Bumedinst 6230.15B

Front 1

What is the instruction for Immunizations and Chemoprophylaxis for the Prevention of Infectious Diseases

Back 1

BUMEDINST 6230.15B

Front 2

Vaccines and drugs will not be used beyond their expiration date unless...

Back 2

Approved by the appropriate Surgeon General

Front 3

Vaccinations should not be administered __ or more days earlier than the prescribed interval

Back 3

5

Front 4

If different anatomical sites are not possible, then separate the injections by at least ___

Back 4

1 inch

Front 5

True or False

Two or more inactive vaccines can be administered simultaneously.

Back 5

True

Front 6

True or False

Live and inactive vaccines can be administered simultaneously.

Back 6

True

Front 7

Two or more live vaccines can be administered simultaneously or separated by at least how many days?

Back 7

28

Front 8

True or False

You can administer live virus vaccines and TB tests on the same day

Back 8

True

Front 9

If TB test is not administered the same day, how long must you wait after the administering a live vaccine?

Back 9

4 to 6 weeks

Front 10

If TB test is done before administering a live vaccine, when do you administer the live vaccine?

Back 10

after the TB test has been read

Front 11

A vaccine drawn from a multi-dose vial can be used until when?

Back 11

the expiration date

Front 12

What temperature do you transport diluents?

Back 12

room temperature

Front 13

What temperature do you store vaccines?

Back 13

35-46 degree F

Front 14

What temperature do you freeze vaccines?

Back 14

5 degree F or lower

Front 15

How often do you check refer and freezer temps?

Back 15

twice daily

Front 16

How long do you keep temperature logs?

Back 16

3 years

Front 17

How often do you check vaccine alarm systems?

Back 17

monthly

Front 18

How long do you maintain alarm system logs?

Back 18

3 years

Front 19

How thick should Styrofoam coolers be?

Back 19

at least 2 inches

Front 20

Pregnancy test are recommended if the most recent menstrual period was more than how many days ago?

Back 20

28

Front 21

Medical exemptions may be temporary for up to how many days?

Back 21

365

Front 22

Deployment immunizations may be exempt within how many days before separation or retirement?

Back 22

180

Front 23

What is VAERS?

Back 23

Vaccine Adverse Events Reporting System

Front 24

Religious waivers are granted by a ________ by who?

Back 24

case-by-case basis by the Chief, Bureau of Medicine, and Surgery

Front 25

What are the forms used to document vaccinations?

Back 25

1) CDC Form 731

2) SF 601

3) DD Form 2766C

Front 26

Entries based on prior official records will include what statement?

Back 26

"transcribed from official records"

Front 27

A person should be observed for how many minutes after being immunized?

Back 27

15-20

Front 28

How many persons must be present who is trained to respond to adverse reactions?

Back 28

1

Front 29

Submit copies of VAERS or MedWatch report within how many days of event?

Back 29

7

Front 30

Who do you submit the VAERS or MedWatch report to?

Back 30

The VAERS or MedWatch Office

Front 31

MTF facilities and commands storing service treatment records will review immunizations and chemoprophylaxis practices how often?

Back 31

annually

Front 32

Serologic testing for antibodies should be performed for which viruses?

Back 32

1) Measles

2) Rubella

3) Hep A

4) Hep B

5) Varicella

Front 33

What does the first cluster of immunizations consist of?

Back 33

1) Adenovirus

2) Influenza

3) Meningococcal

4) MMR

5)T-Dap

6) Varicella

Front 34

What does the second cluster of immunizations consist of?

Back 34

1) Hep A

2) Hep B

3) Influenza (if not administered in first cluster)

4) Poliovirus

Front 35

Aviation personnel are grounded for how many hours after immunizations?

Back 35

12 hours

Front 36

An Adenovirus infection is caused by what?

Back 36

Adenovirus serotypes 4 and 7

Front 37

What is an Adenovirus infection?

Back 37

an acute febrile respiratory disease

Front 38

What is the spore forming bacterium for Anthrax?

Back 38

Bacillus anthracis

Front 39

What bacterium causes Hib?

Back 39

Haemophilus influenzae serotype b

Front 40

How is Hib transmitted?

Back 40

respiratory droplets

Front 41

What are the common types of Hib?

Back 41

1) meningitis

2) epiglottitis

3) pneumonia

4) arthritis

5) cellulitis

Front 42

What conditions do you administer Hib to personnel?

Back 42

1) immunocompromised members

2) Sickle Cell

3) no spleen or lack a functioning spleen

Front 43

What is Hepatitis A?

Back 43

an acute infection of the liver from food or water

Front 44

What is Hepatitis B?

Back 44

an acute or potentially chronic infection of the liver from percutaneous, sexual, and other mucosal exposure to blood or bodily fluids

Front 45

What is influenza?

Back 45

an acute febrile respiratory viral infection

Front 46

How often do you receive influenza vaccines?

Back 46

annually

Front 47

What is Japanese encephalitis (JEV)?

Back 47

a mosquito-borne viral disease

Front 48

Administer JEV when traveling in what areas?

Back 48

endemic areas in Eastern Asia and certain western Pacific Islands

Front 49

JEV can cause acute infections to what parts of the body?

Back 49

1) Brain

2) Spinal Cord

3) Meninges

Front 50

What are the three viral infections of MMR?

Back 50

Measles, Mumps, and Rubella

Front 51

How is MMR spread?

Back 51

1) Respiratory route

2) Person-to-person contact

Front 52

Congenital rubella syndrome and birth defects can occur during what part of pregnancy?

Back 52

first trimester

Front 53

What bacteria causes meningococcal or meningitis?

Back 53

Neisseria meningitidis

Front 54

Administer meningococcal vaccine to personnel who are designated to deploy within how many days of notification?

Back 54

10

Front 55

What is rabies?

Back 55

a life threatening viral disease caused by exposure to saliva of animals or humans infected with rabies

Front 56

Personnel who have occupational risks for rabies receive boosters how often?

Back 56

every 2 years

Front 57

What is tetanus?

Back 57

an acute disease of the nervous system caused by the serotoxin produced by Clostridium tetani

Front 58

Diphtheria is an acute disease caused by a cytotoxin of what bacteria?

Back 58

Corynebacterium diphtheriae

Front 59

Pertussis is a highly communicable acute respiratory illness caused by what bacteria?

Back 59

Bordetella pertussis

Front 60

How often to you give Tdap?

Back 60

every 10 years

Front 61

What causes typhoid fever?

Back 61

consuming food or water contaminated with Salmonella typhi

Front 62

What is yellow fever?

Back 62

a viral infection that may result in severe systemic disease or organ failure

Front 63

how is yellow fever transmitted?

Back 63

by an infected mosquito

Front 64

What areas have the greatest risk for yellow fever?

Back 64

sub-Saharan Africa and tropical South America

Front 65

What is the chemoprophylaxis for anthrax?

Back 65

ciprofloxacin and doxycycline

Front 66

What is the chemoprophylaxis for Group A streptococcus

Back 66

1) Penicillin G benzathine

2) Oral penicillin VK

3) azithromycin

Front 67

What is the chemoprophylaxis for Leptospirosis?

Back 67

Doxycycline

Front 68

What is the chemoprophylaxis for Malaria?

Back 68

anti-malaria medication determined by combatant command surgeon

Front 69

What is the chemoprophylaxis for Scrub typhus?

Back 69

Doxycycline

Front 70

What is the chemoprophylaxis for Smallpox?

Back 70

1) VIG (Vaccinia Immune Globulin)

2) vaccinia-specific antivirals

Front 71

What is the chemoprophylaxis for traveler's diarrhea?

Back 71

prophylactic antibiotics