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Nurse Practitioner:
doi: 10.1097/01.NPR.0000443265.05219.46
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Vaccination guidelines for gay and bisexual men

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INSTRUCTIONS Vaccination guidelines for gay and bisexual men

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Vaccination guidelines for gay and bisexual men

General Purpose: To provide information on vaccination guidelines and recommendations for gay and bisexual men in the primary care setting. Learning Objectives: After reading the preceding article and taking this test, you should be able to: 1. Identify issues related to recommended vaccinations for all adults. 2. Examine the additional disease risks and vaccination recommendations for gay and bisexual men.

  1. The general vaccination schedule for all adults depends on all of the followingexcept
    1. vaccination history.
    2. risk factors.
    3. sexual history.
    4. prior exposures to communicable diseases.
  2. In addition to the general vaccinations, gay and bisexual men should receive vaccination for
    1. influenza.
    2. hepatitis A.
    3. varicella.
    4. Td/Tdap.
  3. The author recommends asking male patients,
    1. “Do you date women?”
    2. “Do you have a girlfriend?”
    3. “Do you have sexual relationships with men, women, or both?”
    4. “Are you married?”
  4. Adults who have completed the Tdap series should receive a Td booster every
    1. year.
    2. 2 years.
    3. 5 years.
    4. 10 years.
  5. Adults without immunity to varicella should receive how many doses of varicella vaccine?
    1. one
    2. two
    3. three
    4. four
  6. According to the guidelines, adults born in or after what year should have evidence of at least one dose of MMR vaccine?
    1. 1941
    2. 1945
    3. 1952
    4. 1957
  7. Common vaccine adverse reactions in adults include headache, malaise, fatigue and
    1. visual disturbances.
    2. syncope.
    3. pain at the injection site.
    4. generalized itching.
  8. For influenza vaccination, immunocompromised patients should receive
    1. the trivalent inactivated vaccine.
    2. high-dose influenza virus vaccine.
    3. live attenuated influenza vaccine.
    4. egg-free influenza vaccine.
  9. Which statement about hepatitis B vaccine dosing is accurate?
    1. Each dose should be given 1 month after the previous dose.
    2. The third dose should be given at least 4 months after the first.
    3. The second dose should be given 2 months after the first.
    4. The third dose should be given 3 months after the second.
  10. The third dose of the HPV vaccine is given how long after the first dose?
    1. 1 month
    2. 2 months
    3. 3 months
    4. 6 months
  11. The HPV vaccine can be given to men ages 9 through
    1. 18 years.
    2. 24 years.
    3. 26 years.
    4. 30 years.
  12. The hepatitis A and B combination vaccine requires
    1. 1 dose.
    2. 2 doses.
    3. 3 doses.
    4. 4 doses.
  13. Hepatitis A is transmitted via
    1. droplet spread.
    2. the fecal-oral route.
    3. contact with blood.
    4. airborne transmission.
  14. Hepatitis B is communicated via all of the following routesexceptexposure
    1. to semen.
    2. to contaminated food.
    3. through tattoos.
    4. through shared needles.
  15. The hepatitis A vaccine is administered in two doses,
    1. 2 months apart.
    2. 4 months apart.
    3. 6 months apart.
    4. 15 months apart.
  16. Persistent infection with HPV is responsible for up to 95% of
    1. anal cancers.
    2. cervical cancers.
    3. vulvar cancers.
    4. vaginal cancers.
  17. One contraindication to the MMR vaccine is
    1. pregnancy.
    2. an allergy to Tdap.
    3. a history of headache from vaccines.
    4. recent mild upper respiratory infection.
  18. One barrier to vaccination for gay and bisexual men is their
    1. concern about the discomfort and adverse reactions of vaccination.
    2. lack of understanding about potential vaccine adverse reactions.
    3. distrust of healthcare providers.
    4. limited knowledge about vaccine-preventable diseases.
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