Immunization And Prevention Programs Practice Test

A 66-year-old woman (weight 70 kg) presents for pneumococcal vaccination. Immunization history: received pneumococcal polysaccharide vaccine (PPSV23) once at age 62 for chronic heart disease; no pneumococcal conjugate vaccine documented. Medical history: heart failure with reduced ejection fraction, type 2 diabetes; allergies: none. Medications: metformin 1000 mg twice daily, carvedilol 12.5 mg twice daily, lisinopril 20 mg daily, furosemide 40 mg daily; vitals: BP 126/78 mmHg, HR 68 bpm. Which vaccine is most appropriate for this patient based on their immunization history?

A 70-year-old man (weight 82 kg) presents for RSV vaccination. Immunization history: influenza vaccine received this season; COVID-19 booster 4 months ago; no RSV vaccine previously. Medical history: chronic kidney disease stage 3, hypertension; allergies: none. Medications: amlodipine 10 mg daily, losartan 50 mg daily; vitals: BP 128/74 mmHg, HR 70 bpm. Which vaccine is most appropriate for this patient based on their immunization history?