JKO Meningococcal Diseases Course (1.5 hrs)

1) A man who is traveling in the first-class section of an airplane on an overnight flight from Africa is diagnosed with meningococcemia after arriving in Chicago. Which other person on the plane is most likely to be contacted by the health department and told that he or she needs chemoprophylaxis against meningococcal disease?

The Pilot

The passenger who was sitting in first class next to the man who was ill (correct)

The airline attendant

The passenger who was sitting in the back of the plane in the coach section

2) Trumenba and Bexsero can be given interchangeably when administering meningococcal B vaccine.

True

False (correct)

3) The most common adverse reaction following either type of meningococcal vaccine is: [Remediation Accessed :N]

Headache and stiff neck

Joint pain and low grade fever

Malaise and nausea

Pain and redness at the injection site (correct)

4) Meningococcal B vaccine series is a category B recommendation.

True (correct)

False

5) An 11-year-old boy needs to receive meningococcal vaccine. He has HIV infection. What is the correct schedule? [Remediation Accessed :N]

A single dose today and a booster dose at age 16.

A single dose today and no need for a booster dose.

Two doses given 2 months apart and a booster dose at age 16. (correct)

Two doses given 2 months apart and no need for a booster dose.

6) Which statement accurately represents information contained in the meningococcal vaccines VIS?

Meningococcal vaccine can be used to treat meningococcal infection.

The majority of people who get meningococcal vaccine experience redness or pain where the shot is given.

Of those people who live after a meningococcal infection, about 11% to 19% lose their arms or legs, become deaf, have problems with their nervous systems, become mentally impaired, or suffer seizures or strokes. (correct)

Meningococcal vaccine should NOT be given to people who live in areas where meningitis outbreaks are common.

7) The number of doses and schedule for meningococcal vaccine varies depending on age and risk. Based on this, select the recommended schedule. What is the right schedule for administering Menveo vaccine to a healthy 2-month-old girl who will be traveling to an endemic area?

2 doses: 2 and 4 months of age.

3 doses: 2, 4, and 6 months of age.

4 doses: 2, 4, 6, and 12 months of age. (correct)

5 doses: 2, 4. 6, 12 and 15 months of age.

8) Which statement is true regarding illnesses caused by Neisseria Meningitidis (N. Meningitidis)? [Remediation Accessed :N]

N. Meningitidis-related illness is hyperendemic in southern Africa and the newly independent Eastern European nations.

There are slightly more than 200,000 reported cases of N. Meningitidis-related illness in the United States each year.

N Meningitidis most commonly causes meningitis and sexually transmitted diseases.

Most cases of meningitis in the United States are caused by N. Meningitidis serogroups B, C, Y, and W-135. (correct)

9) Which statement is correct about meningococcal vaccination in the Armed Forces?

Service Members are given meningococcal vaccine according to ACIP recommendations for adults in the general population. (correct)

There are no recommendations for administration of meningococcal vaccine related to travel or deployment in the Armed Forces.

Service Members are required to be revaccinated with meningococcal vaccine every 5 years.

Meningococcal vaccination is not routinely administered to Armed Forces recruits.

10) Is a meningococcal booster recommended for a 2-year-old girl who has complement component deficiency and received primary series with final dose at 15 months of age?

Yes

No (correct)

11) Is a meningococcal booster recommended for a 75-year-old woman who had her spleen removed 10 years ago and received a primary dose at age 66?

Yes (correct)

12) Meningococcal conjugate vaccine is administered subcutaneously. [Remediation Accessed :N]

False (correct)

True

13) Which person has a valid contraindication to receiving meningococcal vaccine today?

Someone hospitalized with acute bronchitis. (correct)

Someone who is allergic to penicillin.

Someone taking antibiotics for a sinus infection.

Someone who received a prior dose of meningococcal vaccine less than 10 years ago.

14) Is a meningococcal booster recommended for a healthy 16-year-old boy who received a primary dose at 14 years of age?

Yes (correct)