APhA Immunization Exam Questions with Correct
Answers.
What is the minimum needle length recommended for administering HepB vaccine to an
adult patient weighing 130 lb? - ANS Fixed 1-inch needles are acceptable for patients
weighing 60 kg (132 lb) or less.
HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should not be
administered to a patient with a history of anaphylaxis to: - ANS Gelatin
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? - ANS 1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Children with asthma only if theyre treated with high dose corticosteriods
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. - ANS Pertussis
Which of the following vaccines may be administered to males and females aged 9
through 26 years to reduce the likelihood of acquiring genital warts? - ANS 9vHPV
Which of the following key questions is important to ask a patient before administering
IIV? - ANS Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be resolved before
getting vaccine.
Live attenuated vaccines.. - ANS produced by weakening the virus or bacteria to reduce
the likelihood that it can cause disease
end to produce more persistent, longer-lasting immunity than inactivated vaccines
must replicate in order for the body to produce an immune response
, could cause disease in immunocompromised patients
Circulating antibodies may interfere with a live attenuated vaccine's ability to replicate.
Inactivated vaccines... - ANS are produced by killing the virus/bacteria
includes polysaccharide vaccines (conjugated [protein altered] or unconjugated),
toxoids, or cellular vaccines
Which type of vaccine involves stimulation of B cells without the assistance of T helper
cells? - ANS A pure polysaccharide
*not recommended for children <2 because of their immature immune system
Conjugated vaccines.. - ANS provide longer lasting protection
the immune response that changes to a T cell mediated response allows children <2 to
form an immune response
T/F
Both live attenuated vaccines and recombinant vaccines mimic natural infection and
involve T cells in the immune response. - ANS True
The incubation period for influenza can range from: - ANS 1-4 days
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? - ANS 6
weeks
The monitoring system that health care providers should use to report serious adverse
events after vaccination is: - ANS VAERS
Which of the following patients are appropriate candidates for the 2-dose schedule of
HPV9? - ANS 11 or 12 year olds
*if series has not been started by age 15, then a 3 dose series is needed
*3 dose series recommended for immunocompromised patients
*1st/2nd dose- given at 0 and 6-12 months
*if 2nd dose is given sooner than 5 months after the first dose then a 3rd dose is
needed
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