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JKO Hepatitis B 1.5hrs Questions and Answers

What happens to the majority of adults in the United States who develop acute hepatitis B?

They eventually reach the convalescent stage with supportive care

A 23-year-old receives a first dose of Recombivax HB1 mL (10 mcg) and a second dose 3 months later. The minimum interval between the second and third doses in this case is _____ weeks.

8

Select Yes if the person should be tested for immunity 1 to 2 months after he or she receives Hepatitis B vaccine, or No if post-vaccination serologic testing is not needed. People who receive Hepatitis B vaccine in the deltoid muscle.

No

Select Yes if Hepatitis B vaccine is recommended for the adult described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. An adult who regularly eats raw shellfish.

No

Select Yes if the person should be tested for immunity 1 to 2 months after he or she receives Hepatitis B vaccine, or No if post-vaccination serologic testing is not needed. Dialysis clients and people who are immune compromised.

Yes

How do people become infected with Hepatitis B Virus (HBV)?

By exposure to blood or certain other body fluids

A 15-year-old receives Recombivax HB 1 mL (10 mcg). A second dose should be given in no sooner than _____ month(s).

4

Select Yes if the person should be tested for immunity 1 to 2 months after he or she receives Hepatitis B vaccine, or No if post-vaccination serologic testing is not needed. A person who is an Alaskan Native or Pacific Islander.

No

A 32-year-old is given Engerix-B 1 mL (20 mcg). The usual interval between the first and second doses of Engerix-B is _____ months. The minimum interval between the first and second dose of Engerix-B is _____ months.

1, 1

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. A 15-year-old boy who presents with a sexually transmitted disease (STD).

Yes

What serologic test should be done to determine if a person has immunity to hepatitis B?

Anti-HBs

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. A person who is entering training to become an X-ray technician.

Yes

Fill in the blanks below with the correct dose in microgramsand the number of mL of vaccine for the person described. Recombivax HB for a 15-year-old receiving 3 doses. Dose equals _____ mcg, Number of mL equals _____ mL.

5, 0.5

A Servicemember received one dose of Twinrix before deployment to Afghanistan. This person now due for their second dose, but the only vaccines available are single-antigen Hepatitis A and B vaccines. How many doses of single-antigen Hepatitis B vaccine will this person need to complete their primary series for hepatitis B?

2

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. A Servicemember who is being stationed on the island of Guam for one year as a community liaison officer.

Yes

Here are two statements about Hepatitis B vaccine. One is true and the other is false. Select the true statement.

Hepatitis B vaccine is an inactivated vaccine

One person described has a valid contraindication to receiving Hepatitis B vaccine today. Who is it?

A 7-year-old with Down Syndrome who is hospitalized with acute pneumonia

Fill in the blanks below with the correct dose in microgramsand the number of mL of vaccine for the person described. Engerix-B for a 42-year-old. Dose equals _____ mcg, Number of mL equals ____ mL.

20, 1

In order to prevent the development of Hepatitis B, what should take place when an individual has been exposed to Hepatitis B virus and has not received the Hepatitis B vaccine?

Vaccinate with Hepatitis B vaccine and Hepatitis B immune globulin

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. A janitor in an emergency room.

Yes

A pregnant woman tells you she is a nurse and received the Hepatitis B vaccine at work two years ago. Does she still need to be tested for HBsAg during her pregnancy?

Yes

Which type of adverse reaction are you most likely to see in adolescents and adults after injection of Hepatitis B vaccine?

Pain at the injection site

Fill in the blanks below with the correct dose in micrograms and the number of mL of vaccine for the person described. Engerix-B for a 19-year-old. Dose equals _____ mcg, Number of mL equals _____ mL.

10, 0.5

A non-responder is defined as a person with _____ response to vaccination.

inadequate

Select Yes if the person should be tested for immunity 1 to 2 months after he or she receives Hepatitis B vaccine, or No if post-vaccination serologic testing is not needed. Healthcare workers and others with high-risk occupational exposure to blood or body fluids.

Yes

Here are two statements about Hepatitis B vaccine. One is true and the other is false. Select the true statement.

Hepatitis B vaccine is administered intramuscularly

Fill in the blanks below with the correct dose in micrograms and the number of mL of vaccine for the person described. Engerix-B for a 5-year-old. Dose equals _____ mcg, Number of mL equals ____ mL.

10, 0.5

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. People who live in crowded urban areas.

No

Fill in the blanks below with the correct dose in micrograms and the number of mL of vaccine for the person described. Recombivax HB for a 52-year-old. Dose equals _____ mcg, Number of mL equals _____ mL.

10, 1

Here are two statements about Hepatitis B vaccine. One is true and the other is false. Select the true statement.

Recombivax HB and Engerix-B are interchangeable

Which statement is true about Hepatitis B vaccine according to its Vaccine Information Statement (VIS)?

Hepatitis B vaccine is the first anti-cancer vaccine because it can prevent a form of liver cancer.

What serologic test would be indicated for a person who has received six valid doses of Hepatitis B vaccine and continues to show no response to the vaccine when tested for anti-HBs?

HBsAg

Hepatitis B vaccine is recombinant vaccine that contains:

Genetically-engineered HBsAg

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. A resident at a center for the developmentally disabled.

Yes

Fill in the blanks below with the correct dose in micrograms and the number of mL of vaccine for each person described. Recombivax HB for a 15-year-old receiving 2 doses. Dose equals _____ mcg, Number of mL equals _____ mL.

10, 1

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. Family members of immigrants to the US who are identified as HBV carriers.

Yes

Select Yes if Hepatitis B vaccine is recommended for the person described based on his or her risk for infection, or No if Hepatitis B vaccine is not recommended for the person. A 6-month-old child.

Yes

Here are two statements about Pediarix vaccine. One is true and the other is false. Select the true statement.

Pediarix can be used for infants and children 6 weeks to 7 years of age