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Inflammatory bowel disease preventive care — USMLE Step 3 MCQ

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ModerateInternal Medicine (chronic management)Inflammatory bowel disease preventive careUSMLE Step 3

A 49-year-old woman with ulcerative colitis returns after a flare treated with prednisone. Symptoms have resolved, and she continues mesalamine. She asks about vaccines before possible biologic therapy. Which of the following would you recommend at the follow-up visit?

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Correct answer: E — Update indicated inactivated vaccines before immunosuppression

Patients who may need immunosuppression should have immunizations reviewed and indicated vaccines updated before biologic therapy when possible.

Reference: CDC immunization schedule; ACG inflammatory bowel disease preventive care guidance