Obstetrics & Gynecology>>>>>Preventive Care and Health Maintenance
Question 2#

A 72-year-old G5P5 presents to your office for well-woman examination. Her last examination was 7 years ago, when she turned 65. She has routine checks and laboratory tests with her internist each year. Her last mammogram was 6 months ago and was normal. She takes a diuretic for hypertension. She is a retired school teacher. Her physical examination is normal.

Which of the following is the best vaccination to recommend for this patient?

a. Diphtheria-pertussis
b. Hepatitis B vaccine
c. Influenza vaccine
d. Measles-mumps-rubella
e. Pneumocystis

Correct Answer is C


Women older than 65 years should have all of the following immunizations: tetanus-diphtheria booster every 10 years, influenza virus vaccine annually, and a one-time pneumococcal vaccine. Hepatitis B vaccine would be indicated only in individuals at high risk (ie, international travelers, intravenous drug users, and their sexual contacts, those who have occupational exposure to blood or blood products, persons with chronic liver or renal disease, or residents of institutions for the developmentally disabled, and inmates of correctional institutions). Herpes zoster is indicated for women older than 65 years if not previously immunized.