Deck 22: Immunizations

Question 1

Which PCP question, posed to a parent, best demonstrates participatory care when addressing the topic of childhood immunizations?

A) "Do you want to hold your child while I give the shots due today?"
B) "What are your feelings about childhood vaccinations?"
C) "What shots do you want your child to receive at this visit?"
D) "Do you have any questions about the shots that are due at this visit?"

Answer 1

C

Question 2

Which statement is not supported by the ACIP general vaccination guidelines?

A) If two live virus parenteral vaccines are given less than 28 days apart, the vaccine given second should be disregarded; repeat this second vaccine at least 4 weeks later.
B) In some circumstances (e.g., imminent travel, country epidemics, delayed immunizations) an accelerated schedule is available from the ACIP.
C) When multiple vaccines are given on the same extremity, the sites of injection should be at least 1 inch apart; the anterolateral aspect of the thigh is preferred.
D) While written, dated records are preferred, parent or guardian recollection of a child's immunization status may be accepted if source is considered reliable.

Answer 2

D

Question 3

What new vaccine delivery systems are being investigated? (Select all that apply.)

A) Skin-patch
B) Edible
C) Nasal
D) Rectal
E) Topical

Answer 3

A, B, C

Question 4

The National Academy of Medicine has determined, after a comprehensive review, determined there is no substantiated evidence of a causal relationship between thimerosal-containing vaccines or measles, mumps, rubella (MMR) vaccine and what disorders? (Select all that apply.)

A) Childhood schizophrenia
B) Autism
C) Asperger syndrome
D) Attention-deficit/hyperactive disorder (AD/HD)
E) Pett syndrome

Question 5

What reasons are commonly given by parents and caregivers for failing to have their children vaccinated? (Select all that apply.)

A) Religious beliefs
B) Distrust of government agencies
C) Immunizations are too expensive
D) Believed connection to the development of autism
E) Inoculation is too physically and emotionally traumatic