1. Which of the following changes in the influenza virus is the best example of an antigenic shift?
A. An influenza A strain that mutated from H3N2 to H2N2
B. An influenza B strain isolated from a new location
C. A new influenza B strain not included in the influenza vaccine
D. An influenza A H1N1 strain not included in the influenza vaccine
2. Which influenza pandemic was notable for an antigenic shift from H2N2 to H3N2?
A. Swine influenza
B. Hong Kong influenza
C. Asian influenza
D. Spanish influenza
3. Which influenza vaccine is appropriate and recommended for a 12-month-old child?
A. Afluria Quadrivalent (quadrivalent inactivated influenza vaccine [IIV4])
B. Flucelvax Quadrivalent (quadrivalent cell culture-based influenza vaccine [ccIIV4])
C. Fluad (trivalent adjuvanted inactivated influenza vaccine [aIIV3])
D. FluMist Quadrivalent (quadrivalent live-attenuated influenza vaccine [LAIV4])
4. What volume of influenza vaccine is appropriate for a 2-year-old patient receiving Afluria Quadrivalent?
A. 0.25mL
B. 0.5 mL
C. 0.25 mL or 0.5 mL
D. Afluria Quadrivalent isn't recommended in patients younger than 5 year of age
5. Which vaccine could be administered to a 28-year-old pregnant woman?
A. Fluzone High-Dose (High-dose trivalent inactivated influenza vaccine)
B. Fluarix Quadrivalent (quadrivalent inactivated influenza vaccine)
C. Fluad (trivalent adjuvanted inactivated influenza vaccine)
D. FluMist Quadrivalent (quadrivalent live-attenuated influenza vaccine)
6. Tina Brock is 2 years old and received 1 influenza vaccine last fall since she was older than 6 months old (1 total dose to date); she has not yet received a vaccine for the 2019-2020 flu season. Which of the following vaccines and dosing schedules would be the best recommendation for this patient?
A. Flucelvax Quadrivalent (quadrivalent cell culture-based inactivated influenza vaccine) today
B. FluMist Quadrivalent (quadrivalent live-attenuated influenza vaccine) today
C. Fluad (trivalent adjuvanted inactivated influenza vaccine) today
D. Fluarix Quadrivalent (IIV4) today plus Fluarix Quadrivalent (IIV4) in 4 weeks
7. Which vaccine has shown the most efficacy in older adults compared to standard dose trivalent inactivated influenza vaccine?
A. Fluzone High-Dose (high-dose trivalent inactivated influenza vaccine)
B. Fluad (trivalent adjuvanted inactivated influenza vaccine)
C. Flublok (quadrivalent recombinant influenza vaccine)
D. Afluria (quadrivalent inactivated influenza vaccine)
8. A patient enters your pharmacy and expresses concerns about the association between autism and vaccines. What is an appropriate response to the patient?
A. ASD is not caused by vaccination
B. Only thimerosal-containing vaccines cause ASD
C. ASD risk increases with adjuvanted vaccines
D. Only certain vaccine lot numbers cause ASD
9. Which of the following is a competency of motivational interviewing?
A. Discriminate against false information
B. Exhibit Empathy
C. Counsel effectively
D. Argumentation
10. Pharmacy technicians can participate in immunization programs in which of the following roles?
A. Work with a collaborating nurse practitioner to determine the appropriate vaccine
B. Counsel on the role of multiple vaccinations in the same visit
C. Select appropriate vaccinations
D. Administer the influenza vaccine (where allowed by state laws and regulations)
Evaluation Questions
11. To what extent did the program meet objective #1?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
12. To what extent did the program meet objective #2?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
13. To what extent did the program meet objective #3?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
14. To what extent did the program meet objective #4?
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
15. Rate the effectiveness of how well the program related to your educational needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
16. Rate how well the active learning strategies (questions, cases, discussions) were appropriate and effective learning tools:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
17. Rate the quality of the faculty:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
18. Rate the effectiveness and the overall usefulness of the material presented:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
19. Rate the appropriateness of the examination for this activity:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
20. Rate the effectiveness of how well the activity related to your practice needs:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
21. Rate the effectiveness of how well the activity will help you improve patient care:
A. Excellent
B. Very Good
C. Good
D. Fair
E. Poor
22. Will the information presented cause you to change your practice?
A. Yes
B. No
23. Are you committed to making these changes?
A. Yes
B. No
24. As a result of this activity, did you learn something new?
A. Yes
B. No
25. What is your practice setting or area of practice?
A. Community Pharmacy/Independent
B. Community Pharmacy/Chain
C. Hospital/Health Systems
D. Administrative/Pharmacy Director
E. Critical Care Pharmacy
F. Long-term Care
G. Managed Care/PBM
H. Oncology
I. Specialty Pharmacy
J. Industry/Manufacturing
26. How many years have you been in practice?
A. <5
B. 5 – 10
C. 11 – 20
D. >20