ADULT
IMMUNIZATIONS

 By Lori
A. Lemberg, MD

Case
#1:

A 23-year-old male comes to see you for a complete physical examination
required by his new job as a laboratory technician.
He has recently immigrated to New York from his home in Ecuador.

Which
vaccinations would you offer him and why?

A)
Hepatitis B

B) Hepatitis A

C)
HIV

D)
Td

E)
MMR

F)
Measles

G)
A,B,C,D,E

H)
A,B,D,F

I)
A,D,E

J)
A,D,F

Discuss
risks and benefits of each vaccine, including side effects.

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here for answer

Case
#2:

 

A
67-year-old female comes to see you in your office for her regular fall
follow-up physical examination.
She has a history of hypertension and asthma, and is on chronic
medications.

 
 What
immunizations would you offer at this visit, or insure that she has received?

A)
Pneumococcal Vaccine

B) Hepatitis B

C) Influenza Vaccine

D) A & C

E) all of the above

 

 
Discuss
the immunizations risks and benefits, indications and side effects.

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here for answer

Case
#3:

You are
seeing a 35 year-old HIV+ patient in the ACS clinic.
 

Which vaccine IS NOT contraindicated?
 

A)
Oral Tyhpoid Vaccine

B)   
Hepatitis A Vaccine

C)
MMR

D)   
Oral
Polio
Vaccine

E)   
Varicella
Vaccine

 

Discuss the risks and benefits of immunizing an immunocompromised person,
   side
effects and contraindications.

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Case#4:

A 25-year
old woman comes to your office for a routine visit, and advice concerning
immunization before her trip to India.

 
What
concerns would you have regarding immunizations and her reproductive
history?

         Click
here for answer

What
immunizations would you offer this patient?

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