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27 Cards in this Set
- Front
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Occasionally a patient receives a vaccine that is not administered in the proper location. Which of the following statements concerning intramuscular injection in an adult is incorrect? Answer AInject into the central and thickest portion of the deltoid muscle. BThe injection site is above the level of the armpit and below the acromium. CSeparate two injections in the deltoid by a minimum of one inch. DTd, Tdap, Hepatitis A, Hepatitis B, HPV, trivalent inactivated influenza, and meningococcal MCV4 are given by IM injection. Polio, IPV, and Pneumovax can be given SC or IM. EAlways inject into the same arm to ensure consistent absorption. |
EAlways inject into the same arm to ensure consistent absorption. |
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Vanessa is pregnant with her second child. She is in the second trimester. Vanessa is not sure what childhood vaccines she received and is positive she has not been vaccinated for anything in at least fifteen years, since that is when she left her parents home and lost her medical insurance. Which vaccine is recommended for Vanessa during her pregnancy? (SelectALL that apply.) Answer AInfluenza shot, at any time of the year BTdap CMeasles, mumps and rubella DShingles EInfluenza shot, if during flu vaccination season
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BTdap
EInfluenza shot, if during flu vaccination season |
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Which vaccines contain hepatitis B vaccine only? (Select ALL that apply.) Answer AEngerix-B BTwinrix CComvax DPediarix ERecombivax-HB |
AEngerix-B
ERecombivax-HB |
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Evangelos is a 50 year-old male who approaches the counter to ask for the best option to treat a cut he received on his foot while working in his garden. Evangelos does not believe he received many childhood vaccines. Which vaccine is preferable? Answer ADTaP BDT CTd DTdap EMenveo |
DTdap |
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Choose the correct statements concerning the Gardasil or Cervarix vaccinations: (Select ALL that apply.) Answer AHPV vaccination is recommended for preteen girls and boys at age 11 or 12 years. BBoth vaccines can be used for females; Gardasil is used for males. CBoth vaccines are approved for males. DA series of 3 intramuscular injections are required. EThey should only be given in children who are sexually active. |
AHPV vaccination is recommended for preteen girls and boys at age 11 or 12 years. BBoth vaccines can be used for females; Gardasil is used for males.
DA series of 3 intramuscular injections are required. |
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Laura, a 29 year-old female, is getting her first job as a hospital pharmacist since completing school. She is excited about the opportunity, but is not excited about getting shots. Laura states that she has a "low pain threshold." She completed her hepatitis vaccine series (3-doses, with evidence of immunity) during pharmacy school. Laura's mother reports that Laura was the only child in the family who did not contract chickenpox. What other vaccines should Laura receive now? (SelectALL that apply.) Answer AThe influenza vaccine, seasonally. BTdap vaccine, if no record of previous vaccination, and Td every 10 years thereafter. CVarivax DCervarix EHib vaccine
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AThe influenza vaccine, seasonally. BTdap vaccine, if no record of previous vaccination, and Td every 10 years thereafter. CVarivax |
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Which of the following vaccines comes as a powder that is stored in the freezer and requires reconstitution with the supplied diluent? (Select ALL that apply.) Answer AMMR with Varicella (MMRV, ProQuad) BZostavax CFluBlok DVivotif Berna EVarivax |
AMMR with Varicella (MMRV, ProQuad) BZostavax
EVarivax |
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Which of the following statements are correct concerning the vaccination for typhoid? (Select ALL that apply.) Answer AVivotif Berna is capsules, that are kept refrigerated. BTyphoid is transmitted by mosquitos; attempt to reduce exposure. CTyphoid vaccine comes as oral capsules or as an IM injection. DTyphoid vaccine is mostly a concern for travelers to the United States. ETo reduce typhoid transmission: "Boil it, cook it, peel it, or forget it." |
AVivotif Berna is capsules, that are kept refrigerated.
CTyphoid vaccine comes as oral capsules or as an IM injection.
ETo reduce typhoid transmission: "Boil it, cook it, peel it, or forget it." |
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Choose the corrrect statement concerning immunizations: Answer AThe CDC does not recommend using acetaminophen before or at vaccination as it may decrease immune response; it can be used afterwards for mild pain and/or fever. BYou cannot vaccinate through a tattoo; use a different area. CAccording to OSHA, gloves are always required when administering vaccines. DIf blood is drawn up through the syringe, pull the needle out approximately 1/4 of an inch, and continue injecting. EIf parents do not wish to vaccinate their children the children will be well protected in the United States by herd immunity. |
AThe CDC does not recommend using acetaminophen before or at vaccination as it may decrease immune response; it can be used afterwards for mild pain and/or fever. |
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A pharmacist is preparing an injection for a male patient, 63 years old, who weighs 280 pounds. The pharmacist is going to administer the Zostavax vaccine. Which of the following statements concerning Zostavax injection is correct? (Select ALLthat apply.) Answer AUse a needle at least 1.5" long. BThe vaccine must be reconstituted prior to use with sterile or bacteriostatic water. CZostavax will help protect the patient against a herpes zoster outbreak. DThe patient is not old enough to receive this vaccine. EThis vaccine is administered subcutaneously in the fatty tissue over the triceps. |
CZostavax will help protect the patient against a herpes zoster outbreak.
EThis vaccine is administered subcutaneously in the fatty tissue over the triceps. |
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Pharmacists have sometimes dispensed the wrong hepatitis vaccines. It is helpful to know some of the names in order to make sure the correct vaccine is chosen. Vaccines can be kept in labeled bins in the refrigerator with warnings for agents that are likely to be involved in mix-ups. Which vaccine contains combined Hepatitis A and B vaccines? Answer AEngerix-B BRecombivax-B CComvax DPediarix ETwinrix |
ETwinrix |
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Pharmacists have sometimes dispensed the wrong hepatitis vaccines. It is helpful to know some of the names in order to make sure the correct vaccine is chosen. Vaccines can be kept in labeled bins in the refrigerator with warnings for agents that are likely to be involved in mix-ups. Which combination vaccine contains Hepatitis B, Diphtheria, Tetanus, Acellular Pertussis and Inactivated Poliovirus vaccine? Answer AEngerix-B BRecombivax-B CComvax DPediarix ETwinrix |
DPediarix |
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A child was not vaccinated for meningococcal disease. The child is at risk for severe disease and complications, including death. Which of the following is true regarding meningococcal disease/vaccine? (Select ALL that apply.) Answer AMCV is given IM, MPSV is given SC. BPatients who are 2 months-55 years old who are considered high disease risk and should be vaccinated include those living in college dormitories. CPatients who are 2 months-55 years old who are considered high disease risk and should be vaccinated include those in the military. DSome patients will require repeat vaccination. EMeningitis is no longer a routine childhood vaccination. |
AMCV is given IM, MPSV is given SC. BPatients who are 2 months-55 years old who are considered high disease risk and should be vaccinated include those living in college dormitories. CPatients who are 2 months-55 years old who are considered high disease risk and should be vaccinated include those in the military. DSome patients will require repeat vaccination. |
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Shelly belongs to a religious group that is vegan and consumes no meat or dairy products.. She has come to the pharmacy and asks if any of the vaccines contain animal products. How should the pharmacist respond? Answer AThere are no animal-derived products whatsoever in any vaccines. BSome vaccines contain gelatin, however the dietary regulations for most religions that do not consume animal products religions that do not consume animal products approve of vaccine use since the end product has been rendered pure. A few other vaccines contain egg products and can be avoided. CSome vaccines contain gelatin, however the dietary regulations for most religions that do not consume animal products approve of vaccine only when the person's life will be in danger. A few other vaccines contain egg products and can be avoided. DThe gelatin contained in the MMR and MMR-V vaccines is of measurable amounts and should be avoided in all observant Jews, Muslims and Seventh Day Adventists. ESome vaccines contain gelatin, however the dietary regulations for most religions that do not consume animal products approve of vaccine only for diseases that have high rates of communicability among children. A few other vaccines contain egg products and can be avoided. |
BSome vaccines contain gelatin, however the dietary regulations for most religions that do not consume animal products religions that do not consume animal products approve of vaccine use since the end product has been rendered pure. A few other vaccines contain egg products and can be avoided. |
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Which of the following, if taken, would qualify as a steroid-induced immune suppressive state? (Select ALL that apply.) Answer AThe use of a beclomethasone inhaler twice daily for at least 4 weeks. BA patient who was recently infected with HIV. CAn adult who received 4 mg of dexamethasone daily for the past three weeks. DAn 11.8 kg child receiving 30 mg of prednisolone for the past 22 days. EAn elderly female who received a triamcinolone intra-articular injection for gout x 1 two days ago. |
CAn adult who received 4 mg of dexamethasone daily for the past three weeks. DAn 11.8 kg child receiving 30 mg of prednisolone for the past 22 days. |
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What does the "a" in DTaP stand for? Answer AAcellular, meaning that the pertussis component of the vaccine contains only part of the organism. BAtypical, meaning that the vaccine is not the usual type administered. CAnachronism, which is a chronological inconsistency. DAlkaline EAmerica, where the vaccine was first discovered. |
AAcellular, meaning that the pertussis component of the vaccine contains only part of the organism. |
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Which of the following statements concerning an intramuscular (IM) injection are correct? (Select ALL that apply.) Answer ASeparate two IM injections by at least one inch. BMeningococcal (MCV) is given by IM injection. CVarivax is SC only; Zostavax is IM or SC. DInactivated polio vaccine is either SC or IM. EPneumovax is SC only.
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ASeparate two IM injections by at least one inch. BMeningococcal (MCV) is given by IM injection.
DInactivated polio vaccine is either SC or IM. |
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The Centers for Disease Control (CDC) recommend that children ages 2 to 8 years of age receive this type of annual influenza vaccine: Answer ATrivalent, intradermal Fluzone BTrivalent, nasal FluMist CQuadrivalent, intradermal Fluzone DQuadrivalent, nasal FluMist ETrivalent, high-dose Fluzone |
DQuadrivalent, nasal FluMist |
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Children ages 6 months who are receiving annual influenza vaccine for the first time require this regimen: Answer AA series of three shots at 1 month, 6 months and 12 months. B1 dose to prime the immune system; a 2nd dose 6 months later.. C1 dose to prime the immune system; a 2nd dose 28 days later. DOne shot only of the high-dose Fluzone vaccine. EA series of three shots at 1 month, 3 months and 6 months. |
C1 dose to prime the immune system; a 2nd dose 28 days later. |
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Which of the following is true regarding herpes zoster vaccine? (Select ALL that apply.) Answer AStore the unused vaccine vials (powder) in the refrigerator. BStore the unused vaccine vials (powder) at -15 degrees Centigrade. COnce reconstituted the vaccine must be used within 30 minutes or discarded, according to ACIP. DThe diluent must be stored in the refrigerator only. EThe vaccine is administered SC with a 5/8" needle. |
BStore the unused vaccine vials (powder) at -15 degrees Centigrade. COnce reconstituted the vaccine must be used within 30 minutes or discarded, according to ACIP.
EThe vaccine is administered SC with a 5/8" needle. |
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Each of the following groups should receive hepatitis B vaccine except: Answer AUnvaccinated adults with ESRD BUnvaccinated adults with asthma CSexually-active adults who are not in a long-term, monogamous relationship (1 partner) DAll infants, beginning at birth EHealthcare workers who work in hospitals
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BUnvaccinated adults with asthma |
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Which of the following statements concerning the recombinant vaccine FluBlok are correct? (Select ALL that apply.) Answer AIf a patient wishes to receive FluBlok and they have had a severe reaction to eggs (anaphylaxis) they cannot receive FluBlok in the pharmacy. BFluBlok is produced with recombinant DNA techniques and is completely free of egg products. CFluBlok is given subcutaneously. DFluBlok is preferred in children < 8 years old. EFlublok can be administered to patients 18 years and older. |
BFluBlok is produced with recombinant DNA techniques and is completely free of egg products.
EFlublok can be administered to patients 18 years and older. |
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Children get 5 doses of the following tetanus-containing vaccine: Answer ADTaP BDT CTd DTdap EMMRV |
ADTaP |
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A 12-month old child was hospitalized two months ago and received immuneglobulin. Which vaccine/s would be adversely affected by this treatment if administered today? (Select ALL that apply.) Answer APneumococcal conjugate vaccine BInactivated polio vaccine CMeasles, mumps, rubella vaccine DInfluenza vaccine, inactivated EVaricella vaccine |
CMeasles, mumps, rubella vaccine
EVaricella vaccine |
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Select the signs and symptoms of tetanus: (Select ALL that apply.) Answer AMuscle rigidity BPainful muscle spasms CHypotension DBradycardia EHigh fever
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AMuscle rigidity BPainful muscle spasms
EHigh fever |
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Pharmacists have sometimes dispensed the wrong hepatitis vaccines. It is helpful to know some of the names in order to make sure the correct vaccine is chosen. Vaccines can be kept in labeled bins in the refrigerator with warnings for agents that are likely to be involved in mix-ups. Which vaccine is a combined Hepatitis B-Haemophilus influenzae type b (Hib) conjugate vaccine? Answer AEngerix-B BRecombivax-B CComvax DPediarix ETwinrix |
CComvax |
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Epinephrine injection now comes in a "talking" injection device that can help guide patients how to administer the injection. What is the name of this device? Answer AEvzio BCopaxone CLemtrada DArixtra EAuvi-Q
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EAuvi-Q |
