Practice Test Geeks(APHA) American Public Health Association Immunization Certification Practice Test
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Vaccine Schedules & Recommendations Flashcards

7 cards from real APHA practice questions. Tap to flip, then mark Knew It or Still Learning — missed cards come back until you master them.

Read the first 7 Vaccine Schedules & Recommendations flashcards as text

  1. A refugee child arrives from a country with no vaccination records. What is the recommended approach for immunization?

    Answer: Begin the catch-up schedule immediately as if unvaccinated

    When vaccination records are unavailable or unreliable, ACIP recommends treating the individual as unvaccinated and initiating the catch-up immunization schedule.

  2. Which of the following is a VALID contraindication to administering live attenuated influenza vaccine (LAIV4)?

    Answer: Severe immunodeficiency (e.g., hematopoietic stem cell transplant)

    Severe immunodeficiency is a contraindication to LAIV4 because the live virus could cause serious disease in profoundly immunocompromised individuals.

  3. Under the US adult immunization schedule, which vaccine is recommended for adults who have not received a Td booster in the past 10 years and have never received Tdap?

    Answer: Tdap followed by Td every 10 years

    Adults who have not received Tdap should get one Tdap dose, then Td (or Tdap) boosters every 10 years.

  4. RSV vaccine is now recommended by ACIP for certain adults. For which group is RSV vaccination specifically recommended?

    Answer: Adults ≥60 years and pregnant women 32–36 weeks

    ACIP recommends RSV vaccine for adults ≥60 years (shared clinical decision-making) and a single dose of Abrysvo for pregnant persons at 32–36 weeks to protect newborns.

  5. A 10-year-old who received 3 doses of IPV before age 4 needs a booster. At what age/visit should the final IPV dose be given to satisfy schedule requirements?

    Answer: At 4–6 years if the third dose was given before age 4

    If the third IPV dose was given before the 4th birthday, a fourth dose is needed at age 4–6 years to ensure optimal protection.

  6. Which schedule guidance document is updated and released annually by the CDC and ACIP for childhood and adolescent immunization?

    Answer: Recommended Child and Adolescent Immunization Schedule for Ages 18 Years or Younger

    The Recommended Child and Adolescent Immunization Schedule is published annually and reflects the most current ACIP recommendations for ages 18 years and younger.

  7. A premature infant born at 28 weeks gestation is ready for routine immunization. How should the vaccination schedule be adjusted?

    Answer: Immunization should proceed according to chronological age, not corrected age

    ACIP recommends vaccinating preterm infants at the same chronological age and with the same schedule as full-term infants, regardless of gestational age or birth weight.