Q 1:
A baby is born to a mother who is positive for hepatitis B surface antigen (HBsAg). Your plan
is to do which of the following?
(A) Give the infant a hepatitis B immunization.
(B) Give the infant hepatitis B immune globulin (HBIG).
(C) Give the infant a hepatitis B immunization and HBIG.
(D) Obtain liver function tests and hepatitis serology of the infant.
(E) Give the HBIG only if the child is positive for HBsAg.
C
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Q 2:
You receive a call from the parents of a 1 year old who is due for his well-child visit next week. They have just received a letter from their daycare center that an employee has hepatitis A. Which of the following is the best treatment plan?
(A) Give hepatitis A immune globulin and hepatitis A vaccine.
(B) Treat with hepatitis A immune globulin.
(C) Obtain hepatitis A serology and give hepatitis A vaccine.
(D) Give hepatitis A vaccine.
(E) No treatment is needed.
(A)
Children, especially those in daycare, commonly are infected with the hepatitis A virus. Unlike adults, children most often are asymptomatic. Frequently, outbreaks of hepatitis A in a daycare center are not recognized until a daycare worker or parent of an attendee becomes ill. Immunization against hepatitis A
virus is now routinely recommended because of this. After exposure both immune globulin
and vaccine should be given to the unvaccinated individual.
C
-------------
Q 2:
You receive a call from the parents of a 1 year old who is due for his well-child visit next week. They have just received a letter from their daycare center that an employee has hepatitis A. Which of the following is the best treatment plan?
(A) Give hepatitis A immune globulin and hepatitis A vaccine.
(B) Treat with hepatitis A immune globulin.
(C) Obtain hepatitis A serology and give hepatitis A vaccine.
(D) Give hepatitis A vaccine.
(E) No treatment is needed.
(A)
Children, especially those in daycare, commonly are infected with the hepatitis A virus. Unlike adults, children most often are asymptomatic. Frequently, outbreaks of hepatitis A in a daycare center are not recognized until a daycare worker or parent of an attendee becomes ill. Immunization against hepatitis A
virus is now routinely recommended because of this. After exposure both immune globulin
and vaccine should be given to the unvaccinated individual.
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