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Old 08-04-2013
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Default form 2 ck

nbme form 2, Q7
A 16-yo girl comes for her first prenatal visit at 12W 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

I found C as a correct answ, but I found an recommendation update: "Pregnant teens and women should receive Tdap during each pregnancy, preferably between 27 and 36 weeks' gestation. Women who have never received Tdap and who do not receive it during pregnancy should receive it immediately postpartum. To obtain the recommendations, go to"

So now would be the correct answer A?

Or "give TDap later in 3rd trimester?"

Last edited by smartmark; 08-04-2013 at 01:45 PM. Reason: add source
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rohit39 (09-20-2013)


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