Solutions
How is varicella most commonly transmitted?
A droplet
B contact with inanimate reservoirs
C contact transmission
D water-borne transmission
A
All are complications of shingles except
A condyloma acuminatum
B postherpetic neruralgia
C permanent vision loss
D encephalitis
A
Should the following individuals receive the Shingrix vaccine
A 57 yo who never had chickenpox
B a 33 yo woman trying to conceive
C 62 yo with HIV
66 yo who had Zostavax 1 year ago
A yes
B no
,C yes
D yes
which is false
A Zostavax has a live virus but Shingrix does not
B both vaccines are given as a single dose
C Shingrix has greater immunity
D Zostavax has more complications
B
a healthy 18 yo has no previous vaccinations. What should he
get?
A 3 doses of DTap 2 months apart
B tetanus IG now and then 2 doses of Td vaccine 1 month apart
C Tdap now and then Td in 1 and 6 months
D Td now
C
57 yo with HTN and HLd presents. He says it's been at least 10
years since his last tetanus shot. He should get
A Td
B tetanus Ig
C Tdap
D none bc of medical hx
C
,Problems after tetanus, diphtheria, and pertussis immunizations
typically include
A local site rx
B myalgia and malaise
C low-grade fever
D diffuse rash
A
infection with Corynebacterium diphtheria usually causes
A diffuse rash
B meningitis
C pseudomembranous pharyngitis
D Gi illness
C
pt in her second trimester of pregnancy shows she last received
Tdap 2 years ago during her last pregnancy. Np recommends
A Tdap vaccination during 3rd trimester
B Tdap vaccination after delivery
C Td booster now
D Td booster in 8 years
A
what post-exposure prophylaxis is recommended for 3 yo who is
UTD with vax but exposed to pertussis
, A beta lactam
B macrolide
C systemic antifungal
D additional dose of DTaP
B
effective her immunity against pertussis requires what
percentage of the population to be UTD with pertussis
immunization?
A 30
B 50
C 75
D over 90
D
Should the following get a Tdap vaccine
A partner of a woman in first trimester who had Tdap 4 years
ago
B 67yo who had Td 5 years ago and will be the caregiver of
newborn granddaughter
C 34 yo who had a tetanus shot shortly after college 12 years
ago but doesn't know details
A no
B yes
C yes