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nbme 2

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suv
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08/04/07 - 08:10 AM

7.) A 16-year-old girl comes to the physician for her first prenatal
visit at 12 weeks' gestation. She has not had any immunizations since
the age of 5 years. She has received the following immunizations at the
recommended ages:

5 Diphtheria-tetanus-pertussis
3 Hepatitis B
1 Measles-mumps-rubella

Examination shows no abnormalities. Which of the following is the most
appropriate immunization to administer at this visit?

A) Diphtheria-tetanus-pertussis

B) Diphtheria (child)-tetanus toxoid

C) Diphtheria (adult)-tetanus toxoid

D) Haemophilus influenzae type b

E) Hepatitis B

F) Inactivated poliovirus

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lakshya_0_7
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08/04/07 - 12:44 PM

elitoki
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08/06/07 - 01:51 PM

c) Td.

but... What about MMR?
I know it is not an option, but she also needs MMR. that's right?

drplacebo
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08/06/07 - 08:00 PM

elitoki wrote:
c)
but... What about MMR?

Rubella component good before preg. but contra-indicated during.

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hallachi
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08/08/07 - 04:43 AM

C...Td recomended in pregnency

but y not Hib (h influenza vaccine) we can give it in pregnency because it is inactivated ....or when we choose Hib in pregnency? any comments please

MMR contraindicated in preg because it include rubella vaccine what is absolutely contraindiated in preg

elitoki
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08/09/07 - 09:57 AM

Thanks Dr placebo. grin

I forgot she is pregnant!

SkiKidd
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09/10/07 - 06:44 PM

The likelyhood of this patient not having been exposed to HiB by the time she is 16 is why I figured she did not need this vaccine. That and Td is a more important vaccine given the M&M comparisson of the two diseases for an adult.

lq2006
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04/19/08 - 07:50 PM

what's the differences between B and C????

inkspot
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04/20/08 - 12:45 AM

difficult question.

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