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1.1.2: Obtain, interpret, assess, and/or evaluate patient medical records

A 69-year-old man comes into your pharmacy after receiving a letter advertising your immunization program. He has diabetes and hypertension and smokes a pack of cigarettes a day. He does not have any medication or vaccine allergies. His vaccination record shows that he completed all of his childhood vaccinations (DTaP, Hib, PCV, IPV, and MMR) as well as the Hep B series. He had chickenpox when he was 5 years old and received his last Td booster 11 years ago. Which vaccines should this patient receive?

(A) Td, Zoster, PPSV, and Hep A

(B) Tdap, Varicella, and PPSV

(C) Tdap, Zoster, and Hep A

(D) Td, Zoster, and PPSV

The correct answer is (D).

This patient needs a tetanus-diptheria booster and therefore should receive Td. He is a candidate for zoster and PPSV vaccines because he is over the age of 60 and 65, respectively.

TR, a 4-year-old girl, is in the doctor's office for her 4- to 6-year-old vaccinations. She has completed her Hep B, Hib, PCV, and Hep A series. She has no medical conditions and is not allergic to any medications or vaccines. Five days ago she received the live-attenuated influenza vaccine. Which vaccines should TR receive today?

(A) DTaP, IPV, MMR, and Varicella

(B) DTaP, PPSV, IPV, and MMR

(C) IPV only

(D) DTaP and IPV

The correct answer is (D).

TR needs the fifth dose of DTaP as well as the fourth dose of the IPV vaccine.

TD is 24-year-old man who presents to a local STI clinic with complaints of painful urination and urethral discharge over the past 4 days. He is sexually active, reporting three partners within the past 30 days. He has no known drug allergies. A diagnosis of chlamydia is made. Select the most appropriate therapy for TD.

(A) Doxycycline

(B) Azithromycin +cefixime

(C) Ceftriaxone

(D) Acyclovir + ofloxacin

The correct answer is (B).

This is the most appropriate therapy for TD, which includes treatment for chlamydia and gonorrhea. Because coinfection with C. trachomatis and N. gonorrhoeae commonly occurs, presumptive therapy for gonorrhea should be considered when treating chlamydia.

JM is a 23-year-old woman who is 28 weeks pregnant. She presents to her primary care physician ...

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