CK NBME 9 questions & answers graded A+

CK NBME 9Pneumococcal vaccine schedule: all ages - correct answer Adults age < 65 - Give PPSV23 alone for smokers, diabetics, and chronic heart/lung/liver disease - Give PCV13 followed by PPSV23 for high risk patients such those with CSF leaks, cochlear implants, sickle cell disease, asplenia, or immunodeficiency. PPSV23 is given 8 weeks later, revaccinate 5 years later, and after age 65 (see below) Adults age > 65 Two options, but NBME seems to prefer the first one below - PCV13 followed by PPSV23 1 year later or - PPSV23 alone Kids - PCV13 only - 3 doses at 2, 4, 6 months of age - 4th dose at 12-15 months Pneumococcal vaccine schedule: children - correct answer Kids - PCV13 only - 3 doses at 2, 4, 6 months of age - 4th dose at 12-15 months Pneumococcal vaccine schedule: adults > 65 - correct answer Adults age > 65 Two options, but NBME seems to prefer the first one below - PCV13 followed by PPSV23 1 year later or - PPSV23 alone