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 tetanus-
containing 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
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 tetanus-
containing 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
