A 71-year-old man comes to the office for - seaside

[ArchivalUser]

A 71-year-old man comes to the office for a periodic health maintenance examination. He is a long-standing patient and was last seen by you almost 14 months ago. He has diet-controlled diabetes mellitus, hypertension, glaucoma, mild peripheral vascular disease, and osteoarthritis. His medications include lisinopril, atenolol, aspirin, and acetaminophen as needed for pain. He has no complaints and his review of systems is negative for any chest pain, orthopnea, paroxysmal nocturnal dyspnea, headache, visual changes, calf pain, or abdominal pain. He has no allergies and he smokes two packs of cigarettes per day. His temperature is 37.0 C (98.6 F), blood pressure is 160/80 mm Hg, pulse is 61/min, and respirations are 16/min. Physical examination is notable for a left carotid bruit, a 2/6 systolic ejection murmur heard best at the left sternal border, and clear lungs. His abdomen is soft with no masses, but there is a previously appreciated abdominal bruit. He received his pneumococcal vaccine three years ago and his MMR and Td boosters at age 51. The most appropriate immunization at this time is
A. hepatitis B vaccine
B. influenza vaccine
C. pneumococcal vaccine
D. tetanus diphtheria vaccine
E. varicella vaccine

[ArchivalUser]

bbb

[ArchivalUser]

why not DDD? since he needs a booster

[ArchivalUser]

bbb

[ArchivalUser]

Answer is B.

There is reasonably good evidence that all senior citizens (age 65 or greater) should receive the influenza vaccine regardless of their risk status. Lower risk patients have a smaller absolute risk reduction in hospitalization due to pulmonary problems and mortality but there is still a sizable medical benefit.

[ArchivalUser]

peterskype:

The recommendations for a Td vaccine are every 10 years or once at age 50.

[ArchivalUser]

agree with b

[ArchivalUser]

BB

[ArchivalUser]

not only that...30% goes on to develop pneumonia