In addition to routine immunizations, which one of the following is specifically indicated for adolescent males who have sex with other males?
Correct Answer D:
Hepatitis A vaccine should be administered to unvaccinated adolescents who plan to travel to or work in an area of high endemicity of hepatitis A virus infection, those who receive clotting factors, those who have chronic liver disease or use illegal drugs, and males who have sex with males. Routine hepatitis A vaccination of all children has been proposed and implementation strategies are being studied.
At a routine annual visit, a healthy 65-year-old male is given pneumococcal vaccine.
When should he receive a booster dose of this vaccine?
Correct Answer A: If an otherwise healthy patient receives pneumococcal vaccine at age 65 or later, a second dose is not needed. If a healthy patient receives the vaccine before age 65, a second dose should be given after age 65 if at least 5 years have elapsed since the first dose.
Which one of the following can be used in both adults and children (> 2years) to prevent influenza and its complications?
Vaccination has been established as the first-line intervention to prevent influenza and its complications. Flumist can be used in children, adolescents, and adults age 2 - 59.
The mother of a toddler presents to your office with questions regarding immunizations for her child. She has read in a popular magazine that immunization for pertussis and measles may predispose to asthma and other atopic illnesses.
Correct Answer C:
Although some older studies showed a possible increase in asthma and other atopic illness in children vaccinated for pertussis, more recent, better controlled trials have shown no association. Studies have failed to demonstrate an association between atopic disease and measles immunization. Therefore, there is no recommendation to withhold immunizations from children to prevent atopic disease. Allergy to the specific vaccine would, of course, be a valid reason not to vaccinate.
Intranasal influenza immunization would be most appropriate for which one of the following?
Live Attenuated Influenza Vaccine is approved for use in healthy people 2 through 59 years of age who are not pregnant.
Who should NOT be vaccinated with the nasal spray flu vaccine?
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