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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
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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A I guess bcoz after 5 doses one booster of dtp is requires at adolescence.After that DT every 10 years.
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c....
pertussis component is contraindicated in pregnancy
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i think its A.acc to kaplan obgyn there is no definitive ind or c/i about pertussis vac and all adolescent need a booster pertussis.i am not sure about the diptheria component but no other choices seem correct
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I read in CDC web page, that TDP can be administered in 2nd and 3rd trimester, remember Pertussis is acellular vaccine.
I would go with A, as she missed the booster of TDP at age 11-12. Others are out of option I think .
