NBME HEPATITIS

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NBME HEPATITIS

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dr_jojo

03/14/07 - 06:51 AM

5. A 32-year-old woman at 38 weeks' gestation comes for a routine prenatal visit. During routine screening at 28 weeks' gestation, she tested positive for hepatitis B surface antigen. Her pregnancy has been otherwise uncomplicated. Examination shows a uterus consistent in size with a 38-week gestation. Which of the following measures is most likely to decrease the risk for hepatitis B infection in her newborn?

A
) Recommendation of bottle-feeding rather than breast-feeding

B
) Maternal administration of hepatitis B immune globulin (HBIG) now

C
) Neonatal administration of HBIG after delivery and hepatitis B vaccine at 3 months of age

D
) Neonatal administration of HBIG and hepatitis B vaccine immediately after delivery

E
) Cesarean delivery

Aashi
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03/14/07 - 06:56 AM

D) Neonatal administration of HBIG and hepatitis B vaccine immediately after delivery

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dr_jojo

03/14/07 - 07:08 AM

thanx Aashi ,

damngood
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03/29/07 - 12:08 PM

aashi i think the answer is C
giving the immunoglobin immediately and the vaccine three months later
do think it shud be given immediately after birth

AAAAA
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04/05/07 - 12:36 PM

D

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AAAAA
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04/05/07 - 12:37 PM

If she is 38 weeks and found to have vesicles and painful vesicle, the answer should be E

Since the question does not mention any active herpes, I will stick with D

C is absolutely wrong !!

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r_albayunen
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04/05/07 - 08:27 PM

mdwannabe
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04/07/07 - 08:06 AM

Hep B vaccine...first dose id normaly given right after birth... so the only thing one has to ADD is the immediate PASSIVE immunization with HBIG after birth.

to AAAA ... what do Herpes have to do with Hep B? unless you reffering to choice E per se...then HIV is also an indication for CS.

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radonc
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04/13/07 - 11:24 AM

Yeah, answer is D. The following is lifted from an OBGYN text:

"To prevent transmission to the newborn, it is necessary to give the baby hep B immunoglobulin at delivery, and Hep B vaccine within one week of delivery and repeat at one and six months."

snowdrops
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04/13/07 - 11:37 AM

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