T/F After exposure to measles virus, it generally takes 10-12 days for a person to develop symptoms of measles.

True

T/F Mumps orchitis (inflammation of testicles) can occur in men infected with mumps.

True

Which patient should not receive MMR vaccine today?

10-year-old boy with fever of 102F and symptoms of influenza

A 30-year-old active duty woman presents for MMR vaccine. In medical readiness review, serology testing showed she is non-immune to mumps. She is actively trying to become pregnant via fertility treatments. Correct clinical response is:

Advise that she should not try to get pregnant for at least 1 month after receipt of MMR

A healthy 30-year-old man was exposed to a confirmed case of measles 2 days ago. He has never had measles. He has never received measles vaccine. Correct clinical response includes:

Administer MMR vaccine now

Rubella infection in adults can cause:

All of the above (rash, joint pain, lymphadenopathy)

T/F Mumps complications tend to be more frequent and severe in adults than in children.

True

Which patient should not receive MMR vaccine today?

30-year-old man who is currently receiving chemotherapy for leukemia

Two doses of MMR vaccine are recommended for...

All of the above (all children, all adults who travel outside the United States, all adults who are healthcare workers)

T/F MMR and MMRV are identical vaccine products.

False

Y/N ) A 50-year-old nurse reports that she received two measles vaccinations in childhood. Records show she received the 'killed-measles-vaccine' available in the 1960s. Does this history demonstrate adequate protection from measles?

No

Y/N A 40-year-old nurse reports that she had measles as a child. She has no medical records or prior serology tests. Does this history demonstrate adequate protection from measles?

No

Y/N A 70-year-old man is concerned about mumps because there have been cases in his town. Does his history (being born before 1957) demonstrate adequate protection from mumps?

Yes

Possible adverse reactions after MMR vaccine include:

All of the above (fever, rash, low platelet count)

The correct dose, route, and site for MMR vaccine administration is:

0.5 mL SC in the upper arm or lateral thigh

The current recommendation for routine administration of MMR in children is:

Two doses at ages 12-15 months and 4-6 years

A patient requires both MMR vaccine and tuberculosis skin testing (TST). Which of the following is not an appropriate course of action?

Administer MMR, and then administer TST 3 days later

T/F If MMR is unavailable, MMRV can be used instead, in any patient.

False

Because vaccination response may be impaired, MMR vaccination should generally be delayed for several months after receipt of...

All of the above (RBCs, platelets, immune globulin products)

T/F Parotitis (inflammation of the salivary glands) is the most common clinical presentation of mumps.

True

Mumps is transmitted via:

Human respiratory droplets

If a woman is infected with rubella virus in pregnancy, her unborn child may be affected with:

All of the above (deafness, microcephaly, heart defects)

Which members of the US military are required to have measles protection?

All military members

Y/N A 30-year-old active duty man presents for MMR vaccine. In medical readiness review, serology testing showed he is non-immune to measles. His wife is 3 months pregnant. Can he safely receive MMR vaccine today?

Yes

Which scenario is most likely to result in Congenital Rubella Syndrome?

A woman infected with rubella virus in the first trimester of pregnancy

Which patient should not receive MMRV (ProQuad) vaccine today?

6-year-old girl with history of seizures

A 30-year-old woman who is 3 months pregnant was exposed to a confirmed case of measles 2 days ago. Her prior immunity to measles is unknown. Correct clinical response includes:

Refer to a medical provider to consider immune globulin treatment

Y/N A healthy 20-year-old woman has valid documentation of receipt of two appropriate MMR vaccines in childhood. Should serology testing be done to confirm measles immunity?

No

T/F Mumps protection is recommended for all healthcare workers in the United States.

True

Y/N Is birth before 1957 valid evidence of rubella immunity for a healthcare worker?

No

Potential complications of measles infection include:

All of the above (pneumonia, encephalitis, SSPE (subacute sclerosing panencephalitis) years after primary infection)

Measles is transmitted via:

Human respiratory droplets

Rubella virus...

All of the above (has an incubation period of approximately 2 weeks between exposure and illness onset, is spread person-to-person via respiratory droplets, is spread mother-to-fetus if infection occurs during pregnancy)

Y/N A 30-year-old woman is trying to become pregnant. Her vaccination history is uncertain. She has a serology test showing immunity to measles. Is this history sufficient to confirm protection from rubella?

No

Which patient should not receive MMR vaccine today?

9-month-old boy whose parents want to ensure he is vaccinated early

What is the minimum interval between two doses of MMR vaccine?

28 days

A 20-year-old active duty woman presents for MMR vaccine. In medical readiness review, serology testing showed she is non-immune to measles. She is 3 months pregnant. Correct clinical response is:

Administer MMR promptly after delivery or end of her pregnancy

Which patient should not receive MMR vaccine today?

9-month-old boy whose parents want to ensure he is vaccinated early

Which patient should not receive MMR vaccine today?

30-year-old man who is currently receiving chemotherapy for leukemia

The current recommendation for routine administration of MMR in children is:

Two doses at age 12-15 months and 4-6 years

Is birth before 1957 valid evidence of rubella immunity for a healthcare worker?

no

Parotitis (inflammation of the salivary glands) is the most common clinical presentation of mumps.

True

A 30-year-old active duty woman presents for MMR vaccine. In medical readiness review, serology testing showed she is non-immune to mumps. She is actively trying to become pregnant via fertility treatments. Correct clinical response is:

Advise that she should not try to get pregnant for at least 1 month after receipt of MMR

After exposure to measles virus, it generally takes 10-12 days for a person to develop symptoms of measles.

True

Mumps orchitis (inflammation of testicles) can occur in men infected with mumps.

true

Which patient should not receive MMR vaccine today?

*10-year-old boy with fever of 102F and symptoms of influenza
*30-year-old man who is currently receiving chemotherapy for leukemia (correct)
*9-month-old boy whose parents want to ensure he is vaccinated early (correct)

A healthy 30-year-old man was exposed to a confirmed case of measles 2 days ago. He has never had measles. He has never received measles vaccine. Correct clinical response includes:

Administer MMR vaccine now

Rubella infection in adults can cause:

All of the above (correct)
Rash
Joint pain
Lymphadenopathy

Mumps complications tend to be more frequent and severe in adults than in children.

True (correct)

Two doses of MMR vaccine are recommended for...

All of the above (correct)
All children
All adults who travel outside the United States
All adults who are healthcare workers

MMR and MMRV are identical vaccine products.

False (correct)

A 50-year-old nurse reports that she received two measles vaccinations in childhood. Records show she received the 'killed-measles-vaccine' available in the 1960s. Does this history demonstrate adequate protection from measles?

No (correct)

A 40-year-old nurse reports that she had measles as a child. She has no medical records or prior serology tests. Does this history demonstrate adequate protection from measles?

No (correct)

A 70-year-old man is concerned about mumps because there have been cases in his town. Does his history (being born before 1957) demonstrate adequate protection from mumps?

Yes (correct)

Possible adverse reactions after MMR vaccine include:

All of the above (correct)
Fever
Rash
Low platelet count

The correct dose, route, and site for MMR vaccine administration is:

Two doses at ages 12-15 months and 4-6 years (correct)

A patient requires both MMR vaccine and tuberculosis skin testing (TST). Which of the following is not an appropriate course of action?

Administer MMR, and then administer TST 3 days later (correct)

If MMR is unavailable, MMRV can be used instead, in any patient.

False (correct)

Because vaccination response may be impaired, MMR vaccination should generally be delayed for several months after receipt of...

All of the above (correct)
RBCs
Platelets
Immune globulin products

Parotitis (inflammation of the salivary glands) is the most common clinical presentation of mumps.

True (correct)

Mumps is transmitted via:

Human respiratory droplets (correct)

If a woman is infected with rubella virus in pregnancy, her unborn child may be affected with:

Any of the above (correct)
Deafness
Microcephaly
Heart defects

Which members of the US military are required to have measles protection?

All military members (correct)
Only healthcare workers
Only people who travel to countries with measles outbreaks
Only people who work in food service

A 30-year-old active duty man presents for MMR vaccine. In medical readiness review, serology testing showed he is non-immune to measles. His wife is 3 months pregnant. Can he safely receive MMR vaccine today?

Yes (correct)

Which scenario is most likely to result in Congenital Rubella Syndrome?

A woman infected with rubella virus in the first trimester of pregnancy (correct)

Which patient should not receive MMRV (ProQuad) vaccine today?

6-year-old girl with history of seizures (correct)

A 30-year-old woman who is 3 months pregnant was exposed to a confirmed case of measles 2 days ago. Her prior immunity to measles is unknown. Correct clinical response includes:

Refer to a medical provider to consider immune globulin treatment (correct)

A healthy 20-year-old woman has valid documentation of receipt of two appropriate MMR vaccines in childhood. Should serology testing be done to confirm measles immunity?

No (correct)

Mumps protection is recommended for all healthcare workers in the United States.

True (correct)

Is birth before 1957 valid evidence of rubella immunity for a healthcare worker?

No (correct)

Potential complications of measles infection include:

All of the above (correct)
Pneumonia
Encephalitis
SSPE (subacute sclerosing panencephalitis) years after primary infection

Measles is transmitted via:

Human respiratory droplets (correct)

Rubella virus...

All of the above (correct)
Has an incubation period of approximately 2 weeks between exposure and illness onset
Is spread person-to-person via respiratory droplets
Is spread mother-to-fetus if infection occurs during pregnancy

A 30-year-old woman is trying to become pregnant. Her vaccination history is uncertain. She has a serology test showing immunity to measles. Is this history sufficient to confirm protection from rubella?

No (correct)

Which patient should not receive MMR vaccine today?

9-month-old boy whose parents want to ensure he is vaccinated early (correct)

What is the minimum interval between two doses of MMR vaccine?

28 days (correct)

A 20-year-old active duty woman presents for MMR vaccine. In medical readiness review, serology testing showed she is non-immune to measles. She is 3 months pregnant. Correct clinical response is:

Administer MMR promptly after delivery or end of her pregnancy (correct)

MMR vaccine contains live, weakened rubulla viruses

True

The correct dose, route, and site for MMR vaccine administration is:

0.5 mL SC in the upper arm or lateral thigh (correct)