Improving HPV Vaccine Rates Pretest

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* 1. An 11-year-old girl is in the office for a sports physical. The nursing personnel introduce the vaccines by saying, "Your child is due for vaccinations today to help protect against meningitis, HPV cancers, and pertussis. We'll give those shots at the end of the visit.” The parent says to you, “I don’t know if I want her to get the HPV vaccine.” What should you do next? Select the best answer.

Acknowledge that the parent may have some concerns about the HPV vaccine and focus on the vaccines that the parent is comfortable with.

Invite the parent to ask questions about the HPV vaccine, then address her specific concerns.

Explain to the parent the latest evidence of the HPV vaccine’s effectiveness.

Suggest that the girl could receive the HPV vaccine at her next annual physical.

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* 2. An adolescent patient who is behind on immunizations is in the office with his mother for a sick visit. The parent listens when you recommend MCV4, HPV, and Tdap vaccines. When asked about her questions she says, “I have none … whatever you think is best.” Which of the following is the best series of actions to take next? Select the best answer.

Explain that persistent HPV infection can cause cancers of the cervix, vagina, and vulva in women; cancer of the penis in men; and cancers of the anus and the mouth or throat in both women and men and most could be prevented with HPV vaccine.

Support the mother’s decision to follow the recommended schedule, administer the three vaccines and ask the front desk staff to schedule times to return for HPV doses 2 and 3.

Support the mother’s decision to follow the recommended schedule, administer the three vaccines and advise her to schedule times to return for HPV doses 2 and 3.

Give the VIS for Tdap, MCV4, and HPV vaccines now so the parent can preview them and schedule a visit at which the vaccines will be given.

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* 3. Which of the following is an example of a strong, bundled recommendation for the HPV vaccine?

“Today your child is due for some vaccinations, Tdap and Meningococcal. There is also the HPV vaccine, if you would like that one, too.”

“For school, your child is required to get Tdap and Meningoccocal vaccines. I also recommend the HPV vaccine.”

“Today I recommend that your child receive Tdap, HPV and Meningoccocal vaccines. These will provide protection against Tetanus, diphtheria, whooping cough, HPV and meningitis.”

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* 4. Is the following statement true or false? “More than 26,000 men and women in the US are diagnosed with an HPV-related cancer every year.”

True

False

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* 5. What types of cancers can be caused by HPV? (Select all that apply.)

Anal

Cervical

Oropharyngeal

Vaginal

Penile

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* 6. Multiple, rigorous, studies have been conducted to assess the safety of the 4vHPV vaccine. Which of the following are the only adverse events found to be associated with 4vHPV vaccine to date?

Stroke

Syncope

Multiple Sclerosis

Skin infections

Answers 2 & 4

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* 7. Which of the following office strategies have been shown to increase vaccination rates?

Patient reminders via phone call, post-card, or letter

Provider prompts to remind providers to order vaccines the patient needs

Standing orders

All of the above

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* 8. A 13-year old who just moved to your town comes in for a first visit in your office. She previously had an HPV vaccination, but the records her mother has do not indicate HPV vaccine product was given. Which of the following is the best action to take next? Select the best answer.

Use the HPV vaccine you stock to complete the series.

Restart the HPV vaccine series.

Have the mother contact the previous office to find out which HPV vaccine was used and then contact your office for instructions on next steps.

Have your office personnel contact the previous office to find out which HPV vaccine was used and then contact the mother for instructions on next steps.