BUMEDINST 6230 imms Flashcards

0
Q

What is the PHS 731?

A

International certificate of vaccination

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1
Q

What three places should you document any immunizations?

A

1) health record
2) PHS 731 yellow card
3) electronic data base that talks to Deer’s

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2
Q

Who is responsible for documenting immunizations data for active duty members into Deer’s?

A

Command that administered the immunization

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3
Q

What does snap stand for?

A

Ship board non tactile ADP program

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4
Q

Which electronic system will be used to record immunizations for reserves?

A

RAMIS

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5
Q

Which electronic system will be used to record immunizations for Marine reserves?

A

SAMS

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6
Q

The use of jet injectors for routine immunizations is authorized. True or false

A

False

Only if specifically authorized by BUMED

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7
Q

In women of childbearing age is a screening test for pregnancy also routinely required before administering immunizations or toxoids including diverse as?

A

No

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8
Q

If a live virus vaccines is to be administered advise women to avoid becoming pregnant for how long prior to immunization against measles mumps smallpox varicella?

A

1 month

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9
Q

If A live virus vaccine is to be administered advise her to avoid becoming pregnant for how long phone immunizations against rubella or MMR?

A

3 months

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10
Q

For small pox, women of child bearing age require what?

A

Fill out a specific form that assess their last menstral cycle

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11
Q

What system is used to report adverse reaction to immunizations?

A

VAERS

vaccine adverse event report system

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12
Q

When will enlisted personnel receive the adenovirus vaccine?

A

Initial training

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13
Q

When will military personnel receive the hepatitis A (HAV) vaccine?

A

Initial training

Midshipmen:
First dose: before summer assignment
Second dose: before second summer

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14
Q

When will military personnel receive the inactivated poiliovirus (IPV)?

A

Initial training

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15
Q

When will military personnel receive the MMR vaccine?

A

Initial training

Unless proof of all three

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16
Q

When will military personnel receive the tetanus-dept hernia toxoid?

A

Initial training

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17
Q

When will military personnel receive the varicella vaccine?

A

Initial training

Two doses

Unless hx of varicella or vaccine

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18
Q

When will military personnel receive the yellow fever vaccine?

A

Initial trading

Unless hx last 10 years

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19
Q

When will military personnel receive the Hep B vaccine?

A

Initial training

First two doses 4 weeks apart third five months after second dose

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20
Q

What nine vaccines are given during initial training?

A

1) hep a
2) hep b
3) adenovirus
4) polio
5) influenza
6) MMR
7) meningococcal
8) tetanus diphtheria
9) yellow fever

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21
Q

Which immunization must be administered as early as possible during initial training because of their significant outbreak potential?

(4) VAMM

A

Adenovirus
Meningococcal
MMR
Varicella

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22
Q

Do reservist have to receive all the vaccines?

A

Yes

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23
Q

Medical department personnel must stay current with what 8 immunizations?

A
Tetanus diphtheria 
Polio
Yellow fever
MMR
Influenza
Typhoid
Hep a
Hep b
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24
Q

Which routine immunizations may be provided to adult beneficiaries?

A

Tetanus diphtheria and influenza

Pneumococcal for over 65

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25
Q

How many shots are in the anthrax series and what is the frequency?

A

6

0 week
2 week
4 week 
6 months
12 months  
18 months
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26
Q

Hep a vaccine should be given to family members what age or older?

A

2

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27
Q

Certain occupations should receive the hep a vaccine. What are they?

(3)

A

Day care workers
Health care worker
Food handlers

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28
Q

VAQTA (perfected because of DOD wide pricing)

What is the adult dose and frequency of hep a vaccine?

A

> 19
50 units/1.0 ml IM
Repeats 6-12 months

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29
Q

VAQTA (perfected because of DOD wide pricing)

What is the children’s, age 2-18, for hep a?

A

25 units/0.5ml IM

6-12 months

30
Q

HAVRIX

what is the adult, >19, for hep a?

A

1440EL.U/1.0ml IM

6-12 months

31
Q

HAVRIX

What is the child, 2-18, dose of hep a?

A

360EL.U/0.5ml IM

6-12 months

32
Q

Who must receive hep b?

5

A

1) medical department personnel
2) personnel presenting for STDs
3) military and civilian personnel that could come in contact with blood or bodily fluids, includes hcw
4) all children
5) new military personnel

33
Q

When do medical personnel receive their hep b?

A

A school or I doc training

34
Q

What is the normal schedule for hep b?

A

Three IM

0,1,6 months

35
Q

What is the adult dose, >20 for hep b?

A

10ug/1.0ml for recombivax

20ug/1.0ml for enerix-b

36
Q

What is the peds dose for hep b?

<19

A

5ug/1.0ml for recombivax

10ug/1.0ml for enerix-b

37
Q

What is the dose and frequency of twinrex?

A

> 18

3IM at 0,1,6,12

38
Q

What is the dose and route for polio, IPV?

A

0.5 sub q

39
Q

How long will aviation personnel be grounded for after receiving influenza vaccine?

A

12 hours

40
Q

What parts of the world is Japanese encephalitis endemic?

A

Far East
Ionian sub content
Southeast Asia
rural Okinawa

41
Q

What is the normal dose, route and frequency for jev?

A

1.0 ml
Sub q
Day: 0,7,30

42
Q

What is the accelerated frequency for jev?

A

Day: 0,7,14

43
Q

The last dose of jev should be administered how soon before departing to a je endemic area? Why?

A

10 days

Possible allergic reaction

44
Q

When Would someone need a jev booster?

A

> 3 years

45
Q

Aviation personnel must be grounded for how long after each dose of jev?

A
24 hours
Unless previously experienced urticaria or hypersensitivity:
72 hours first dose
5 days second dose
72 hours third dose
46
Q

What is the dose and route for MMR?

A

0.5ml SC

47
Q

What precautions should be taken for women in regards to MMR?

A

Can’t be pregnant

Don’t get pregnant for 4 months

48
Q

What is the abbreviation for the tuberculosis skin test?

A

tST

49
Q

How long after reconstitution of MMR can you give the vaccine with out having to dispose of it?

A

8 hours if kept in a dark place between 35-46*F

50
Q

Where is the meningitis belt?

A

Sub Sahara. Africa

51
Q

What is the dose, route, and frequency for meningococcal vaccine?

A

0.5ml
SC
5 years after last dose

52
Q

How long is the shelf like for meningococcal vaccine after reconstitution?

A

Single dose: 24 hours

Multi-dose: if kept at 35-46*F 10 days

53
Q

Who should pneumococcal vaccine be administered to?

A

1) adults >65
2) adults who live in certain environments, recruit populations
3) immunocompramised adults in risk areas
4) children >2 with long term illness at high risk

54
Q

What is the dosage, route, and frequency for TD?

A

0.5ml
IM
Q10years

55
Q

Who needs typhoid vaccines?

A

Personnel in deployable units or units located outside the is

56
Q

What is the dosage and frequency for oral typhoid?

A

One capsule
Day 1 3 5 7

Good for 5 years

57
Q

What is the dose route and frequency for IM typhoid?

A

0.5ml
IM
Q2years

58
Q

What is the dosage route and frequency of varicella?

A
Children 12mo-13 years: 
0.5ml
SC
>13 years old: 
0.5 ml
SC
Followed by a second dose 4-8 weeks latter
59
Q

What vaccine can you not give at the same time as varicella?

A

MMR

Must be spaced out 4 weeks apart

60
Q

What is the dosage and frequency for yellow fever?

A

0.5 ml

Q10 years

61
Q

What form is used for adult immunization record?

A

NAVMED 6230/4

62
Q

Which form is used for child immunization record?

A

NAVMED 6230/5

63
Q

What form is used for international certificate of immunization?

A

pHS 731

64
Q

2766, PHS 731, and sf601 Are what type of immunization report?

A

Official document

65
Q

Recommended immunizations schedules will not be what?

A

EXPEDITED

66
Q

Imms given at an interval shorter than the recommended interval may not provide adequate immune response and should not be counted as the primary series, unless part of what schedule accepted by the CDC?

A

Catch up

67
Q

How many people need to be ACLS to give imms?

A

1

68
Q

When did the DOD stop using MUNJIs?

A

1997

69
Q

To minimize injection site discomfort, how many injections will be given same day?

A

5

70
Q

Permanent exemption for religious reasons will not be granted in what branch?

A

Air Force

71
Q

The ACIP general recommends that persons be observed for how many mins after immunization?

A

15-20 mins

72
Q

JEV must be given if person is going to be in an endemic area for how long?

A

30 days