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Retired NBME Step 2 CK Form 7 Answers

step2ck_form7/Block 4/Question#21 (reveal difficulty score)
A 2-month-old girl is brought for a routine ...
Give all recommended immunizations for age ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: peds

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submitted by โˆ—thajoker(21)
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Severe, acute illness: e.g., infection with fever > 38.5ยฐC (> 101.3ยฐF) is a contraindication for immunizations. Although this pt has a mild illness, her temp remains at 100F

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seagull  Yes, I will also add clear allergy to a vaccination (anaphylaxsis). However, seizures are not a contraindication. +2



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submitted by โˆ—step_prep5(246)
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  • Key idea: Premature infants receive immunizations based on chronologic age (age since birth), with key exception being that they do not receive hepatitis B vaccine until they are at least 2 kg in weight
  • Key idea: Children with low-grade fever (<101 F) or mild illness (cold, runny nose, otitis media, mild diarrhea) can still get vaccines

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