CURRENT Medical Diagnosis and
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Reference
Ch. 1 — Disease Prevention & Health Promotion —
Immunizations and Adult Vaccine Recommendations
Question Stem
A 68-year-old man with COPD presents for routine care. He
reports last receiving pneumococcal vaccination at age 60.
,Which vaccine plan best aligns with CMDT 2026 adult
immunization guidance for this patient?
Options
A. No further pneumococcal vaccinations needed.
B. Give a single dose of PCV20 now if not previously received.
C. Give PPSV23 only once and no further PCV doses.
D. Administer PCV13 now and repeat PPSV23 in 1 month.
Correct Answer
B
Rationales
Correct (B): CMDT recommends updated pneumococcal
conjugate vaccines (eg, PCV20) for older adults and high-risk
patients who have not received the current conjugate series;
administering PCV20 covers serotypes and simplifies
scheduling. accessmedicine.mhmedical.com+1
A: Incorrect — older adults and those with chronic lung disease
often need revaccination according to updated schedules.
accessmedicine.mhmedical.com
C: Incorrect — PPSV23 alone does not provide conjugate
vaccine benefits and CMDT emphasizes conjugate options for
many adults. accessmedicine.mhmedical.com
D: Incorrect — PCV13 is largely superseded by broader
conjugate vaccines (eg, PCV20) in current recommendations;
sequential schedules require specific timing and are not
routinely PCV13→PPSV23 within 1 month for most patients.
accessmedicine.mhmedical.com
,Teaching Point
Use current conjugate pneumococcal vaccines (eg, PCV20) in
eligible older/high-risk adults.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
2)
Reference
Ch. 1 — Disease Prevention & Health Promotion — Tobacco
Cessation and Behavioral Interventions
Question Stem
A 55-year-old woman who smokes 20 cigarettes/day wants to
quit. According to CMDT 2026 best practices for tobacco
dependence, which intervention most improves her chance of
quitting?
Options
A. Brief advice to quit during a single visit.
B. Nicotine replacement therapy (NRT) alone without
counseling.
C. Combination pharmacotherapy (eg, bupropion or varenicline)
plus behavioral counseling.
D. Waiting until patient is hospitalized then starting counseling.
, Correct Answer
C
Rationales
Correct (C): CMDT emphasizes that combination of evidence-
based pharmacotherapy (varenicline or bupropion ± NRT) plus
behavioral counseling yields the highest long-term quit rates.
accessmedicine.mhmedical.com
A: Incorrect — Brief advice helps but is less effective alone than
combined therapy. accessmedicine.mhmedical.com
B: Incorrect — NRT improves quit rates but is most effective
when paired with counseling and/or other pharmacotherapy.
accessmedicine.mhmedical.com
D: Incorrect — Delaying intervention reduces opportunities for
outpatient support; initiating evidence-based therapy promptly
is preferred. accessmedicine.mhmedical.com
Teaching Point
Combine pharmacotherapy with behavioral counseling for
highest tobacco-cessation success.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
3)
Treatment 2026
65th Edition
Author(s)Maxine A. Papadakis; Michael
W. Rabow; Kenneth R. McQuaid; Paul L.
Nadler; Erika Leemann Price
TEST BANK
Reference
Ch. 1 — Disease Prevention & Health Promotion —
Immunizations and Adult Vaccine Recommendations
Question Stem
A 68-year-old man with COPD presents for routine care. He
reports last receiving pneumococcal vaccination at age 60.
,Which vaccine plan best aligns with CMDT 2026 adult
immunization guidance for this patient?
Options
A. No further pneumococcal vaccinations needed.
B. Give a single dose of PCV20 now if not previously received.
C. Give PPSV23 only once and no further PCV doses.
D. Administer PCV13 now and repeat PPSV23 in 1 month.
Correct Answer
B
Rationales
Correct (B): CMDT recommends updated pneumococcal
conjugate vaccines (eg, PCV20) for older adults and high-risk
patients who have not received the current conjugate series;
administering PCV20 covers serotypes and simplifies
scheduling. accessmedicine.mhmedical.com+1
A: Incorrect — older adults and those with chronic lung disease
often need revaccination according to updated schedules.
accessmedicine.mhmedical.com
C: Incorrect — PPSV23 alone does not provide conjugate
vaccine benefits and CMDT emphasizes conjugate options for
many adults. accessmedicine.mhmedical.com
D: Incorrect — PCV13 is largely superseded by broader
conjugate vaccines (eg, PCV20) in current recommendations;
sequential schedules require specific timing and are not
routinely PCV13→PPSV23 within 1 month for most patients.
accessmedicine.mhmedical.com
,Teaching Point
Use current conjugate pneumococcal vaccines (eg, PCV20) in
eligible older/high-risk adults.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
2)
Reference
Ch. 1 — Disease Prevention & Health Promotion — Tobacco
Cessation and Behavioral Interventions
Question Stem
A 55-year-old woman who smokes 20 cigarettes/day wants to
quit. According to CMDT 2026 best practices for tobacco
dependence, which intervention most improves her chance of
quitting?
Options
A. Brief advice to quit during a single visit.
B. Nicotine replacement therapy (NRT) alone without
counseling.
C. Combination pharmacotherapy (eg, bupropion or varenicline)
plus behavioral counseling.
D. Waiting until patient is hospitalized then starting counseling.
, Correct Answer
C
Rationales
Correct (C): CMDT emphasizes that combination of evidence-
based pharmacotherapy (varenicline or bupropion ± NRT) plus
behavioral counseling yields the highest long-term quit rates.
accessmedicine.mhmedical.com
A: Incorrect — Brief advice helps but is less effective alone than
combined therapy. accessmedicine.mhmedical.com
B: Incorrect — NRT improves quit rates but is most effective
when paired with counseling and/or other pharmacotherapy.
accessmedicine.mhmedical.com
D: Incorrect — Delaying intervention reduces opportunities for
outpatient support; initiating evidence-based therapy promptly
is preferred. accessmedicine.mhmedical.com
Teaching Point
Combine pharmacotherapy with behavioral counseling for
highest tobacco-cessation success.
Citation (Simplified APA)
Papadakis et al. (2025). CURRENT Medical Diagnosis &
Treatment 2026 (65th Ed.). Ch. 1.
accessmedicine.mhmedical.com
3)
