Question

1a) Missy is a 36-year-old woman with diabetes mellitus. She requests a refill of her insulin on November 1. She has completed the primary series of MMR, DTaP, and hepatitis A vaccines, and she received a dose of Tdap 2 years ago. She had a physician-confirmed case of chickenpox as a child. Missy is not pregnant. Which of the following vaccines should Missy receive?

A) PCV13, HPV, Td, and influenza. B) PPSV23, Hepatitis B, and influenza. C) PPSV23, Td, hepatitis A, and influenza.\ D)HPV, hepatitis, B, Td, and influenza.

1b: Which of the following vaccines should be administered to boys and young men aged 9 through 26 years to reduce their likelihood of acquiring genital warts?

A) VAR. B) PCV13. C) HPV9. D) MCV4.

1c: Five minutes after receiving a vaccine, a patient tells you that his face “feels funny” and he is starting to feel itchy all over. You notice that his lips are swollen. Which of the following would be the most appropriate action to take?

A) Administer diphenhydramine. B) Give the patient a drink of water. C) Send the patient to the closest emergency department. D) Tell a staff member to call 911 and administer a dose of epinephrine.

1D) Which of the following vaccines should be administered subcutaneously?

A) MMR. B) Tdap. C) IIV. D) HPV.

1e: Which of the following statements best describes the approach to take with patients regarding simultaneous administration of vaccines?

A) Children younger than 3 years of age should receive only one live vaccine in a single day. B) Children younger than 6 months of age should receive no more than three vaccines of any type in a single day. C) Use of an altered immunization schedule is associated with a lower rate of adverse event reporting to the Vaccine Adverse Event Reporting System (VAERS). D) A delay in the administration of vaccines increases the risks for infection and outbreaks.

Answer 1

1a. Ans:B)PPSV23,Hepatitis B and influenza vaccines

1b. Ans: C) HPV9

Reason: Human papillomavirus is the most common sexually transmitted disease among those age group which can be effectively prevented using HPV9 vaccination.

1c. Ans:D) Tell a staff memberto call 911 and administer a dose of epinephrine.

Reason: Dont give water or anything else to the patient by mouth.

1d. Ans: A) MMR

Reason: Attenuated injectible vaccines like MMR ,varicella etc are recommended for subcutaneous injections..

1e. Ans: D) a delay in the administration of vaccines increases the risks for infection and outbreaks.

Reason:delay in vaccination results in increasing the time for those susceptible to diseases.