APhA Immunization Exam Questions and Answers Latest 2022
What is the minimum needle length recommended for administering HepB vaccine to an adult patient
weighing 130 lb? -Ans>>Fixed 1-inch needles are acceptable for patients weighing 60 kg (132 lb) or
less.
HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should not be administered to a patient
with a history of anaphylaxis to: -Ans>>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? -Ans>>1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Td booster every 10 years after 3rd dose
Candidate for PPSV23? -Ans>>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. -Ans>>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? -Ans>>9vHPV
Which of the following key questions is important to ask a patient before administering IIV? -
Ans>>Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be resolved before getting vaccine.
Live attenuated vaccines.. -Ans>>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... -Ans>>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? -Ans>>A
pure polysaccharide
*not recommended for children <2 because of their immature immune system
, Conjugated vaccines.. -Ans>>provide longer lasting protection
the immune response that changes to a T cell mediated response allows children <2 to form an
immune response
T/F
Both live attenuated vaccines and recombinant vaccines mimic natural infection and involve T cells in
the immune response. -Ans>>True
The incubation period for influenza can range from: -Ans>>1-4 days
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? -Ans>>6 weeks
The monitoring system that health care providers should use to report serious adverse events after
vaccination is: -Ans>>VAERS
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? -
Ans>>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
Why should refrigerated vaccines be stored in the middle of the refrigerator? -Ans>>because the
temperature in the middle does not fluctuate as much.
A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the
following vaccines? -Ans>>Hep A, IPV, MMR, Rabies, smallpox, varicella, zoster, influenza
When looking at the schedule for vaccines that might be indicated for children and adolescents aged
18 years or younger based on medical indications, what does the orange bar represent? -
Ans>>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
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 B-positive 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: -Ans>>Immediate protection
*its passive immunity so its short-lived, but provides protection right away
What is the minimum needle length recommended for administering HepB vaccine to an adult patient
weighing 130 lb? -Ans>>Fixed 1-inch needles are acceptable for patients weighing 60 kg (132 lb) or
less.
HZV, MMR, rabies, typhoid, varicella, or yellow fever vaccine should not be administered to a patient
with a history of anaphylaxis to: -Ans>>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? -Ans>>1) Tdap
2) Td 4 weeks later
3) Td 6-12 months later
Td booster every 10 years after 3rd dose
Candidate for PPSV23? -Ans>>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. -Ans>>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? -Ans>>9vHPV
Which of the following key questions is important to ask a patient before administering IIV? -
Ans>>Are you sick today?
*Mild illness is okay, but moderate to severe acute illness need to be resolved before getting vaccine.
Live attenuated vaccines.. -Ans>>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... -Ans>>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? -Ans>>A
pure polysaccharide
*not recommended for children <2 because of their immature immune system
, Conjugated vaccines.. -Ans>>provide longer lasting protection
the immune response that changes to a T cell mediated response allows children <2 to form an
immune response
T/F
Both live attenuated vaccines and recombinant vaccines mimic natural infection and involve T cells in
the immune response. -Ans>>True
The incubation period for influenza can range from: -Ans>>1-4 days
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? -Ans>>6 weeks
The monitoring system that health care providers should use to report serious adverse events after
vaccination is: -Ans>>VAERS
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? -
Ans>>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
Why should refrigerated vaccines be stored in the middle of the refrigerator? -Ans>>because the
temperature in the middle does not fluctuate as much.
A history of anaphylaxis caused by neomycin would be a contraindication to receiving which of the
following vaccines? -Ans>>Hep A, IPV, MMR, Rabies, smallpox, varicella, zoster, influenza
When looking at the schedule for vaccines that might be indicated for children and adolescents aged
18 years or younger based on medical indications, what does the orange bar represent? -
Ans>>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
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 B-positive 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: -Ans>>Immediate protection
*its passive immunity so its short-lived, but provides protection right away
