APhA Immunization Exam UPDATED
ACTUAL Questions and CORRECT
Answers
What is the minimum needle length recommended for administering HepB vaccine to an adult patient
weighing 130 lb? - CORRECT ANSWER - 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: - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT 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? - CORRECT ANSWER - 9vHPV
,Which of the following key questions is important to ask a patient before administering IIV? - CORRECT
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.. - CORRECT 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... - CORRECT 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? -
CORRECT ANSWER - A pure polysaccharide
*not recommended for children <2 because of their immature immune system
Conjugated vaccines.. - CORRECT ANSWER - 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. - CORRECT ANSWER - True
The incubation period for influenza can range from: - CORRECT ANSWER - 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? - CORRECT ANSWER - 6
weeks
The monitoring system that health care providers should use to report serious adverse events after
vaccination is: - CORRECT ANSWER - VAERS
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? -
CORRECT ANSWER - 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? - CORRECT
ANSWER - 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? - CORRECT ANSWER - Hep A, IPV, MMR, Rabies, smallpox, varicella,
zoster, influenza
ACTUAL Questions and CORRECT
Answers
What is the minimum needle length recommended for administering HepB vaccine to an adult patient
weighing 130 lb? - CORRECT ANSWER - 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: - CORRECT 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? - CORRECT 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? - CORRECT 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. - CORRECT 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? - CORRECT ANSWER - 9vHPV
,Which of the following key questions is important to ask a patient before administering IIV? - CORRECT
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.. - CORRECT 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... - CORRECT 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? -
CORRECT ANSWER - A pure polysaccharide
*not recommended for children <2 because of their immature immune system
Conjugated vaccines.. - CORRECT ANSWER - 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. - CORRECT ANSWER - True
The incubation period for influenza can range from: - CORRECT ANSWER - 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? - CORRECT ANSWER - 6
weeks
The monitoring system that health care providers should use to report serious adverse events after
vaccination is: - CORRECT ANSWER - VAERS
Which of the following patients are appropriate candidates for the 2-dose schedule of HPV9? -
CORRECT ANSWER - 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? - CORRECT
ANSWER - 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? - CORRECT ANSWER - Hep A, IPV, MMR, Rabies, smallpox, varicella,
zoster, influenza
