BUMEDINST 6230.15b Immunizations and Chemoprophylaxis

1. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph c

2. Malaria has caused morbidity and mortality in military populations for centuries. Military operations often occur in areas of the world where malaria is endemic. Medical commanders will designate trained staff to provide comprehensive malaria prevention counseling regarding mosquito avoidance, personal protective measures, and chemoprophylaxis to military and civilian personnel considered at risk of contracting malaria.

True

False

BUMEDINST 6230.15B, paragraph 5-6

Explanation

BUMEDINST 6230.15B, paragraph 5-6

3. Combatant commanders must request approval from the Secretary of Defense to use Investigational New Drugs (INDs) for force health protection. If the member's use of an IND is voluntary, the product must be administered with documented informed consent in accordance with a protocol approved by the FDA for IND product use. A vaccine, antibiotic, or other product in an IND status may be mandatory for military members if the President has approved a waiver of the requirement for informed consent.

True

False

BUMEDINST 6230.15B, Article 7-2

Explanation

BUMEDINST 6230.15B, Article 7-2

4. Frozen vaccines will be stored at temperatures of __________(insert number) degrees Fahrenheit or lower.

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Submit

5. Refrigerated vaccines shall be stored at temperatures 35F to 46F (2C to 8C).

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

6. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at a minimum of two times per day.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

7. Federal civilian employees will receive country-specific immunizations without charge at military activities upon presentation of official orders or authorization.

True

False

BUMEDINST 6230.15B, paragraph 3-3, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 3-3, sub-paragraph a

8. For short notice travel or deployments requiring vaccines given in a multi-dose series, administer the first dose of the basic series. Administer as many of the subsequent doses as time permits. Completion before departure is the goal. If the series cannot be completed before departure, completed before departure, complete it upon arrival. Inform the patient that in order to obtain optimal immunity, the series must be completed by receiving all the required doses at the recommended intervals.

True

False

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph e

9. Which of the following is known as the "International Certificate of Vaccination or Prophylaxis?"

CDC Form 731

LAZ Form 731

POE Form 731

LRS Form 731

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

10. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds 24 hours.

True

False

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

11. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

12. 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.

True

False

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

13. 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.

True

False

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph e

14. Two or more live virus vaccines must be administered simultaneously or separated by at least __________(enter numerals or type in number) days.

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Submit

15. The ACIP general recommendations suggest that persons be observed for __________(insert number) to 20 minutes after being immunized.

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

Submit

16. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-10

Explanation

BUMEDINST 6230.15B, paragraph 2-10

17. Refrigerated vaccines will be stored at temperatures of 35 degrees to __________(insert number) degrees Fahrenheit.

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Submit

18. CDC Form __________(insert numeral) is also known as the "International Certificate of Vaccination or Prophylaxis."

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Submit

19. VAERS reports and / or MedWatch reports shall be turned in within _______(fill in the blank) days of of an adverse event.

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph f

Submit

20. Refrigerated vaccines will be stored at temperatures of __________(insert number) degrees to 46 degrees Fahrenheit.

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Submit

21. __________(insert acronym) Form 731 is also known as the "International Certificate of Vaccination or Prophylaxis."

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Submit

22. Aviation personnel are typically grounded for 12 hours after vaccination.

True

False

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

23. Medical exemptions from vaccinations are based upon any medical contraindication relevant to a specific vaccine or other medication. Health care providers will determine a medical exemption based on the health of the vaccine candidate and the nature of the immunization under consideration. Medical exemptions may be temporary (up to 365 days) or permanent.

True

False

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph a

24. Japanese encephalitis is a mosquito-borne viral disease that endangers Sailors and Marines when they travel to endemic areas in Eastern Asia and certain western Pacific Islands. It can cause an acute infection of the brain, spinal cord, and meninges with high rates of complications, chronic disability, and death.

True

False

BUMEDINST 6230.15B, paragraph 4-8

Explanation

BUMEDINST 6230.15B, paragraph 4-8

25. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds __________(fill in the blank) hours.

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

Submit

26. Jet-injection immunization devices must be used with FDA-approved manufacturer's recommendations. Only vaccines with FDA approval for jet injectors may be used in these devices.

True

False

BUMEDINST 6230.15B, paragraph 2-8

Explanation

BUMEDINST 6230.15B, paragraph 2-8

27. Hepatitis A is an acute infection of the liver that is acquired by consuming food or water, primarily during deployments or travel to areas with poor food, water, and sewage sanitation. It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months.

True

False

BUMEDINST 6230.15B, paragraph 4-5

Explanation

BUMEDINST 6230.15B, paragraph 4-5

28. Which of the following is the Navy's instruction on Immunizations and Chemoprophylaxis?

BUMEDINST 6230.15

BUMEDINST 6320.15

BUMEDINST 6215.30

BUMEDINST 6315.30

BUMEDINST 6230.15B

Explanation

BUMEDINST 6230.15B

29. A positive serological test or two doses of the MMR vaccination is required for personnel born after the year __________(insert year).

BUMEDINST 6230.15B, paragraph 4-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-9, sub-paragraph c

Submit

30. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

31. Doxycycline may be used as chemoprophylaxis for many diseases, including anthrax, leptospirosis, and scrub typhus.

True

False

BUMEDINST 6230.15B, paragraphs 5-2, 5-5, and 5-9

Explanation

BUMEDINST 6230.15B, paragraphs 5-2, 5-5, and 5-9

32. At present, no immunization products are medically contraindicated in breastfeeding women. However, smallpox vaccine is withheld from breastfeeding women, except in an outbreak, primarily due to the potential for contact transmission of vaccinia virus to the child.

True

False

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph c

33. Immunizing and chemoprophylaxis agents are requisitioned in accordance with medical supply procedures. However, vaccinia immune globulin - also known as VIG-intravenous - is available only by ordering through the MILVAX Office.

True

False

BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph a

34. Temperature logs for refrigerators and freezers used to store vaccinations will be kept for at least __________(insert numeral) years. state and/or local requirements may require longer recordkeeping.

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Submit

35. If different anatomical sites are not possible for multiple vaccination injections, then the injections going into the same limb will be spaced by at least 1 inch.

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

36. All vaccines or chemoprophylaxis classified as an Investigational New Drug that are administered to a military member, whether with the member's informed consent or a Presidential waiver of informed consent, must be recorded in the member's permanent health record or other DoD-approved electronic ITS.

True

False

BUMEDINST 6230.15B, Article 7-3

Explanation

BUMEDINST 6230.15B, Article 7-3

37. Which of the following military personnel are required to be immunized against Hepatitis B?

Healthcare workers

Healthcare workers and military law enforcement

Healthcare workers, military law enforcement, and food workers

All military personnel

BUMEDINST 6230.15B, paragraph 4-6, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-6, sub-paragraph c

38. Temperature logs for refrigerators and freezers used to store vaccinations will be kept for at least three years. State and/or local requirements may require longer recordkeeping.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

39. Unused needles and syringes prepared for vaccination that were unused will be discarded according to the manufacturer's package insert. If no timeline is provided, discard after 8 hours.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph e

40. A positive serological test or two doses of the MMR vaccination is required for personnel born after 1957.

True

False

BUMEDINST 6230.15B, paragraph 4-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-9, sub-paragraph c

41. 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.

True

False

BUMEDINST 6230.15A, paragraph 2-6, sub-paragraph b

Explanation

BUMEDINST 6230.15A, paragraph 2-6, sub-paragraph b

42. Drugs and vaccines that have not been approved or licensed by the FDA may be used as medical countermeasures to chemical, biological radiological, or nuclear (CBRN) agents or threats if the FDA grants an Emergency Use Authorization (EUA). In general, this EUA may be granted for up to 12 months, with potential renewal.

True

False

BUMEDINST 6230.15B, Article 8-1

Explanation

BUMEDINST 6230.15B, Article 8-1

43. Two or more live virus vaccines must be administered simultaneously or separated by at least 28 days (4 weeks).

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

44. Which of the following is required to be on hand for the medical management of an anaphylaxis event whenever vaccines are administered?

No specific equipment is required to be on hand

Antihistamines

Three adult doses of epinephrine (1:1,000)

Complete cardiovascular management cart (“Crash Cart”)

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

45. Health care providers will report adverse events involving vaccines to which of the following?

VAERS

MedWatch

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraphs b and c

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraphs b and c

46. The first cluster of immunizations is administered to enlisted accessions is given, if susceptible, before the beginning of collective training to protect against pathogens that represent an imminent risk of contagious disease in settings of close contact. Examples of first cluster immunizations are: Adenovirus; influenza; meningococcal; MMR; tetanus-dipthera-pertusis; and varicella.

True

False

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph b

47. Hepatitis B is an acute or potentially chronic infection of the liver that is acquired through percutaneous, sexual, and other mucosal exposure to blood and body fluids from people infected with the same virus. This infection occurs worldwide, and some infected people maintain a chronic carrier state.

True

False

BUMEDINST 6230.15B, paragraph 4-6

Explanation

BUMEDINST 6230.15B, paragraph 4-6

48. Which of the following is NOT one of the requirements of the electronic ITS?

Be capable of generating printed reports of immunization status and exemption information on both an individual and unit basis

Comply with the requirements of the National Vaccine Injury Compensation (NVIC) Porgram

All of the above are requirements of the electronic ITS

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

49. Which of the following is NOT a valid medium to document immunization and chemoprophylaxis records?

POE-782

CDC-731

DD 2766

SF 601

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

50. What dose of epinephrine is required to be immediately accessible on scene whenever vaccines are administered?

Injectable (1:1,000)

Injectable (1:10,000)

Injectable (1:50,000)

Injectable (1:100,000)

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

51. To avoid interference between live virus vaccination and TB testing, the TB test will be administered on the same day as the live virus vaccination. If this is not possible, then the TB test will be performed 4 to 6 weeks after administration of the vaccine.

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

52. Paying attention to the advertisements on our pages does which of the following? (Seriously, look at them!)

Automatic "EP" eval

Automatically enrolls you into Obamacare

Clicking on the ones that genuinely interest you generates money that we use to keep our site up and running

Grants you a 96 hour liberty

Clicking on the advertisements that genuinely interest you generates money that is used to support and maintain the website.

Explanation

Clicking on the advertisements that genuinely interest you generates money that is used to support and maintain the website.

53. Contaminated food or water is the main cause of hepatitis A infection.

True

False

BUMEDINST 6230.15B, paragraph 4-5, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 4-5, sub-paragraph a

54. To avoid a live vaccine from interfering with a TB test, which of the following procedures should be taken?

All positive TB tests are considered invalid for 3 months after patient has received a live virus vaccination

Refer patient to medical officer to prescribe prophylactic INH along with live virus vaccination

Administer TB test and live virus vaccination on different limbs

Perform TB test 4 to 6 weeks after administration of live virus vaccine

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

55. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at what interval?

Weekly if electronic measures are installed

At least daily

At least twice daily

At least three times daily

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

56. If tuberculosis testing must wait until what time period after administration of a live virus?

7 to 10 days

2 to 4 weeks

4 to 6 weeks

6 months

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

57. Which of the following is NOT a valid medium to document immunization and chemoprophylaxis records?

PHS-731

NEH-317

DD 2766

SF 601

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

58. Which of the following medications are recommended for use as chemoprophylaxis for anthrax?

Ciprofloxacin and doxycyline

Macrolides and ciprofloxacin

Penicillin and macrolides

Sulfides and doxycycline

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

59. 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.

True

False

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.

Explanation

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.

60. Why should you use our links to Amazon.com to make all your online purchases?

I'm probably going to purchase the items anyways, why not use the links here and help out my fellow Corpsmen

All of the above are good reasons to shop Amazon through the links on battalionaidstation.com

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.

Explanation

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.

61. Which of the following is the causative agent of plague?

Dalida dirtbagicus

Yersnia pestis

Salmonella typhii

Group A streptococci

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.

Explanation

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.

62. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at what interval?

Weekly if electronic measures are installed

At least daily

At least twice daily

At least three times daily

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

63. Which of the following infections is transmitted via the bite of an infected mosquito?

Variola

Yellow Fever

Typhoid Fever

Leptospirosis

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph k

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph k

64. Which of the following vaccines is indicated to prevent chickenpox?

Variola

Varicella

Vaccinia

Vermicelli

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph a

65. Which of the following medications is recommended for use as chemoprophylaxis against Scrub Typhus?

Doxycycline

Acetylsalicylic acid

Antiviral medications

Fluoxetine

BUMEDINST 6230.15B, paragraph 5-9, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-9, sub-paragraph b

66. Which of the following is the recommended drug to use as chemoprophylaxis for leptospirosis?

Tetracycline

Doxycycline

Penicillin G benzathine

Chloramphenicol

BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph b

67. 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?

Emailing this page to yourself so that you can easily find it from home or work

Bookmarking this page so that you can do this quiz again later

All of the above

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.

Explanation

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.

68. To avoid a live vaccine from interfering with a TB test, which of the following procedures should be taken?

Perform TB test 4 to 6 weeks after administration of live virus vaccine

Perform TB test 8 to 12 weeks after administration of live virus vaccine

Administer TB test and live virus vaccination on different limbs

All positive TB tests are considered invalid for 3 months after patient has received a live virus vaccination

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph h

69. Aviation personnel are typically grounded for how many hours post vaccination?

1 hour

8 hours

12 hours

24 hours

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

70. Aviation personnel are typically grounded for 8 hours after vaccination.

True

False

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

71. Which of the following is required to be on hand for the medical management of an anaphylaxis event whenever vaccines are administered?

No specific equipment is required to be on hand

Antihistamines

Three adult doses of epinephrine (1:1,000)

Complete cardiovascular management cart (“Crash Cart”)

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph c

72. Adenovirus vaccines types 4 and 7 will be administered during which of the following times?

To basic trainees as they arrive

Every 5 years

When assigned to adenovirus endemic areas

As a biological weapon prophylactic

BUMEDINST 6230.15B, paragraph 4-2

Explanation

BUMEDINST 6230.15B, paragraph 4-2

73. What is the proper storage and handling procedure for multi-dose vaccine vials that do not require reconstitution?

Write the date opened on the vial. Discard after 7 days.

Write the date opened on the vial. Discard after 30 days.

Write the date opened on the vial. Discard at the end of the month.

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph c

74. Which of the following is an acute or potentially chronic infection of the liver that is acquired through percutaneous, sexual, and other mucosal exposure to blood and body fluids from people infected with the same virus?

Hepatitis A

Hepatitis B

Poliomyelitis

Typhoid

BUMEDINST 6230.15B, paragraph 4-6

Explanation

BUMEDINST 6230.15B, paragraph 4-6

75. Which of the following is a mosquito-borne viral disease that endangers Sailors and Marines when they travel to endemic areas in Eastern Asia and certain western Pacific Islands? It can cause an acute infection of the brain, spinal cord, and meninges with high rates of complications, chronic disability, and death.

Rabies

Meningococcal

Japanese encephalitis

Diptheria

BUMEDINST 6230.15B, paragraph 4-8

Explanation

BUMEDINST 6230.15B, paragraph 4-8

76. Which of the following adverse immunization events is required to be reported through VAERS?

Minor swelling at the site of immunization

Time lost from duty more than one duty shift

Fever of less than 24 hours

Temporary local soreness

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph d

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph d

77. Serologic testing is NOT mandatory for which of the following vaccinations?

Hepatitis A

Hepatitis B

OPV / IPV

Measles

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

78. How is Yellow Fever transmitted?

Airborne

Mosquito bite

Sexual contact

Contaminated food or water

BUMEDINST 6230.15B, paragraph 4-19, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 4-19, sub-paragraph a

79. Refrigerated vaccines shall be stored at what temperatures?

32F – 42F (1C to 6C)

35F – 46F (2C to 8C)

32F – 50F (1C to 10C)

35F – 50F (2C to 10C)

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

80. Which of the following is one of the two types of immunization exemptions?

Medical

Krivets Exemption

Contraindicated

Class 1

BUMEDINST 6230.15B, paragraph 2-6

Explanation

BUMEDINST 6230.15B, paragraph 2-6

81. If an individual's immunization records are lost the proper course of action is to assume the individual received standard immunizations administered at entry into Military Service by the individual's accession source (for example, enlisted, Service academy, direct commission) unless there is an objective reason to believe otherwise. Do not repeat such immunizations. Base decisions for future immunizations on assumed date of last immunization.

True

False

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

82. Which of the following vaccines is given to enlisted accessions or service academy cadets during the first cluster?

Anthrax

Hepatitis A

Hepatitis B

MMR

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

83. If different anatomical sites are not possible for multiple vaccination injections, then the injections going into the same limb will be spaced by at least 3 inches.

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

84. Which of the following medications can be used in preventing leptospirosis in exposed military personnel during periods of high exposure?

Sulfides

Penicillin

Macrolides

Doxycycline

BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph b

85. Penicillin VK is the chemoprophylactic of choice for which of the following diseases?

Cholera

Plague

Group A streptococcal

Malaria

BUMEDINST 6230.15B, paragraph 5-3, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-3, sub-paragraph b

86. A test for glcose-6-phosphate dehydrogenase (G6PD) deficiency will be done before issuing a prescription for primaquine, a chemoprophylactic used to prevent which disease?

Cholera

Anthrax

Malaria

Traveler's diarrhea

BUMEDINST 6230.15B, paragraph 5-6, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 5-6, sub-paragraph c

87. Which of the following vaccines is given to enlisted accessions or service academy cadets during the second cluster?

Meningococcal

Hepatitis B

Yellow Fever

Typhoid

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

88. When are pregnancy tests recommended for women before administering an immunization or chemoprophylaxis?

For all women who are not on permanent birth control

For all live virus vaccines

For anthrax and Smallpox vaccines

BUMEDINST 6230.15B, paragraph 2-5 and paragraph 3-1, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-5 and paragraph 3-1, sub-paragraph b

89. A service member received a typhoid shot on December 28th, 2006. How should this be annotated on the PHS Form 731?

28/12/06

28 Dec 06

20061228

Dec 28, 2006

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

90. Which of the following is the recommended drug to use as chemoprophylaxis for group A streptococcal disease?

Ciprofloxacin

Meflofloxacin

Primaquine

Penicillin G benzathine

BUMEDINST 6230.15B, paragraph 5-3, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-3, sub-paragraph b

91. The military service policy concerning immunizations follows the recommendations of which organizations?

CDC and WHO

CDC and ACIP

FDA and DHHS

CDC and FDA

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

92. Which form is required for Yellow Fever documentation?

PHS Form 731

CDC Form 731

International Vaccination Document 01-13

International Vaccination Document 1228

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

93. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds how many hours?

12 hours

24 hours

36 hours

48 hours

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

94. Which of the following bacteria grows at the site of wounds contaminated with its spores?

Bordetella pertussis

Clostridium tetani

Yellow Fever

Japanese encephalitis

BUMEDINST 6230.15B, paragraph 4-16, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 4-16, sub-paragraph a

95. Which of the following is the recommended drug to use as chemoprophylaxis for anthrax?

Amoxicillin with clauvanate

Sildenafil

Ciprofloxacin

Hardincillin

None of the above

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

96. A Sailor reports to their basic training without a complete childhood immunization series being complete. Serologic testing is unsatisfactory. What is the correct course of action?

Redo serologic testing

Contact the member's former school district to verify incomplete records

Contact the member's former primary care physician to verify incomplete records

Complete multiple-dose immunization series according to the recommended schedule

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

97. In what year did the World Health Organization declare the global eradication of naturally occurring smallpox?

1978

1980

1982

1984

BUMEDINST 6230.15B, paragraph 4-15, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 4-15, sub-paragraph a

98. When may service personnel receive an administrative exemption to a vaccine in relation to separation or retirement?

Never

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

99. Serologic testing is NOT mandatory for which of the following vaccinations?

Pneumoccal

Hepatitis B

Rubella

Measles

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

100. Which of the following is NOT an indication for vaccination against meningococcal disease?

Persons who do not have spleens or functional spleens

Alert personnel who are designated to deploy within 10 days of notification

Military and civilian personnel who are designated to travel to countries in which N. meningitidis is hyperendemic or epidemic

All of the above personnel are to receive vaccination

BUMEDINST 6230.15B, paragraph 4-10

Explanation

BUMEDINST 6230.15B, paragraph 4-10

101. Serologic testing is NOT mandatory for which of the following vaccinations?

Hepatitis A

Hepatitis B

OPV / IPV

Measles

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraph a

102. Which of the following adverse vaccine events MUST be reported?

Fevers of less than 24 hours

Minor swelling at the site of immunization

Time lost from duty that is more than 24 hours

All of the above must be reported

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph a

103. Multi-dose vaccine vials that do not require reconstitution require special handling once opened. They shall be labeled with the date opened. All unused vaccine or toxoid will be discarded at the end of the current month.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph c

104. Two or more live virus vaccines must be administered simultaneously or separated by at least 60 days (2 months).

True

False

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

105. Which of the following is the approving authority for administrative vaccination waivers based upon religious reasons?

Chief of Naval Personnel

Chief of Naval Operations

Chief, Bureau of Medicine and Surgery

Chief of Chaplains, United States Navy

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

106. Which of the following vaccines is given to enlisted accessions or service academy cadets during the first cluster?

Meningococcal

Hepatitis A

Hepatitis B

Poliovirus

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

107. Which of the following medications is used as chemoprophylaxis against anthrax?

Ampicillin

Ciprofloxacin

Risperidone

Sildenafil

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

108. Unused needles and syringes prepared for vaccination that were unused will be discarded according to the manufacturer's package insert. If no timeline is provided, discard after how many hours?

2 hours

4 hours

8 hours

10 hours

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph e

109. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

110. Which of the following statements is true regarding aviation personnel who receive immunizations?

They are typically grounded for 12 hours

Aviation personnel may only be given immunizations by flight surgeons or flight Corpsmen

All of the above are true

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

111. If an individual's immunization records are lost the proper course of action is to immediately administer tetanus-dipthera, Typhoid, and pneumococcal vaccinations. Obtain venous blood from the laboratory and draw titers for Hepatitis A and Hepatitis B and administer those injections only if necessary.

True

False

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

112. Doxycycline can be used as chemoprophylaxis against which of the following?

Anthrax

Group A Streptococcus

Smallpox

Hepatitis A

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-2, sub-paragraph b

113. Test records of alarm systems used to safeguard vaccine storage refrigerators will be kept for how long?

At least 1 year

At least 2 years

At least 3 years

At least 5 years

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph j

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph j

114. Styrofoam coolers used to transporting vaccines will have walls of what minimum thickness?

0.75 inch thick walls

1 inch thick walls

1.5 inch thick walls

2 inch thick walls

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph k

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph k

115. MTF facilities and commands storing service treatment records will review immunization and chemoprophylaxis practices at what periodicity to ensure compliance with current standards of care and documentation, and as a measure of medical readiness and health promotion.

Quarterly

Semi-annually

Annually

Bi-annually

BUMEDINST 6230.15B, paragraph 2-11

Explanation

BUMEDINST 6230.15B, paragraph 2-11

116. Which of the following medications is recommended for use as chemoprophylaxis against leptospirosis?

Primaquine

Ciprofloxacin

Penicillin

Doxycycline

BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 5-5, sub-paragraph b

117. A positive serological test or two doses of the MMR vaccination is required for personnel born after what year?

1957

1965

1978

1981

BUMEDINST 6230.15B, paragraph 4-9, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-9, sub-paragraph c

118. What is the appropriate course of action in case of lost immunization records?

Restart all immunizations

Obtain Hepatitis titers and administer only if necessary. Administer polio, pneumococcal, and tetanus immunizations immediately.

Restart Hepatitis A and Hepatitis B series only

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

119. CDC Form 731 is to be remain in the custody of which of the following?

Medical office, kept separate from Health Records

Individual who is traveling internationally

Medical office, kept inside of the Health Record

Medical office, kept in a safe

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

120. Drugs and vaccines that have not been approved or licensed by the FDA may be used as medical countermeasures to chemical, biological radiological, or nuclear (CBRN) agents or threats if the FDA grants which of the following?

EUA

NEH

POE

LAZ

BUMEDINST 6230.15B, Article 8-1

Explanation

BUMEDINST 6230.15B, Article 8-1

121. Poliomyelitis is an acute or potentially chronic infection of the liver that is acquired through percutaneous, sexual, and other mucosal exposure to blood and body fluids from people infected with the same virus. This infection occurs worldwide, and some infected people maintain a chronic carrier state.

True

False

BUMEDINST 6230.15B, paragraph 4-6

Explanation

BUMEDINST 6230.15B, paragraph 4-6

122. Immunizations administered will be recorded accurately in a DoD or USCG approved electronic ITS no later than how many hours after immunization?

1 hour

8 hours

12 hours

24 hours

BUMEDINST 6230.15B, Appendix B, paragraph B-5, sub-paragraph a

Explanation

BUMEDINST 6230.15B, Appendix B, paragraph B-5, sub-paragraph a

123. 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

Okay, if not now, then maybe later!

Nah, I'm good

not-available-via-ai

Explanation

not-available-via-ai

124. Temperature logs for refrigerators and freezers used to store vaccinations will be kept for how long?

At least one year

At least eighteen months

At least two years

At least three years

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

125. Vaccines kept outside of a refrigerator or freezer must have the temperature checked and documented at what interval?

Every 30 minutes

Every hour

Every 90 minutes

Every two hours

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

126. Haemophilus influenza serotype b is a mosquito-borne viral disease that endangers Sailors and Marines when they travel to endemic areas in Eastern Asia and certain western Pacific Islands. It can cause an acute infection of the brain, spinal cord, and meninges with high rates of complications, chronic disability, and death.

True

False

BUMEDINST 6230.15B, paragraph 4-8

Explanation

BUMEDINST 6230.15B, paragraph 4-8

127. Family members of military personnel receive immunizations according to which of the following?

ACIP

BUMED

State Department

CDC

BUMEDINST 6230.15B, paragraph 3-6, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 3-6, sub-paragraph a

128. Serologic testing of healthcare workers who have direct contact with patients will have serologic testing at what time frame to determine response to the hepatitis B immunization?

30 days after completion of the series

1 to 2 months after completion of the series

4 to 6 months after completion of the series

6 to 12 months after completion of the series

BUMEDINST 6230.15B, paragraph 4-6, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 4-6, sub-paragraph e

129. What is the preferred method to record immunization data?

Electronic MRSR

Paper CTP

Electronic ITS

Electronic CTP

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

130. Aviation personnel are typically grounded for 24 hours after vaccination.

True

False

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph c

131. Unused needles and syringes prepared for vaccination that were unused will be discarded according to the manufacturer's package insert. If no timeline is provided, discard after 4 hours.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph e

132. A test for glcose-6-phosphate dehydrogenase (G6PD) deficiency will be done before issuing a prescription for which medication used for malaria prophylaxis?

Primaquine

Doxycycline

Tetracycline

Quinolone

BUMEDINST 6230.15B, paragraph 5-6, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 5-6, sub-paragraph c

133. Which form is required for Yellow Fever documentation?

DD 2766

SF 601

CDC Form 731

Printed MRRS Documentation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph b

134. Pre-exposure rabies vaccinations require booster doses at what interval?

Every 2 years

Every 3 years

Every 5 years

Every 10 years

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

135. If different anatomical sites are not possible for multiple vaccination injections, then the injections going into the same limb will be spaced according to which of the following guidelines below?

As close to each other as possible so as to irritate as little tissue as possible

Separated by no more than 1 inch

Separated by at least 1 inch

Separated by at least 2 inches

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

136. An administrative exemption to a vaccine may be granted if a service member is not deploying to an area where immunizations are indicated and the member has how many days left until separation?

Member is within 30 days of separation

Member is within 60 days of separation and has 30 days of separation leave

Member is within 90 days of separation

Member is within 180 days of separation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

137. The ACIP general recommendations suggest that persons be observed for what period of time after being immunized?

5 to 10 minutes

10 to 25 minutes

15 to 20 minutes

20 to 30 minutes

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph d

Explanation

BUMEDINST 6230.15B, paragraph 2-9, sub-paragraph d

138. Which of the following is defined as the administration of medication before, during, or after possible exposure to an infectious agent, to prevent either infection or disease?

Immunization

Chemoprophylaxis

Infectious Prevention

Medical Prevention Services

BUMEDINST 6230.15B, paragraph 5-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 5-1, sub-paragraph a

139. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

140. 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?

1 year

3 years

5 years

10 years

BUMEDINST 6230.15B, paragraph 4-16, sub-paragraph d

Explanation

BUMEDINST 6230.15B, paragraph 4-16, sub-paragraph d

141. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

142. A pregnancy screening test for women of childbearing potential is not routinely required before administering vaccines, including live virus vaccines.

True

False

BUMEDINST 6230.15B, paragraph 2-5

Explanation

BUMEDINST 6230.15B, paragraph 2-5

143. VAERS and MedWatch reports are to be submitted within how many days of an event?

1 day

3 days

5 days

7 days

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph f)

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph f)

144. What is the proper course of action when an initial series of a vaccine or toxoid is interrupted?

Restart series

Restart series only if less than half the doses were administered

Give delayed doses as soon as feasible

Request to administer extra doses in accordance with the manufacturer recommendations

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

145. Which of the following is a viral infection that affects the central nervous system resulting in paralytic symptoms, primarily by boosting immunity acquired by childhood immunization. It is acquired by person-to-person transmission through the fecal-oral route. Military and civilian personnel deploying or traveling to areas with poor sanitation are at increased risk.

Poliomyelitis

Hepatitis A

Scrub typhus

Plague

BUMEDINST 6230.15B, paragraph 4-13

Explanation

BUMEDINST 6230.15B, paragraph 4-13

146. Which of the following adverse vaccine events MUST be reported?

Fevers of less than 24 hours

Time lost from duty that is more than 24 hours

Redness at immunization site

All of the above must be reported

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraph a

147. Japanese encephalitis is an acute infection of the liver that is acquired by consuming food or water, primarily during deployments or travel to areas with poor food, water, and sewage sanitation. It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months.

True

False

BUMEDINST 6230.15B, paragraph 4-5

Explanation

BUMEDINST 6230.15B, paragraph 4-5

148. Which of the following vaccines is given to enlisted accessions or service academy cadets during the first cluster?

OPV

Influenza

Yellow Fever

IPV

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

149. Varicella vaccine will be administered to susceptible trainees and other accessions within what period of time?

First three days of initial training

First week of initial training

First 2 weeks of initial training

First month of initial training

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph b

150. The Food and Drug administration may grant an Emergency Use Authorization and decide that recipients of that drug have the option to refuse it. Which of the following personnel is authorized to waive that option for military personnel?

POTUS

SECDEF

Army Chief of Medicine

SECNAV

BUMEDINST 6230.15B, paragraph 8-3

Explanation

BUMEDINST 6230.15B, paragraph 8-3

151. Adults and adolescents who require varicella vaccination will have two doses spaced how far apart?

1 week apart

1 to 2 months apart

6 months apart

6 to 12 months apart

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph b

152. What is the only available method to order VIG-intravenous?

From local open purchase orders

From cognizant US Army Veterinarians

From ship or unit supply

From MILVAX Office

BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-2, sub-paragraph a

153. What is the appropriate course of action to be taken when a contraindicated vaccine is inadvertently administered to a pregnant woman?

Initiate procedures for anaphylactic emergencies and contact obstetrics

Report event to obstetric services and immunizations department head

Report event to preventive medicine point of contact and to obstetric services, then complete appropriate quality assurance documents

Transport patient to Emergency Department, then contact obstetric services

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph f

154. All Marine Corps accessions will receive a vaccination against which of the following diseases?

Yellow Fever

Typhoid Fever

Japanese Encephalitis

Meningococcal

BUMEDINST 6230.15B, paragraph 4-19, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 4-19, sub-paragraph b

155. Immunizing agents will not be used beyond the manufacturer's potency expiration date, unless which of the following authorizes an extension in exceptional circumstances?

Head, Immunizations Department

Commanding Officer

Head, Medical Services Department

Surgeon General

None of the above

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph a

156. 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)

Using the links we have to Amazon.com to purchase your MP3 music and movies

Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)

Forwarding the site to your friends and coworkers

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.

Explanation

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.

Submit

157. Which of the following immunization products are medically contraindicated in breastfeeding women?

Yellow Fever

Live virus vaccines

Pneumococcal

None of the above

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

158. Personnel who administer immunizations are required to obtain training on vaccine storage and handling procedures at what periodicity?

Initial baseline training

Annual training

Initial baseline training and annually thereafter

Initial baseline and every 2 years thereafter

BUMEDINST 6230.15B, Appendix B, Table B-1

Explanation

BUMEDINST 6230.15B, Appendix B, Table B-1

159. Which of the following is known as the "International Certificate of Vaccination or Prophylaxis?"

SF 731

ACIP Form 731

PHS Form 731

CDC Form 731

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph a

160. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 2-7, sub-paragraph c

161. Which of the following is the causative agent for Smallpox?

Vaccinia virus

Variola virus

Clostridium virus

Varicela virus

BUMEDINST 6230.15B, paragraph 4-15, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 4-15, sub-paragraph a

162. Which of the following personnel has the authority to grant a waiver of the requirement that a military member provide prior consent to receive an IND or a drug unapproved for its applied use in connection with the member's participation in a military operation?

SCOTUS

SECNAV

SECDEF

POTUS

BUMEDINST 6230.15B, paragraph 7-2

Explanation

BUMEDINST 6230.15B, paragraph 7-2

163. Which exemption code is used when a service member is pending retirement, typically within 180 days?

AS

AR

SR-180

AD

BUMEDINST 6230.15B, Appendix C, Table C-2

Explanation

BUMEDINST 6230.15B, Appendix C, Table C-2

164. Frozen vaccines shall be stored at what temperatures?

0F or lower (-21C or lower)

5F or lower (-15C or lower)

0F to 5F (-21C to -15C)

31F or lower (OC or lower)

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph g

165. Alarm systems used to monitor refrigerators and freezers that store vaccinations will be tested at what interval?

At least weekly

At least monthly

At least quarterly

At least semi-annually

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph j

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph j

166. 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?

30 days

90 days

180 days

365 days

BUMEDINST 6230.15B, Article 2-6, Paragraph a

Explanation

BUMEDINST 6230.15B, Article 2-6, Paragraph a

167. Which of the following immunization products are medically contraindicated in breastfeeding women?

Vaccinia vaccine

Live virus vaccines

Anthrax vaccine

None of the above

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

168. A Sailor is given a short notice deployment order to an AOR that requires a vaccine given in a multi-dose series. What is the appropriate course of action?

Administer the first dose of the basic series and as many of the subsequent doses as time permits.

Refer to cognizant Navy Environmental Health and Preventive Medicine Unit

Do not administer any doses unless the series can be completed

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 3-2, sub-paragraph e

169. Which of the following is the correct dosing of varicella immunization for adults and adolescents?

One dose

Two doses given 2 to 4 weeks apart

Two doses given 4 to 8 weeks apart

Dose two given 2 weeks after dose 1. Dose 3 will be given four weeks after dose 2.

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 4-18, sub-paragraph b

170. Which service does NOT provide exemptions to vaccinations based for religious reasons?

US Army

US Air Force

US Coast Guard

US Marine Corps

US Navy

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph b

171. Which of the following immunization products are medically contraindicated in breastfeeding women?

Yellow Fever

Live virus vaccines

Pneumococcal

None of the above

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

172. Which of the following statements is FALSE regarding the transportation of vaccines?

Temperatures should be tracked during transportation and any deviations in temperature will be readily identifiable

If Styrofoam coolers are used, the walls shall be no more than 2 inches thick

Refrigerated or frozen packs are authorized for use to maintain the cold chain when used according to USAMMA instructions

Vaccines vials will not be removed from boxes. Vaccines will be shipped in their original packaging.

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph k

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph k

173. The meningococcal vaccination will be administered to basic trainees, cadets, and midshipmen within the first two weeks of training if no evidence of vaccination is available within what period of time?

1 year

3 years

5 years

10 years

BUMEDINST 6230.15B, paragraph 4-10, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 4-10, sub-paragraph b

174. Vaccine doses may be counted as valid if they are given no earlier than how many days than the minimum interval?

3 or more

5 or more

7 or more

10 or more

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph e

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph e

175. Which of the following vaccines is given to enlisted accessions or service academy cadets during the second cluster?

JEV

Hepatitis A

Yellow Fever

MMR

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

Explanation

BUMEDINST 6230.15B, paragraph 3-1, sub-paragraphs b and d

176. Health care providers will report adverse events involving chemoprophylaxis agents to which of the following?

VAERS

MedWatch

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraphs b and c

Explanation

BUMEDINST 6230.15B, paragraph 2-10, sub-paragraphs b and c

177. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds 72hours.

True

False

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

Explanation

BUMEDINST 6230.15B, paragraph 4-14, sub-paragraph c

178. 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.

True

False

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph a

Explanation

BUMEDINST 6230.15B, paragraph 2-6, sub-paragraph a

179. Jet-injection immunization devices are approved by the FDA but because of the high volume of immunizations given at enlisted accession facilities, are deemed to be unsafe for infection control purposes, and are therefore unauthorized.

True

False

BUMEDINST 6230.15B, paragraph 2-8

Explanation

BUMEDINST 6230.15B, paragraph 2-8

180. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at a minimum of two three times per day.

True

False

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

Explanation

BUMEDINST 6230.15B, paragraph 2-3, sub-paragraph i

181. Which exemption code is used when a patient receives a temporary waiver from an immunization for medical reasons?

XT

MT

MS

WT

BUMEDINST 6230.15B, Appendix C, Table C-1

Explanation

BUMEDINST 6230.15B, Appendix C, Table C-1

182. Which of the following statements is FALSE about liking our page on Facebook?

Increased traffic to the website helps generate the funds to keep it running

Decreased traffic to the website helps generate the funds to keep it running

Spreading the word to your fellow friends and Corpsmen on Facebook helps out the entire community

All of the above are true

not-available-via-ai

Explanation

not-available-via-ai

183. Which of the following is an acute infection of the liver that is acquired by consuming food or water, primarily during deployments or travel to areas with poor food, water, and sewage sanitation?

Hepatitis A

Hepatitis B

Poliovirus

Japanese Encephalitis

BUMEDINST 6230.15B, paragraph 4-5

Explanation

BUMEDINST 6230.15B, paragraph 4-5

184. Family members with heart conditions, immunosuprressed conditions, pregnancy, or skin conditions such as eczema and atopic dermatitis may be a contraindication against a service member receiving which vaccination?(Source: BUMEDINST 6230.15

Vaccinia

Variola

Anthrax

Varicella

BUMEDINST 6230.15B, paragraph 4-15, sub-paragraph d

Explanation

BUMEDINST 6230.15B, paragraph 4-15, sub-paragraph d

185. Which of the following is the causative agent of meningococcal infection?

Meningitides virus

Clostridium meningitides

Haemophilae meningitides

Neisseria meningitides

BUMEDINST 6230.15B, paragraph 4-9

Explanation

BUMEDINST 6230.15B, paragraph 4-9

186. 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)

Using the links we have to Amazon.com to purchase your MP3 music and movies

Using the links we have to Amazon.com to purchase DVD movies, electronics, computer software and hardware, and more

Forwarding the site to your friends and coworkers

Donating $1, $5, $10, or $25 using the PayPal link above (you can use a credit card)

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.

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.

Submit

187. Two or more live virus vaccines may be administered simultaneously. If this is not possible, they must be separated by at least how many days?

At least 7 days

At least 14 days

At least 28 days

At least 60 days

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

Explanation

BUMEDINST 6230.15B, paragraph 2-1, sub-paragraph f

188. Pregnancy tests are recommended for women whose last menstrual period was more than 28 days ago when they are receiving which immunization?

Vaccinia vaccine

Yellow Fever vaccine

Tetanus toxoid

Any live virus

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

Explanation

BUMEDINST 6230.15B, paragraph 2-5, sub-paragraph b

BUMEDINST 6230.15b Immunizations and Chemoprophylaxis

1. 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.

2.

What first name or nickname would you like us to use?

4. Frozen vaccines will be stored at temperatures of __________(insert number) degrees Fahrenheit or lower.

5. Refrigerated vaccines shall be stored at temperatures 35F to 46F (2C to 8C).

6. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at a minimum of two times per day.

7. Federal civilian employees will receive country-specific immunizations without charge at military activities upon presentation of official orders or authorization.

9. Which of the following is known as the "International Certificate of Vaccination or Prophylaxis?"

10. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds 24 hours.

11. 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.

14. Two or more live virus vaccines must be administered simultaneously or separated by at least __________(enter numerals or type in number) days.

15. The ACIP general recommendations suggest that persons be observed for __________(insert number) to 20 minutes after being immunized.

16. 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.

17. Refrigerated vaccines will be stored at temperatures of 35 degrees to __________(insert number) degrees Fahrenheit.

18. CDC Form __________(insert numeral) is also known as the "International Certificate of Vaccination or Prophylaxis."

19. VAERS reports and / or MedWatch reports shall be turned in within _______(fill in the blank) days of of an adverse event.

20. Refrigerated vaccines will be stored at temperatures of __________(insert number) degrees to 46 degrees Fahrenheit.

21. __________(insert acronym) Form 731 is also known as the "International Certificate of Vaccination or Prophylaxis."

22. Aviation personnel are typically grounded for 12 hours after vaccination.

25. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds __________(fill in the blank) hours.

26. Jet-injection immunization devices must be used with FDA-approved manufacturer's recommendations. Only vaccines with FDA approval for jet injectors may be used in these devices.

27. Hepatitis A is an acute infection of the liver that is acquired by consuming food or water, primarily during deployments or travel to areas with poor food, water, and sewage sanitation. It can range in severity from a mild illness lasting a few weeks to a severe illness lasting several months.

28. Which of the following is the Navy's instruction on Immunizations and Chemoprophylaxis?

29. A positive serological test or two doses of the MMR vaccination is required for personnel born after the year __________(insert year).

31. Doxycycline may be used as chemoprophylaxis for many diseases, including anthrax, leptospirosis, and scrub typhus.

32. At present, no immunization products are medically contraindicated in breastfeeding women. However, smallpox vaccine is withheld from breastfeeding women, except in an outbreak, primarily due to the potential for contact transmission of vaccinia virus to the child.

33. Immunizing and chemoprophylaxis agents are requisitioned in accordance with medical supply procedures. However, vaccinia immune globulin - also known as VIG-intravenous - is available only by ordering through the MILVAX Office.

34. Temperature logs for refrigerators and freezers used to store vaccinations will be kept for at least __________(insert numeral) years. state and/or local requirements may require longer recordkeeping.

35. If different anatomical sites are not possible for multiple vaccination injections, then the injections going into the same limb will be spaced by at least 1 inch.

37. Which of the following military personnel are required to be immunized against Hepatitis B?

38. Temperature logs for refrigerators and freezers used to store vaccinations will be kept for at least three years. State and/or local requirements may require longer recordkeeping.

39. Unused needles and syringes prepared for vaccination that were unused will be discarded according to the manufacturer's package insert. If no timeline is provided, discard after 8 hours.

40. A positive serological test or two doses of the MMR vaccination is required for personnel born after 1957.

43. Two or more live virus vaccines must be administered simultaneously or separated by at least 28 days (4 weeks).

44. Which of the following is required to be on hand for the medical management of an anaphylaxis event whenever vaccines are administered?

45. Health care providers will report adverse events involving vaccines to which of the following?

48. Which of the following is NOT one of the requirements of the electronic ITS?

49. Which of the following is NOT a valid medium to document immunization and chemoprophylaxis records?

50. What dose of epinephrine is required to be immediately accessible on scene whenever vaccines are administered?

51. To avoid interference between live virus vaccination and TB testing, the TB test will be administered on the same day as the live virus vaccination. If this is not possible, then the TB test will be performed 4 to 6 weeks after administration of the vaccine.

52. Paying attention to the advertisements on our pages does which of the following? (Seriously, look at them!)

53. Contaminated food or water is the main cause of hepatitis A infection.

54. To avoid a live vaccine from interfering with a TB test, which of the following procedures should be taken?

55. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at what interval?

56. If tuberculosis testing must wait until what time period after administration of a live virus?

57. Which of the following is NOT a valid medium to document immunization and chemoprophylaxis records?

58. Which of the following medications are recommended for use as chemoprophylaxis for anthrax?

59. 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.

60. Why should you use our links to Amazon.com to make all your online purchases?

61. Which of the following is the causative agent of plague?

62. Temperatures of all vaccine refrigerators and freezers will be physically confirmed at what interval?

63. Which of the following infections is transmitted via the bite of an infected mosquito?

64. Which of the following vaccines is indicated to prevent chickenpox?

65. Which of the following medications is recommended for use as chemoprophylaxis against Scrub Typhus?

66. Which of the following is the recommended drug to use as chemoprophylaxis for leptospirosis?

68. To avoid a live vaccine from interfering with a TB test, which of the following procedures should be taken?

69. Aviation personnel are typically grounded for how many hours post vaccination?

70. Aviation personnel are typically grounded for 8 hours after vaccination.

71. Which of the following is required to be on hand for the medical management of an anaphylaxis event whenever vaccines are administered?

72. Adenovirus vaccines types 4 and 7 will be administered during which of the following times?

73. What is the proper storage and handling procedure for multi-dose vaccine vials that do not require reconstitution?

74. Which of the following is an acute or potentially chronic infection of the liver that is acquired through percutaneous, sexual, and other mucosal exposure to blood and body fluids from people infected with the same virus?

76. Which of the following adverse immunization events is required to be reported through VAERS?

77. Serologic testing is NOT mandatory for which of the following vaccinations?

78. How is Yellow Fever transmitted?

79. Refrigerated vaccines shall be stored at what temperatures?

80. Which of the following is one of the two types of immunization exemptions?

82. Which of the following vaccines is given to enlisted accessions or service academy cadets during the first cluster?

83. If different anatomical sites are not possible for multiple vaccination injections, then the injections going into the same limb will be spaced by at least 3 inches.

84. Which of the following medications can be used in preventing leptospirosis in exposed military personnel during periods of high exposure?

85. Penicillin VK is the chemoprophylactic of choice for which of the following diseases?

86. A test for glcose-6-phosphate dehydrogenase (G6PD) deficiency will be done before issuing a prescription for primaquine, a chemoprophylactic used to prevent which disease?

87. Which of the following vaccines is given to enlisted accessions or service academy cadets during the second cluster?

88. When are pregnancy tests recommended for women before administering an immunization or chemoprophylaxis?

89. A service member received a typhoid shot on December 28th, 2006. How should this be annotated on the PHS Form 731?

90. Which of the following is the recommended drug to use as chemoprophylaxis for group A streptococcal disease?

91. The military service policy concerning immunizations follows the recommendations of which organizations?

92. Which form is required for Yellow Fever documentation?

93. A pre-exposure prophylactic immunization of rabies may be indicated for people with potential occupational risk of exposure to rabid animals, or for forces assigned to locations where access to definitive care likely exceeds how many hours?