BUMEDINST 6230.15

Question 1

What is the instruction number for

Immunizations and Chemoprohylaxis

Answer 1

BUMEDINST 6230.15

Question 2

A “Proponent” is someone with the authority to approve exceptions and waviers to a regulation or instruction. Who is the proponent for BUMEDINST 6230.15A, Immunizations and Chemoprophylaxis?

Answer 2

The Surgeon General

Question 3

What Chapter of BUMEDINST 6230.15A covers Chemoprophylaxis?

Answer 3

Chapter 5

Question 4

True or False: It is required that a trained physician be present during the administration of vaccines.

Answer 4

False

Question 5

Individuals administering immunizations need to be properly trained in accordance with what four guideline authorities?

Answer 5

Department of Defense (DOD), Service, United States Coast Guard (USCG), and Centers for Disease Control Prevention (CDC)

Question 6

Immunizing agents will not be used beyond the manufacturer’s potency expiration date, unless WHO authorizes extension in exceptional circumstances?

Answer 6

The appropriate Surgeon General or CG–11, USCG

Question 7

Explain why immunizations given at intervals shorter than the recommended interval should not be counted as part of a primary series.

Answer 7

Because it may not provide adequate immune response

Question 8

Not more than 5 vaccine injections will be given on the same day. For what reason is this true?

Answer 8

To minimize injections site discomfort

Question 9

Generally speaking, at what interval are inactivated vaccines administered

Answer 9

One week apart

Question 10

Generally speaking, at what interval are live-virus immunizations administered

Answer 10

4 or more weeks apart

Question 11

when prioritizing immunizations for military training centers what is typically the most imminent threat?

Answer 11

Contagious Diseases

Question 12

prioritizing immunizations, which microbes would you consider most likely to be encountered. (Name the 3 microbes)

Answer 12

Typhoid, Hepatitis A, Influenza

Question 13

When prioritizing immunizations, which microbes would you say had the greatest severity if encountered. (Name the 6 microbes)

Answer 13

Anthrax, Smallpox, Meningococcal, Yellow Fever, Japanese Encephalitis, & Rabies

Question 14

When prioritizing immunizations, which microbes would you consider to be a long standing risk if encountered. (Name the 5 microbes)

Answer 14

Hepatitis B, Tetanus–Diphtheria–Pertussis, Poliovirus, Varicella, Measles-Mumps–Rubella (MMR)

Question 15

For some vaccine–preventable diseases, which test can be used to show that a person is already immune from a previous infection or immunization, which may eliminate administering unnecessary immunizations.

Answer 15

Serologic Tests

Question 16

Immunizing and chemoprophylaxis agents are stored, shipped, and handled in accordance with the______.

Answer 16

Pharmaceutical Manufacturers’ Instructions

Question 17

pregnant women smallpox vaccines require a specific pre–immunization screening that assesses the date of the last menstrual period. Women are recommended to take a pregnancy test if their last menstrual period is beyond how many days?

Answer 17

28 days

Question 18

What immunization is required for all Marine Corps personnel and for all Navy personnel assigned to Marine operating forces?

Answer 18

Yellow Fever Immunization

Question 19

Health Record- Immunization Record

Answer 19

SF 601

Question 20

What is the name of the SF 601

Answer 20

Health Record- Immunization Record

Question 21

Which health record do you record hypersensitivity to vaccines, or vaccine components?

Answer 21

SF 600 (Health Record-Chronological Record of Medical Care)

Question 22

Anthrax is administered in what intervals

Answer 22

0,2 week,4 week, 6 month, 12 months, 18 months.

Question 23

Rabies

Answer 23

5 doses, 0,3,7,14,28 days

Question 24

Tetanus shots are given

Answer 24

Every 10 years

Question 25

For Navy, administer to all personnel assigned to Marine Operating Forces and those assigned to Navy units subject to deployment within 10 days of notification into land areas where yellow fever is endemic.

Answer 25

Other personnel. Administer yellow fever vaccine to personnel traveling to or transiting through yellow–fever–en- demic areas.

Question 25

Adults and adolescents require 2 doses of varicella vaccine given 4 to 8 weeks apart.

Answer 25

Basic trainees and other accessions. Administer varicella vaccine to susceptible trainees and other accessions within the first 2 weeks of training

Question 25

d. Other susceptible adults. Offer varicella vaccine to other susceptible persons, especially nonpregnant women of childbearing age and men living in households with young children.

Answer 25

Military indication. To prevent typhoid fever, a systemic bacterial disease acquired by consuming food or water contaminated with Salmonella typhi, during deployment or travel to typhoid–endemic areas and other areas with poor sanitation.

Question 26

Chapter 2 is Program Elements and Clinical Considerations

Answer 26

Chapter 3 is Personnel Subject to Immunization

Question 27

Chapter 4 is Specific Immunization Requirements for Department of Defense and Coast Guard Personnel

Answer 27

Chapter 6 is Biological Warfare Defense

Question 28

8-3. Refusal options
The FDA may decide that potential recipients of a drug under an EUA should have the option to refuse it. The President may waive this option for military personnel.

Answer 28

The combatant commanders, annually and as required, provide the Chairman of the Joint Chiefs of Staff with
their assessment of the biological warfare threats to their theater.

Question 29

5–10. Traveler’s diarrhea
a. Military indication. Diarrhea can have a significant impact on military operations when deploying to various locations around the world. Strict food and water discipline is the preferred means of prevention. However, for people going to high–risk areas where food and water discipline is unreasonable or impossible, consider chemoprophylaxis.
b. Chemoprophylaxis. Consider ciprofloxacin or other quinolones. An alternative to chemoprophylaxis is to pre- scribe medication for very early treatment, withholding administration of the first dose until the onset of diarrhea.

Answer 29

5–2. Anthrax
a. Military indication. Antibiotics have been shown to increase survival when used after exposure to anthrax and before onset of symptoms (that is, postexposure prophylaxis or empiric treatment). The combatant commander will direct such use.
b. Chemoprophylaxis. Consider doxycycline or ciprofloxacin. For children, consider amoxicillin suspension. Adapt according to current authoritative recommendations.

Question 30

5–7. Meningococcal disease
a. Military indication. Meningococcal disease can result in morbidity and potential mortality in populations with crowded conditions. Chemoprophylaxis has been shown to prevent disease when administered postexposure to suscep- tible people.
b. Chemoprophylaxis. For intimate or household contacts of meningococcal disease cases, consider rifampin, ceftriaxone, ciprofloxacin, or sulfadiazine.

Answer 30

Done