MTM Immunization & Preventive Care 5

Question 1

A pharmacist identifies that a 55-year-old male patient with chronic kidney disease (CKD) stage 3 has never received hepatitis B vaccine. What is the recommended vaccine formulation?

Accepted Answer

High-dose hepatitis B vaccine (Heplisav-B or high-dose Engerix-B 40 mcg) due to impaired immune response

Answer

Patients with CKD or on dialysis have impaired immune response and require higher antigen doses (40 mcg) to achieve adequate seroprotection.

Question 2

Which of the following best describes the concept of 'herd immunity' as it applies to preventive care counseling by MTM pharmacists?

Accepted Answer

When a sufficient proportion of a population is immune, spread of disease is limited, protecting unvaccinated individuals

Answer

Herd immunity occurs when enough of a population is immune (vaccinated or previously infected) that disease transmission is interrupted, protecting those who cannot be vaccinated.

Question 3

A pharmacist reviews a medication list and identifies a patient on eculizumab (Soliris) for paroxysmal nocturnal hemoglobinuria (PNH). Which vaccine is MANDATORY before starting this therapy?

Accepted Answer

Meningococcal vaccines (MenACWY and MenB)

Answer

Eculizumab inhibits complement C5, dramatically increasing risk of invasive meningococcal disease; both MenACWY and MenB vaccines are required ≥2 weeks before initiation.

Question 4

Which clinical preventive service is recommended by USPSTF with an 'A' grade for all sexually active women aged 24 and younger?

Accepted Answer

Chlamydia and gonorrhea screening

Answer

USPSTF gives an 'A' recommendation to chlamydia and gonorrhea screening for all sexually active women aged 24 and younger, given high prevalence and serious complications.

Question 5

A pharmacist counsels a patient about the interval between live vaccines. The patient received MMR today. When is the earliest she can receive varicella vaccine if not given simultaneously?

Accepted Answer

4 weeks (28 days)

Answer

If two live vaccines are not given on the same day, they must be separated by at least 28 days (4 weeks) to avoid immune interference.

(MTM) Medication Therapy Management Board Certification Practice Test

(MTM) Medication Therapy Management Board Certification Practice Test

MTM Immunization & Preventive Care 5