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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 pharmacist identifies that a 55-year-old male patient with chronic kidney disease (CKD) stage 3 has never received hepatitis B vaccine. What is the recommended vaccine formulation?

    Answer: High-dose hepatitis B vaccine (Heplisav-B or high-dose Engerix-B 40 mcg) due to impaired immune response

    Patients with CKD or on dialysis have impaired immune response and require higher antigen doses (40 mcg) to achieve adequate seroprotection.

  2. Which of the following best describes the concept of 'herd immunity' as it applies to preventive care counseling by MTM pharmacists?

    Answer: When a sufficient proportion of a population is immune, spread of disease is limited, protecting unvaccinated individuals

    Herd immunity occurs when enough of a population is immune (vaccinated or previously infected) that disease transmission is interrupted, protecting those who cannot be vaccinated.

  3. A pharmacist reviews a medication list and identifies a patient on eculizumab (Soliris) for paroxysmal nocturnal hemoglobinuria (PNH). Which vaccine is MANDATORY before starting this therapy?

    Answer: Meningococcal vaccines (MenACWY and MenB)

    Eculizumab inhibits complement C5, dramatically increasing risk of invasive meningococcal disease; both MenACWY and MenB vaccines are required ≥2 weeks before initiation.

  4. Which clinical preventive service is recommended by USPSTF with an 'A' grade for all sexually active women aged 24 and younger?

    Answer: Chlamydia and gonorrhea screening

    USPSTF gives an 'A' recommendation to chlamydia and gonorrhea screening for all sexually active women aged 24 and younger, given high prevalence and serious complications.

  5. A pharmacist counsels a patient about the interval between live vaccines. The patient received MMR today. When is the earliest she can receive varicella vaccine if not given simultaneously?

    Answer: 4 weeks (28 days)

    If two live vaccines are not given on the same day, they must be separated by at least 28 days (4 weeks) to avoid immune interference.

  6. According to USPSTF recommendations, which vitamin/mineral supplementation should be recommended to prevent neural tube defects in persons planning or capable of pregnancy?

    Answer: Folic acid 0.4-0.8 mg daily

    USPSTF recommends 0.4-0.8 mg (400-800 mcg) of folic acid daily for all persons planning or capable of becoming pregnant to prevent neural tube defects.

  7. An MTM pharmacist identifies that a 67-year-old patient received PCV13 at age 65 but has not received PPSV23. Based on current ACIP guidance, what should be recommended?

    Answer: Switch to PCV15 or PCV20 now, which eliminates the need for PPSV23

    Current ACIP guidance recommends PCV15 followed by PPSV23, or PCV20 alone; if the patient received PCV13, PCV20 or PCV15+PPSV23 can still be used to complete protection.