A patient with RA taking methotrexate and adalimumab should most carefully avoid contact with:

A child under 3 who recently received a live vaccine
A person with a bloodborne pathogen history
A person with well-controlled hypertension
A person with osteoarthritis

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Correct answer: A. A child under 3 who recently received a live vaccine

Immunosuppressed patients (methotrexate + adalimumab) must AVOID contact with recipients of LIVE VACCINES (varicella, MMR, rotavirus, yellow fever) — vaccine organism can cause disease in immunocompromised host. Small children often receive live vaccines.

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A patient with RA taking methotrexate and adalimumab should most carefully avoid contact with:

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