Minimising Vaccine-Preventable Conditions in Adult Patients with Chronic Lung Disease

Chronic respiratory conditions, including asthma and COPD, affect approximately _______ of the Australian population.

10%
30%
60%
80%

Which of the following are important reasons for maintaining immunisations in patients with chronic lung disease?

Reverse causality effect of asthma increases the risk of infection
Acute and chronic cycles of infection contribute to progressive loss of lung function in COPD
Some vaccine-preventable conditions contribute to asthma flare-ups
All of the above

Which of the following explains the reverse causality hypothesis:

Causal direction that atopic conditions alter susceptibility to microbial colonisation
Chronic microbial colonisation results in vicious circle of chronic lung inflammation
Early childhood infection – protective effect on development of atopic conditions
Provocative effect of early childhood infection on development of atopic conditions

Which of the following explains the vicious circle hypothesis?

Causal direction that atopic conditions alter susceptibility to microbial colonisation
Chronic microbial colonisation results in vicious circle of chronic lung inflammation
Early childhood infection – protective effect on development of atopic conditions
Provocative effect of early childhood infection on development of atopic conditions

Which of the following population groups are most at risk of influenza complications?

People with arthritis
All adults aged ≥65 years
Pregnant women
All adults aged ≥18 years

Influenza vaccination is strongly recommended and provided under the NIP for:

Pregnant women
Patients with cardiac disease
All adults ≥18 years old
All adults ≥45 years old

Among adults ≥65 years old, the incidence of pneumococcal pneumonia was _____ in persons with chronic respiratory disease compared to those without comorbidity

Lower
Higher
The same

Which of the following age groups are most vulnerable to be hospitalised with a pertussis related illness?

1-10 years
45-64 years
≥ 65 years
10-25 years

Which of the following are complications that can be caused by pertussis in older adults?

Pneumonia
Rib fractures
Exacerbation of COPD/asthma

Of patients with COPD who used a bronchodilator, the majority of patients had to ____ their bronchodilator use due to pertussis.

Increase
Decrease
Crease

Which of the following is an Australian Immunisation Handbook recommendation for pertussis vaccination in adults?

Adults working with infants and children <4 years of age
Any adult who wishes to reduce their likelihood of becoming ill with pertussis
Adult of any age who require a tetanus-containing vaccine
All adults aged ≥18 years

Pertussis vaccination is recommended for adults:

Aged 50 years who are receiving the routinely recommended dT booster
Aged ≥65 years who have not received a dTpa booster in the previous 10 years
Of any age who require a tetanus-containing vaccine
All adults aged ≥18 years

Pertussis vaccination booster is recommended for:

Pregnant women
Fathers, grandparents or carers of infants <6 months of age
All travellers regardless of time elapsed since last vaccine
All adults aged ≥18 years

Dosing recommendations for pertussis vaccination in infant, children and adolescents includes:

Primary dose at birth
Primary dose at 2,4 and 6 months of age
Booster dose at 18 months, 4 years and 12-13 years of age

Age-related changes to the immune system include:

Increased supply of pro-inflammatory cytokines
Increased capacity of B cells
Increased T-cell responsiveness
Increased responsiveness of cellular pathways that support the immune system

Minimising Vaccine-Preventable Conditions in Adult Patients with Chronic Lung Disease

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