APhA Immunization Exam/89 Questions
and Answers
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
-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
-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 diseases have been eradicated worldwide, allowing
vaccination to be discontinued? - -Smallpox - eradicated in 1980 by WHO
-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, Partnership,
Quality, Documentation and Empowerment
-Active Immunity - -Long-term protection but takes 2 weeks to work
-Innate Immunity - -Barrier defense mechanism
-Adaptive Immunity - -Also known as acquired
-Passive Immunity - -Antibodies from an external source
-Antigens - -Evoke the immune response and bind to specific antibodies
-T/F: Vaccines contain antibodies which are recognized by the immune
system. - -False
-What can a pharmacist do to reduce the risk of getting hepatitis B after
exposure? - -1. Post-exposure prophylaxis is needed right away
2. Give both Hep B immune globulin (HBIG) and Hepatitis B vaccine
3. HBIG contains antibodies that provide immediate protection via passive
immunity
, 4. When a person is fully vaccinated, the hepatitis B vaccine provides long-
term protection.
-Live Vaccines are: - -1. Attenuated
2. Stimulates both humoral and cell-mediated immune response
3. May be interfered with by circulating antibodies
4. Not given to children less than 12 months of age due to presence of
maternal antibodies
-Inactivated Vaccines are: - -1. Killed virus or bacteria
2. Does not replicate
3. Stimulates humoral immunity (antibodies)
4. May be given to people who have received blood products or live vaccines,
regardless of timing.
5. Predominantly given to infants (less than 12 months) because they may
have circulating maternal antibodies which could reduce the effectiveness of
a live vaccines.
-T/F: Inactivated vaccines do NOT have minimum intervals between
administered vaccines - -True
-T/F: Inactivated vaccines are not affected by live vaccines and visa versa. -
-True
-If two live vaccines are given simultaneously sly on the same day, then you
must wait _____ minimum interval. - -28-day minimum interval so that each
vaccine can replicate properly.
-Live vaccines followed by blood products (contain antibodies) require
______minimum interval. - -2 weeks.
-Which of the following is an example of passive immunity?
a.) Contracting measles
b.) Hep B Vaccine
c.) Skin Barrier
d.) Maternal antibodies - -d.) Maternal antibodies
-Why is spacing and timing of vaccines important? - -Circulating antibodies
may interfere with immune response
-How long does it take for the immune system to provide protection by
producing disease-specific antibodies and memory cells? - -14 days
-When does Active Immunity occur? - -When a patient is exposed to an
antigen that triggers the body's immune system to produce it's own disease-
specific antibodies and memory cells.
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