USMLE Forum Archives - USMLE Step 3 - Tetanus
Tetanus
meduploader - 05-11-09 07:28
A 29-year-old construction worker presents to the emergency department with a puncture wound on
his left foot, which he suffered when he stepped on a board with protruding nails at a job site. The
wound appears to be contaminated with dirt. The patient reports that he received all immunizations as
a child and was last given a tetanus booster in high school at 16 years of age. He is otherwise healthy.
Which of the following is the most appropriate choice for tetanus prophylaxis in this patient?
meduploader - 05-11-09 07:28
A 29-year-old construction worker presents to the emergency department with a puncture wound on
his left foot, which he suffered when he stepped on a board with protruding nails at a job site. The
wound appears to be contaminated with dirt. The patient reports that he received all immunizations as
a child and was last given a tetanus booster in high school at 16 years of age. He is otherwise healthy.
Which of the following is the most appropriate choice for tetanus prophylaxis in this patient?
The correct answer and explanation will be available after you answer.
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#3
Re: Tetanus usmlefever3 - 05-12-09 03:38 My answer is: b.
tetanus booster dose is required after every 10 years ....as this patient was given booster dose more than 10 years, so both active and passive immunisation be done for tetanus
#10
Re: Tetanus conym5 - 04-11-10 09:00 My answer is: b.
wound appears to be contaminated with dirt,patient reports that he received all immunizations as a child, Adult tetanus and diphtheroid toxoid (Td) given intramuscularly
#18
Re: Tetanus babbu5508 - 09-30-10 14:32 My answer is: b.
. Adult tetanus and diphtheroid toxoid (Td) given intramuscularly..in view of his full immunisation in the past...
#23
Re: Tetanus mockingbird - 06-30-11 21:01 My answer is: c.
If the tetanus prophylaxis was taken more than 10 years, need to give booster dose again.
And Immunoglobulin if the wound is dirty wound.
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