Immunizations and Vaccines Flashcards
6 cards from real Pharmacy practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.
Read the first 6 Immunizations and Vaccines flashcards as text
The HPV vaccine (Gardasil 9) is recommended starting at age 11–12. If the series is started at age 15 or older, how many doses are required?
Answer: 3 doses
If HPV vaccination is started at age 15 or older, or if dose 1 was given before 15 but dose 2 is delayed beyond schedule, 3 doses are required (0, 1–2, and 6 months).
Which component of the COVID-19 mRNA vaccine does the mRNA instruct cells to produce?
Answer: The spike (S) protein of SARS-CoV-2
mRNA COVID-19 vaccines (Moderna, Pfizer-BioNTech) deliver instructions for cells to produce the SARS-CoV-2 spike protein, triggering an immune response without introducing live virus.
Vaccine Information Statements (VIS) must be provided to patients before administering which vaccines?
Answer: All vaccines covered by the National Childhood Vaccine Injury Act (NCVIA)
Federal law (NCVIA) requires healthcare providers to give the appropriate VIS before administering any vaccine covered by the Act — including many adult vaccines like influenza, Td/Tdap, and hepatitis B.
Tdap vaccine is recommended during each pregnancy to protect the newborn. The optimal time for administration is:
Answer: Between 27 and 36 weeks gestation
ACIP recommends Tdap during each pregnancy between 27 and 36 weeks gestation (ideally 27–32 weeks) to maximize maternal antibody transfer to the fetus, protecting newborns before they can receive their own vaccines.
A patient receives a live vaccine today and asks when they can receive another live vaccine. Per CDC guidelines:
Answer: At least 28 days later if they are given on different days
If two live vaccines are not given on the same day, they must be separated by at least 28 days (4 weeks) to prevent immune interference from one vaccine reducing response to the other.
Which vaccine is recommended for all adults 65+ who have never received any pneumococcal vaccine?
Answer: PCV15 or PCV20, followed by PPSV23 if PCV15 was used
ACIP (2021) recommends adults 65+ receive PCV15 followed by PPSV23 (at least 1 year later), or PCV20 alone. PCV20 alone is an acceptable single-dose option for vaccine-naive adults.