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Immunization & Preventive Care Flashcards

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

Read the first 7 Immunization & Preventive Care flashcards as text

  1. A pharmacist counsels a patient who received varicella vaccine 3 weeks ago and is now prescribed a course of immunosuppressive therapy. What is the concern?

    Answer: The live vaccine-strain virus may reactivate or cause disseminated disease under immunosuppression

    Because varicella vaccine is a live attenuated vaccine, subsequent immunosuppression can allow vaccine-strain virus to disseminate, which is a clinical concern to monitor.

  2. In an MTM consultation, which statin indication also serves a preventive cardiovascular role beyond lipid lowering for primary prevention?

    Answer: USPSTF recommends statin use for adults 40-75 with ≥1 CVD risk factor and 10-year CVD event risk ≥10%

    USPSTF recommends initiating statins for primary CVD prevention in adults 40-75 with one or more CVD risk factors and a calculated 10-year CVD risk of ≥10%.

  3. A 2-month-old infant is seen for well-child care. Which vaccines are typically administered at this visit per the ACIP childhood immunization schedule?

    Answer: DTaP, IPV, Hib, PCV15/20, RV, and Hepatitis B (if not given at birth)

    At 2 months, the recommended vaccines include DTaP, IPV, Hib, PCV15/20, rotavirus (RV), and the third hepatitis B dose if the birth dose was given.

  4. An asymptomatic adult patient has a tuberculin skin test (TST) result of 10 mm induration. She was born in a high-prevalence country and has no symptoms. What is the appropriate interpretation?

    Answer: Positive result indicating latent TB infection (LTBI) requiring further evaluation

    A TST induration ≥10 mm is considered positive (LTBI) for persons born in high TB-prevalence countries, warranting further evaluation and possible treatment.

  5. A pharmacist is completing an MTM comprehensive medication review and notes a 70-year-old patient has not received influenza vaccine this season. The patient declines, citing a past egg allergy with hives. What is correct guidance?

    Answer: Patients with egg allergy causing only hives can receive any licensed influenza vaccine in any setting

    ACIP states that patients with egg allergy of any severity (including anaphylaxis) can receive any licensed, age-appropriate influenza vaccine without special precautions beyond standard vaccine administration.

  6. Which preventive care recommendation involves aspirin use for adults aged 40-59 per USPSTF guidelines?

    Answer: Aspirin use for primary CVD prevention in adults 40-59 with ≥10% 10-year CVD risk is an individual decision

    For adults 40-59 with ≥10% 10-year CVD risk, USPSTF recommends an individualized decision about initiating low-dose aspirin for primary prevention.

  7. A patient with a history of Guillain-Barré syndrome (GBS) within 6 weeks of a previous influenza vaccine asks about receiving this year's vaccine. What is appropriate?

    Answer: GBS history is a precaution; vaccine decision should weigh risks and benefits with physician input

    Prior GBS within 6 weeks of influenza vaccine is a precaution; healthcare providers should carefully consider the risks and benefits before administering influenza vaccine.