Case Exemplar Patient Explained for Students (Easy Guide)

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Original Question

CASE EXEMPLAR: Patient Requiring Updated Vaccinations KB is a 65-year-old female presenting in the clinic for an annual review of her medications and recent lab work. All of her labs are normal. She asks about what new treatments or medications she might need. The clinician suggests several immunizations. Past Medical History • Breast cancer with mastectomy 10 years ago • Chemotherapy 10 years ago • Hypertension managed with medication Medications • Lisinopril, 5 mg once daily • Furosemide, 10 mg once daily • Ibuprofen for pain Physical Examination • Healthy female Discussion Questions 1. KB says she has heard about a shot for shingles. She has had shingles before and does not want to get it again. She asks how the vaccine works. How should the clinician respond? 2. KB says one of her friends told her about the rise in whooping cough, and KB saw an ad on TV about how older people could spread it to their grandchildren. How should the clinician respond? 3. Based on her age, should KB receive any additional immunizations or vaccines?

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