nbme 2 block 1 q7 - happy_studying

[ArchivalUser]

A 16-year-old girl comes to the physician for her first prenatal
visit at 12 weeks' 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

answer key says C.... IS IT REALLY C AND NOT A??
PLZ GIVE YOUR VIEW AS IN WHY C AND WHY NOT A??

[ArchivalUser]

A

not contraindicated in pregnancy

http://www.cdc.gov/pertussis/pregnant/hc...ients.html

[ArchivalUser]

Even i think its A (not C-as per answer key)!!
TY

[ArchivalUser]

As per CDC

Women should get adult tetanus, diphtheria and acellular pertussis vaccine (Tdap)
during each pregnancy. Ideally, the vaccine should be given between 27 and 36
weeks of pregnancy.