ccssa form 2q

Prep for USMLE Forum

» Log in | Register

Forum

Step 1

Match

Prep4USMLE Forum » USMLE Step 2 CK Forum » Internal Medicine Forum

ccssa form 2q

Author

10 Posts

usmle6789
Forum Senior

Topics: 33
Posts: 49

01/22/05 - 06:54 AM

8 yr old girl with asthma brought to the physician one week after acute exacerbation. she was treated with the 5 day taper course of oral prednisone. This was her first asthma attack of the fall season. Meds included an inhaled corticosteroid daily and a bronchodilator metered dose inhaler as needed. Her last immunizations were at 5 years
before entering kindergarten. T 37C[98.6] , PULSE 92, RR 28. examination shows end-expiratory wheezing with forced expiration. administration of which of the following vaccines is most appropriate at this visit?

1] hemophilus influenza type b
2] influenza virus.
3] meningococcal
4] 23- valent pneumococcal
5] varicella

I am between 2 and 4.

mikyro
Forum Junior

Topics: 0
Posts: 81

01/22/05 - 07:02 AM

2, I guess

___________________
the same miky - always ready to help my patients and friends as well

ELM
Forum Guru

Topics: 28
Posts: 936

01/22/05 - 12:16 PM

Yearly influenza is the answer.

___________________
ELM

tamriko
Forum Elite

Topics: 23
Posts: 296

01/23/05 - 06:29 AM

2. influenza

jalwa
Forum Newbie

Topics: 0
Posts: 11

02/10/05 - 04:47 PM

polvalent pnemococccal vaccine indicated mostly after 60 years

am i right guys

___________________
hi every one

SA
Forum Elite

Topics: 21
Posts: 193

02/10/05 - 07:58 PM

"ELM" wrote:
Yearly influenza is the answer.

Why! can you examine it for me as I am having problem with these vaccination issue every time?
For where I should read all this material for vaccination.

___________________
Wish best of luck to all users

ELM
Forum Guru

Topics: 28
Posts: 936

02/10/05 - 08:10 PM

Kaplan's pediatric notes immunization chapter.

___________________
ELM

SA
Forum Elite

Topics: 21
Posts: 193

02/10/05 - 08:13 PM

what about adult I mean immunization as a suject?

___________________
Wish best of luck to all users

smile_md
Forum Junior

Topics: 10
Posts: 46

02/10/05 - 09:51 PM

Pt's last immunization was at 5 y.o. so...
Hib - done
Pneumococcal - done (recommended for all children beginning at 2 mos. - kaplan pediatrics p. 68)
Varicella - done

so we're left with Meningococcal which is indicated only for anatomic or functional asplenia, pts with complement deficiencies and travelers to endemic area

and the answer: Influenza - indicated for pts. with chronic lung dse, heart dse., immunosuppressed, health care workers, hemoglibonapaties and pts. in nursing homes and long term care facilities

nicky22
Forum Newbie

Topics: 1
Posts: 10

02/12/05 - 05:04 PM

#10

to SA

for adults :arrow: >50 y.o influenza / >65 pneumococcus vaccination is needed

You don't have permission to post.