Download APhA Immunization Course Exam Questions and Answers and more Exams Nursing in PDF only on Docsity!
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Pretest: Which of the following is true regarding the use of mRNA in vaccine technology? - correct answer ☑☑ mRNA is the genetic blueprint that tells your body how to make a particular protein subunit of a virus which, after being produced, leads to immune response Pretest: When storing vaccines in the refrigerator, pharmacists should: - correct answer ☑☑ Use water bottles to help stabilize temperatures Pretest: A young adult presenting with swelling of the parotid glands most likely has which of the following diseases: - correct answer ☑☑ Mumps Pretest: Which of the following is true regarding risk for COVID-19? - correct answer ☑☑ Older adults and people with underlying medical conditions are some of the patients at highest risk for severe disease and complications Pretest: Which of the following symptoms are usually associated with influenza? - correct answer ☑☑ Chills Pretest: Which of the following vaccines listed is a live attenuated vaccine? - correct answer ☑☑ Varicella (VAR)
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Pretest: Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine? - correct answer ☑☑ Inactivated polysaccharide vaccine Pretest: The National Vaccine Advisory Committee 2013 Standards for Adult Immunization Practice and the 2016 International Pharmaceutical Federation global report identify pharmacists as: - correct answer ☑☑ Integral to increasing vaccination rates Pretest: The whooping cough associated with pertussis occurs in this stage of disease: - correct answer ☑☑ Paroxysmal Pretest: Which of the following is true of the emergency use authorization process? - correct answer ☑☑ Manufacturers must include a plan for safety monitoring Module 1: 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? - correct answer ☑☑ Prevention
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Module 2: Why is spacing and timing of vaccines important? - correct answer ☑☑ Circulating antibodies may interfere with immune response Module 2: Which of the following is an example of passive immunity? - correct answer ☑☑ Maternal antibodies Module 2: Children less than what age do not mount an adequate immune response to t-cell independent immunity? - correct answer ☑☑ 2 years Module 2: How long does it take for the immune system to provide protection by producing disease-specific antibodies and memory cells? - correct answer ☑☑ 14 days Module 3: Which of the following vaccines listed is a live attenuated vaccine? - correct answer ☑☑ Varicella (VAR) Module 3: When administering measles, mumps, rubella (MMR) and pneumococcal conjugate vaccine (PCV13) to a patient at their 15-month appointment, what must be considered regarding vaccine spacing? - correct answer
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☑☑ MMR and PCV13 may be administered simultaneously or at any interval between doses. Module 3: Which vaccine technology listed below is an ingredient added typically to inactivated vaccines to boost its immune response by targeting pathogen recognition receptors that are expressed on dendritic cells to trigger a pro-inflammatory response? Though this technology creates a more robust immune response, it can also increase local site reactions and systemic reactions, such as fevers, chills, and body aches. - correct answer ☑☑ Adjuvants Module 3: Which of the following statements is false regarding polysaccharide and conjugated vaccines? - correct answer ☑☑ The conjugate protein used, such as diphtheria, can also provide adequate protection against itself in addition to the polysaccharide. Module 3: Pneumococcal polysaccharide vaccine (PPSV23) is best categorized as what type of vaccine? - correct answer ☑☑ Inactivated polysaccharide vaccine Module 4: An electronic prescription for glipizide 10mg is received by a pharmacist for a new patient. The
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Module 4: A male patient presents to the pharmacy for a shingles vaccine appointment. The patient is a new patient to the pharmacy. Which of the following information would be most appropriate to collect as part of the patient care process? - correct answer ☑☑ Patient's age, current health, vaccine history, and allergies Module 5: Which of the following vaccines is not recommended during pregnancy? - correct answer ☑☑ Human papillomavirus vaccine (HPV) Module 5: Based on the adult immunization schedule, at what age is the live attenuated influenza vaccine (LAIV) no longer recommended? - correct answer ☑☑ 50 years Module 5: Which of the following vaccines is contraindicated for an adult patient with HIV and a CD count <200 mm2? - correct answer ☑☑ Measles, mumps, rubella (MMR) Module 5: A 9 year-old was just diagnosed with asplenia. This child is up to date on all routinely recommended
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vaccines. Which additional vaccine does this child need? - correct answer ☑☑ MenACWY Module 5: A 10 year-old child received one dose of the hepatitis A vaccine at 1 year of age, but never returned for a second dose. Which of the following is true regarding the need for a second dose of the hepatitis A vaccine for this child? - correct answer ☑☑ Give 1 dose now as a catch up Module 5: Which of the following is TRUE of the emergency use authorization process? - correct answer ☑☑ Manufacturers must include a plan for safety monitoring Module 5: If an 11 year old child never got the hepatitis B vaccine series, what is the minimum amount of time that must occur between dose 1 and dose 3 when getting this child caught up? - correct answer ☑☑ 16 weeks Module 6: Which of the following are true regarding the influenza virus? - correct answer ☑☑ It is transmitted through respiratory droplets that contain the virus.
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correct answer ☑☑ PPSV23 should not be given to children less than 2 years of age Module 7: For which of the following conditions are both PCV13 and PPSV23 recommended? - correct answer ☑☑ Asplenia Module 7: A healthy 70-year-old female who received PPSV23 at 66-years of age is inquiring about pneumococcal vaccination. Her pneumococcal conjugate vaccine history is unknown. Which of the following should you recommend? - correct answer ☑☑ One dose of either PCV20 or PCV15. Module 7: Using shared clinical decision-making, which of the following recommendation is most appropriate for a 65-year-old living in a skilled nursing facility with multiple co-morbid conditions? This patient has no record of receiving either pneumococcal vaccine and is immune competent. - correct answer ☑☑ Give PCV15 now, then give PPSV23 one year later. Module 7: A 3-year old child recently underwent a splenectomy. Previous to the surgery, the child was up to date on all pediatric vaccinations. According to the CDC,
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which of the following vaccines should be recommended?
- correct answer ☑☑ PPSV Module 8: What type of vaccine is meningococcal quadrivalent vaccine? - correct answer ☑☑ Conjugate Module 8: An adolescent received his first meningococcal conjugate quadrivalent (MenACWY) vaccine at age 13 years, when should he receive his booster dose? - correct answer ☑☑ 16 years Module 8: Which of the following scenarios is an appropriate shared clinical decision-making for meningococcal vaccine? - correct answer ☑☑ Healthy 16 year old who received meningococcal B vaccine Module 8: Which of the following is a potential long term complication from meningococcal disease? - correct answer ☑☑ Amputations Module 8: The Advisory Committee on Immunization Practices (ACIP) recommends routine vaccination with the meningococcal conjugated quadrivalent vaccine (MenACWY) in which of the following age groups? - correct answer ☑☑ 11-12 years of age
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dose. Three minutes after receiving the dose, the patient experiences syncope. What is the recommended response to treat the patient's syncope? - correct answer ☑☑ Lay the patient flat on the ground and elevate her legs. Monitor the patient's vitals and initiate emergency services if the patient does not regain consciousness. Module 10: What is the recommended timing for Tdap during pregnancy? - correct answer ☑☑ 27-36 weeks Module 10: The whooping cough associated with pertussis occurs in this stage of disease: - correct answer ☑☑ Paroxysmal Module 10: Which of the following vaccines is used as a booster every 10 years? - correct answer ☑☑ Td Module 10: Which of the following is the most common type of tetanus? - correct answer ☑☑ Generalized Module 10: DTaP is recommended to be administered using which of the following schedules? - correct answer ☑☑ 2, 4, 6, 12-15 months, 4-6 years
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Module 11: Which of the following is true regarding varicella zoster transmission? - correct answer ☑☑ Period of contagiousness: 1-2 days before rash to 4- days later. Module 11: Which of the following is true regarding the recombinant herpes zoster vaccination? - correct answer ☑☑ It is indicated for prevention of herpes zoster and its complications in patients ≥50 years of age. Module 11: Which of the following correctly describes current ACIP recommendations? - correct answer ☑☑ The varicella zoster vaccine should be given at 12- months and 4-6 years of age. Module 11: Which of the following are true regarding vaccine efficacy and safety for the live varicella vaccine and the recombinant zoster vaccine? - correct answer ☑☑ Both vaccines have over 90% effectiveness in prevention of disease after two doses. Module 11: Which of the following complications are correctly matched to the associated condition? - correct answer ☑☑ Postherpetic neuralgia-herpes zoster
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Module 13: During a public health declared mumps outbreak, a 21-year-old college student with a history of 2 MMR vaccine doses as a child wants to know if she needs a dose of MMR now. Which of the following is the best response? - correct answer ☑☑ Yes, since there is a declared mumps outbreak. Module 13: A young adult presenting with swelling of the parotid glands most likely has which of the following diseases: - correct answer ☑☑ Mumps Module 13: When counseling the parent of a 1-year-old receiving the MMR vaccine, they should be told that their child may get a measles-like rash after how long from vaccination? - correct answer ☑☑ 1 week Module 13: Which of the following individuals are contraindicated from receiving the MMR vaccine? - correct answer ☑☑ 23-year-old in her 3rd trimester Module 13: Which of the following is the primary reason we have measles outbreaks in the U.S.? - correct answer ☑☑ Unvaccinated people with measles coming to the U.S.
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Module 13: A child received the MMR vaccine when he was 9 months of age before moving out of the country with his parents. He is now 4 years old and about to enter Kindergarten. How many, if any, doses of MMR should the child receive now? - correct answer ☑☑ 2 Module 14: Which vaccination is NOT part of a combined antigen vaccine? - correct answer ☑☑ Rotavirus Module 14: Which of the following patients is eligible to receive their first dose of the rotavirus vaccine? - correct answer ☑☑ A 10-week-old presenting to the pediatrician for their 2-month well check. Module 14: Although the primary series for Hib varies between 2-3 doses, all vaccines are recommended to have a booster dose at age: - correct answer ☑☑ 12- months Module 14: A patient presents to the pediatric clinic for their 5-year-old well check before entering kindergarten. They received rotavirus at 2 and 4 months and Pentacel (DTaP/IPV/Hib) at 2 and 4 and 6 and 15 months. What vaccine should they need to receive today? - correct answer ☑☑ IPV
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immunocompromised patients are only for mRNA vaccines. Module 15: Which COVID-19 vaccination has 2 doses administered 28 days apart? - correct answer ☑☑ Moderna Module 15: Documentation requirements for COVID- vaccinations include: - correct answer ☑☑ Report administration data to your jurisdiction's system (e.g., IIS) within 72 hours after administration. Module 16: Vaccine hesitancy is defined as: - correct answer ☑☑ The delay in acceptance or refusal of a vaccination despite the availability of vaccination services. Module 16: If patients believe that influenza vaccines can cause influenza because they were ill after receiving the vaccine last year, pharmacists should educate them that:
- correct answer ☑☑ Some people experience systemic reactions to influenza vaccine that include mild flu-like symptoms
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Module 16: Post-vaccination counseling for patients should include: - correct answer ☑☑ Information about adverse reactions that require contact with the health care system Module 16: A simple way to communicate information about risks and benefits of vaccines to all patients is to: - correct answer ☑☑ Give them Vaccine Information Statements Module 16: The first step in AHRQ's "SHARE" approach to vaccines is to: - correct answer ☑☑ Seek your patient's participation in a discussion. Module 17: Why is it important to preserve the cold chain for vaccines? - correct answer ☑☑ Exposure to heat, cold, or light outside recommended ranges can reduce vaccine potency. Module 17: The cold chain for vaccines: - correct answer ☑☑ Must be maintained from manufacture until the vaccine is administered to the patient.
