BCACP Infectious Disease and Immunization Management

Question 1

Which vaccine is recommended annually for all adult patients in the ambulatory care setting regardless of age?

Accepted Answer

Influenza

Answer

The CDC recommends annual influenza vaccination for all persons aged 6 months and older, making it the most universally recommended adult vaccine.

Question 2

A 65-year-old immunocompetent patient with no prior pneumococcal vaccine history presents to clinic. Which pneumococcal vaccination sequence is recommended per current ACIP guidelines?

Accepted Answer

PCV15 followed by PPSV23 at least 1 year later, or PCV20 alone

Answer

Current ACIP guidelines recommend either PCV15 + PPSV23 (≥1 year apart) or PCV20 alone for pneumococcal-naive adults aged ≥65.

Question 3

Which antibiotic class is considered first-line for uncomplicated community-acquired pneumonia (CAP) in an outpatient adult with no comorbidities?

Accepted Answer

Macrolides (e.g., azithromycin)

Answer

Macrolides are first-line for outpatient CAP in otherwise healthy adults without risk factors for drug-resistant S. pneumoniae.

Question 4

A patient is prescribed trimethoprim-sulfamethoxazole for a urinary tract infection. Which monitoring parameter is most important in a patient with chronic kidney disease?

Accepted Answer

Serum creatinine and potassium

Answer

TMP-SMX can increase serum creatinine (by blocking tubular secretion) and potassium, requiring close monitoring in CKD patients.

Question 5

What is the recommended post-exposure prophylaxis (PEP) window for HIV initiation after a high-risk exposure?

Accepted Answer

Within 72 hours

Answer

HIV PEP must be initiated within 72 hours of exposure and continued for 28 days to be effective.

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP - Board Certified Ambulatory Care Pharmacist Exam Practice Test

BCACP Infectious Disease and Immunization Management