Welcome. My name is Divine. This is episode 567 of the Divine Intervention Podcasts.

In today's podcast, we're going to be continuing our Step 3-Free-137 series. Again, if you're studying for step 2,

chances are by the time you're ready to take step 3, a new one would have come out. So just listen to this too.

All right. Question 121. So this is path 13. A 25 year old man comes

to the clinic to request vaccination against HPV. Medical history is unremarkable. He takes no meds.

He's sexually active with one male partner and uses condoms consistently. He's a member of the

U.S. Marine Corps. BMI is 21.

Vital signs are within normal limits.

Physical examination shows no abnormalities.

Which of the following is the most appropriate next step in management?

Well, we know that the HPV vaccine, you can get it starting at age 9 and you can go to the way to 45.

Basically, if you're between ages 9 to 14, you get two doses.

If you're over 14 you

pretty much have to get three doses um so i don't see any contraindications in this question so

this guy can certainly get the vaccine i'm gonna go with option a option b says obtain

h pavv serologic testing doesn't make any sense perform an enal pap No. Pops meers are usually done just in women.

And then motivational interviewing, no.

Don't have to do that.

Just give him the vaccine.

All right.

So question 122 says, a 55-year-old woman with longstanding hypertension comes to the office.

Because of a five-month history of fatigue that worsens when she walks upstairs or exerts herself.

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