Scoliosis screening finding — USMLE Step 3 MCQ

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HardPediatrics (well-child, chronic management)Scoliosis screening findingUSMLE Step 3

A 55-year-old receiving hemodialysis has never received an RSV vaccine and presents in August. Which recommendation is current?

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Correct answer: A — Administer one dose of an adult RSV vaccine now

The best answer is “Administer one dose of an adult RSV vaccine now”. Adults age 50–74 with end-stage renal disease are at increased risk of severe RSV and should receive a single dose, ideally before the season. CDC recommends one RSV vaccine dose for everyone 75 or older and adults 50–74 at increased risk; it is not currently annual and prior recipients should not be revaccinated. The alternatives use a different threshold, timing, population, or intervention and therefore do not match the clinical facts presented.

Reference: CDC: RSV Vaccine Guidance for Adults: https://www.cdc.gov/rsv/hcp/vaccine-clinical-guidance/adults.html