Multiple Choice Test - rxa.ca

1 Alberta Pharmacists Injections and Immunizations Preparation CourseIn this section you will find the Multiple Choice test and the scoring sheet. You will have to complete the test by filling in the scoring sheet. Please fax back the sheet to RxA at You will be notified of your of your results prior to the Workshop. To obtain continuing education units and to attend the Workshop, you must achieve at least 70% on the Pre-Study Multiple Choice Test. PART 1 THE PRE-STUDYM ultiple Choice TestAdministering Injections and Immunizations Preparation Course2 Alberta Pharmacists Multiple Choice Test1. The chemical used most often to inactivate the biological toxin in a toxoid vaccine is: a. thiomerosal b. formaldehyde c. neomycin d. acetic acid2. Which of the following is incorrect regarding passive immunity: a.

2 It occurs rapidly b. it is permanent c. antibodies are donated from another person or animal d. all of the above3. Which of the following regarding the interval between vaccines is correct? a. increasing the interval does not reduce effectiveness of a vaccine series b. decreasing the interval does not interfere with antibody response and protection c. simultaneous administration of most vaccines results in decreased antibody response d. simultaneous administration of two vaccines can be given using an single syringe and needle4. If you were explaining inactivated vaccines to a patient, which of the following would be incorrect to tell him/her? a. they are sometimes referred to as killed vaccines b. your immunity may decline over time with the use of these vaccines c.

3 Because the immune response to inactivated vaccines may be less than that induced by live organisms you get a greater immune response using these types of vaccines d. they cause fewer adverse effects5. James, a 24 year old male, had two Hepatitis B shots then he travelled overseas for 6 months. He wishes to finish the vaccine series. As his pharmacist, you would tell him: a. he must restart the vaccine series b. two of the three shots is sufficient coverage c. he has to repeat the second dose before receiving the third d. he can just have the third shot to receive full protectionAdministering Injections and Immunizations Preparation Course3 Alberta Pharmacists Which of the following terms refers to a state of microorganisms being present within a host without causing host interference or interaction?

4 A. susceptibility b. colonization c. immunity d. infection7. Health Canada calls the use of hand hygiene, gloves, and other barriers such as masks, eye protection, face shields, and gowns with all patients: a. additional precautions b. standard practices c. routine practices d. transmission-based precautions8. Which of the following statements about IMPACT is true? a. IMPACT monitors vaccine safety and pattern of diseases that are currently or potentially vaccine -preventable in children b. The acronym IMPACT stands for Immunization Monitoring Policy ACTion c. assists in meeting Canada s international commitments for vaccine manufacturing d. IMPACT is a community-based surveillance network 9. The six elements necessary for infection are a causative organism, a reservoir of available organisms, a portal or node of exit from the reservoir, a mode of transmission from reservoir to host, a susceptible host, and a a.

5 Virulent host b. latent time period c. mode of entry to the host d. mode of exit from the host10. Which of the following statements are true regarding the study linking autism to vaccine ? a. the vaccine suggested to be linked to autism is the hepatitis B vaccine b. mass media can have a significant impact on how the population is educated c. on February 2, 2010, The Canadian Medical Association Journal printed a retraction of a 12 year old study d. vaccination rates were not impacted by the original study administering Injections and Immunizations Preparation Course4 Alberta Pharmacists If the pharmacist was to assess the health history of a patient, which of the following medications would not help to identify a potential high-risk patient that is a good candidate for influenza immunization?

6 A. salbutamol b. glyburide c. sumatriptan d. prednisone 12. Which of the following symptoms in a patient who has received a vaccine would most likely indicate anaphylaxis? a. myalgia and fever b. swelling at the injection site c. pain at the injection site d. itchiness and rash13. Which of the following statements about anaphylaxis is incorrect? a. Death can occur within minutes b. 23% of anaphylactic reactions in children follow a biphasic course c. Anyone who has received emergency epinephrine must go to hospital d. There is a lack of evidence to support administering corticosteroids to minimize or prevent the onset of second phase Which of the following is not generally considered a contraindication to a live vaccine ? a. anaphylaxis to a component of any vaccine b.

7 Immunosuppression c. pregnancy d. severe bleeding disorder15. Which of the following is incorrect regarding adjuvanted vaccines? a. adjuvants are synthetic b. adjuvants enhance a recipient s immune system c. adjuvants are not necessary for all vaccines d. adjuvants allow for less antigen to be administered per doseAdministering Injections and Immunizations Preparation Course5 Alberta Pharmacists When pharmacists are discussing injections and related workplace hazards with their co-workers, which statement is false? a. recapping needles is standard procedure b. sharps containers must be used c. policies and procedures for post-exposure should be in place d. needles should not be reused 17. Select the incorrect statement about a systemic reaction to immunization. a.

8 Fever and myalgia can occur b. it mimics a mild form of the natural disease c. it occurs a week or two after the vaccine is given d. it is more common after administration of an inactivated vaccine18. Put the following steps for managing anaphylaxis in the correct Assess circulation, airway, breathing, mental status, skin, and body weight (mass). Secure an oral airway if necessary. Direct someone to call Monitor vaccinee s blood pressure, cardiac rate and function, and respiratory Position the vaccine recipient on their back or in a position of comfort if there is respiratory distress; elevate the lower Stabilize vaccinee; perform cardiopulmonary resuscitation if necessary, give oxygen and establish intravenous access if available and give adjunctive treatment ( diphenhydramine hydrochloride or Benadryl ) if Inject epinephrine intramuscularly in the mid-anterolateral aspect of the thigh: mg/kg body weight of 1:1000 (1 mg/mL) Transfer to hospital for observation.

9 A. Steps 1, 2, 3, simultaneously then, 4, 5, 6, b. Steps 1, 2, 3, simultaneously then steps 5, 4, 6, c. Steps 1, 3, 5, simultaneously then steps 2, 4, 6, d. Steps 1, 3, 5, simultaneously then steps 4, 2, 6,19. Adults who received immunization as children require a booster of which vaccine (s) every 10 years? a. mumps b. measles c. varicella d. tetanus and diphtheria administering Injections and Immunizations Preparation Course6 Alberta Pharmacists The maximum volume of an injection administered in the deltoid muscle is: a. ml b. 1 ml c. 3 ml d. 5 ml21. Which of the following statements are true regarding herd immunity? a. unvaccinated individuals are indirectly protected by vaccinated individuals more people immune to a disease the less likely it is to spread c.

10 It is also called community immunity d. all of the above22. Which statement about contraindications is correct? a. atopic disease is a contraindication to immunization with egg-containing vaccine b. inactivated vaccine is contraindicated in pregnancy c. live vaccine is contraindicated for a patient with a severe bleeding disorder d. egg allergy is not a contraindication to immunization with MMR23. Which of the following may interfere with antibody response? a. decreasing dosage interval within a vaccine series b. administering two vaccines simultaneously c. separating live vaccines by at least 4 weeks d. increasing dosage interval within a vaccine series24. Which of the following substances, found in some vaccines, tend to have the highest potential for causing allergic reactions?