1. You are a physician assistant taking care of a 30-year old pregnant woman. b. What immunizations would be contraindicated in this patient? Provide a short description of the disease that each of these vaccinations would have prevented, including type of pathogen (virus, bacteria, fungus, parasite, toxin), route of transmission, short description of disease (clinical manifestations).
Contraindicated Immunizations during Pregnancy Description of disease that the vaccination would have prevented Type of Pathogen Route of Transmission Short Description of Disease (Clinical Manifestations)
Varicella Chickenpox is the disease the varicella vaccine would prevent. Chickenpox is the initial activation of the varicella-zoster virus. Occurs mainly …show more content…
-Rubella is transmitted by aerosols from the respiratory tract of an infected person. -The measles will be in your system for about 8-12 days before symptoms really start to occur. Beginning with fever and malaise, followed by coughing, conjunctivitis, and koplik spots, then lastly rashes will start. The measles can last almost a month.
- The mumps cause painful swelling in the cheeks and neck. Other symptoms include fever, headache, malaise, anorexia, and myalgia.
- Rubella causes mild infections in the form of rashes on the face, and spreading to the feet. Symptoms include coughing, sore throat, and sneezing.

2. You are a physician taking care of a 15-year old girl with type II diabetes. A thorough history and physical exam reveal: height= 160 cm, weight= 80 kg, BP= 110/75, HR= 85 bpm, LDL= 100 mg/dl, TG= 100 mg/dl, HDL= 50 mg/dl, FPG=95 mg/dl and HbA1c= 8%. As a high school honors student she is required to participate in school activities from 6:00 am - 6:00 pm, Monday to Friday, as well as certain Saturday mornings. Unfortunately, none of these school activities include physical …show more content…
She has a dangerously high BMI and LDL, and high HDL. All of these results indicate that she is severely overweight for her age and height. This is an obvious modifiable risk factor but for a lot of patients weight loss can be a huge struggle, especially in cases like this one where the patient has a very demanding schedule and almost no time for any physical activity. Due to the fact that this patient already suffers from type 2 diabetes, a reduction in her daily calorie intake would lead to weight loss which could have a tremendous impact on her health as well as the length of her life. . It is critical that she find the times to get in some sort of activity, even if it is as small as taking the stairs instead of the elevator in between classes at school. It is also recommended that patients with type 2 diabetes perform resistance training a few times a week. This would include any type of exercise that would cause the muscles to contract such as