usmle6789
Forum Senior
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Posts: 49
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A 16 yr old girl comes to the physician for her first prenatal visit at 12 weeks of gestation. She has not had any immunizations since the age of 5 yrs. She has received the following immunizations at the recommended ages
5- diphtheria- tetanus – pertusis
3- Hepatitis B
1- measles- mumps- rubella
4- Oral poliovirus
Examination shows no other abnormalities. Which of the following is the most appropriate immunization to administer at this visit?
1] DTP
2] DIPHTHERIA [CHILD] - TETANUS TOXOID
3] DIPHTHERIA [ADULT] - TETANUS TOXOID
4] HEMOPHILUS INFLUENZA TYPE B
5] HEPATITIS B
6] INACTIVATED POLIOVIRUS
I am between 2 or 3.
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| ELM
Forum Guru
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4 for sure.Remember, olders or very young, people with compromised J, COPD, Chronic lung desease, Asplenics or nonfunctioning spleen and systemic chronic desease, and Pregnants get this.
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ELM
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| lucky
Forum Guru
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i'm for 4 too.
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| tamriko
Forum Elite
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Yes, 4.
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| noelle
Forum Elite
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i think its Td coz hib pretty rare after 6 yrs of age.. whT DO U SAY GUYS???
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| Canadadoc
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1.DTP - is not given as pertusis is not given for children >5years.
2 & 3 & 6 - Td+Polio is contraindicated in first trimester pregnancy
4.Hib vaccine is not indicated in children >5years
So the answer must be Hep B
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| ELM
Forum Guru
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Any age pregnancy is the indication for Hib vaccine.
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ELM
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| Canadadoc
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Hib vaccine is different from Influenza
Hib is given 2,4,6,18 months and not indicated in children > 5 years
Influenza (flu shot) is contraindicated in children< 6 months. It's given for immunocompromised,diabetes,etc but NOT Pregnancy
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| ELM
Forum Guru
Topics: 28
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I am terribly sorry for the confusion, i mixed some stuff here.
I don't have any answer for this. I am sorry. :cry:
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| lucky
Forum Guru
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as she already received the hep b vaccine will she be getting the booster dose now?
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| Veer-Zaara
Forum Elite
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from my knowledge Hep. B protection is usually life long(have not come across booster doses for Hep. B??).
I feel the best answer in this situation is 3.because she didn't receive her booster DT shot.OPV is live attenuated and not given to pregnant mothers.Polio virus can cross the placenta!!
Pertussis is not indicated in this situation.
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