Final

Question 0

LAIV is recommended for?

Answer 0

LAIV is approved only for healthy nonpregnant people age 2–49yrs.

Question 1

For whom is the vaccine “TIV” recommended?

Answer 1

recommended for all adults. (This includes healthy adults ages 19–49yrs without risk factors.)

Question 2

Adults age 18 through 64yrs may be given any intramuscular TIV product or, alternatively…….

Answer 2

the intradermal TIV product (Fluzone

Intradermal).

Question 3

Adults ages 65 yrs and older may be given standard-dose TIV or, alternatively,

Answer 3

the high-dose TIV (Fluzone High-Dose).

Question 4

what is the flu vaccine schedule?

Answer 4

Give 1 dose every year in the fall or winter.

Question 5

If 2 or more live virus vaccines are to be given, they should be given on the same day, if not give them at least ____ apart

Answer 5

28 days

Question 6

patients with allergies to ______ blank should not receive flu vaccines.

Answer 6

Egg protein

Question 7

History of Guillain-Barré syndrome (GBS) within 6wks following a previous vaccination is a precaution for what vaccines?

Answer 7

Influenza
Td
Tdap

Question 8

PPSV is to be administered in what fashion?

Answer 8

IM or SC

Question 9

who should receive PPSV? (6 things)

Answer 9

• people 65+
• people younger than 65 who have a chronic illness
• American Indian/Alaska Natives age50 through 64yrs if recommended by local public health authorities)
• Asplenic individuals
• immunocompromised individuals or people who are on immunocompromising drugs,
• organ or bone marrow transplant

Question 10

PPSV vaccine schedule

Answer 10

Give a 1-time revaccination to people
- Age 65yrs and older if 1st dose was givenprior to age 65yrs and 5yrs have elapsed since dose #1.
- Age 19 through 64yrs who are at high-
est risk of fatal pneumococcal infection
or rapid antibody loss and 5yrs have elapsed since dose #1.

Question 11

MMR is (live/inactivated) and is given ___

Answer 11

live, SC

Question 12

MMR should be given to…

Answer 12

• people born after 1957 (should get at least 1 dose)
• people in high risk groups (healthcare, travelers, college students) (should get 2 Doses)
• people born before 1957 who are healthcare workers and arent immune (history of 2 doses)
• women of childbearing age who not immune to rubella

Question 13

if 2 doses of MMR are recommended, the second dose should be given no sooner than _____ weeks after the first

Answer 13

4

Question 14

if a pregnant woman is susceptible to rubella, she should be given ____ dose ______

Answer 14

1, postpartum

Question 15

MMR can be given within _____ of measles exposure as prophylaxis

Answer 15

72 hours

Question 16

MMR is contraindicated in HIV patients, even if they aren’t immunocompromised. T/F?

Answer 16

False, if they aren’t severely immunocompromised, they can receive MMR (200 cells/μL)

Question 17

Varicella should be given to

Answer 17

All adults without history of immunity

Question 18

people who have received 2 doses of varicella or were born before ____ are considered to be immune

Answer 18

1980

Question 19

what two categories of people born before 1980 should receive varicella?

Answer 19

healthcare workers and pregnant women who are not immune

Question 20

Varicella Schedule

Answer 20

2 doses the second dose should be given 4-8 weeks after the first

Question 21

Varicella can be given for prophylaxis up to ____ days after exposure

Answer 21

5

Question 22

Zoster should be given to people…

Answer 22

60+

Question 23

zoster schedule

Answer 23

1 dose

Question 24

varicella and zoster are both administered by which route?

Answer 24

SC

Question 25

who should receive HepA vaccine?

Answer 25

People who anticipate close personal contact with an international adoptee from a country of high or intermediate endemicity during the first 60 days following the adoptee’s arrival in the U.S. Adults age 40yrs or younger with recent (within 2 wks) exposure to HAV. For people older than age 40yrs with recent (within 2 wks) exposure to HAV, im- mune globulin is preferred over HepA vaccine.

Question 26

HepA Schedule

Answer 26

2 doses spaced 6-12 months apart

Question 27

twinrix is a combo HepA/HepB vaccine and must be given on a _____ schedule

Answer 27

0,1,6 month schedule or a 0, 7d, 21-30d, and A booster at 12 months

Question 28

if you're banging someone with HBV, should you get vaccinated?

Answer 28

duh

Question 29

HBV schedule

Answer 29

3 doses 0, 1, and 6 months 0, 2, 4m (alternative) 0,1,4m (alternative)

Question 30

engerix (hbv vaccine) may be given on an alternative schedule that is?

Answer 30

0, 1, 2, 12m

Question 31

the polio vaccine is typically not given to..

Answer 31

Not routinely recommended for U.S. residents age 18yrs and older.

Question 32

Previously vaccinated adults can | receive __ booster dose(s) if traveling to polio endemic areas or to areas where therisk of exposure is high.

Answer 32

1

Question 33

HPV is indicated for...

Answer 33

All previously unvaccinated women through age 26yrs and men through age 21yrs. • All previously unvaccinated men through age 26yrs who 1) have sex with men or 2) are immunocompromised as a result of infection (including HIV), disease, or medications.

Question 34

HPV Schedule

Answer 34

3 doses on a 0, 2, 6 month schedule

Question 35

MCV4/MPSV4 should be given to....

Answer 35

Asplenic individuals first year college students through age 21

Question 36

true or false? MCV4 is preferred for people 56 years and older?

Answer 36

False MPSV4 should be given to those over the age of 55

Question 37

MCV4 schedule

Answer 37

2 doses seperated by 2 months in asplenic or hiv patients 1 booster every 5 years to those with continuing risks give 1 dose to healthy adults with risk factors give 1 dose to college students if their last dose was given prior to age 16

Question 38

MPSV4 schedule

Answer 38

1 dose to pts age 56 and older with risk factors

Question 39

MPSV4 is administered

Answer 39

SC

Question 40

Td/ Tdap should be given to

Answer 40

• All people who lack written documentation of a primary series consisting of at least 3 doses of tetanus- and diphtheria-toxoid-containing vaccine.

Question 41

which vaccine (Td or Tdap) is preferred during pregnancy?

Answer 41

Tdap

Question 42

adults of any age should receive Tdap if they are going to be in contact with _____

Answer 42

infants

Question 43

Td schedule

Answer 43

(spaced at 0, 1–2m, 6–12m intervals); substitute a one-time dose of Tdap for one of the doses in the series, preferably the first. give a booster of Td every 10 years after the primary series

Question 44

Tdap contraindication/ precaution

Answer 44

history of encephalopathy within 7 days DTP or Tdap uncontrolled neurologic disorders

Question 45

Td/Tdap precaution

Answer 45

history of arthus reaction after a prior dose of tetanus diphtheria toxoid drug (wait until its been 10 years since last dose)