Immunization Schedules & Vaccine Administration Flashcards
7 cards from real APHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 7 Immunization Schedules & Vaccine Administration flashcards as text
A patient with a documented allergy to gelatin is most at risk for a reaction to which vaccine?
Answer: MMR
MMR and varicella vaccines contain gelatin as a stabilizer, placing gelatin-allergic individuals at risk for allergic reactions.
A clinic's refrigerator temperature log shows that vaccines were stored at 50°F (10°C) overnight. What is the correct first action?
Answer: Quarantine the vaccines and contact the manufacturer or health department
Vaccines exposed to temperature excursions should be quarantined (not discarded or used) pending guidance from the manufacturer, health department, or immunization program.
What is the minimum age for administering the live attenuated influenza vaccine (LAIV)?
Answer: 2 years
LAIV (FluMist) is approved and recommended only for persons aged 2 years and older due to safety concerns in younger children.
A 2-year-old child is unvaccinated. Using the catch-up schedule, what is the minimum interval between the first and second doses of Hib vaccine?
Answer: 4 weeks
The minimum interval between Hib doses in the catch-up schedule for children aged 12 months and older is 4 weeks.
Which vaccine should NOT be administered in the anterolateral thigh of a toddler who is also receiving DTaP in the same thigh?
Answer: Both are acceptable in the same thigh if separated by 1 inch
Multiple vaccines can be given in the same thigh provided injection sites are separated by at least 1 inch to allow identification of local reactions.
A provider is 45 minutes into drawing up MMR vaccine from a multidose vial. At what point must the reconstituted vaccine be discarded?
Answer: After 4 hours
Reconstituted MMR vaccine must be discarded if not used within 4 hours of reconstitution per manufacturer and CDC guidance.
An adult patient born in 1956 has no serologic evidence of measles immunity. How many MMR doses are recommended?
Answer: 0 — persons born before 1957 are presumed immune
Persons born before 1957 are presumed to have been exposed to measles naturally and are generally considered immune, requiring no MMR doses.