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USMLE Step 2 CK Forum USMLE Step 2 CK Discussion Forum: Let's talk about anything related to USMLE Step 2 CK exam |
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An 18 month old boy is brought to the office for a well baby visit. The mother appears concerned because a days after the administration of the previous doe DTaP vaccine, the baby developed a seizure which lasted for about 2 minutes. She took the baby to the emergency department,where the baby was kept under observation and subsequently discharged. The baby has had no recurrences and has been in good health ever since.The child is due for the fourth dose of DTaP vaccine today. Which of the following is the most appropriate course of action ?
A. Do not administer the vaccine B.Administer the routine DTaP C.Administer the diptheria and tetanus toxoids, avoid the pertussis component D. Administer the diptheria and pertussis toxoids avoid the tetanus component E.Refer to an immunization specialist A Qbank Q
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ans C...... pertussis is the bitch .........
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C.Administer the diptheria and tetanus toxoids, avoid the pertussis component
Pertussis causes the complication |
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Answer C
An immediate anaphylactic reaction, an encephalopathy ,or any CNS complication within 7 days of administration of the vaccine is a contraindiaction for further administration of the vaccine of DTaP.In these instances, DT should be substituted for DTaP since the adverse reactions are usually attributed to the pertussis component of the vaccine Extremely High Yield !
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