Vaccines: ABFM practice questions

30 board-style questions on vaccines in the PulseMD family medicine question bank — physician-reviewed, written against current guidelines with the reference cited on each question. Two free samples below; the full set with answers, explanations, and spaced review is free to start.

Sample question 1

A mother brings her 6-month-old for routine immunizations. The infant received the first doses of DTaP, IPV, Hib, PCV15, hepatitis B, and rotavirus at 2 months and the second doses at 4 months. Today the infant has a mild upper respiratory infection with temperature of 37.8C (100F). Which is the most appropriate action?

1. Defer all scheduled vaccines until the mild infection resolves completely
2. Administer vaccines but reduce the doses by half due to the mild illness
3. Administer scheduled vaccines including DTaP, IPV, Hib, PCV15, hepatitis B, and influenza
4. Administer only the inactivated vaccines and defer all live vaccines today

Sample question 2

A 66-year-old man with well-controlled type 2 diabetes and hypertension presents for a wellness visit. He received PPSV23 at age 65. He has never received a pneumococcal conjugate vaccine (PCV) or the recombinant zoster vaccine. According to current ACIP recommendations, which vaccines should be offered at this visit?

1. Repeat PPSV23 in 5 years; RZV only if immunocompromised
2. No additional pneumococcal vaccine needed; RZV series only
3. PCV20 now and the recombinant zoster vaccine (RZV) series
4. PCV15 now and PPSV23 booster at age 70; defer RZV

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