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Keena had a recurring role as Abby Morgan on Dawson's Creek and a starring role on the short-lived Undeclared as the college student Rachel.

Keena also had guest roles on series such as Law & Order, Law & Order: Criminal Intent, Homicide: Life on the Street, Feds, and Entourage.

On the hit ABC medical drama Grey's Anatomy, Monica appeared in an episode of the second season titled " Into You Like A Train ," in which she played Bonnie, a patient who was severely injured in a massive train accident.

She later reappeared in the third season episode " Some Kind of Miracle ", reprising her role as Bonnie.