BUMEDINST 6230.15b Immunizations And Chemoprophylaxis

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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.

Explanation

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

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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.

Explanation

BUMEDINST 6230.15B, paragraph 5-6

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

Explanation

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

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4. 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.

Explanation

BUMEDINST 6230.15B, Article 7-2

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

Explanation

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

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6. 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.

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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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.

Explanation

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

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

Explanation

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

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12. 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.

Explanation

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

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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.

Explanation

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

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

Explanation

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

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15. 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.

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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19. 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.

Explanation

BUMEDINST 6230.15B, paragraph 2-10

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

Explanation

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

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

Explanation

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

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

Explanation

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

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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.

Explanation

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

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24. 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.

Explanation

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

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25. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-8

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26. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-5

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27. 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.

Explanation

BUMEDINST 6230.15B, paragraph 2-8

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

Explanation

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

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

Explanation

BUMEDINST 6230.15B

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30. 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.

Explanation

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

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31. 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.

Explanation

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

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

Explanation

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

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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.

Explanation

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

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34. 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.

Explanation

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

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35. 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. 

Explanation

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

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

Explanation

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

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37. 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.

Explanation

BUMEDINST 6230.15B, Article 7-3

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

Explanation

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

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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.

Explanation

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

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40. 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.

Explanation

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

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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.

Explanation

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

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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.

Explanation

BUMEDINST 6230.15B, Article 8-1

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

Explanation

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

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44. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-6

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

Explanation

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

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

Explanation

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

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47. 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.

Explanation

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

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

Explanation

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

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

Explanation

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

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50. 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.

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

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.

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60. 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.

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.

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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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?

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.

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

BUMEDINST 6230.15B, paragraph 4-2

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

Explanation

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

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75. 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?

Explanation

BUMEDINST 6230.15B, paragraph 4-6

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76. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-8

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

Explanation

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

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78. How is Yellow Fever transmitted?

Explanation

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

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79. Refrigerated vaccines shall be stored at what temperatures?

Explanation

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

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80. 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.

Explanation

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

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81. 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.

Explanation

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

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

Explanation

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

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

Explanation

BUMEDINST 6230.15B, paragraph 2-6

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

Explanation

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

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85. 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?

Explanation

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

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

Explanation

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

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

Explanation

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

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88. Which form is required for Yellow Fever documentation?

Explanation

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

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

Explanation

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

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

Explanation

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

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91. 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?

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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95. 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?

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

BUMEDINST 6230.15B, paragraph 4-10

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

Explanation

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

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

Explanation

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

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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.

Explanation

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

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104. 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?

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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109. 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.

Explanation

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

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

Explanation

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

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

Explanation

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

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112. 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.

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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116. 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. 

Explanation

BUMEDINST 6230.15B, paragraph 2-11

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

Explanation

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

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

Explanation

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

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

Explanation

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

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120. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-6

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

Explanation

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

Submit
122. 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?

Explanation

BUMEDINST 6230.15B, Article 8-1

Submit
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

Explanation

not-available-via-ai

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

Explanation

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

Submit
125. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-8

Submit
126. 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?

Explanation

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

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

Explanation

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

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

Explanation

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

Submit
129. 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.

Explanation

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

Submit
130. What is the preferred method to record immunization data?

Explanation

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

Submit
131. Aviation personnel are typically grounded for 24 hours after vaccination.

Explanation

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

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

Explanation

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

Submit
133. 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?

Explanation

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

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

Explanation

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

Submit
135. Which form is required for Yellow Fever documentation?

Explanation

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

Submit
136. 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?

Explanation

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

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

Explanation

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

Submit
138. 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?

Explanation

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

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

Explanation

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

Submit
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?

Explanation

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

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

Explanation

BUMEDINST 6230.15B, paragraph 2-5

Submit
142. 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.

Explanation

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

Submit
143. 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.

Explanation

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

Submit
144. 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.

Explanation

BUMEDINST 6230.15B, paragraph 4-13

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

Explanation

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

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

Explanation

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

Submit
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.

Explanation

BUMEDINST 6230.15B, paragraph 4-5

Submit
148. 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?

Explanation

BUMEDINST 6230.15B, paragraph 8-3

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

Submit
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)

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

Explanation

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

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

Explanation

BUMEDINST 6230.15B, Appendix B, Table B-1

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

Explanation

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

Submit
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.

Explanation

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

Submit
161. 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?

Explanation

BUMEDINST 6230.15B, paragraph 7-2

Submit
162. Which of the following is the causative agent for Smallpox?

Explanation

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

Submit
163. Frozen vaccines shall be stored at what temperatures?

Explanation

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

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

Explanation

BUMEDINST 6230.15B, Appendix C, Table C-2

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

Explanation

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

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

Explanation

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

Submit
167. 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?

Explanation

BUMEDINST 6230.15B, Article 2-6, Paragraph a

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

Explanation

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

Submit
169. 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?

Explanation

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

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

Explanation

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

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

Explanation

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

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

Explanation

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

Submit
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?

Explanation

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

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

Explanation

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

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

Explanation

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

Submit
176. 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.

Explanation

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

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

Explanation

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

Submit
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.

Explanation

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

Submit
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.

Explanation

BUMEDINST 6230.15B, paragraph 2-8

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

Explanation

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

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

Explanation

BUMEDINST 6230.15B, Appendix C, Table C-1

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

Explanation

not-available-via-ai

Submit
183. 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

Explanation

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

Submit
184. 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?

Explanation

BUMEDINST 6230.15B, paragraph 4-5

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

Explanation

BUMEDINST 6230.15B, paragraph 4-9

Submit
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)

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?

Explanation

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

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

Explanation

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

Submit
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To minimize the shipment of vaccines that must be stored at frozen...
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For short notice travel or deployments requiring vaccines given in a...
Federal civilian employees will receive country-specific immunizations...
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Which of the following medications can be used in preventing...
A test for glcose-6-phosphate dehydrogenase (G6PD) deficiency will be...
Which of the following vaccines is given to enlisted accessions or...
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Which of the following immunization products are medically...
You're enjoying this quiz and its probably doing a good job of...
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Personnel who administer immunizations are required to obtain training...
Which of the following is known as the "International Certificate of...
If an individual's immunization records are lost, do not restart...
Which of the following personnel has the authority to grant a waiver...
Which of the following is the causative agent for Smallpox?
Frozen vaccines shall be stored at what temperatures?
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A medical exemption to a vaccine includes any medical contraindication...
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Which of the following statements is FALSE regarding the...
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