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
A 65-year-old patient asks about the recombinant zoster vaccine (RZV, Shingrix). Which statement is correct?
Answer: Two doses are given 2-6 months apart
RZV (Shingrix) requires two doses administered 2-6 months apart (or 1-2 months apart in immunocompromised patients).
Which preventive service is recommended annually for adults aged 50 and older by USPSTF based on colorectal cancer screening guidelines?
Answer: Fecal immunochemical test (FIT)
Annual high-sensitivity FIT is one of the recommended colorectal cancer screening options for adults aged 45-75, making it the only annually repeated stool-based test.
A 28-year-old pregnant patient in her first trimester asks about Tdap vaccination. What is the correct guidance?
Answer: Tdap is recommended at 27-36 weeks gestation with each pregnancy
Tdap is recommended during 27-36 weeks of each pregnancy to maximize passive antibody transfer to the newborn and protect against pertussis.
An MTM pharmacist reviews a 45-year-old HIV-positive patient's immunization record. Which vaccine is CONTRAINDICATED in this patient?
Answer: Live attenuated influenza vaccine (LAIV)
LAIV (FluMist) is a live attenuated vaccine contraindicated in immunocompromised patients including those with HIV infection.
According to USPSTF guidelines, at what age should breast cancer screening with mammography begin for women at average risk?
Answer: Age 40
The 2024 USPSTF update recommends biennial mammography screening starting at age 40 for women at average risk.
A patient taking long-term high-dose corticosteroids (prednisone 20 mg/day for >14 days) needs vaccination. Which vaccine requires special consideration?
Answer: Live vaccines such as MMR and varicella
High-dose corticosteroids (≥20 mg/day of prednisone for ≥14 days) cause immunosuppression, contraindicating live vaccines like MMR and varicella.
Which of the following patients has the HIGHEST priority for receiving pneumococcal vaccination with both PCV20 and PPSV23?
Answer: A 40-year-old with asplenia
Patients with functional or anatomic asplenia are at highest risk for invasive pneumococcal disease and need pneumococcal vaccination regardless of age.