BCACP Infectious Disease and Immunization Management

Question 1

Which vaccine is recommended annually for all adult patients in the ambulatory care setting regardless of age?

Accepted Answer

Influenza

Answer

Pneumococcal (PPSV23)

Answer

Tdap

Answer

Zoster (Shingrix)

Question 2

A 65-year-old immunocompetent patient with no prior pneumococcal vaccine history presents to clinic. Which pneumococcal vaccination sequence is recommended per current ACIP guidelines?

Accepted Answer

PCV15 followed by PPSV23 at least 1 year later, or PCV20 alone

Answer

PPSV23 only

Answer

PCV13 only

Answer

Two doses of PPSV23 one year apart

Question 3

Which antibiotic class is considered first-line for uncomplicated community-acquired pneumonia (CAP) in an outpatient adult with no comorbidities?

Accepted Answer

Macrolides (e.g., azithromycin)

Answer

Fluoroquinolones

Answer

Beta-lactams

Answer

Tetracyclines

Question 4

A patient is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which monitoring parameter is most important in a patient with chronic kidney disease?

Accepted Answer

Serum creatinine and potassium

Answer

Liver function tests

Answer

CBC only

Answer

Blood glucose

Question 5

What is the recommended post-exposure prophylaxis (PEP) window for HIV initiation after a high-risk exposure?

Accepted Answer

Within 72 hours

Answer

Within 24 hours only

Answer

Within 1 week

Answer

Within 2 weeks

Question 6

Which vaccine requires a 2-dose series given 2–6 months apart and is preferred over the older zoster vaccine for shingles prevention in adults ≥50?

Accepted Answer

Shingrix (RZV)

Answer

Zostavax (ZVL)

Answer

Varivax

Answer

Proquad