Question

19. Immunizations including annual flu, TB testing, immunizations during pregnancy (you will not be required to memorize childhood immunization schedules) 20. Vitamin and mineral supplements 21. Determining successful ART therapy in HIV-positive patient 22. Taking antacids - patient education needed 23. Uses of Depo-Provera, androgens for male patients, oral contraception, topical patch contraception progestin only contraceptives (patient education and contraindications) and emergency contraception. HRT guidelines. 24. H pylori positive peptic ulcer disease treatment. 25. OTC and prescribed treatments for GERD 26. Prevention and treatment of osteoporosis - how does bisphosphonate treat osteoporosis?

Answer 1

19).

Immunizations recommended for pregnant women:

Vaccine	Pregnancy recommendation
Influenza (for all pregnant women)	On dose during the flu season, at any trimester
Tetanus, diphtheria, pertusis (Tdap/Td)(for all pregnant women)	One dose Tap at 28 weeks of gestation
Measles, mumps, rubella (MMR) (for postpartum women)	One dose immediately postpartum
Varicells (for postpartum women)	One dose immediately after postpartum if varicella non-immune

Vaccines recommended for pregnant women with risk factors:

• Hepatitis A
• Hepatitis B
• Pneumococcal
• Meningococcal
• Yellow fever
• Typhoid
• Japanese encephalitis
• Anthrax

TB testing:

Tuberculosis (TB) is an opportunistic infectious disease caused by the bacteria "Mycobacterium tuberculosis."

Mantoux test is a type of tuberculosis skin test, in which 0.1 ml of purified protein derivative (PPD) tuberculin is injected through the intradermal route. It is used to diagnose the pulmonary infection (tuberculosis). It is considered safe throughout the pregnancy.

The positive reaction in tuberculin skin test indicates the previous exposure to tuberculin antigen because the antibodies already present in the body produce a large sized rash at the site of injection.