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Old 10-30-2012
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Arrow Billy Step 1 Questions # 63

A 6-year-old boy has received a deep puncture wound while playing in his neighbor’s yard. His records indicate that he has had the standard DPT immunizations and a booster when he entered school. What is the most appropriate therapy for this child?

a. Tetanus toxoid
b. Tetanus antitoxin
c. Both toxoid and antitoxin at the same site
d. Toxoid and antitoxin at different sites
e. No treatment
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Default my answer :)

e. No treatment
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Old 10-30-2012
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Default my asnwer A

a child w/ risk factor (neighbor’s yard) , he is 6 yeras old, so i can asume that his first DPT was 5 years ago, so my answer is vaccine (Tetanus toxoid) - ACTIVE INMUNITY
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Smile my answer

No treatment
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Old 10-30-2012
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Default nice one

Quote:
Originally Posted by billy View Post
A 6-year-old boy has received a deep puncture wound while playing in his neighbor’s yard. His records indicate that he has had the standard DPT immunizations and a booster when he entered school. What is the most appropriate therapy for this child?

a. Tetanus toxoid
b. Tetanus antitoxin
c. Both toxoid and antitoxin at the same site
d. Toxoid and antitoxin at different sites
e. No treatment
i assume as he already had booster
or E No treatment ??????
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One day i will infect these microbes and they will search for "Anti-MEbiotic"....
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Old 10-31-2012
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no need for tt vaccine as it is protective upto 10 years but human tetanus immunoglobulin(antitoxin) should be considered for deep puncture wound...
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Correct Answer E is correct

Because the boy received his booster within the last 2 years, his level of immunity should be adequate. If an individual has no history of immunization, both antitoxin (passive immunization with tetanus immune globulin) for temporary and fast protection and toxoid (toxin detoxified with formaldehyde) for future and long-lasting protection should be given at different sites.
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