This Is From Pediatric & Medicine File Part 6
Please Be Aware That TDaP is Not Given Below 7 Years
<7 ==> DTaP
>7 ==> TDaP
This Child Is PRE-School (Which Means He is 100% <7)
Anyhow , Option "C" Is Wrong And Defective
Option "C" WOULD Be Correct If It Says "Delay MMR , OPV , VZV" (Not OPV & MMR Only)
Could Be Poor Recall? Or TWO Recalls? (Maybe Examinee Mixed TDaP With DTaP? It Happens By The Way)
Anyhow , ASSUMING It's Written Like This , Then My Answer Is As Described In Above Approach
TDaP vs Delay MMR & OPV ==> TDaP
TDaP vs Delay MMR & OPV & VZV ==> Delay
Remember School Age Vaccines: MOVD (MOVeD To School)
5:02 PM Fri 4 Sep
Jan to July 2026 SMLE
Untitled
1- September
86%
All These Are Live vaccines EXCEPT DTaP . So Option A Is Equivalent To
&
Child is scheduled for routine preschool vaccinations. He has been on long-term oral corticosteroid therapy for nephrotic syndrome. What is the most appropriate next step in this patient?
A. Administer Tdap as planned
B. Remove pertussis component, give DT only
C. Avoid live vaccines, delay MMR and OPV
D. Replace OPV with IPV, give MMR and Tdap
Pregnancy⁵
Known severe immunodeficiency (eg, from hematologic and solid cancers, receipt of chemotherapy, congenital immunodeficiency, long-term immunosuppressive therapy [eg, > 2 weeks of prednisone 20 mg daily or higher], other disease- or therapy-related immune suppression, or patients with HIV infection who are severely immunocompromised.
May be used in asymptomatic HIV-infected individuals whose CD4 count is > 200/mcL (0.2 x 10⁹/L).
Severe allergic reaction (eg, anaphylaxis) to a previous dose or to a vaccine component (eg, neomycin or to related agents such as streptomycin).
YOU DON'T NEET TO KNOW STEROID DOSE
A. Administer Tdap as planned
Same Concept Above
Long Duration & High Dose Steroids Are Contra Indications For Live Vaccines ...
Overall , Nephrotic Syndrome Is High Dose Steroid By Definition
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