Turner White CommunicationsAbout TWCSubscribeContact TWCHomeSearch
Hospital PhysicianJCOMSMPBRMsCart
Current Contents
Past Issue Archives
Self-Assessment Questions
Review of
Clinical Signs
Clinical Review
Pediatric Rounds
Resident Grand Rounds
Article Archives
Case Reports
Clinical Practice
Pediatric Rounds
Resident Grand Rounds
Review of
Clinical Signs

Guide to Reading
Hospital Physician
Editorial Board
Information for Authors

Reprints, Permissions, & Copyright
Site Map
Self-Assessment Questions

Internal Medicine

Answer 4
  1. Influenza vaccine and tetanus booster. The influenza vaccine is recommended for individuals aged 50 years and older on an annual basis.7 Because the patient received the influenza vaccine 3 years ago, he is overdue for the next vaccination. A tetanus booster (tetanus toxoid) is recommended routinely every 10 years. In cases in which patients have wounds that may be contaminated with tetanus bacilli (in this case, due to injury involving a rusty nail), a tetanus booster is recommended if it has been 5 years or more since the last tetanus vaccination.7 Pneumococcal vaccination is recommended for adults aged 65 years and older;7 this patient was recently vaccinated (1 month prior to this clinic visit) and therefore does not require revaccination.

    7. Centers for Disease Control and Prevention. Recommended adult immunization schedule—United States, October 2007-September 2008. Available at www.cdc.gov/mmwR/preview/mmwrhtml/mm5641-immunizationa1.htm. Accessed 7 Apr 2008.

    Click here to return to the questions


Hospital Physician     JCOM     Seminars in Medical Practice
Hospital Physician Board Review Manuals
About TWC    Subscribe    Contact TWC    Home    Search   Site Map

Copyright © 2009, Turner White Communications
Updated 6/20/08 • nvf