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Chapter 86. Vaccines and Toxoids

Student Questions

A health care provider administers a varicella vaccine to a new health professions student. Two months later the student has varicella titers drawn that are reactive. The student is

A. Immunized against varicella

B. Vaccinated against varicella

C. Not protected against varicella

D. Protected against shingles

Answer: A

Option A: Correct. The patient has demonstrated that they developed immunity to the varicella vaccine by having reactive titers.

Option B: Incorrect. Vaccinate is the act of giving the vaccine.

Option C: Incorrect. Titers indicate protection.

Option D: Incorrect. Varicella vaccine does not protect against Shingles.

It is October and a pregnant woman who is 18 weeks pregnant comes to the obstetricians' office for a routine visit. What vaccines should she receive?

A. Human papillomavirus

B. Inactivated influenza

C. Measles, mumps, and rubella

D. Tetanus, reduced diphtheria, and acellular pertussis

Answer: B

Option A: Incorrect. HPV vaccine is not administered during pregnancy.

Option B: Correct. Influenza vaccine can be administered at anytime during the pregnancy.

Option C: Incorrect. Live virus vaccines are not administered during pregnancy.

Option D: Incorrect. Tdap should be given after week 20.

Use of the Haemophilus influenza type B vaccine has significantly reduced the rate of

A. COPD exacerbations

B. Otitis media

C. Meningitis

D. Pneumonia

Answer: C

Option A: Incorrect. There is no impact of HIB on COPD.

Option B: Incorrect. Otitis is usually caused by a different type of H. influenza.

Option C: Correct. This vaccine targets the primary H. influenza type that causes meningitis.

Option D: Incorrect. H. influenza pneumonia is not common in pediatric patients.

Which vaccine is designed to reduce the incidence of cervical cancer?

A. Human papillomavirus

B. Meningococcal serogroup B

C. 13-valent pneumococcal

D. Zoster

Answer: ...

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