A 12-Month-Old Boy Is Brought to the Office for a Routine

question 26

Multiple Choice

A 12-month-old boy is brought to the office for a routine checkup.  The patient had an upper respiratory tract infection and otitis media a month ago and was treated with antibiotics.  He completed the full course of antibiotics and has been well.  The patient has no other past medical history and has met all developmental milestones.  He takes no medications, and his immunizations are up-to-date.  The patient is allergic to penicillin, which causes a rash.  His older sister was diagnosed with infantile-type polycystic kidney disease and underwent kidney transplantation 2 months ago.  She is receiving immunosuppressive therapy.  The patient is scheduled to receive the varicella vaccine today.  Which of the following is the most accurate statement regarding varicella vaccination in this patient?

• A)The vaccine should be administered, but the patient must be isolated for a month
• B)The vaccine should be administered to the patient and his sister
• C)The vaccine should be administered to the patient, but he should be monitored closely for a rash
• D)The vaccine should not be administered to the patient
• E)The varicella vaccine should be administered to the patient, and his sister should receive varicella immunoglobulin

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Definitions:

Nitrosoureas

A class of chemotherapy drugs used to treat various types of cancer, known for their ability to cross the blood-brain barrier.

Intrathecal Chemotherapy

A type of chemotherapy where drugs are injected directly into the cerebrospinal fluid bathing the brain and spinal cord.

Methotrexate

A medication used in treating various types of cancer and autoimmune diseases by inhibiting the growth of rapidly dividing cells.

Cytarabine

A chemotherapy drug used to treat certain kinds of leukemia and lymphomas.