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  1. The influenza vaccine takes approximately _____ to be effective.

    1. 7 days

    2. 10 days

    3. 14 days*

    4. 21 days

  2. Which of the following would be a contraindication to receiving the live influenza vaccine in a 3-year-old patient?

    1. Temperature of 100.1°F

    2. Headache

    3. Allergy to neomycin

    4. Asthma*

  3. Bob is a 63-year-old smoker who comes to your pharmacy inquiring about a pneumococcal vaccine, because he has never received one but was told by his PCP that he should be vaccinated. According to the most recent ACIP recommendations from June 2019, which of the following is the most appropriate dosing schedule for the pneumococcal vaccine(s) that he should receive?

    1. PPSV23 now and a second dose of PPSV23 in 5 years, with a possible dose of PCV13 at age 65, based on shared clinical decision-making*

    2. PPSV23 now, PCV13 1 year later, and PPSV23 at the age of 65, based on shared clinical decision-making

    3. PCV13 now and PPSV23 1 year later

    4. PCV13 now, PPSV23 1 year later, and PCV13 at the age of 65, based on shared clinical decision-making

  4. Which of the following statements about Shingrix is TRUE?

    1. It is administered intramuscularly.*

    2. It should only be administered to patients >60 years of age.

    3. It is a live vaccine.

    4. It is only 50% effective at preventing shingles and post-herpetic neuralgia.

  5. Which of the following is required for a pharmacist to provide an HPV vaccine in West Virginia?

    1. Patient must be at least 11 years old.

    2. Patient must have a prescription.

    3. Parental consent must be given.

    4. The pharmacist must have an up-to-date immunization license.

    5. All of the above are required.*

  6. True or False: A 12-year-old female receiving the HPV vaccine would need to receive three doses to complete the series.

    1. True

    2. False*

  7. Shelia is a 37-year-old female who wants to get a flu vaccine but is concerned because she gets nauseous when she eats eggs. Which of the following is TRUE?

    1. She can receive any licensed influenza product.*

    2. She can only receive LAIV.

    3. She can only receive Flublok or Flucelvax and it must be administered in a hospital setting.

    4. She is not eligible to receive any influenza vaccines.

  8. Which of the following statements regarding the HPV vaccine is TRUE?

    1. It is only FDA-approved for patients aged 9–26 years.

    2. It can be a two-dose or three-dose series, depending on the age at which the series is initiated.*

    3. The new ACIP recommendations suggest that all patients aged 9–45 years be vaccinated with the HPV9 vaccine.

    4. The HPV vaccine protects against cervical cancer but does not protect against anal or penile cancer.

  9. Vaccines that are administered intramuscularly should be given in the _____ at a _____ angle.

    1. Deltoid; 90°*

    2. Deltoid, 45°

    3. Tricep; 90°

    4. Tricep; 45°

  10. Vaccines that are administered subcutaneously should be given in the _____ at a _____ angle.

    1. Deltoid; 90°

    2. Deltoid, 45°

    3. Tricep; 90°

    4. Tricep; 45°*

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