A 67-year-old man with diabetes and COPD comes for follow-up. He received PCV13 at age 60 but has not received a newer pneumococcal conjugate

Question

A 67-year-old man with diabetes and COPD comes for follow-up. He received PCV13 at age 60 but has not received a newer pneumococcal conjugate vaccine. He received Tdap 11 years ago. Which of the following would you recommend at the follow-up visit?

Accepted Answer

Update pneumococcal and tetanus-containing vaccination according to current schedule

Answer

Avoid vaccines because he has COPD

Answer

Give MMR routinely despite birth before 1957

Answer

Use antibiotics instead of vaccination

Answer

Give varicella vaccine despite prior shingles vaccine

Adult immunization — USMLE Step 3 MCQ

A 67-year-old man with diabetes and COPD comes for follow-up. He received PCV13 at age 60 but has not received a newer pneumococcal conjugate vaccine. He received Tdap 11 years ago. Which of the following would you recommend at the follow-up visit?