Question

A man presents to an ER with a large laceration sustained at a construction site 3 days before. He is given a TIG (tetanus immunoglobulin) injection. He doesn't remember ever having a tetanus vaccination. The patient (should or should not) also get a tetanus vaccination, because a. should: he needs protection against future tetanus exposure. should: the tetanus vaccination will provide additional passive immunity. should not: the TIG is enough, as it will provide long term active acquired immunity d. should not: the vaccine will do nothing for the current exposure. 2. An elderly man presents to his nurse practitioner complaining of SOB, fatigue, numbness and tingling to both feet. Upon assessment, the nurse notices a beefy red tongue. What is his most likely diagnosis and CBC results? Novo macrocytic anemia; RBCS = 3 mill & MCV = 102. microcytic anemia; RBCs = 3 mill & MCV = 70. normocytic anemia; RBCs = 3 mill & MCV = 90. polycythemia vera; RBCs = 20 mill & MCV = 90. S IS

Answer 1

1.

A man presented with ER with a large laceration sustained at a construction site (3 days before).

He is given a TIG injection.

His tetanus vaccination is unknown.

Answer - Then the patient Should also get a tetanus vaccination because he needs protection against tetanus exposure.

Titanus Immunoglobulin will give short term protection from Clostridium tetani but TIG doesn't give long term protection because it has a half of 3 to 4 weeks. The patient should take a tetanus vaccine with TIG for long term protection from future exposure.