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