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Pneumococcal immunization in older adult — MCCQE Part 1 MCQ

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EasyPreventive MedicinePneumococcal immunization in older adultMCCQE Part 1

A 72-year-old man asks which vaccines he should consider at his annual visit. He has COPD and has not received pneumococcal vaccination. Which of the following is the most appropriate approach?

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Correct answer: B — Offer pneumococcal vaccination according to current NACI/provincial adult schedule

Older adults and adults with chronic lung disease are target groups for pneumococcal vaccination, with product choice and sequencing following current NACI and provincial schedules. COPD is an indication, not a contraindication. Antibiotics do not provide immunologic prevention.

Reference: NACI Canadian Immunization Guide; provincial immunization schedules