A patient receives a hepatitis A vaccine and 4 weeks later ...

[shofmannx20]

A patient receives a hepatitis A vaccine and 4 weeks later develops symptoms of hepatitis. The patient has no history of exposure to blood or body fluids. The primary care NP should tell the patient that:
 
  a. the symptoms are most likely caused by hepatitis B or C.
  b. these symptoms are common adverse effects of the vaccine.
  c. a prevaccine exposure to hepatitis A could be causing symptoms.
  d. the vaccine is effective only after the second dose of hepatitis A vaccine.

Question 2

A 23-year-old woman who is sexually active has an abnormal Pap smear. She asks the primary care NP about the human papillomavirus vaccine (HPV). The NP should recommend:
 
  a. no HPV vaccine.
  b. a single HPV vaccine.
  c. a three-vaccine series of HPV.
  d. HPV vaccine for her partner.

[HandsomeMarc]

Answer to Question 1

C
Because hepatitis A has a long incubation period of 15 to 50 days, the vaccine may not prevent hepatitis A infection in patients who have an unrecognized hepatitis A infection at the time of vaccination. The patient has no history of exposure to blood or body fluids, which are the methods of transmission of hepatitis B or C. Side effects of the hepatitis A vaccine are generally mild.

Answer to Question 2

C
A catch-up vaccination may be given for women 13 to 26 years old and should be given even to women with a history of genital warts, a positive HPV test, or an abnormal pap smear.

[shofmannx20]

Thank you!

[HandsomeMarc]

Always glad to help...