APHA IMMUNIZATION SELF STUDY
ASSESSMENT CERTIFICATION EVALUATION
TEST 2026 COMPREHENSIVE 80
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should
not be administered to a patient with a history of anaphylaxis to:
Answer: 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? Answer: 1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Td booster every 10 years after 3rd dose
⩥ Candidate for PPSV23? Answer: All adults 65+ years
Immunocompromised (alcoholism, chronic liver; heart; lung disease,
diabetics, cochlear implants, CSF leak) patients ages 19-64
,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. Answer:
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? Answer: 9vHPV
⩥ Which of the following key questions is important to ask a patient
before administering IIV? Answer: Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be
resolved before getting vaccine.
⩥ Live attenuated vaccines.. Answer: 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... Answer: 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? Answer: A pure polysaccharide
*not recommended for children <2 because of their immature immune
system
⩥ Conjugated vaccines.. Answer: provide longer lasting protection
the immune response that changes to a T cell mediated response allows
children <2 to form an immune response
ASSESSMENT CERTIFICATION EVALUATION
TEST 2026 COMPREHENSIVE 80
QUESTIONS AND CORRECT ANSWERS
GRADED A+
⩥ HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should
not be administered to a patient with a history of anaphylaxis to:
Answer: 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? Answer: 1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Td booster every 10 years after 3rd dose
⩥ Candidate for PPSV23? Answer: All adults 65+ years
Immunocompromised (alcoholism, chronic liver; heart; lung disease,
diabetics, cochlear implants, CSF leak) patients ages 19-64
,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. Answer:
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? Answer: 9vHPV
⩥ Which of the following key questions is important to ask a patient
before administering IIV? Answer: Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be
resolved before getting vaccine.
⩥ Live attenuated vaccines.. Answer: 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... Answer: 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? Answer: A pure polysaccharide
*not recommended for children <2 because of their immature immune
system
⩥ Conjugated vaccines.. Answer: provide longer lasting protection
the immune response that changes to a T cell mediated response allows
children <2 to form an immune response
