nbme qq - adam7124

[ArchivalUser]

.) 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

[ArchivalUser]

CC

[ArchivalUser]

why explain to me please

[ArchivalUser]

Following recommended Immunization Schedule, this girl should received Td ((Diphteria tetanus toxoid) at 11-12 years of age and then every 10 years.
This girl is 16 years of age and she received DTaP, Hepatitis B, MMR, Oral polio until. 5 years of age, so she just need to receive Td

[ArchivalUser]

NBME no Plz .

[ArchivalUser]

Why not A... Coz she needs a booster of DPaT

[ArchivalUser]

@ surmountusmle
Why she needs a booster of DTaP?
She received I dose of DTap at 2 months, II dose at 4 months, III dose at 6 months, IV dose between 15-18 months and V dose between 4-6 years of age. In Q mention that She has not had any immunizations since the age of 5 years so probably she received all 5. doses of DTap and she just need Td which is given at 11-12 years.

[ArchivalUser]

Well according to uworld all adults need a booster of DTaP once and the every ten years Td toxoid only...

[ArchivalUser]

I think that in the answers they will mention "booster vaccine" (Tdap).

[ArchivalUser]

I think when there is all three tdap means booster and they will not mention it. coz it I saw similar question in uworld