Kamsi
Forum Guru
Topics: 103
Posts: 347
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3.) A 5-year-old girl is brought to the physician 30 minutes after
being bitten on the forearm by her cat. Examination shows a small
puncture wound covered with dried blood. She is at increased risk of
infection for which of the following reasons?
A) Arm wounds are more susceptible to infection
B) Salivary enzymes in cats augment infection
C) It is difficult to cleanse pathogens from this wound
D) The Staphylococcus species involved is particularly virulent
E) Young children are less able to resist infection than adults
.) 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
4 Oral poliovirus
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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| titly
Forum Elite
Topics: 18
Posts: 293
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diphtheria(adult) and TT
not sure abt the first question
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| donjuan
Forum Junior
Topics: 9
Posts: 68
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there was a similar question abut the cat bites in 1 of the q banks somewhere the answer is A.
now about the 2nd question its C
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| equinoxe
Topics: 15
Posts: 77
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A 5-year-old girl is brought to the physician 30 minutes after being bitten on the forearm by her cat. Examination shows a small puncture wound covered with dried blood. She is at increased risk of infection for which of the following reasons?
A) Arm wounds are more susceptible to infection
B) Salivary enzymes in cats augment infection
C) It is difficult to cleanse pathogens from this wound
D) The Staphylococcus species involved is particularly virulent
E) Young children are less able to resist infection than adults
Edited by equinoxe on 02/14/08 - 02:41 AM
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waiting gives the devil time
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| hero
Forum Elite
Topics: 37
Posts: 460
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c?
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| guangyu
Forum Elite
Topics: 29
Posts: 308
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A
C
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| cuadrado_g
Forum Senior
Topics: 16
Posts: 153
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1. C (read rationale below)
2. C because after 15y/o must give adult diphteria/TT
Edited by cuadrado_g on 02/26/08 - 03:11 PM
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| cuadrado_g
Forum Senior
Topics: 16
Posts: 153
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correction to my previous post
1. C
Due to the high incidence (50 percent) of infection complicating cat bites [4], some recommend antibiotic prophylaxis to all patients following this type of injury. A cat's teeth are slender and sharp and characteristically produce deep puncture wounds, which are more likely to be complicated by infection. Because of the penetrating capabilities of the teeth, contamination of bone and joint can occur and result in osteomyelitis or septic arthritis, respectively. Pasteurella multocida has been recovered in the large majority of cat bite wound infections [10] and choices of antibiotics used for prophylaxis or treatment in this setting should include activity against this organism.
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| inkspot
Forum Guru
Topics: 26
Posts: 559
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My answers
E
E ( should have been C )
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