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Immunization & Preventive Care Flashcards

7 cards from real MTM 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 & Preventive Care flashcards as text

  1. A 16-year-old receives the first dose of HPV vaccine. How many total doses are required and on what schedule?

    Answer: 2 doses at 0 and 6-12 months

    Individuals starting the HPV series at age 9-14 require only 2 doses given 6-12 months apart; those starting at ≥15 need 3 doses.

  2. During an MTM session, a pharmacist identifies a 60-year-old diabetic patient who has never received a hepatitis B vaccine. What is the recommended action?

    Answer: Recommend 3-dose hepatitis B series for all unvaccinated adults through age 59, and shared decision-making for age ≥60

    ACIP recommends universal hepatitis B vaccination for unvaccinated adults aged 19-59; for those ≥60, vaccination is recommended based on shared decision-making or risk factors.

  3. Which preventive medication is recommended by USPSTF to reduce fracture risk in postmenopausal women at high risk for osteoporosis?

    Answer: No supplemental benefit has been established by USPSTF for community-dwelling adults

    The USPSTF recommends against vitamin D or calcium supplementation for primary prevention of fractures in community-dwelling adults, as evidence of net benefit is insufficient.

  4. A pharmacist reviews a patient's vaccination history and notes MMR vaccination. Which adverse effect should patients be counseled about after MMR vaccination?

    Answer: Arthralgia primarily in older women due to the rubella component

    Joint pain or arthralgia, primarily due to the rubella component of MMR, occurs most commonly in post-pubertal women and is a known adverse effect.

  5. What is the USPSTF recommendation for lung cancer screening with low-dose CT (LDCT)?

    Answer: Adults 50-80 with ≥20 pack-year history who currently smoke or quit within the past 15 years

    USPSTF recommends annual LDCT for adults aged 50-80 with a 20+ pack-year smoking history who currently smoke or have quit within the past 15 years.

  6. A patient receiving methotrexate for rheumatoid arthritis needs an influenza vaccine. Which formulation is appropriate?

    Answer: Inactivated influenza vaccine (IIV) or recombinant influenza vaccine (RIV)

    Immunocompromised patients on methotrexate should receive inactivated (IIV) or recombinant (RIV) influenza vaccines, not the live LAIV formulation.

  7. Which vaccine is specifically recommended for adults traveling to areas where meningococcal disease is endemic, and is also required for Hajj pilgrims?

    Answer: MenACWY (meningococcal quadrivalent conjugate vaccine)

    MenACWY is required for Hajj pilgrims by Saudi Arabian authorities and is recommended for travelers to meningitis belt countries in sub-Saharan Africa.