Which immunization should be given with caution to children ...

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Which immunization should be given with caution to children infected with human immunodeficiency virus (HIV)?
 
  a. Influenza
  b. Varicella
  c. Pneumococcal
  d. Inactivated poliovirus (IPV)

Question 2

Which is a common clinical manifestation of Hodgkin disease?
 
  a. Petechiae
  b. Bone and joint pain
  c. Painful, enlarged lymph nodes
  d. Enlarged, firm, nontender lymph nodes

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Answer to Question 1

ANS: B
The children should be carefully evaluated before being given live viral vaccines such as varicella, measles, mumps, and rubella. The child must be immunocompetent and not have contact with other severely immunocompromised individuals. Influenza, pneumococcal, and inactivated poliovirus (IPV) are not live vaccines.

Answer to Question 2

ANS: D
Asymptomatic, enlarged, cervical or supraclavicular lymphadenopathy is the most common presentation of Hodgkin disease. Petechiae are usually associated with leukemia. Bone and joint pain are not likely in Hodgkin disease. The enlarged nodes are rarely painful.