MTM Immunization & Preventive Care 4

Question 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?

Accepted Answer

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

Answer

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

Question 2

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

Accepted Answer

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

Answer

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%.

Question 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?

Accepted Answer

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

Answer

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.

Question 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?

Accepted Answer

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

Answer

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

Question 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?

Accepted Answer

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

Answer

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.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Immunization & Preventive Care 4