Infection Control and Management of Hazardous Materials for the Dental Team 5th Edition by Chris H. Miller – Test Bank

Infection Control and Management of Hazardous Materials for the Dental Team 5th Edition by Chris H. Miller – Test Bank

Chapter 9: Immunization

Test Bank

 

MULTIPLE CHOICE

 

1. How many shots are required for with the hepatitis B vaccine?

A.	1
B.	2
C.	3
D.	4

 

 

ANS:  C

 

	Feedback
A	This is two shots short of the necessary three.
B	This is one shot short of the necessary three.
C	The hepatitis B vaccine requires three injections, two intramuscularly 4 weeks apart and a third injection 5 months after the second.
D	This is one shot too many for the necessary three.

 

 

REF:   Strongly Recommended Immunobiologicals and Immunization Schedules for Dental Health Care Personnel, Table 9-1, page 91    OBJ:   4

 

2. Which of the following best describes the recommended inoculation schedule for the hepatitis B vaccine?

A.	First dose, followed 1 month later by a second dose and a third dose 6 months after the first
B.	First dose, followed 2 months later by a second dose and a third dose 6 months after the first
C.	First dose, followed 6 months later by a second dose and a third dose 8 months after the first
D.	First dose, followed by one additional dose every year

 

 

ANS:  A

 

	Feedback
A	This is the schedule recommended by the vaccine manufacturer and has been approved by the CDC and the Advisory Committee on Immunization Practices.
B	The second dose is too late and is not acceptable by the CDC and the Advisory Committee on Immunization Practices.
C	The second dose is too late and is not acceptable by the CDC and the Advisory Committee on Immunization Practices.
D	This is not acceptable by the CDC and the Advisory Committee on Immunization Practices.

 

 

REF:   Strongly Recommended Immunobiologicals and Immunization Schedules for Dental Health Care Personnel, Table 9-1, page 91    OBJ:   4

 

3. How often should one receive a “flu” shot?

A.	Once every 20 years
B.	Once every 10 years
C.	Once every 5 years
D.	Once every year

 

 

ANS:  D

 

	Feedback
A	Vaccinations older than a year may have little or no preventive ability against the prevailing influenzas of the current year.
B	Vaccinations older than a year may have little or no preventive ability against the prevailing influenzas of the current year.
C	Vaccinations older than a year may have little or no preventive ability against the prevailing influenzas of the current year.
D	The influenza viruses that cause most of the flu cases change every year; therefore, it is necessary to prepare new vaccines every year, which are designed to protect against the newly emerged strains of the influenza virus.

 

 

REF:   Strongly Recommended Immunobiologicals and Immunization Schedules for Dental Health Care Personnel, Table 9-1, page 91    OBJ:   4

 

4. What is the general nature of the hepatitis B vaccine?

A.	It contains a live virus.
B.	It contains a whole inactivated virus.
C.	It contains a recombinant vaccine.
D.	It contains an immune globulin.

 

 

ANS:  C

 

	Feedback
A	It is not a live virus, which is a weakened virus that causes immunity but not disease.
B	It is not an inactivated virus, which is a dead whole virus that causes immunity but not disease.
C	The hepatitis B recombinant vaccine contains only the surface antigen from the virus made by genetic manipulations.
D	An immune globulin is an antibody.

 

 

REF:   Strongly Recommended Immunobiologicals and Immunization Schedules for Dental Health Care Personnel, Table 9-1, page 91    OBJ:   4

 

5. There is no vaccine for which of the following diseases?

A.	Hepatitis C
B.	Measles
C.	Mumps
D.	Influenza

 

 

ANS:  A

 

	Feedback
A	Hepatitis C is a bloodborne disease for which there is no vaccine.
B	There is a vaccine for measles.
C	There is a vaccine for mumps.
D	There is a vaccine for influenza.

 

 

REF:   CHAPTER INTRODUCTION, page 90                           OBJ:   2

 

6. A vaccine is not available in the United States for:

A.	human immunodeficiency virus disease.
B.	measles.
C.	chickenpox.
D.	tetanus.

 

 

ANS:  A

 

	Feedback
A	As of 2012, there is no vaccine against human immunodeficiency virus disease.
B	There is a vaccine for measles.
C	There is a vaccine for chickenpox.
D	There is a vaccine for tetanus.

 

 

REF:   CHAPTER INTRODUCTION, page 90                           OBJ:   2

 

7. According to OSHA’s Bloodborne Pathogens Standard, if a dental office staff person who is susceptible to hepatitis B refuses the offer to be vaccinated against hepatitis B, what must happen?

A.	The staff person must not be hired or must be fired.
B.	The staff person must see a physician.
C.	The staff person must sign a vaccine declination form.
D.	The staff person can work in the office but can only work with children under age 12.

 

 

ANS:  C

 

	Feedback
A	This is not required by OSHA.
B	This is not required by OSHA.
C	If employees refuse the hepatitis B vaccine, they must read and sign a declination statement.
D	This is not required by OSHA.

 

 

REF:   Hepatitis B, page 95                       OBJ:   4

 

8. Which of the following symptoms are prominent with influenza but rare or slight with the common cold?

A.	Headache and body aches
B.	Sore throat and sneezing
C.	Stuffy nose and sore throat
D.	Slow onset and low fever

 

 

ANS:  A

 

	Feedback
A	Headache and body aches are common symptoms of influenza.
B	These are not common symptoms of the flu but common with the common cold.
C	These are not common symptoms of the flu but common with the common cold.
D	These are not common symptoms of the flu but common with the common cold.

 

 

REF:   Differences Between a Cold and the Flu, Table 9-2, page 93

OBJ:   1

 

9. What types of viral strains are in the influenza vaccine?

A.	Three type Bs
B.	Three type As
C.	One type A and one type B
D.	Two type As and one type B

 

 

ANS:  D

 

	Feedback
A	Only one type B is used to prepare flu vaccines.
B	Two not three type As are used to prepare flu vaccines.
C	Two of the type As are used to prepare flu vaccines.
D	This is the standard content of flu vaccines because it protects the most people.

 

 

REF:   Influenza, page 93                          OBJ:   4

 

10. The Tdap vaccine is designed to prevent diphtheria, pertussis, and:

A.	tuberculosis.
B.	typhoid.
C.	tetanus.
D.	typhus.

 

 

ANS:  C

 

	Feedback
A	There is no licensed vaccine for tuberculosis in the United States.
B	The vaccine for typhoid is not part of the Tdap vaccine.
C	Tetanus toxoid is part of the Tdap vaccine, which is given to prevent tetanus.
D	The vaccine for typhus is not part of the Tdap vaccine.

 

 

REF:   Strongly Recommended Immunobiologicals and Immunization Schedules for Dental Health Care Personnel, Table 9-1, page 92    OBJ:   1

 

11. A vaccine is not available for:

A.	rubella.
B.	chickenpox.
C.	some human herpesviruses.
D.	hepatitis B.

 

 

ANS:  C

 

	Feedback
A	There is vaccine for rubella.
B	There is vaccine for chickenpox.
C	There are no vaccines for some herpesviruses.
D	There is vaccine for hepatitis B.

 

 

REF:   CHAPTER INTRODUCTION, page 90                           OBJ:   2

 

12. Why should health care workers get tested for hepatitis B antibodies after receiving the three shots of hepatitis B vaccine?

A.	To see if they are also HIV positive
B.	To see if they have become immune to hepatitis B
C.	To see if they are allergic to the vaccine
D.	To see if they need the hepatitis A vaccine

 

 

ANS:  B

 

	Feedback
A	A person who is HIV positive does not produce hepatitis B antibodies.
B	Because no vaccine is 100% effective, the CDC recommends testing for immunity 1 to 2 months after receiving the third inoculation of the hepatitis B vaccination series.
C	The presence of hepatitis B antibodies does not determine the presence of an allergic response.
D	The presence or absence of hepatitis B antibodies does not determine if a person should be vaccinated against hepatitis A.

 

 

REF:   Hepatitis B, page 95                       OBJ:   4