HPV Vaccination Guide for SBHC CME Post-Test To receive credit for this CME, please complete the post-test. A passing score of 60% or higher is required. Participants can retake or change test answers as many times as needed to pass by clicking the browser back arrow until you return to the test form. Thank you for your time! We hope that this information was interesting and will be immediately useful in your practice. Question Title * 1. When is it most beneficial to immunize with HPV vaccine in order to prevent HPV-related cancers? A. Vaccinate when the immune system is most robust, during the first year of life when the other recommended childhood vaccines are administered. B. The optimal time to vaccinate is before the onset of sexual activity and at age 11 or 12. C. Vaccinate after age 15 because the series is 3 doses and that confers an extra immunological advantage. D. Vaccination is only recommended for youth who are currently sexually active. Question Title * 2. Nearly ALL cervical cancers are caused by persistent HPV infection. True False Question Title * 3. Persistent infection with HPV can cause 6 types of cancer, including: A. 90% of anal cancers. B. 70% of oropharyngeal cancers. C. 60-70% of vaginal, vulvar and penile cancers. D. All of the above. Question Title * 4. Licensed in 2006, the HPV vaccine is available for use in people ages 9 to 45. The CDC recommends which of the following schedules? A. Begin 2-dose regimen at age 11 or 12, prior to the onset of sexual activity. B. Begin the 3-dose series for those age 15 or older C. Both A and B D. Only A Question Title * 5. School-based health centers provide an effective means to increase vaccination coverage among adolescents for the following reasons: A. Convenience, no cost B. Peer support during vaccination C. Vaccination can be provided during sick visits, sports physicals and other encounters without parent missing work and eliminating a need for transportation D. All of the above. Question Title * 6. School-based health centers (SBHCs) can use the following strategies to facilitate increased awareness among students: A. Work with health and science teachers to integrate HPV learning opportunities into the coursework B. Develop an innovative and collaborative campaign led by students and supported by other school departments and clubs, such as media, digital design, drama, or debate C. Set a school-wide vaccination rate goal D. All of the above Question Title * 7. Reducing missed opportunities to vaccinate is an effective way to increase HPV coverage. Which of the following reasons is a true medical contraindication for HPV vaccination? Check all that apply. A. Anaphylaxis to latex or a previous dose of HPV vaccine B. Moderate or severe acute illness with or without fever C. History of HPV infection D. Pregnancy E. A and D Question Title * 8. If a minor living in New York is believed to be sexually active or at risk for contracting sexually transmitted diseases the minor is permitted to self-consent for the HPV vaccination. True False Question Title * 9. When speaking with parents about HPV vaccination, what conversational style is most effective? A. Open-ended conversation: “Now that your child is 11, what preventive services are you interested in? Some options that we recommend include vaccinations against HPV-related cancers, pertussis, meningitis, and the flu. What are your thoughts?” B. Participatory approach: “Now that your son/daughter is 11, it is time for recommended vaccinations to prevent HPV-related cancers, meningitis, pertussis and the flu. Our office recommends doing all of these today. What do you think?” C. Presumptive approach: “Now that your son/daughter is 11, it is time for vaccinations to help protect against meningitis, HPV-related cancers, pertussis and the flu. We’ll give those shots during today’s visit. Do you have any questions?” D. A or B Question Title * 10. Strategies that increase HPV vaccination coverage include the following practices: A. Check vaccine supply and storage to ensure you are compliant with manufacturer recommendations B. Maintain complete, up-to-date patient immunization records C. Help your patients anticipate their need for vaccinations by providing consent forms before their vaccination is due D. Avoid “missed opportunities” to vaccinate by training all your staff E. All of the above Question Title * 11. 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You must attach your course evaluation to the email as well per the instructions on the website. Done