08-14-2007, 01:38 PM
A 22-year-old healthy nursing student comes to the clinic for her annual physical examination. She has
no past medical history and her previous surgical history is remarkable for a dilation and curettage
three years prior to pregnancy. She has a history of chicken pox as a child. She drinks 2-3 beers three
times per week and denies cigarette smoking. She is not in a monogamous relationship and she is
sexually active. Her last menstrual period was 3 days ago. Her vital signs and physical examination are
unremarkable. Her vaccination schedule is as follows:
MMR: age 16; Td: age 16; PPD: negative 6 months prior; Hepatitis B titer: positive 1-year prior.
The most appropriate intervention at this time is to administer the
A. Hepatitis B vaccine
B. influenza vaccine
C. pneumococcal vaccine
D. Td vaccine
E. varicella vaccine
no past medical history and her previous surgical history is remarkable for a dilation and curettage
three years prior to pregnancy. She has a history of chicken pox as a child. She drinks 2-3 beers three
times per week and denies cigarette smoking. She is not in a monogamous relationship and she is
sexually active. Her last menstrual period was 3 days ago. Her vital signs and physical examination are
unremarkable. Her vaccination schedule is as follows:
MMR: age 16; Td: age 16; PPD: negative 6 months prior; Hepatitis B titer: positive 1-year prior.
The most appropriate intervention at this time is to administer the
A. Hepatitis B vaccine
B. influenza vaccine
C. pneumococcal vaccine
D. Td vaccine
E. varicella vaccine