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NBME Step 2 CK Form 6 Answers

step2ck_form6/Block 2/Question#36 (reveal difficulty score)
A 22-year-old woman comes to the physician ...
Administration of hepatitis B vaccine ๐Ÿ” / ๐Ÿ“บ / ๐ŸŒณ / ๐Ÿ“–
tags: infectious_disease

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submitted by โˆ—medicalmike(82)
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Most institutions require adequate titers of HBsAb prior to patient contact.

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submitted by โˆ—step_prep7(71)
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  • Patients who are adequately vaccinated against hepatitis B vaccine will have negative HBsAg, positive HGsAb and negative Hepatitis B core antibody (positive Hep B core antibody = past or current infection)
  • Patient is adequately protected against Hepatitis A due to presence of IgG antibodies, which can be the result of vaccination or past infection
  • Key idea: Indications for Hep A vaccination are chronic liver disease or increased risk of contracting disease (men who have sex with men, IVDU, travel to country where hepatitis A is prevalent, etc.)
https://step-prep.org/tutoring/
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submitted by โˆ—kingfriday(45)
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HBsAb = HBs Antibody = negative... so give the vaccine

.___. wow

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