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  #1  
Old 05-18-2011
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Question Vaccination for 55 year old man question?

A healthy 55-year-old man comes for an initial health maintenance examination. His last visit to a physician was over 10 years ago. He does not smoke and drinks only on social occasions. Examination shows no abnormalities. Which of the following immunizations should be administered?

A) Hepatitis A vaccine
B) Influenza virus vaccine
C) Measles-mumps-rubella vaccine
D) Pneumococcal vaccine
E) Diphtheria-tetanus toxoid
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  #2  
Old 05-18-2011
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It is Influenza vaccine that is required to all patients of this age group and pregnant ladies,If this patient is has spleenectomy than we can consider the option of pneumococcal vaccine but to me there is no other answer than option A
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Old 05-18-2011
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hmmm... the question says "10 years" - could it be referring that 10 year booster for tetanus has not been given ? but TT wud have been best...

as far as i know... influenza is for senior citizens (unless they have COPD , heart disease what not)... so...TT?
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Old 05-18-2011
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Diphtheria is recommended every 10 years as well.

-diphtheria-tetanus-acellular pertussis (DTaP) vaccine is for children
-booster dose of tetanus toxoid and the reduced diphtheria toxoid in the form of Td is recommended at 11 to 12 years of age and at 10-year intervals throughout life

Also, it's important to note that many books are outdated in terms of the flu shot. As of February 2010, the CDC recommended that EVERYONE over 6 months of age should get the flu vaccine annually. http://www.cdc.gov/vaccines/vpd-vac/flu/default.htm

However, since they do not specifically state the time of year of the exam (meaning it is not necessarily the start of the flu season), I do not the the influenza vaccine would be the answer in this case.



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Originally Posted by drarnab View Post
hmmm... the question says "10 years" - could it be referring that 10 year booster for tetanus has not been given ? but TT wud have been best...

as far as i know... influenza is for senior citizens (unless they have COPD , heart disease what not)... so...TT?
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Old 05-18-2011
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so the answer is flu shot..rt?
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Old 05-18-2011
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I would say Td, because it has definitely been OVER 10 years, so he is due.

Reasons for it not being influenza are that they do not state the time of year of the exam. The flu shot is a new formulation (or whatever the technical term is) every year, and then given just before or at the start of flu season (fall). I have had questions where they specifically state "fall" or "September" or something, and in those cases the answer is often the flu vaccine.

Does that make sense?
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Old 05-18-2011
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E) Diphtheria-tetanus toxoid-Td vaccine
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Old 05-19-2011
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Agreed - isn't "10 years" sort of a buzzword for Diptheria / Tetanus etc - no matter what age group?
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Old 05-19-2011
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Quote:
Originally Posted by ashishkabir View Post
Agreed - isn't "10 years" sort of a buzzword for Diptheria / Tetanus etc - no matter what age group?
Ya, I totally agree
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Old 05-26-2011
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Quote:
Originally Posted by kemoo View Post
A healthy 55-year-old man comes for an initial health maintenance examination. His last visit to a physician was over 10 years ago. He does not smoke and drinks only on social occasions. Examination shows no abnormalities. Which of the following immunizations should be administered?

A) Hepatitis A vaccine
B) Influenza virus vaccine
C) Measles-mumps-rubella vaccine
D) Pneumococcal vaccine
E) Diphtheria-tetanus toxoid
Which of the following immunizations should be administered?
I also think is E) Diphtheria-tetanus toxoid = Yes, he should get vaccinated....B) Influenza virus vaccine = maybe (they do not specifically state the time of year of the exam)
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  #11  
Old 06-13-2011
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I agree with Surg... If it would have been me, my first option Influenza, Second pneumo... Now who's got a lot of studying to do
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  #12  
Old 06-15-2011
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I think dt...because after 10 years he should have vaccination again for tetanus ..and i m not sure but if a trauma that was not clear happened ..he should have had a tetanus vaccination 5 years after his last...
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  #13  
Old 06-15-2011
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B) Influenza virus vaccine
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