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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
- 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
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