MTM Immunization & Preventive Care 3

Question 1

A 16-year-old receives the first dose of HPV vaccine. How many total doses are required and on what schedule?

Accepted Answer

2 doses at 0 and 6-12 months

Answer

Individuals starting the HPV series at age 9-14 require only 2 doses given 6-12 months apart; those starting at ≥15 need 3 doses.

Question 2

During an MTM session, a pharmacist identifies a 60-year-old diabetic patient who has never received a hepatitis B vaccine. What is the recommended action?

Accepted Answer

Recommend 3-dose hepatitis B series for all unvaccinated adults through age 59, and shared decision-making for age ≥60

Answer

ACIP recommends universal hepatitis B vaccination for unvaccinated adults aged 19-59; for those ≥60, vaccination is recommended based on shared decision-making or risk factors.

Question 3

Which preventive medication is recommended by USPSTF to reduce fracture risk in postmenopausal women at high risk for osteoporosis?

Accepted Answer

No supplemental benefit has been established by USPSTF for community-dwelling adults

Answer

The USPSTF recommends against vitamin D or calcium supplementation for primary prevention of fractures in community-dwelling adults, as evidence of net benefit is insufficient.

Question 4

A pharmacist reviews a patient's vaccination history and notes MMR vaccination. Which adverse effect should patients be counseled about after MMR vaccination?

Accepted Answer

Arthralgia primarily in older women due to the rubella component

Answer

Joint pain or arthralgia, primarily due to the rubella component of MMR, occurs most commonly in post-pubertal women and is a known adverse effect.

Question 5

What is the USPSTF recommendation for lung cancer screening with low-dose CT (LDCT)?

Accepted Answer

Adults 50-80 with ≥20 pack-year history who currently smoke or quit within the past 15 years

Answer

USPSTF recommends annual LDCT for adults aged 50-80 with a 20+ pack-year smoking history who currently smoke or have quit within the past 15 years.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Immunization & Preventive Care 3