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An 18-Year-Old Man Seeks Advice Before Going to Central Africa

Question 757

Multiple Choice

An 18-year-old man seeks advice before going to central Africa for a class project at his university.  He was diagnosed with Crohn disease 3 years ago but currently feels well and has been asymptomatic on methotrexate and adalimumab for the last year.  A review of medical records shows documentation of meningococcal polysaccharide vaccine at age 11.  The patient has had no vaccines since then but believes that he received all of the recommended childhood vaccinations prior to that.  His vital signs and physical examination are normal.  Which of the following vaccines should be recommended for this patient?


A) Intranasal influenza
B) Measles, mumps, and rubella
C) Meningococcal booster dose
D) Varicella
E) Yellow fever

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