APhA Immunization Certification exam questions and answers

APhA Immunization Certification exam 1. What is the minimum needle length recommended for administering HepB vaccine to an adult patient weighing 130 lb?: Fixed 1-inch needles are accept- able for patients weighing 60 kg (132 lb) or less. 2. HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should not be administered to a patient with a history of anaphylaxis to:: Gelatin 3. Alan is a 47-year-old man who has no documentation of a primary series of tetanuscontaining vaccine. Which of the following would be an appropriate primary series for Alan?: 1) Tdap 2) Td 4 weeks later 3) Td 6-12 months later Td booster every 10 years after 3rd dose 4. Candidate for PPSV23?: 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 5. Name the vaccine-preventable disease that may be contracted by unimmu- nized children from adults serving as reservoirs for the disease, which caus- es a paroxysmal cough and potentially can result in pneumonia, seizures, encephalopathy, hypoxia, and death.: Pertussis 6. 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?- : 9vHPV 7. Which of the following key questions is important to ask a patient before administering IIV?: Are you sick today? *Mild illness is okay, but moderate to severe acute illness need to be resolved before getting vaccine. 8. Live attenuated vaccines..: 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. 9. Inactivated vaccines...: are produced by killing the virus/bacteria includes polysaccharide vaccines (conjugated [protein altered] or unconjugated), toxoids, or cellular vaccines 10. Which type of vaccine involves stimulation of B cells without the assis- tance of T helper cells?: A pure polysaccharide *not recommended for children 2 because of their immature immune system 11. Conjugated vaccines..: provide longer lasting protection the immune response that changes to a T cell mediated response allows children 2 to form an immune response 12. T/F Both live attenuated vaccines and recombinant vaccines mimic natural in- fection and involve T cells in the immune response.: True 13. The incubation period for influenza can range from:: 1-4 days 14. 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?: 6 weeks 15. The monitoring system that health care providers should use to report serious adverse events after vaccination is:: VAERS 16. Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9?: 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 17. Why should refrigerated vaccines be stored in the middle of the refriger- ator?: because the temperature in the middle does not fluctuate as much. 18. A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the following vaccines?: Hep A, IPV, MMR, Rabies, smallpox, varicella, zoster, influenza 19. When looking at the schedule for vaccines that might be indicated for children and adolescents aged 18 years or younger based on medical in- dications, what does the orange bar represent?: Orange-indicates theres a precaution for the vaccine * Yellow-vaccine recommended according to routine schedule Purple-recommended for people with an additional risk factor for which the vaccine would be indicated Yellow/black- vaccine recommended, additional doses may be necessary based on medical condition White-no recommendation Red-vaccine is contraindicated 20. A health care provider who has not been vaccinated against hepatitis B is stuck by a contaminated needle after administering an immunization to a hepatitis Bpositive patient. In addition to hepatitis B vaccine, the health care provider also should receive hepatitis B Immunoglobulin (HBIG) as postexposure prophylaxis because the HBIG provides:: Immediate protection *its passive immunity so its short-lived, but provides protection right away 21. Contraindication of HZV: HZV is a live vaccine so its contraindicated in immunocompromised patients, pregnant women, and those who have experienced a severe allergic reaction to the vaccine components (neomycin, gelatin) 22. Viruses associated with the development of cancer:: HPV and Hep B 23. There should be a flat hard surface in the area where vaccines will be administered to ensure:: there is space to perform CPR 24. If pharmacists are called upon to assist with vaccination efforts following a natural disaster, which vaccine is likely to be needed by many of the victims?: Td or Tdap 25. According to ACIP recommendations, which of the following needle lengths would be appropriate for administering HZV to an adult patient?: 5/8 in needle at 45 degrees in the outer upper arm (SC) 26. How often are the Healthy People targets for vaccination rates updated?- : every 10 years 27. Which of the following patients is a candidate for both MenACWY and