BUMEDINST 6230.15b Immunizations And Chemoprophylaxis
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(Note: This quiz was last updated on 28 June 2015)
- 1.
Which of the following statements is FALSE about liking our page on Facebook?
- A.
Increased traffic to the website helps generate the funds to keep it running
- B.
Decreased traffic to the website helps generate the funds to keep it running
- C.
Spreading the word to your fellow friends and Corpsmen on Facebook helps out the entire community
- D.
All of the above are true
Correct Answer
B. Decreased traffic to the website helps generate the funds to keep it running -
- 2.
This quiz has over a hundred questions, however, we've programmed it so that only a random 25 show up each time it loads. We also add questions to all of our quizzes every few days. Keeping this in mind, which of the following is the best way to practice and use all of our questions to help you study this subject?
- A.
Emailing this page to yourself so that you can easily find it from home or work
- B.
Bookmarking this page so that you can do this quiz again later
- C.
Hitting the "refresh" button on your browser when the quiz is complete to load up a new set of questions (many of which you haven't yet seen) in a random order
- D.
All of the above
Correct Answer
D. All of the aboveExplanation
The best way to practice and use all of the questions is to utilize all of the options provided. By emailing the page to yourself, you can easily access it from home or work. Bookmarking the page allows you to revisit and retake the quiz later. Finally, hitting the "refresh" button on your browser after completing the quiz will load a new set of questions, ensuring that you encounter different questions each time. Therefore, the best way to study the subject is to use all of the options mentioned, making "All of the above" the correct answer.Rate this question:
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- 3.
You're enjoying this quiz and its probably doing a good job of helping you study and getting you advanced to the next rank. Which of the following is a good way to support this project and keep the site running? (Select all that apply)
- A.
Using the links we have to Amazon.com to purchase your MP3 music and movies
- B.
Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more
- C.
Do nothing. Use the website and forget about it. Hopefully it'll still be around later without your help, but who cares? You're in this for YOU!
- D.
Forwarding the site to your friends and coworkers
- E.
Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)
Correct Answer(s)
A. Using the links we have to Amazon.com to purchase your MP3 music and movies
B. Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more
D. Forwarding the site to your friends and coworkers
E. Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)Explanation
The correct answer is to use the links to Amazon.com to make purchases, forward the site to friends and coworkers, and donate using the PayPal link. These actions help support the project and keep the site running by generating revenue through affiliate commissions from Amazon and receiving donations through PayPal.Rate this question:
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- 4.
Donations of any amount, even as low as $1 can be made by clicking here to access our PayPal page. All donations go towards keeping the site up and running, and distributing advancement materials to Corpsmen throughout the fleet.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
The given statement implies that donations of any amount, including as low as $1, can be made by clicking on the provided link to access the PayPal page. It also states that all donations will be used to maintain the website and provide advancement materials to Corpsmen in the fleet. Therefore, the statement is true.Rate this question:
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- 5.
Why should you use our links to Amazon.com to make all your online purchases?
- A.
It's the same price as going to Amazon.com directly. The only difference is that a part of the profits goes to battalionaidstation.com
- B.
I'm probably going to purchase the items anyways, why not use the links here and help out my fellow Corpsmen
- C.
Purchasing the items through these links give the same low price, rapid delivery, and great customer service as going to Amazon.com directly
- D.
All of the above are good reasons to shop Amazon through the links on battalionaidstation.com
Correct Answer
D. All of the above are good reasons to shop Amazon through the links on battalionaidstation.comExplanation
The given correct answer explains that all the reasons mentioned in the options are valid for using the links on battalionaidstation.com to shop on Amazon. These reasons include getting the same price, supporting battalionaidstation.com with a part of the profits, helping out fellow Corpsmen, and receiving the same benefits of low price, rapid delivery, and great customer service. Therefore, using the links on battalionaidstation.com is a beneficial choice for online purchases on Amazon.Rate this question:
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- 6.
Paying attention to the advertisements on our pages does which of the following? (Seriously, look at them!)
- A.
Automatic "EP" eval
- B.
Automatically enrolls you into Obamacare
- C.
Clicking on the ones that genuinely interest you generates money that we use to keep our site up and running
- D.
Grants you a 96 hour liberty
Correct Answer
C. Clicking on the ones that genuinely interest you generates money that we use to keep our site up and runningExplanation
Clicking on the advertisements that genuinely interest you generates money that is used to support and maintain the website.Rate this question:
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- 7.
You're enjoying this quiz and its probably doing a good job of helping you study and getting you advanced to the next rank. Which of the following is a good way to support this project and keep the site running? (Select all that apply)
- A.
Using the links we have to Amazon.com to purchase your MP3 music and movies
- B.
Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)
- C.
Forwarding the site to your friends and coworkers
- D.
Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more
Correct Answer(s)
A. Using the links we have to Amazon.com to purchase your MP3 music and movies
B. Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)
C. Forwarding the site to your friends and coworkers
D. Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and moreExplanation
The answer suggests that using the links provided to purchase MP3 music and movies, donating money through PayPal, forwarding the site to friends and coworkers, and using the links to purchase DVD movies, electronics, computer software, and hardware on Amazon.com are all good ways to support the project and keep the site running. These actions generate revenue or increase visibility for the project, helping it to continue operating successfully.Rate this question:
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- 8.
Plague is a deadly infectious disease that is caused by the enterobacteria infectious disease that is caused by the Yersinia pestis, named after the French-Swiss bacteriologist Alexandre Yersin. Until June 2007, plague was one of the three epidemic diseases specifically reportable to the World Health Organization (the other two being cholera and yellow fever).[1] Depending on lung infection, or sanitary conditions, plague also can be spread in the air, by direct contact, or by contaminated undercooked food or materials. The symptoms of plague depend on the concentrated areas of infection in each person: such as bubonic plague in lymph nodes, septicemic plague in blood vessels, pneumonic plague in lungs, and so on. It is treatable if detected early. Plague is still endemic in some parts of the world. Visit Wikipedia to read more by clicking here
- A.
Okay, if not now, then maybe later!
- B.
Nah, I'm good
Correct Answer
A. Okay, if not now, then maybe later! -
- 9.
Temperature logs for refrigerators and freezers used to store vaccinations will be kept for at least five years. State and/or local requirements may require longer recordkeeping.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph iRate this question:
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- 10.
Which of the following immunization products are medically contraindicated in breastfeeding women?
- A.
Yellow Fever
- B.
Live virus vaccines
- C.
Pneumococcal
- D.
None of the above
Correct Answer
D. None of the aboveExplanation
BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph bRate this question:
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- 11.
Which form is required for Yellow Fever documentation?
- A.
PHS Form 731
- B.
CDC Form 731
- C.
International Vaccination Document 01-13
- D.
International Vaccination Document 1228
Correct Answer
B. CDC Form 731Explanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph bRate this question:
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- 12.
Which of the following is required to be on hand for the medical management of an anaphylaxis event whenever vaccines are administered?
- A.
No specific equipment is required to be on hand
- B.
Antihistamines
- C.
Three adult doses of epinephrine (1:1,000)
- D.
Complete cardiovascular management cart (“Crash Cart”)
Correct Answer
C. Three adult doses of epinepHrine (1:1,000)Explanation
BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph cRate this question:
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- 13.
Serologic testing is NOT mandatory for which of the following vaccinations?
- A.
Hepatitis A
- B.
Hepatitis B
- C.
OPV / IPV
- D.
Measles
Correct Answer
C. OPV / IPVExplanation
BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph aRate this question:
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- 14.
Which of the following adverse vaccine events MUST be reported?
- A.
Fevers of less than 24 hours
- B.
Time lost from duty that is more than 24 hours
- C.
Redness at immunization site
- D.
All of the above must be reported
Correct Answer
B. Time lost from duty that is more than 24 hoursExplanation
BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph aRate this question:
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- 15.
The Department of Defense policy concerning immunizations follows the recommendations of the CDC and Advisory Committee on Immunization Practices (ACIP), unless there is a militarily relevant reason to do otherwise.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph aRate this question:
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- 16.
Immunizing agents will not be used beyond the manufacturer's potency expiration date, unless which of the following authorizes an extension in exceptional circumstances?
- A.
Head, Immunizations Department
- B.
Commanding Officer
- C.
Head, Medical Services Department
- D.
Surgeon General
- E.
None of the above
Correct Answer
D. Surgeon GeneralExplanation
BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph aRate this question:
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- 17.
Once an immunization series has been started, it must be completed, unless a medical or administrative exemption exists. Restarting an immunization series or adding extra doses is not necessary when an initial series of a vaccine or toxoid is interrupted; instead, give delayed doses as soon as feasible.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph aRate this question:
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- 18.
Which of the following is the Navy's instruction on Immunizations and Chemoprophylaxis?
- A.
BUMEDINST 6230.15
- B.
BUMEDINST 6320.15
- C.
BUMEDINST 6215.30
- D.
BUMEDINST 6315.30
Correct Answer
A. BUMEDINST 6230.15Explanation
BUMEDINST 6230.15BRate this question:
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- 19.
To minimize the shipment of vaccines that must be stored at frozen temperatures, small stations and ships may requisition these items from a nearby military activity stocking the items. Requisitioning procedures and reimbursement are prescribed by the supplying activity.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph cRate this question:
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- 20.
When are pregnancy tests recommended for women before administering an immunization or chemoprophylaxis?
- A.
For all women who are not on permanent birth control
- B.
For all live virus vaccines
- C.
For women receiving the smallpox immunization whose last menstrual period was more than 28 days ago and female accessions before administration of any live virus
- D.
For anthrax and Smallpox vaccines
Correct Answer
C. For women receiving the smallpox immunization whose last menstrual period was more than 28 days ago and female accessions before administration of any live virusExplanation
BUMEDINST 6230.15B, paragraph 2-5 and paragraph 3-1, sub-paragraph bRate this question:
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- 21.
Refrigerated vaccines shall be stored at temperatures 35F to 46F (2C to 8C).
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph gRate this question:
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- 22.
Refrigerated vaccines shall be stored at what temperatures?
- A.
32F – 42F (1C to 6C)
- B.
35F – 46F (2C to 8C)
- C.
32F – 50F (1C to 10C)
- D.
35F – 50F (2C to 10C)
Correct Answer
B. 35F – 46F (2C to 8C)Explanation
BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph gRate this question:
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- 23.
Which of the following is one of the two types of immunization exemptions?
- A.
Medical
- B.
Krivets Exemption
- C.
Contraindicated
- D.
Class 1
Correct Answer
A. MedicalExplanation
BUMEDINST 6230.15B, paragraph 2-6Rate this question:
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- 24.
A medical exemption to a vaccine includes any medical contraindication relevant to a specific vaccine or other medication. Medical exemptions will be customized to the health of the vaccine candidate and the nature of the immunization considered. Medical exemptions may be permanent, or temporary, which is up to how many days?
- A.
30 days
- B.
90 days
- C.
180 days
- D.
365 days
Correct Answer
D. 365 daysExplanation
BUMEDINST 6230.15B, Article 2-6, Paragraph aRate this question:
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- 25.
A medical exemption to a vaccine includes any medical contraindication relevant to a specific vaccine or other medication. Medical exemptions will be customized to the health of the vaccine candidate and the nature of the immunization considered. Medical exemptions may be temporary (up to 180 days) or permanent.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph aRate this question:
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- 26.
When may service personnel receive an administrative exemption to a vaccine in relation to separation or retirement?
- A.
Never
- B.
Within 30 days of separation or retirement, as long as they are not currently assigned, deployed, or scheduled to perform duties in a geographical area where an immunization is indicated
- C.
Within 180 days of separation or retirement, as long as they are not currently assigned, deployed, or scheduled to perform duties in a geographical area where an immunization is indicated
- D.
Within 1 year of separation or retirement, as long as they are not currently assigned, deployed, or scheduled to perform duties in a geographical area where an immunization is indicated
Correct Answer
C. Within 180 days of separation or retirement, as long as they are not currently assigned, deployed, or scheduled to perform duties in a geograpHical area where an immunization is indicatedExplanation
BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph bRate this question:
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- 27.
Service members may receive an administrative exemption to an immunization if their separation or retirement is within 180 days if they are not currently assigned or deployed to an area where an immunization is indicated and the unit commander has not directed immunization because of mission requirements.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15A, paragraph 2-6, sub-paragraph bRate this question:
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- 28.
Service members may receive an administrative exemption to an immunization if their separation or retirement is within 90 days if they are not currently assigned or deployed to an area where an immunization is indicated and the unit commander has not directed immunization because of mission requirements.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph bRate this question:
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- 29.
Which service does NOT provide exemptions to vaccinations based for religious reasons?
- A.
US Army
- B.
US Air Force
- C.
US Coast Guard
- D.
US Marine Corps
- E.
US Navy
Correct Answer
B. US Air ForceExplanation
BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph bRate this question:
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- 30.
What is the preferred method to record immunization data?
- A.
Electronic MRSR
- B.
Paper CTP
- C.
Electronic ITS
- D.
Electronic CTP
Correct Answer
C. Electronic ITSExplanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph aRate this question:
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- 31.
Which of the following is NOT one of the requirements of the electronic ITS?
- A.
Incorporate DoD-directed levels of security, certification, and redundancy, and the requirements of the Health Insurance Portability and Privacy Act to preclude unauthorized access to personal medical information
- B.
Be capable of generating printed reports of immunization status and exemption information on both an individual and unit basis
- C.
Comply with the requirements of the National Vaccine Injury Compensation (NVIC) Porgram
- D.
All of the above are requirements of the electronic ITS
Correct Answer
D. All of the above are requirements of the electronic ITSExplanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph aRate this question:
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- 32.
Which of the following is NOT a valid medium to document immunization and chemoprophylaxis records?
- A.
PHS-731
- B.
NEH-317
- C.
DD 2766
- D.
SF 601
Correct Answer
B. NEH-317Explanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph bRate this question:
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- 33.
Which of the following is NOT a valid medium to document immunization and chemoprophylaxis records?
- A.
POE-782
- B.
CDC-731
- C.
DD 2766
- D.
SF 601
Correct Answer
A. POE-782Explanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph aRate this question:
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- 34.
A service member received a typhoid shot on December 28th, 2006. How should this be annotated on the pHS Form 731?
- A.
28/12/06
- B.
28 Dec 06
- C.
20061228
- D.
Dec 28, 2006
Correct Answer
B. 28 Dec 06Explanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph bRate this question:
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- 35.
If an individual's immunization records are lost, do not restart any immunizations normally given through the individual's accession source. Instead, give one booster dose of each immunization. Request assistance from the local NEPMU and if no records are found 366 days after the patient checks in, then all immunizations will be restarted.
- A.
True
- B.
False
Correct Answer
B. FalseExplanation
BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph cRate this question:
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- 36.
In accordance with emergency response requirements, aviation personnel typically will be grounded for 12 hours after immunization. Flight personnel who previously experienced urticaria, hypersensitivity phenomena, or other unusual phenomena after an immunization will be exempt from flying duties for an appropriate interval (for example, 72 hours) as determined by the flight surgeon. Further temporary grounding may be necessary until significant side effects resolve.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph cRate this question:
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- 37.
Which of the following adverse vaccine events MUST be reported?
- A.
Fevers of less than 24 hours
- B.
Minor swelling at the site of immunization
- C.
Time lost from duty that is more than 24 hours
- D.
All of the above must be reported
Correct Answer
C. Time lost from duty that is more than 24 hoursExplanation
BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph aRate this question:
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- 38.
Reports of mild vaccination expected reactions are not required to be reported. For example, low-grade, self-limited fever of less than 24 hours, temporary local redness, or minor swelling at the site of immunization. However, such reports may be submitted if the clinician or patient wishes.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 2-10Rate this question:
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- 39.
For patients on short notice travel or deployments that require vaccines normally given in a multidose series, administer the first dose of the basic series and as many of the subsequent doses as possible, as time permits. If the series cannot be completed before departure, complete it upon arrival. Completion before departure is the goal. The patient must be informed that in order to obtain optimal immunity, the series must be completed by receiving additional doses.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph eRate this question:
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- 40.
Adenovirus vaccines types 4 and 7 will be administered during which of the following times?
- A.
To basic trainees as they arrive
- B.
Every 5 years
- C.
When assigned to adenovirus endemic areas
- D.
As a biological weapon prophylactic
Correct Answer
A. To basic trainees as they arriveExplanation
BUMEDINST 6230.15B, paragraph 4-2Rate this question:
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- 41.
Contaminated food or water is the main cause of hepatitis A infection.
- A.
True
- B.
False
Correct Answer
A. TrueExplanation
BUMEDINST 6230.15B, paragraph 4-5, sub-paragraph aRate this question:
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- 42.
Which of the following is the causative agent of plague?
- A.
Dalida dirtbagicus
- B.
Yersnia pestis
- C.
Salmonella typhii
- D.
Group A streptococci
Correct Answer
B. Yersnia pestisExplanation
Yersinia pestis is the correct answer for the causative agent of plague. Plague is a highly infectious disease caused by this bacterium. Yersinia pestis is primarily transmitted through fleas that infest rats and other small mammals. It can be transmitted to humans through flea bites or direct contact with infected animals. Plague can manifest in different forms, including bubonic, septicemic, and pneumonic, and if left untreated, it can be fatal. Therefore, Yersinia pestis is the causative agent responsible for causing the plague.Rate this question:
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- 43.
Which of the following bacteria grows at the site of wounds contaminated with its spores?
- A.
Bordetella pertussis
- B.
Clostridium tetani
- C.
Yellow Fever
- D.
Japanese encephalitis
Correct Answer
B. Clostridium tetaniExplanation
BUMEDINST 6230.15B, paragraph 4-16, sub-paragraph aRate this question:
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- 44.
Following ACIP wound-management guidelines in the treatment of contaminated wounds, a booster of Td or Tdap will be administered if more than how many years have elapsed since the last dose of Td or Tdap?
- A.
1 year
- B.
3 years
- C.
5 years
- D.
10 years
Correct Answer
C. 5 yearsExplanation
BUMEDINST 6230.15B, paragraph 4-16, sub-paragraph dRate this question:
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- 45.
Which of the following vaccines is indicated to prevent chickenpox?
- A.
Variola
- B.
Varicella
- C.
Vaccinia
- D.
Vermicelli
Correct Answer
B. VaricellaExplanation
BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph aRate this question:
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- 46.
Adults and adolescents who require varicella vaccination will have two doses spaced how far apart?
- A.
1 week apart
- B.
1 to 2 months apart
- C.
6 months apart
- D.
6 to 12 months apart
Correct Answer
B. 1 to 2 months apartExplanation
BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph bRate this question:
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- 47.
Which of the following is the recommended drug to use as chemoprophylaxis for anthrax?
- A.
Amoxicillin with clauvanate
- B.
Sildenafil
- C.
Ciprofloxacin
- D.
Hardincillin
- E.
None of the above
Correct Answer
C. CiprofloxacinExplanation
BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph bRate this question:
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- 48.
Which of the following is the recommended drug to use as chemoprophylaxis for group A streptococcal disease?
- A.
Ciprofloxacin
- B.
Meflofloxacin
- C.
Primaquine
- D.
Penicillin G benzathine
Correct Answer
D. Penicillin G benzathineExplanation
BUMEDINST 6230.15B, paragraph 5-3, sub-paragraph bRate this question:
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- 49.
Which of the following is the recommended drug to use as chemoprophylaxis for leptospirosis?
- A.
Tetracycline
- B.
Doxycycline
- C.
Penicillin G benzathine
- D.
Chloramphenicol
Correct Answer
B. DoxycyclineExplanation
BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph bRate this question:
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- 50.
Penicillin VK is the chemoprophylactic of choice for which of the following diseases?
- A.
Cholera
- B.
Plague
- C.
Group A streptococcal
- D.
Malaria
Correct Answer
C. Group A streptococcalExplanation
BUMEDINST 6230.15B, paragraph 5-3, sub-paragraph bRate this question:
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