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Influenza: Prevention and Control

1. Which of the following recommendations is most accurate?

A. Routine annual influenza vaccination of all persons aged ≥6 months without contraindications continues to be recommended. B. Routine annual influenza vaccination of all persons aged ≥8 months without contraindications continues to be recommended. C. Routine annual influenza vaccination of all persons aged ≥9 months without contraindications continues to be recommended. D. Routine annual influenza vaccination of all persons aged ≥1 year without contraindications continues to be recommended.

2. According to the ACIP General Recommendations on Immunization, which of the following statements is most accurate?

A. Providers should consider observing all patients for 15 minutes after vaccination to decrease the risk for injury should they experience syncope. B. Providers should consider observing all patients for 30 minutes after vaccination to decrease the risk for injury should they experience syncope. C. Providers should consider observing patients with egg allergies only, for 15 minutes after vaccination to decrease the risk for injury should they experience syncope. D. Providers should consider observing patients with egg allergies only, for 30 minutes after vaccination to decrease the risk for injury should they experience syncope.

3. Persons with a history of severe allergic reaction to egg (i.e., any symptom other than hives) should be vaccinated in an inpatient or outpatient medical setting under the supervision of a health care provider who is able to recognize and manage severe allergic conditions.

A. TRUE B. FALSE

4. Which of the following statements is most accurate?

A. Influenza A and B are the two types of influenza viruses that cause epidemic human disease. B. Influenza A and C are the two types of influenza viruses that cause epidemic human disease. C. Influenza A and D are the two types of influenza viruses that cause epidemic human disease. D. Influenza C and D are the two types of influenza viruses that cause epidemic human disease.

5. Influenza B viruses are separated into two distinct genetic lineages (Yamagata and Victoria) and are categorized into subtypes.

A. TRUE B. FALSE

6. Which of the following statements is most accurate?

A. Deaths associated with influenza are most frequent among younger adults. B. Deaths associated with influenza are most frequent among older children. C. Deaths associated with influenza are most frequent among adults below the age of 65. D. Deaths associated with influenza are most frequent among older adults.

7. Pregnant women are vulnerable to severe symptoms and illness attributable to influenza.

A. TRUE B. FALSE

8. Immune responses elicited by influenza vaccines are generally not strain-specific.

A. TRUE B. FALSE

9. Which of the following statements is most accurate?

A. Inactivated influenza vaccines may only be administered by intramuscular injection. B. Inactivated influenza vaccines may only be administered by intradermal injection. C. Inactivated influenza vaccines may be administered by intramuscular or intradermal injection and contain nonreplicating virus. D. Inactivated influenza vaccines may be administered by intramuscular or intradermal injection and do not contain nonreplicating virus.

10. Vaccine effectiveness is lower among children aged less than 5 years who have never received influenza vaccine previously or who received only 1 dose in their first year of vaccination, than it is among children who received 2 doses in their first year of being vaccinated.

A. TRUE B. FALSE

11. One dose of inactivated influenza vaccine tends to not be immunogenic in healthy adults aged less than 65 years.

A. TRUE B. FALSE

12. According to the text, HIV-infected persons with minimal AIDS-related symptoms and normal or near-normal CD4+ T-lymphocyte cell counts who receive inactivated influenza vaccines develop adequate antibody responses.

A. TRUE B. FALSE

13. Which of the following statements is most accurate?

A. Live-attenuated influenza virus strains replicate in nasopharyngeal epithelial cells. B. Live-attenuated influenza virus strains do not replicate in nasopharyngeal epithelial cells. C. Live-attenuated influenza virus strains do not replicate in cells. D. Live-attenuated influenza virus strains do not replicate at all

14. Which of the following statements is most accurate?

A. Fluarix Quadrivalent is indicated in for individuals aged ≥3 months. B. Fluarix Quadrivalent is indicated in for individuals aged ≥6 months. C. Fluarix Quadrivalent is indicated in for individuals aged ≥3 years. D. Fluarix Quadrivalent is indicated in for individuals aged ≥8 years.

15. What is the recommended route of administration for Fluzone Intradermal Quadrivalent?

A. IM B. ID C. Subcutaneous D. Oral

16. Currently available inactivated influenza vaccines are classified as either Pregnancy Category B or Category C.

A. TRUE B. FALSE

17. What is oculorespiratory syndrome?

A. An acute, self-limited reaction to inactivated influenza vaccines. B. A chronic, self-limited reaction to inactivated influenza vaccines. C. An acute, self-limited reaction to live-attenuated influenza vaccines. D. A chronic, self-limited reaction to live-attenuated influenza vaccines.

18. Children aged 6 months through 8 years who require 2 doses should receive their first dose as soon as possible after vaccine becomes available, and the second dose ≥4 weeks later.

A. TRUE B. FALSE

19. Which of the following statements is most accurate?

A. ACIP recommends that all women who are pregnant or who might be pregnant in the upcoming influenza season receive live-attenuated influenza vaccines. B. ACIP recommends that all women who are pregnant or who might be pregnant in the upcoming influenza season receive inactivated influenza vaccines. C. ACIP recommends that women over the age of 40 who are pregnant or who might be pregnant in the upcoming influenza season receive live-attenuated influenza vaccines. D. ACIP recommends that women over the age of 40 who are pregnant or who might be pregnant in the upcoming influenza season receive inactivated influenza vaccines.

20. Which of the following statements is most accurate?

A. Influenza vaccines should be protected from light and stored at recommended temperatures. B. Most influenza vaccines should not be refrigerated. C. Most influenza vaccines should be frozen. D. Multi-dose vials of influenza vaccines should not be returned to recommended storage conditions between uses.


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