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Which hepatitis viruses is an individual being vaccinated for when using the combined vaccine twinrix?
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∙ 11y ago
Combination of hep. A & B
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∙ 11y ago
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What has the author JENNIFER TUNG written?
JENNIFER TUNG has written: 'EFFICACY OF COMBINED HEPATITIS A AND HEPATITIS B (TWINRIX) VACCINE COMPARED WITH HEPATITIS B VACCINE ALONE IN PROVIDING SEROPROTECTION VS. HEPATITIS B IN HEMODIALYSIS PATIENTS'
What combination vaccines contains antigens to protect against hepatitis A and hepatitis B?
Twinrix
What is the correct ICD-9 code for Twinrix?
V05.3. Need for Prophylactic immunization against Viral Hepatitis
If you vaccine for hepatitis B twice and did not do the third one will you have to vaccinate again?
The Twinrix vaccine is typically given in 3 doses. This is normal.
What is the cost of twinrix vaccination in Ontario?
in Alberta what does it cost for 2 Twinrix shots
What vaccinations are require when travelling to Cancun Mexico from Canada?
You should be immunized against hepatitis for travel to Mexico. The easiest way to get this is with the twinrix vaccination. This does not guarantee that you cannot catch the virus, but is your best protection against hapatitis ABC. Twinrix is expensive, but the peace of mind in regards to health outweighs the financial offset. You can also check with your local community health office to check if your immunization record is current and what shots you will need for whatever region you plan to travel.
Do you need a booster shot of twinrix to protect you again if you travel?
No
Are there vaccines to prevent Hepatitis B and Hepatitis C?
There are two forms of hepatitis B: Acute (self-clearing) or chronic. According to Wikipedia, "Acute hepatitis B infection does not usually require treatment because most adults clear the infection spontaneously." 1% of acute cases may require early antiviral treatment, for example if there disease is particularly aggressive, or if the patient is immunocompromised. There are currently no drugs which will clear a chronic hepatitis b infection, however drugs are available which slow the replication of the virus, hence reducing liver damage and improving quality of life. These are all "antiviral" drugs. These are frequently used in those with chronic hepatitis B. Another issue is that, even when a person appears to be "cured" of hepatitis B, the disease can be "reactivated" and occur again in the same person. However this is mainly an issue for immunocompromised patients. Hepatitis B is preventable by vaccination (usually a course of three injections, given over a year, but course length and timing of each dose is individualised according to the patients requirements). As a general answer to your question, no, there is no "cure" for hepatitis B, however it is "treatable". Please see related link for more in-depth information.
Hepatitis B vaccine?
DefinitionThe hepatitis B vaccine protects against hepatitis B, a serious disease that damages the liver. The vaccine is one of the recommended childhood immunizations.Alternative NamesVaccine - hepatitis B; Immunization - hepatitis BInformationThe vaccine is made from inactivated whole virus of hepatitis B. The inactive virus stimulates your body to produce antibodies to fight the hepatitis B virus.WHO SHOULD GET THIS VACCINEThe hepatitis B vaccine is given to children as a series of three injections (shots).The first shot is given to infants before leaving the hospital. If the baby's mother carries the hepatitis B virus, the baby receives the first vaccine shortly after birth.The second shot is given between 1 and 2 months of age.The third shot is given at 6 months of age.For infants who do not receive the first shot until 4 to 8 weeks, the second shot is given at 4 months and the third at 6 to 16 months. In either instance, the second and third shots are given along with other routine childhood immunizations.Adolescents who have not been vaccinated should begin the hepatitis B vaccine series at the earliest possible date.Adults or children who have not already received the vaccine and should receive the vaccine if they meet any of the following criteria:Have end-stage kidney disease, chronic liver disease, or HIV infectionAre on dialysisWill be receiving an organ transplant, a bone marrow transplant, or chemotherapyHousehold contacts or sexual partners of persons known to be infected with hepatitis BPersons with multiple sexual partnersMen who have sex with other menPersons who use recreational, injectable drugsA vaccine for adults called Twinrix provides protection against both hepatitis A and B. It is given in 3 doses.RISKS AND SIDE EFFECTSMost infants who receive the hepatitis B vaccine have no side effects. Others may have minor problems, such as soreness and redness at the injection site or a mild fever. Serious problems are rare and are mainly due to allergic reactions to a component of the vaccine.CONSIDERATIONSIf the child is ill with something more serious than a cold, the hepatitis B vaccine may be delayed.If the child has a severe allergic reaction to baker's yeast, they should not receive this vaccine.If severe allergic reaction occurs after receiving the vaccine, no further hepatitis B vaccines should be given to the child.CALL YOUR PRIMARY HEALTH CARE PROVIDER IF:You are not sure if your child should receive this vaccineModerate or serious side effects appear after receiving the vaccineYou have any questions or concernsReferencesAmerican Academy of Pediatrics Committee on Infectious Diseases. Recommended immunization schedules for children and adolescents--United States, 2008. Pediatrics. 2008 Jan;121(1):219-20.Centers for Disease Control and Prevention. Recommended adult immunization schedule---United States, 2009. MMWR. January 9, 2009;57(53);Q1-Q4.Centers for Disease Control and Prevention. Recommended immunization schedules for persons aged 0 through 18 years---United States, 2009. MMWR. January 2, 2009;57(51&52);Q1-Q4.
Hepatitis A - vaccine?
DefinitionThe hepatitis A vaccine protects you against a type of liver infection called hepatitis A. The vaccine will not protect you from other types of hepatitis.Alternative NamesVaccine - hepatitis A; Immunization - hepatitis A; Havrix; VAQTAInformationThe vaccine, called Havrix or VAQTA, is made from inactivated whole virus of hepatitis A. The inactive virus stimulates your body to produce antibodies to fight the hepatitis A virus.The vaccine is given by a shot in your arm. You should be protected against the disease within 2 weeks after receiving the first dose. Two vaccinations are needed to make sure you are completely protected against the disease. After receiving the first vaccination, children and adults should have a booster vaccination in 6 to 12 months.A vaccine for adults called Twinrix provides protection against both hepatitis A and B. It is given in 3 doses.WHO SHOULD RECEIVE THIS VACCINEPeople who work or travel in areas with high rates of infection should be vaccinated. These areas include Africa, Asia (except Japan), the Mediterranean, Eastern Europe, the Middle East, Central and South America, Mexico, and parts of the Caribbean.If you are traveling to these areas before you are fully immunized (fewer than 4 weeks after your first shot), you should receive a preventive dose of immunoglobulin (IG). If you are just a short-term traveler to these areas, you may wish to receive the immunoglobulin (IG) instead of the vaccine.The Advisory Committee on Immunization Practices recommends (but does not mandate) routine vaccination of all children older than age 1 with 2 doses of vaccine spaced 6 months apart.Other people who are at higher risk for hepatitis A include:People who use recreational, injectable drugsPeople who work with the hepatitis A virus in a laboratory or with primates that may be infected with the virusPeople who have chronic liver diseasePeople who receive clotting factor concentrate to treat hemophilia or other clotting disordersMilitary personnelHomosexual or bisexual menEmployees of child day-care centersPeople who care for patients living in long-term nursing homes and other facilitiesAn immunoglobulin (IG) shot helps protect people from becoming infected for a short period of time. When traveling to areas where hepatitis A is common, you may be given an IG shot if:You are traveling fewer than 4 weeks after your first hepatitis A immunization, since you may not be fully protectedYou will only be traveling to these areas for a short while and wish to receive the immunoglobulin (IG) instead of the vaccineWHO SHOULD NOT RECEIVE THIS VACCINEIf you have had hepatitis A in the past, you do NOT need the vaccine. Once you have recovered from the disease, you are immune for life.Others who should NOT receive the vaccine include:People who are allergic to the components of the vaccineChildren less than 1 year oldPregnant or nursing mothersThose who are sick or have a fever (can delay receiving the vaccine until the illness goes away)SIDE EFFECTS AND RISKSThe most common side effect of the vaccine is pain at the injection site. Other rare, but possible, side effects include:Redness, swelling, or bruising at the injection siteHeadacheFeverFatigueMuscle achesNauseaLoss of appetiteCALL YOUR PRIMARY HEALTH CARE PROVIDER IF:You develop rash, itching, hives, or difficulty breathing after receiving the vaccineYou develop any other symptomsYou have other questions or concernsReferencesAmerican Academy of Pediatrics Committee on Infectious Diseases. Recommended immunization schedules for children and adolescents--United States, 2008. Pediatrics. 2008;121(1):219-220.Centers for Disease Control and Prevention. Recommended adult immunization schedule---United States, 2009. MMWR. January 9, 2009;57(53);Q1-Q4.Centers for Disease Control and Prevention. Recommended immunization schedules for persons aged 0 through 18 years---United States, 2009. MMWR. January 2, 2009;57(51&52);Q1-Q4.
What are the answers to the immune readiness competency post test?
Vaccine Healthcare Centers NetworkCompetency Course Module Post TestANTHRAXPrimary vaccination with anthrax vaccine consists of six doses.The first three are given at 0 weeks, weeks, The next three dosesare given at months, months, and months.4, 6, 12, 18A person who is hospitalized with acute pneumonia. (anthrax)NoA person who is receiving long-term immunosuppressanttherapy after a transplant. (routine anthrax vaccination today)NoA multidose vial of anthrax vaccine is removed from the freezer.After thawing, the vial is shaken thoroughly to evenly suspend thevaccine during withdrawal. After administering the needed dosesof anthrax vaccine, the vial is labeled with the date, refrozen, anddiscarded after 30 days.NOWhich statement would be most correct to give a woman whohas just received her first routine anthrax vaccination?Up to 50% of people develop minor local reactions, but thesereactions generally last only a few days.HEP A/B TWINRIX HAVRIX HIB VAQTA RECOMBIVAXYou are giving Havrix to a 17 month old720, 0.5People who receive hepatitis B vaccine in the deltoid muscleNoYou are giving Vaqta to an 18 year old25, 0.5 =You are giving Vaqta to a 25 year old.50, 1A 44-year-old man receives a 0.5 mL booster dose ofVaqta 50 units intramuscularly into a dorsogluteal siteNOHow many doses of single-antigen hepatitis A vaccine will he needto receive to complete his primary series for hepatitis A?2How many doses of single-antigen hepatitis B vaccine willhe need to complete his primary series for hepatitis B?2For which person is Hib vaccine LEAST likely to be recommended?A pediatrician who does volunteer work in developing countries.What is the recommended dose and route of administration for Hibvaccination of most adolescents and adults for whom the vaccineis indicated?One 0.5 mL dose administered intramuscularly into the deltoid.Children who receive their first dose of Hib vaccine when they are7 months of age or older still need at least four doses of vaccine.FalseChildren who receive their first dose of Hib vaccine when they are7 months of age or older still need at least four doses of vaccine.FalseRecombivax HB for a 52 year old.YesRecombivax HB for a 15 year old receiving 2 doses.10, 1You are giving Havrix to a 32 year old.1440, 1For which family members is routine vaccinationfor hepatitis A recommended?Only the 12 year old and the 17 year old.INFLUENZIA FLU LAIVFill in the number of milliliters (mL) in one dose of intramuscularinactivated influenza vaccine for people 3 years of age or older,and click on "Submit".0.5Which statement is correct about inactivated influenza vaccineaccording to its Vaccine Information Statement (VIS)?Influenza vaccine is kept up-to-date each year by replacing at least one of the vaccine virus strains with a strain currently causing illness.The most common adverse reaction following LAIV vaccinationa mild systemic reaction, such as cough and chills.TrueA healthy 29-year-old emergency medical technician. (inactivated influenza)LAIV/IVWhat is the correct dose and route for administering LAIV?0.1 mL intranasally into each nostril.Multidose vials of inactivated influenza vaccine arrive at theadministration site in an insulated container.The multidose vials that are not usedare transported back to the administration site in the insulatedcontainer, which contains chilled coolant packs. Open vials aredated and all vials are placed back into the refrigerator.YesFill in the number of influenza vaccine doses that should be giveneach year to an adolescent or adult, and click on "Submit".1IXIARO JEVA woman from the United States who will be spending threeweeks in a rural Southeast Asian village in August.YesWhat is the recommended schedule for Ixiaro?Days 0 and 28.What is the correct dose and route for Ixiaro?0.5 mL intramuscularlyA patient calls and reports that she has a headache and muscle pain.She received her first dose of Ixiaro 2 days ago.You should advise her thatthis is a common side effect and an over-the-countermedication can be taken relieve the discomfort.How effective are 2 doses of Ixiaro at preventing Japaneseencephalitis when the doses are administered according tothe recommended schedule?About 95%.MMR MEASLES MUMBS RUBELLAThe Advisory Committee on Immunization Practices (ACIP)recommends that combined measles, mumps, and rubellavaccine be given whenever a person needs mumps vaccine.TRUEA man born in March of 1969 who, according to his medical record,was vaccinated with a single dose of rubella-containing vaccine inJanuary of 1970.NOMMRV (ProQuad) vaccine is licensed for use in children1 through 12 years of age.TrueWhich person has a valid contraindication to receiving rubellavaccine today?An 18 year old who just found out she is pregnant.Which modern vaccine contains weakened virus?MMRHuman papillomavirus vaccine for an adolescent who receivedMMR vaccine two weeks ago.YesHow many doses of rubella vaccine or MMR vaccine arerecommended for children 1 year of age and older?TwoA single-dose vial of MMRV vaccine is stored in therefrigerator with the diluent. It is then reconstitutedand placed back in the refrigerator. Six hours later,the vial is removed and the dose is drawn up andadministered.NoA man is beginning work in the housekeeping department ofa medical facility. During screening the following informationis obtained:The man was born in 1952.The man says his mother told him he had measles as achild.His PPD done 3 days ago was negative.His wife is immune suppressed because of chemotherapytreatments.Vaccine administration personnel give him one dose of MMRvaccine.YesWhich person does not need two doses of MMR vaccine?30-year-old man who is a computer programmerFill in the number of milliliters (mL) in one doseof MMR vaccine, and click on "Submit."0.5What type of adverse reaction are you most likely to see inadolescent and adult men after injection of rubella vaccine?Fever and rash.What type of adverse reaction are you most likely to seein adolescent and adult women after injection of measlesvaccine?Fever and rash.Which person should not receive mumps vaccine today?A 16 year old who received antibody-containing blood products4 weeks ago.The recommended dose for M-M-R II is:0.5 mL.In the Armed Forces, which personnel are requiredto have measles immunity?All personnelMENINGOCOCCALA 38-year-old college professor who teaches freshman English.NoA healthy 12-year-old girl. (meningococcal)YESWhich person has a valid contraindication to receivingmeningococcal vaccine today?Someone hospitalized with acute bronchitis.Which person should not receive meningococcal conjugate vaccine?A 60-year-old woman traveling to West Africa.What type of vaccine are Menveo and Menactra?Conjugate polysaccharide.An 11-year-old boy needs to receive meningococcal vaccine.He has HIV infection. What is the correct schedule?Two doses given 2 months apart and a booster dose at age 16.A 5 year old who had his spleen removed last yearfollowing an automobile accident.YESA single-dose vial of meningococcal polysaccharide vaccine isreconstituted using the diluent provided and then placed backin the refrigerator. Four hours later, the vial is removed and thedose is drawn up and administered.NOWhich is the correct dose for subcutaneous administration ofmeningococcal polysaccharide vaccine?0.5 mL.MULTIPLE DOSESA man needs MMR, varicella vaccine, and poliovirus vaccine. Hewould like to receive all three today. Which statement is accurate?All three vaccines can be given today at different injection sites.PAPILLOMAVIRUSA vial of human papillomavirus vaccine is removed from the freezer.The vial is shaken well to evenly suspend the vaccine duringwithdrawal. After administering the vaccine the vial is disposed ofin the sharps container.YESHuman papillomavirus vaccine for an adolescent who receivedMMR vaccine two weeks ago.YesPNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV)PNEUMOVAX PCV13 PPV23For each person described, click on Yes if the person should bevaccinated with PPV23 today, or on No if the person shouldnot be vaccinated with PPV23 today. In all cases, assume thatthere are no valid contraindications to vaccine administrationYes(PCV13) A healthy 6-month-old.YesWhich statement is correct about pneumococcal polysaccharidevaccine (PPV23)?PPV23 vaccine is inactivated.A 4 year old who is HIV positive. (PVC13)YesA healthy 23 year old who is works in a long termcare facility for older adults and who smokes cigarettes.YESA 25 year old who will be receiving a cochlear implant in 3 weeksYESPOLIO IPVWhich is the correct dose of IPV to administerto a child, adolescent, or adult?0.5 mL.An adult who received two doses of polio vaccine as a child will beleaving to travel to a country in which exposure to wild poliovirusremains a threat. What additional IPV doses should this person receive before leaving?Administer only one dose of vaccine.Which person has a valid contraindication or precautionto receiving polio vaccine today?A woman with diarrhea and a high fever.47. A healthy 2-year-old child. (polio)YesA man had poliomyelitis disease as a child. Whattype of immunity does he have against polio?ACTIVEA previously unvaccinated adult will be traveling to a countryin which exposure to wild poliovirus remains a threat. What isthe minimum interval between which doses can be given if anaccelerated schedule of IPV administration is needed?4 weeks.RABIESIf rabies is treated early and correctly, whatpercentage of people will still die?almost 100%.Which person is LEAST likely to needpre-exposure vaccination for rabies?A man taking a business trip to Singapore and Hong KongA woman who received her first dose of pre-exposure rabiesvaccine yesterday calls to report redness and swelling at thevaccine injection site. She should be told that this iscommon and will go away, and that she can take an over-the-counter pain reliever for the discomfort.What is the recommended dose of rabies vaccinewhen it is given intramuscularly?1 mL.Engerix-B for a 5 year old10, 0.5What percent of healthy people develop protective antibodiesagainst rabies when rabies vaccine is administered correctly?100%ROTAVIRUSRotavirus vaccine for a 3-month old who hasa high fever and severe diarrhea.NoSHIPPING HANDLING STORAGEA shipment of vaccine has been delivered to your vaccineadministration site. What would be the correct initial actionto take?Check the condition of the vaccine and make sure the cold chainhas been maintained during shipping.Expressed as degrees Centigrade, type in the temperatureat which vaccine storage freezers should be maintained.-15At a minimum, how many times a day should the temperaturein a vaccine storage unit be checked and logged?TwiceWhich statement about vaccine inventory and storage is correct?Place extra water bottles in the refrigerator door and coolantpacks in the freezer to provide additional insulation.SMALLPOX VACCINIA IMMUNE GLOBULIN (VIG)As part of a pre-outbreak vaccination program, which ServiceMember presenting for smallpox vaccination today should notbe given the vaccine? One whois of childbearing age and who has had unprotected intercoursesince her last period.As part of a pre-outbreak smallpox vaccination program, for whichperson would smallpox vaccine most likely be contraindicated? Aperson who answers "yes" to the question:Have you ever had an itchy rash in the creases of your elbows or knees?Which person has the most significant risk factor for a severeimmune system-related smallpox vaccine complication? A personwhohas had sexual contact with a person who is HIV-positive.What is the correct action to take if, after dipping the bifurcatedneedle into the smallpox vaccine vial, you do not see a droplet ofvaccine between the prongs?Re-dip the needle perpendicularly into the vial.Which person would be at greatest risk for developmentof myopericardiditis following smallpox vaccination?55-year-old woman with congestive heart failure.Which measure is most important in preventing the mostfrequent adverse event following smallpox vaccination?Hand washing.As part of a pre-outbreak smallpox vaccination program, for whichperson would smallpox vaccine most likely be contraindicated? Aperson who answers "yes" to the question:Have you ever had an itchy rash in the creases of your elbows or knees?Vaccinia immune globulin (VIG) use wouldbe indicated for a person withprogressive vaccinia.There are an estimated 27 million people in the United Stateswho have atopic dermatitis. Why should these people not receivesmallpox vaccine, unless they have been exposed to smallpox virusor are a contact of a person with smallpox? These people are atrisk for eczema vaccinatum, a severe reaction to smallpox vaccineWhat is the correct action to take if, after dipping the bifurcatedneedle into the smallpox vaccine vial, you do not see a droplet ofvaccine between the prongs?Re-dip the needle perpendicularly into the vialTD TDAPWhat is recommended schedule for giving ACTHib vaccineto an infant?2, 4, 6, and 12-15 months of ageA 30-year-old Service Member has a deep cut that iscontaminated with dirt. He completed the primary Tdseries six years ago. The wound is cleaned and sutured.What additional treatment is needed to prevent tetanus?Tdap booster dose today.What is Td?A toxoid vaccine made from altered tetanus and diphtheria toxinsIn which person is Tdap contraindicated? Assume all peopleare due for a Td booster dose.41 year old who had encephalopathy 3 days after a dose of DTPwith no known cause.A 24-year-old woman is 4 months pregnant. She has neverreceived Td or DTaP. What would be the recommendedschedule for her?Td today, Td in 1 month, and Tdap 6 months after Td-2.Which statement about Tdap is accurate?Tdap should be given as a single-booster dose to people 10 - 64 yearsof age.Td vaccine for a woman who has not had a booster dose in 5 years.NOPediarix can be used for infants and children 6 weeks to 7 years of age.TRUEWhich vaccine requires multiple dosesbefore active immunity results?Tetanus.A woman cut her hand with a knife while slicing an apple. Shecannot recall whether she ever had a tetanus shot, but thinksshe may have had one dose. The wound is cleaned and sutured.What additional treatment is needed to prevent tetanus?Td primary series, with first dose today.Which statement about Tdap is accurate?Tdap should be given as a single-booster dose to people 10 - 64 years of age.TYPHOID TY21A VICPS PEDIARIXWhat type of vaccine is Ty21a?A live attenuated bacterial vaccine.What is the correct dose, schedule, androute of administration for Ty21a?Four capsules taken by mouth on alternate days, each dosetaken one hour before a meal.Which adverse reactions are most common following vaccination with ViCPS?Pain and swelling at the injection site.What is the correct dose, schedule, and routeof administration for ViCPS vaccine?One 0.5 mL dose administered intramuscularly.Pediarix can be used for infants and children 6 weeks to 7 years of age.TrueWhat is Td?A toxoid vaccine made from altered tetanus and diphtheria toxinsFor which person would typhoid fever vaccine be indicated?A person traveling to the Indian subcontinent.If he plans to continue this type of travel in the future, when is itrecommended that he be revaccinated against typhoid fever?In five years.For which person would ViCPS be the preferredtype of typhoid vaccine? One whois taking an antibiotic.VARICELLAAn 18-year-old Armed Forces recruit needs varicella vaccinationand a PPD. What is a correct way to administer these injections?Administer the PPD and varicella vaccine simultaneously.Which person should have varicella vaccination delayed?A 40 year old who received a blood transfusion 10 days ago.Varicella vaccine for a man who completed chemotherapy andradiation treatment for testicular cancer 9 months ago.YesA healthy teen received her second dose of varicella vaccine twodays ago. She calls the vaccine administration center complainingof redness, soreness, and swelling at the injection site. She has nofever and otherwise feels well. Which recommendation would be appropriate to include in your response to the woman about this adverse reaction?Expect these symptoms to go away by themselves in a few daysWhich person has a valid contraindication to receiving varicella vaccine today?An HIV-infected 2 year old with a very low CD4+T-lymphocyte countA healthy, 40-year-old man who is susceptible to varicella wasexposed to VZV 3 days ago. What action is recommended toprevent or reduce the severity of varicella illness if this man isinfected with VZV?Administer a dose of varicella vaccine today, followed by a second dose in 4 to 8 weeks.YF-VAX/YELLOW FEVERWhich statement accurately represents informationcontained in the yellow fever VIS?Nursing mothers should avoid or postpone travel to a yellowfever area, if possible.After vaccination with YF-VAX, two groups of people havedemonstrated lower rates of immunity to yellow fever thanother people.Pregnant women and people with impaired immunity.Which response would be most correct? "For healthymen in their 40s, the vaccine has been shown to be (yellow fever)99% to 100% effective after one dose."What is the recommended dose of YF-VAX?0.5 mL.Which person has a valid contraindication to receiving yellowfever vaccine or should check with his or her healthcare providerprior to receiving yellow fever vaccine today?A 20 year old who had his thymus removed last year.Which susceptible person should receiveyellow fever vaccine today?An Armed Forces member being deployed to West Africa.ZOSTERA single-dose vial of zoster vaccine is stored in the freezer.It is then reconstituted with room temperature diulentand placed in the refrigerator. The next day, the vial isremoved and the dose is drawn up and administered.NoWhich person should not receive zoster vaccine today?48-year-old woman who will be undergoing chemotherapy in two weekZoster vaccine for a man who usesa corticosteroid inhaler for asthma.YESOTHERA 29-year-old nurse who works in a Naval hospital.YesWhich person most likely will fail to develop active immunityfollowing vaccination? The person who was givenhepatitis B immune globulin 2 months ago and MMR vaccine given today.
What are the answers to the Project Immune Readiness Competency Post Test?
Vaccine Healthcare Centers NetworkCompetency Course Module Post TestANTHRAXPrimary vaccination with anthrax vaccine consists of six doses.The first three are given at 0 weeks, weeks, The next three dosesare given at months, months, and months.4, 6, 12, 18A person who is hospitalized with acute pneumonia. (anthrax)NoA person who is receiving long-term immunosuppressanttherapy after a transplant. (routine anthrax vaccination today)NoA multidose vial of anthrax vaccine is removed from the freezer.After thawing, the vial is shaken thoroughly to evenly suspend thevaccine during withdrawal. After administering the needed dosesof anthrax vaccine, the vial is labeled with the date, refrozen, anddiscarded after 30 days.NOWhich statement would be most correct to give a woman whohas just received her first routine anthrax vaccination?Up to 50% of people develop minor local reactions, but thesereactions generally last only a few days.HEP A/B TWINRIX HAVRIX HIB VAQTA RECOMBIVAXYou are giving Havrix to a 17 month old720, 0.5People who receive hepatitis B vaccine in the deltoid muscleNoYou are giving Vaqta to an 18 year old25, 0.5 =You are giving Vaqta to a 25 year old.50, 1A 44-year-old man receives a 0.5 mL booster dose ofVaqta 50 units intramuscularly into a dorsogluteal siteNOHow many doses of single-antigen hepatitis A vaccine will he needto receive to complete his primary series for hepatitis A?2How many doses of single-antigen hepatitis B vaccine willhe need to complete his primary series for hepatitis B?2For which person is Hib vaccine LEAST likely to be recommended?A pediatrician who does volunteer work in developing countries.What is the recommended dose and route of administration for Hibvaccination of most adolescents and adults for whom the vaccineis indicated?One 0.5 mL dose administered intramuscularly into the deltoid.Children who receive their first dose of Hib vaccine when they are7 months of age or older still need at least four doses of vaccine.FalseChildren who receive their first dose of Hib vaccine when they are7 months of age or older still need at least four doses of vaccine.FalseRecombivax HB for a 52 year old.YesRecombivax HB for a 15 year old receiving 2 doses.10, 1You are giving Havrix to a 32 year old.1440, 1For which family members is routine vaccinationfor hepatitis A recommended?Only the 12 year old and the 17 year old.INFLUENZIA FLU LAIVFill in the number of milliliters (mL) in one dose of intramuscularinactivated influenza vaccine for people 3 years of age or older,and click on "Submit".0.5Which statement is correct about inactivated influenza vaccineaccording to its Vaccine Information Statement (VIS)?Influenza vaccine is kept up-to-date each year by replacing at least one of the vaccine virus strains with a strain currently causing illness.The most common adverse reaction following LAIV vaccinationa mild systemic reaction, such as cough and chills.TrueA healthy 29-year-old emergency medical technician. (inactivated influenza)LAIV/IVWhat is the correct dose and route for administering LAIV?0.1 mL intranasally into each nostril.Multidose vials of inactivated influenza vaccine arrive at theadministration site in an insulated container.The multidose vials that are not usedare transported back to the administration site in the insulatedcontainer, which contains chilled coolant packs. Open vials aredated and all vials are placed back into the refrigerator.YesFill in the number of influenza vaccine doses that should be giveneach year to an adolescent or adult, and click on "Submit".1IXIARO JEVA woman from the United States who will be spending threeweeks in a rural Southeast Asian village in August.YesWhat is the recommended schedule for Ixiaro?Days 0 and 28.What is the correct dose and route for Ixiaro?0.5 mL intramuscularlyA patient calls and reports that she has a headache and muscle pain.She received her first dose of Ixiaro 2 days ago.You should advise her thatthis is a common side effect and an over-the-countermedication can be taken relieve the discomfort.How effective are 2 doses of Ixiaro at preventing Japaneseencephalitis when the doses are administered according tothe recommended schedule?About 95%.MMR MEASLES MUMBS RUBELLAThe Advisory Committee on Immunization Practices (ACIP)recommends that combined measles, mumps, and rubellavaccine be given whenever a person needs mumps vaccine.TRUEA man born in March of 1969 who, according to his medical record,was vaccinated with a single dose of rubella-containing vaccine inJanuary of 1970.NOMMRV (ProQuad) vaccine is licensed for use in children1 through 12 years of age.TrueWhich person has a valid contraindication to receiving rubellavaccine today?An 18 year old who just found out she is pregnant.Which modern vaccine contains weakened virus?MMRHuman papillomavirus vaccine for an adolescent who receivedMMR vaccine two weeks ago.YesHow many doses of rubella vaccine or MMR vaccine arerecommended for children 1 year of age and older?TwoA single-dose vial of MMRV vaccine is stored in therefrigerator with the diluent. It is then reconstitutedand placed back in the refrigerator. Six hours later,the vial is removed and the dose is drawn up andadministered.NoA man is beginning work in the housekeeping department ofa medical facility. During screening the following informationis obtained:The man was born in 1952.The man says his mother told him he had measles as achild.His PPD done 3 days ago was negative.His wife is immune suppressed because of chemotherapytreatments.Vaccine administration personnel give him one dose of MMRvaccine.YesWhich person does not need two doses of MMR vaccine?30-year-old man who is a computer programmerFill in the number of milliliters (mL) in one doseof MMR vaccine, and click on "Submit."0.5What type of adverse reaction are you most likely to see inadolescent and adult men after injection of rubella vaccine?Fever and rash.What type of adverse reaction are you most likely to seein adolescent and adult women after injection of measlesvaccine?Fever and rash.Which person should not receive mumps vaccine today?A 16 year old who received antibody-containing blood products4 weeks ago.The recommended dose for M-M-R II is:0.5 mL.In the Armed Forces, which personnel are requiredto have measles immunity?All personnelMENINGOCOCCALA 38-year-old college professor who teaches freshman English.NoA healthy 12-year-old girl. (meningococcal)YESWhich person has a valid contraindication to receivingmeningococcal vaccine today?Someone hospitalized with acute bronchitis.Which person should not receive meningococcal conjugate vaccine?A 60-year-old woman traveling to West Africa.What type of vaccine are Menveo and Menactra?Conjugate polysaccharide.An 11-year-old boy needs to receive meningococcal vaccine.He has HIV infection. What is the correct schedule?Two doses given 2 months apart and a booster dose at age 16.A 5 year old who had his spleen removed last yearfollowing an automobile accident.YESA single-dose vial of meningococcal polysaccharide vaccine isreconstituted using the diluent provided and then placed backin the refrigerator. Four hours later, the vial is removed and thedose is drawn up and administered.NOWhich is the correct dose for subcutaneous administration ofmeningococcal polysaccharide vaccine?0.5 mL.MULTIPLE DOSESA man needs MMR, varicella vaccine, and poliovirus vaccine. Hewould like to receive all three today. Which statement is accurate?All three vaccines can be given today at different injection sites.PAPILLOMAVIRUSA vial of human papillomavirus vaccine is removed from the freezer.The vial is shaken well to evenly suspend the vaccine duringwithdrawal. After administering the vaccine the vial is disposed ofin the sharps container.YESHuman papillomavirus vaccine for an adolescent who receivedMMR vaccine two weeks ago.YesPNEUMOCOCCAL POLYSACCHARIDE VACCINE (PPSV)PNEUMOVAX PCV13 PPV23For each person described, click on Yes if the person should bevaccinated with PPV23 today, or on No if the person shouldnot be vaccinated with PPV23 today. In all cases, assume thatthere are no valid contraindications to vaccine administrationYes(PCV13) A healthy 6-month-old.YesWhich statement is correct about pneumococcal polysaccharidevaccine (PPV23)?PPV23 vaccine is inactivated.A 4 year old who is HIV positive. (PVC13)YesA healthy 23 year old who is works in a long termcare facility for older adults and who smokes cigarettes.YESA 25 year old who will be receiving a cochlear implant in 3 weeksYESPOLIO IPVWhich is the correct dose of IPV to administerto a child, adolescent, or adult?0.5 mL.An adult who received two doses of polio vaccine as a child will beleaving to travel to a country in which exposure to wild poliovirusremains a threat. What additional IPV doses should this person receive before leaving?Administer only one dose of vaccine.Which person has a valid contraindication or precautionto receiving polio vaccine today?A woman with diarrhea and a high fever.47. A healthy 2-year-old child. (polio)YesA man had poliomyelitis disease as a child. Whattype of immunity does he have against polio?ACTIVEA previously unvaccinated adult will be traveling to a countryin which exposure to wild poliovirus remains a threat. What isthe minimum interval between which doses can be given if anaccelerated schedule of IPV administration is needed?4 weeks.RABIESIf rabies is treated early and correctly, whatpercentage of people will still die?almost 100%.Which person is LEAST likely to needpre-exposure vaccination for rabies?A man taking a business trip to Singapore and Hong KongA woman who received her first dose of pre-exposure rabiesvaccine yesterday calls to report redness and swelling at thevaccine injection site. She should be told that this iscommon and will go away, and that she can take an over-the-counter pain reliever for the discomfort.What is the recommended dose of rabies vaccinewhen it is given intramuscularly?1 mL.Engerix-B for a 5 year old10, 0.5What percent of healthy people develop protective antibodiesagainst rabies when rabies vaccine is administered correctly?100%ROTAVIRUSRotavirus vaccine for a 3-month old who hasa high fever and severe diarrhea.NoSHIPPING HANDLING STORAGEA shipment of vaccine has been delivered to your vaccineadministration site. What would be the correct initial actionto take?Check the condition of the vaccine and make sure the cold chainhas been maintained during shipping.Expressed as degrees Centigrade, type in the temperatureat which vaccine storage freezers should be maintained.-15At a minimum, how many times a day should the temperaturein a vaccine storage unit be checked and logged?TwiceWhich statement about vaccine inventory and storage is correct?Place extra water bottles in the refrigerator door and coolantpacks in the freezer to provide additional insulation.SMALLPOX VACCINIA IMMUNE GLOBULIN (VIG)As part of a pre-outbreak vaccination program, which ServiceMember presenting for smallpox vaccination today should notbe given the vaccine? One whois of childbearing age and who has had unprotected intercoursesince her last period.As part of a pre-outbreak smallpox vaccination program, for whichperson would smallpox vaccine most likely be contraindicated? Aperson who answers "yes" to the question:Have you ever had an itchy rash in the creases of your elbows or knees?Which person has the most significant risk factor for a severeimmune system-related smallpox vaccine complication? A personwhohas had sexual contact with a person who is HIV-positive.What is the correct action to take if, after dipping the bifurcatedneedle into the smallpox vaccine vial, you do not see a droplet ofvaccine between the prongs?Re-dip the needle perpendicularly into the vial.Which person would be at greatest risk for developmentof myopericardiditis following smallpox vaccination?55-year-old woman with congestive heart failure.Which measure is most important in preventing the mostfrequent adverse event following smallpox vaccination?Hand washing.As part of a pre-outbreak smallpox vaccination program, for whichperson would smallpox vaccine most likely be contraindicated? Aperson who answers "yes" to the question:Have you ever had an itchy rash in the creases of your elbows or knees?Vaccinia immune globulin (VIG) use wouldbe indicated for a person withprogressive vaccinia.There are an estimated 27 million people in the United Stateswho have atopic dermatitis. Why should these people not receivesmallpox vaccine, unless they have been exposed to smallpox virusor are a contact of a person with smallpox? These people are atrisk for eczema vaccinatum, a severe reaction to smallpox vaccineWhat is the correct action to take if, after dipping the bifurcatedneedle into the smallpox vaccine vial, you do not see a droplet ofvaccine between the prongs?Re-dip the needle perpendicularly into the vialTD TDAPWhat is recommended schedule for giving ACTHib vaccineto an infant?2, 4, 6, and 12-15 months of ageA 30-year-old Service Member has a deep cut that iscontaminated with dirt. He completed the primary Tdseries six years ago. The wound is cleaned and sutured.What additional treatment is needed to prevent tetanus?Tdap booster dose today.What is Td?A toxoid vaccine made from altered tetanus and diphtheria toxinsIn which person is Tdap contraindicated? Assume all peopleare due for a Td booster dose.41 year old who had encephalopathy 3 days after a dose of DTPwith no known cause.A 24-year-old woman is 4 months pregnant. She has neverreceived Td or DTaP. What would be the recommendedschedule for her?Td today, Td in 1 month, and Tdap 6 months after Td-2.Which statement about Tdap is accurate?Tdap should be given as a single-booster dose to people 10 - 64 yearsof age.Td vaccine for a woman who has not had a booster dose in 5 years.NOPediarix can be used for infants and children 6 weeks to 7 years of age.TRUEWhich vaccine requires multiple dosesbefore active immunity results?Tetanus.A woman cut her hand with a knife while slicing an apple. Shecannot recall whether she ever had a tetanus shot, but thinksshe may have had one dose. The wound is cleaned and sutured.What additional treatment is needed to prevent tetanus?Td primary series, with first dose today.Which statement about Tdap is accurate?Tdap should be given as a single-booster dose to people 10 - 64 years of age.TYPHOID TY21A VICPS PEDIARIXWhat type of vaccine is Ty21a?A live attenuated bacterial vaccine.What is the correct dose, schedule, androute of administration for Ty21a?Four capsules taken by mouth on alternate days, each dosetaken one hour before a meal.Which adverse reactions are most common following vaccination with ViCPS?Pain and swelling at the injection site.What is the correct dose, schedule, and routeof administration for ViCPS vaccine?One 0.5 mL dose administered intramuscularly.Pediarix can be used for infants and children 6 weeks to 7 years of age.TrueWhat is Td?A toxoid vaccine made from altered tetanus and diphtheria toxinsFor which person would typhoid fever vaccine be indicated?A person traveling to the Indian subcontinent.If he plans to continue this type of travel in the future, when is itrecommended that he be revaccinated against typhoid fever?In five years.For which person would ViCPS be the preferredtype of typhoid vaccine? One whois taking an antibiotic.VARICELLAAn 18-year-old Armed Forces recruit needs varicella vaccinationand a PPD. What is a correct way to administer these injections?Administer the PPD and varicella vaccine simultaneously.Which person should have varicella vaccination delayed?A 40 year old who received a blood transfusion 10 days ago.Varicella vaccine for a man who completed chemotherapy andradiation treatment for testicular cancer 9 months ago.YesA healthy teen received her second dose of varicella vaccine twodays ago. She calls the vaccine administration center complainingof redness, soreness, and swelling at the injection site. She has nofever and otherwise feels well. Which recommendation would be appropriate to include in your response to the woman about this adverse reaction?Expect these symptoms to go away by themselves in a few daysWhich person has a valid contraindication to receiving varicella vaccine today?An HIV-infected 2 year old with a very low CD4+T-lymphocyte countA healthy, 40-year-old man who is susceptible to varicella wasexposed to VZV 3 days ago. What action is recommended toprevent or reduce the severity of varicella illness if this man isinfected with VZV?Administer a dose of varicella vaccine today, followed by a second dose in 4 to 8 weeks.YF-VAX/YELLOW FEVERWhich statement accurately represents informationcontained in the yellow fever VIS?Nursing mothers should avoid or postpone travel to a yellowfever area, if possible.After vaccination with YF-VAX, two groups of people havedemonstrated lower rates of immunity to yellow fever thanother people.Pregnant women and people with impaired immunity.Which response would be most correct? "For healthymen in their 40s, the vaccine has been shown to be (yellow fever)99% to 100% effective after one dose."What is the recommended dose of YF-VAX?0.5 mL.Which person has a valid contraindication to receiving yellowfever vaccine or should check with his or her healthcare providerprior to receiving yellow fever vaccine today?A 20 year old who had his thymus removed last year.Which susceptible person should receiveyellow fever vaccine today?An Armed Forces member being deployed to West Africa.ZOSTERA single-dose vial of zoster vaccine is stored in the freezer.It is then reconstituted with room temperature diulentand placed in the refrigerator. The next day, the vial isremoved and the dose is drawn up and administered.NoWhich person should not receive zoster vaccine today?48-year-old woman who will be undergoing chemotherapy in two weekZoster vaccine for a man who usesa corticosteroid inhaler for asthma.YESOTHERA 29-year-old nurse who works in a Naval hospital.YesWhich person most likely will fail to develop active immunityfollowing vaccination? The person who was givenhepatitis B immune globulin 2 months ago and MMR vaccine given today.
