A 40-year-old pregnant woman, G4 P3, visits your office at week 30 of gestation. She is very excited about her pregnancy and wants to be the healthiest she can be in preparation for labor and for her baby. What vaccination should she receive at this visit?
AMeasles, mumps, and rubella (MMR)
BVaricella vaccine
CHerpes zoster vaccine
DLive attenuated influenza vaccine
ETetanus, diphtheria, and acellular pertussis (Tdap)
An 11-year-old boy is brought to his pediatrician by his parents for the routine Tdap immunization booster dose that is given during adolescence. Upon reviewing the patient’s medical records, the pediatrician notes that he was immunized according to CDC recommendations, with the exception that he received a catch-up Tdap immunization at the age of 8 years. When the pediatrician asks the boy’s parents about this delay, they inform the doctor that they immigrated to this country 3 years ago from Southeast Asia, where the child had not been immunized against diphtheria, tetanus, and pertussis. Therefore, he received a catch-up series at 8 years of age, which included the first dose of the Tdap vaccine. Which of the following options should the pediatrician choose to continue the boy’s immunization schedule?
AA single dose of Td vaccine at 18 years of age
BA single dose of Td vaccine now
CNo further vaccination needed
DA single dose of Tdap vaccine now
EA single dose of Tdap vaccine at 13 years of age
A 24-year-old woman with HIV infection comes to the physician for a follow-up examination. She has been inconsistently taking combined antiretroviral therapy for the past 5 years. She did not receive any childhood vaccinations because her parents were against them. During the consultation, the patient says that she wants to catch up on the missed vaccinations. Laboratory studies show a CD4+ T lymphocyte cell count of 180/mm3. Administration of the vaccine against which of the following agents should be avoided in this patient?
AClostridium tetani
BHuman papillomavirus
CVaricella zoster virus
DBordetella pertussis
EHaemophilus influenzae
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