Chapter 16 (3)

Question 1

Attenuated vaccines are also known as:

Answer 1

Inactivated vaccines

Question 2

Live attenuated influenza vaccine (FluMist) may be administered to:

Answer 2

All patients over 6 months of age

Question 3

The reason that two MMR vaccines at least a month apart are recommended is:

Answer 3

Only 95% of patients are fully immunized for measles after the first vaccine, with 99% having immunity after two doses of MMR

Question 4

The MMR vaccine is not recommended for pregnant women because:

Answer 4

There is a risk of the fetus developing congenital rubella syndrome

Question 5

If the measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as the first MMR and varicella dose to a child the CDC recommends:

Answer 5

Patients should not be around pregnant women for the first 48 hours after the vaccine is given.

Question 6

The rotavirus vaccine (RotaTeq, Rotarix):

Answer 6

All of the above

Question 7

Varicella vaccine is recommended to be given to patients who are:

Answer 7

Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day)

Question 8

Zoster vaccine (Zostavax) is:

Answer 8

Effective in preventing varicella zoster in patients of all ages

Question 9

True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:

Answer 9

Anaphylactic reaction with a previous dose

Question 10

Hepatitis B vaccine is contraindicated in patients who:

Answer 10

Are allergic to yeast

Question 11

Human papillomavirus (HPV) vaccine (Gardasil, Cervarix):

Answer 11

Is a live virus vaccine that provides immunity to six strains of HPV virus

Question 12

Influenza vaccine may be administered annually to:

Answer 12

Pregnant patients

Question 13

Immune globulin serums:

Answer 13

Are derived from pooled plasma of adults and contain specific antibodies in proportion to the donor population

Question 14

Hepatitis B immune globulin is administered to provide passive immunity to:

Answer 14

Infants born to HBsAg-positive mothers

Question 15

Rho(D) immune globulin (RhoGAM) is given to:

Answer 15

Rh-negative women after a birth, miscarriage, or abortion

Question 16

Tuberculin purified protein derivative:

Answer 16

May be administered the same day as the MMR and/or varicella vaccine

Question 17

Diane may benefit from cyclosporine (Sandimmune). Cyclosporin may be prescribed to:

Answer 17

Treat patients with corn allergy

Question 18

Azathioprine has significant adverse drug effects, including:

Answer 18

Gingival hyperplasia

Question 19

Pregnant women should receive the Tdap vaccine:

Answer 19

In the third trimester of every pregnancy

Question 20

Children who should receive meningococcal conjugate vaccine (Hib-MenCY, MenHibrix) include:

Answer 20

Infants with functional asplenia (including sickle cell disease)