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Alpha health group 2 d. If the patient lives with an immunocompromised person, vaccination should beavoided e. The subsequent risk of zoster is higher among those who have been vaccinated as compared with those who had natural infection 4. An elderly patient that you follow has recently started hemodialysis for chronic renal failure. You know that hepatitis B vaccination is recommended for people on hemodialysis, and find that he is hepatitis B surface antibody negative. Which of the following would be the best guideline to follow in this case? a. No vaccination is necessary based on his laboratory evaluation b. Administer one dose of hepatitis B vaccine c. Administer two doses of hepatitis B vaccine, at least 1 month apart d. Administer two doses of hepatitis B vaccine, at least 6 months apart e. Administer three doses of hepatitis B vaccine at the appropriate time interval 5. You are caring for a 23-year-old healthy homosexual male who works as an accountant and lives alone. He had the “typical childhood vaccinations” and provides documentation of his immunization record. He is up to date on tetanus, and was primarily immunized against diphtheria, pertussis, polio, hepatitis B, measles, mumps, rubella, and H. influenzae type b. Which of the following vaccinations is indicated for this patient? a. Varicella b. Meningococcus c. Hepatitis A d. Pneumococcus e. A booster of the measles, mumps, and rubella (MMR) vaccine 6. In the prenatal workup for one of your patients, you discover she is rubella nonimmune. When is the best time to vaccinate the patient against rubella? a. Immediately b. In the second trimester of pregnancy c. In the third trimester of pregnancy d. In the early postpartum period
Alpha health group 3 e. At least 4 weeks postpartum 7. An adult is seen in your office after cutting her hand on a clean broken glass in her kitchen. She received her primary tetanus series as a child. The wound is relatively minor, and does not require suturing. Her last tetanus booster was 7 years ago. Which of the following is true? a. No vaccination is required b. The patient should receive a tetanus-diphtheria (Td) booster c. The patient should receive a Td booster and tetanus immune globulin d. The patient should receive a diphtheria-tetanus-pertussis (DTP) booster e. The patient should receive a diphtheria-tetanus-acellular pertussis (DTaP) booster 8. You are caring for a woman who would like her children vaccinated against influenza. Her children are ages 4 months, 24 months, and 5 years. Which of the following represents current immunization recommendations for influenza? a. None of her children should be vaccinated b. The 4-month-old and the 24-month-old should be vaccinated c. The 24-month-old and the 5-year-old should be vaccinated d. Only the 24-month-old should be vaccinated e. All the children should be vaccinated Screening Tests 9. You are discussing preventive health screening with a college student. He has no family history of hypertension, coronary artery disease, diabetes, or cancer. At what age would you consider screening for lipid disorders? a. 18 years b. 21 years c. 25 years d. 35 years e. 50 years 10. You are seeing a 58-year-old smoker for a routine health examination. You have counseled him on discontinuing tobacco use, and he is considering that alternative. He
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