Question 1

Human papillomavirus (HPV) vaccine (Gardasil, Cervarix):

Accepted Answer

A)  Is a live virus vaccine that provides immunity to six strains of HPV virus 
B)  Has a common adverse effect of syncope within 15 minutes of giving the vaccine 
C)  Should not be given to males younger than age 12 years 
D)  May be given to pregnant women 
A)  Is a live virus vaccine that provides immunity to six strains of HPV virus 
B)  Has a common adverse effect of syncope within 15 minutes of giving the vaccine 
C)  Should not be given to males younger than age 12 years 
D)  May be given to pregnant women A

Question 2

Varicella vaccine is recommended to be given to patients who are:

Accepted Answer

A)  HIV positive with a CD4+ T-lymphocyte percentage less than 15% 
B)  Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day) 
C)  Pregnant 
D)  Immunocompromised 
A)  HIV positive with a CD4+ T-lymphocyte percentage less than 15% 
B)  Taking corticosteroids (up to 2 mg/kg/day or less than 20 mg/day) 
C)  Pregnant 
D)  Immunocompromised B

Question 3

Influenza vaccine may be administered annually to:

Accepted Answer

A)  Patients with an egg allergy 
B)  Pregnant patients 
C)  Patients age 6 weeks or older 
D)  Patients with acute febrile illness 
A)  Patients with an egg allergy 
B)  Pregnant patients 
C)  Patients age 6 weeks or older 
D)  Patients with acute febrile illness B

Question 4

The reason that two MMR vaccines at least a month apart are recommended is:

Accepted Answer

A)  The second dose of MMR "boosts" the immunity built from the first dose. 
B)  Two vaccines 1 month apart is the standard dosing for all live virus vaccines. 
C)  If the two MMR vaccine doses are given too close together there is a greater likelihood of severe localized reaction to the vaccine. 
D)  Only 95% of patients are fully immunized for measles after the first vaccine, with 99% having immunity after two doses of MMR. 
A)  The second dose of MMR "boosts" the immunity built from the first dose. 
B)  Two vaccines 1 month apart is the standard dosing for all live virus vaccines. 
C)  If the two MMR vaccine doses are given too close together there is a greater likelihood of severe localized reaction to the vaccine. 
D)  Only 95% of patients are fully immunized for measles after the first vaccine, with 99% having immunity after two doses of MMR.

Question 5

The MMR vaccine is not recommended for pregnant women because:

Accepted Answer

A)  Pregnant women do not build adequate immunity to the vaccine. 
B)  There is a risk of the pregnant women developing measles encephalopathy. 
C)  There is a risk of the fetus developing congenital rubella syndrome. 
D)  Pregnant women can receive the MMR vaccine. 
A)  Pregnant women do not build adequate immunity to the vaccine. 
B)  There is a risk of the pregnant women developing measles encephalopathy. 
C)  There is a risk of the fetus developing congenital rubella syndrome. 
D)  Pregnant women can receive the MMR vaccine.

Question 6

Rho(D) immune globulin (RhoGAM) is given to:

Accepted Answer

A)  Infants born to women who are Rh positive 
B)  Sexual partners of Rh-positive women 
C)  Rh-negative women after a birth, miscarriage, or abortion 
D)  Rh-negative women at 36 weeks gestation 
A)  Infants born to women who are Rh positive 
B)  Sexual partners of Rh-positive women 
C)  Rh-negative women after a birth, miscarriage, or abortion 
D)  Rh-negative women at 36 weeks gestation

Question 7

Hepatitis B immune globulin is administered to provide passive immunity to:

Accepted Answer

A)  Infants born to HBsAg-positive mothers 
B)  Household contacts of hepatitis-B virus infected people 
C)  Persons exposed to blood containing hepatitis B virus 
D)  All of the above 
A)  Infants born to HBsAg-positive mothers 
B)  Household contacts of hepatitis-B virus infected people 
C)  Persons exposed to blood containing hepatitis B virus 
D)  All of the above

Question 8

If the measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as the first MMR and varicella dose to a child the CDC recommends:

Accepted Answer

A)  Parents be informed of the increased risk of fever and febrile seizures over the MMR plus varicella two-shot regimen. 
B)  Patients must also receive MMRV as the second dose of MMR and varicella in order to build adequate immunity. 
C)  Patients be premedicated with acetaminophen 15 minutes before the vaccine is given. 
D)  Patients should not be around pregnant women for the first 48 hours after the vaccine is given. 
A)  Parents be informed of the increased risk of fever and febrile seizures over the MMR plus varicella two-shot regimen. 
B)  Patients must also receive MMRV as the second dose of MMR and varicella in order to build adequate immunity. 
C)  Patients be premedicated with acetaminophen 15 minutes before the vaccine is given. 
D)  Patients should not be around pregnant women for the first 48 hours after the vaccine is given.

Question 9

Immune globulin serums:

Accepted Answer

A)  Provide active immunity against infectious diseases 
B)  Are contraindicated during pregnancy 
C)  Are heated to above body temperature to kill most hepatitis, HIV, and other viruses such as parvovirus 
D)  Are derived from pooled plasma of adults and contain specific antibodies in proportion to the donor population 
A)  Provide active immunity against infectious diseases 
B)  Are contraindicated during pregnancy 
C)  Are heated to above body temperature to kill most hepatitis, HIV, and other viruses such as parvovirus 
D)  Are derived from pooled plasma of adults and contain specific antibodies in proportion to the donor population

Question 10

True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:

Accepted Answer

A)  Fever up to 104oF (40.5o
C)  after previous DTaP vaccine 
B)  Family history of seizures after DTaP vaccine 
C)  Adolescent pregnancy 
D)  Anaphylactic reaction with a previous dose 
A)  Fever up to 104oF (40.5o
C)  after previous DTaP vaccine 
B)  Family history of seizures after DTaP vaccine 
C)  Adolescent pregnancy 
D)  Anaphylactic reaction with a previous dose

Question 11

Diane may benefit from cyclosporine (Sandimmune). Cyclosporin may be prescribed to:

Accepted Answer

A)  Treat rheumatoid arthritis 
B)  Treat patients with corn allergy 
C)  Pregnant patients 
D)  Treat patients with liver dysfunction 
A)  Treat rheumatoid arthritis 
B)  Treat patients with corn allergy 
C)  Pregnant patients 
D)  Treat patients with liver dysfunction

Question 12

Tuberculin purified protein derivative:

Accepted Answer

A)  Is administered to patients who are known tuberculin-positive reactors 
B)  May be administered to patients who are on immunosuppressives 
C)  May be administered 2 to 3 weeks after an MMR or varicella vaccine 
D)  May be administered the same day as the MMR and/or varicella vaccine 
A)  Is administered to patients who are known tuberculin-positive reactors 
B)  May be administered to patients who are on immunosuppressives 
C)  May be administered 2 to 3 weeks after an MMR or varicella vaccine 
D)  May be administered the same day as the MMR and/or varicella vaccine

Question 13

Hepatitis B vaccine is contraindicated in patients who:

Accepted Answer

A)  Were born after less than 32 weeks gestation (give first dose at age 6 months) 
B)  Are pregnant 
C)  Are on hemodialysis 
D)  Are allergic to yeast 
A)  Were born after less than 32 weeks gestation (give first dose at age 6 months) 
B)  Are pregnant 
C)  Are on hemodialysis 
D)  Are allergic to yeast

Question 14

Attenuated vaccines are also known as:

Accepted Answer

A)  Killed vaccines 
B)  Booster vaccines 
C)  Inactivated vaccines 
D)  Live vaccines 
A)  Killed vaccines 
B)  Booster vaccines 
C)  Inactivated vaccines 
D)  Live vaccines

Question 15

Children who should receive meningococcal conjugate vaccine (Hib-MenCY, MenHibrix) include:

Accepted Answer

A)  Children traveling to the Haj 
B)  Infants, routinely at 2, 4, 6, and 12 to 15 months 
C)  Infants with functional asplenia (including sickle cell disease) 
D)  Two year olds with complement deficiencies 
A)  Children traveling to the Haj 
B)  Infants, routinely at 2, 4, 6, and 12 to 15 months 
C)  Infants with functional asplenia (including sickle cell disease) 
D)  Two year olds with complement deficiencies

Question 16

Pregnant women should receive the Tdap vaccine:

Accepted Answer

A)  In the first trimester 
B)  Once every 10 years 
C)  In the third trimester of every pregnancy 
D)  Tdap is contraindicated in pregnancy 
A)  In the first trimester 
B)  Once every 10 years 
C)  In the third trimester of every pregnancy 
D)  Tdap is contraindicated in pregnancy

Question 17

The rotavirus vaccine (RotaTeq, Rotarix):

Accepted Answer

A)  Is a live vaccine that replicates in the small intestine, providing active immunity against rotavirus 
B)  Should not be administered to infants who are or may be potentially immunocompromised 
C)  Is not given to an infant who has a febrile illness (temperature greater than 100.5oF) 
D)  All of the above 
A)  Is a live vaccine that replicates in the small intestine, providing active immunity against rotavirus 
B)  Should not be administered to infants who are or may be potentially immunocompromised 
C)  Is not given to an infant who has a febrile illness (temperature greater than 100.5oF) 
D)  All of the above

Question 18

Live attenuated influenza vaccine (FluMist) may be administered to:

Accepted Answer

A)  All patients over 6 months of age 
B)  Patients between ages 2 and 49 with no risk factors 
C)  Patients with an upper respiratory infection (URI) or asthma 
D)  Pregnant women 
A)  All patients over 6 months of age 
B)  Patients between ages 2 and 49 with no risk factors 
C)  Patients with an upper respiratory infection (URI) or asthma 
D)  Pregnant women

Question 19

Azathioprine has significant adverse drug effects, including:

Accepted Answer

A)  Hypertension 
B)  Hirsutism 
C)  Risk of cancer 
D)  Gingival hyperplasia 
A)  Hypertension 
B)  Hirsutism 
C)  Risk of cancer 
D)  Gingival hyperplasia

Question 20

Zoster vaccine (Zostavax) is:

Accepted Answer

A)  A live varicella zoster vaccine from the same strain used to develop the varicella vaccine 
B)  Effective in preventing varicella zoster in patients of all ages 
C)  Recommended for patients age 40 to 80 who have had chickenpox 
D)  Administered at the same time as other live vaccines, as long as they are given the same day 
A)  A live varicella zoster vaccine from the same strain used to develop the varicella vaccine 
B)  Effective in preventing varicella zoster in patients of all ages 
C)  Recommended for patients age 40 to 80 who have had chickenpox 
D)  Administered at the same time as other live vaccines, as long as they are given the same day

Exam 19: Drugs Affecting the Immune System

Human papillomavirus (HPV) vaccine (Gardasil, Cervarix):

Varicella vaccine is recommended to be given to patients who are:

Influenza vaccine may be administered annually to:

The reason that two MMR vaccines at least a month apart are recommended is:

The MMR vaccine is not recommended for pregnant women because:

Rho(D) immune globulin (RhoGAM) is given to:

Hepatitis B immune globulin is administered to provide passive immunity to:

If the measles, mumps, rubella, and varicella (MMRV) combined vaccine is ordered to be given as the first MMR and varicella dose to a child the CDC recommends:

Immune globulin serums:

True contraindications to diphtheria, tetanus, and acellular pertussis (DTaP or Tdap) vaccine include:

Diane may benefit from cyclosporine (Sandimmune). Cyclosporin may be prescribed to:

Tuberculin purified protein derivative:

Hepatitis B vaccine is contraindicated in patients who:

Attenuated vaccines are also known as:

Children who should receive meningococcal conjugate vaccine (Hib-MenCY, MenHibrix) include:

Pregnant women should receive the Tdap vaccine:

The rotavirus vaccine (RotaTeq, Rotarix):

Live attenuated influenza vaccine (FluMist) may be administered to:

Azathioprine has significant adverse drug effects, including:

Zoster vaccine (Zostavax) is:

The Role of the Nurse Practitioner

Review of Basic Principles of Pharmacology

Rational Drug Selection

Legal and Professional Issues in Prescribing

Adverse Drug Reactions

Factors That Foster Positive Outcomes

Cultural and Ethnic Influences in Pharmacotherapeutics

An Introduction to Pharmacogenomics

Nutrition and Nutraceuticals

Herbal Therapy and Nutritional Supplements

Information Technology and Pharmacotherapeutics

Pharmacoeconomics

Over-The-Counter Medications

Drugs Affecting the Autonomic Nervous System

Drugs Affecting the Central Nervous System

Drugs Affecting the Cardiovascular and Renal Systems

Drugs Affecting the Respiratory System

Drugs Affecting the Hematopoietic System

Drugs Affecting the Gastrointestinal System

Drugs Affecting the Endocrine System

Drugs Affecting the Reproductive System

Drugs Affecting the Integumentary System

Drugs Used in Treating Infectious Diseases

Drugs Used in Treating Inflammatory Processes

Drugs Used in Treating Eye and Ear Disorders

Anemia

Chronic Stable Angina and Low-Risk Unstable Angina

Anxiety and Depression

Asthma and Chronic Obstructive Pulmonary Disease

Contraception

Dermatologic Conditions

Diabetes Mellitus

Gastroesophageal Reflux and Peptic Ulcer Disease

Headaches

Heart Failure

Human Immunodeficiency Virus Disease and Acquired Immunodeficiency Syndrome

Hormone Replacement Therapy and Osteoporosis

Hyperlipidemia

Hypertension

Hyperthyroidism and Hypothyroidism

Pneumonia

Smoking Cessation

Sexually Transmitted Infections and Vaginitis

Tuberculosis

Upper Respiratory Infections, Otitis Media, and Otitis Externa

Urinary Tract Infections

Women As Patients

Men As Patients

Children As Patients

Geriatric Patients

Pain Management: Acute and Chronic Pain

Filters

Rh_o(D) immune globulin (RhoGAM) is given to: