicella. D. Varicella. Which of the following influenza vaccines would be appropriate to recommend for a 7-month-old girl? A. Flublock. B. Fluad. C. Fluzone. D. Fluzone High-Dose. C. Fluzone.

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