Pharmacy Immunizations and Vaccines 2

Question 1

The HPV vaccine (Gardasil 9) is recommended starting at age 11–12. If the series is started at age 15 or older, how many doses are required?

Accepted Answer

3 doses

Answer

If HPV vaccination is started at age 15 or older, or if dose 1 was given before 15 but dose 2 is delayed beyond schedule, 3 doses are required (0, 1–2, and 6 months).

Question 2

Which component of the COVID-19 mRNA vaccine does the mRNA instruct cells to produce?

Accepted Answer

The spike (S) protein of SARS-CoV-2

Answer

mRNA COVID-19 vaccines (Moderna, Pfizer-BioNTech) deliver instructions for cells to produce the SARS-CoV-2 spike protein, triggering an immune response without introducing live virus.

Question 3

Vaccine Information Statements (VIS) must be provided to patients before administering which vaccines?

Accepted Answer

All vaccines covered by the National Childhood Vaccine Injury Act (NCVIA)

Answer

Federal law (NCVIA) requires healthcare providers to give the appropriate VIS before administering any vaccine covered by the Act — including many adult vaccines like influenza, Td/Tdap, and hepatitis B.

Question 4

Tdap vaccine is recommended during each pregnancy to protect the newborn. The optimal time for administration is:

Accepted Answer

Between 27 and 36 weeks gestation

Answer

ACIP recommends Tdap during each pregnancy between 27 and 36 weeks gestation (ideally 27–32 weeks) to maximize maternal antibody transfer to the fetus, protecting newborns before they can receive their own vaccines.

Question 5

A patient receives a live vaccine today and asks when they can receive another live vaccine. Per CDC guidelines:

Accepted Answer

At least 28 days later if they are given on different 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 prevent immune interference from one vaccine reducing response to the other.

Pharmacy Practice Test

Pharmacy Practice Test

Pharmacy Immunizations and Vaccines 2