Obstetrics & Gynecology>>>>>Preventive Care and Health Maintenance
Question 8#

A 15-year-old woman presents to your office for her routine physical examination while she is on summer break from school. She denies any medical problems or prior surgeries. She had chicken pox at the age of 4 years. Her menses started at the age of 12 years and are regular. She has recently become sexually active with her 16-year-old boyfriend. She states that they use condoms for contraception. Her physical examination is normal.

Which of the following vaccines is appropriate to administer to this patient?

A. Hepatitis A vaccine
B. Human papilloma virus vaccine
C. Meningococcal vaccine
D. Pneumococcal vaccine
E. Varicella vaccine

Correct Answer is B

Comment:

It would be appropriate for this patient to receive a human papilloma vaccination, since it is recommended for all previously unvaccinated women aged 9 to 26 years. She is not a candidate for the varicella vaccine since she has had chicken pox. The hepatitis A vaccine is indicated for international travelers, illegal drug users, and health care workers. The pneumococcal vaccine is indicated in immunocompromised persons, those with chronic illnesses, and individuals older than 65 years. Meningococcal vaccination is recommended for college freshmen living in dorms, asplenia, or travel or residence in countries where meningococcal disease is endemic.