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NBME 24 Answers

nbme24/Block 3/Question#40 (19.8 difficulty score)
A 2-year-old boy is brought to the emergency ...
Polysaccharide protein conjugate vaccine🔍

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 +4  upvote downvote
submitted by suckitnbme(113),

There are two types of pneumococcal vaccines for Strep pneumoniae.

The pneumococcal conjugate vaccine (PCV13) is given to children under 5. It is also given to adults age >=65 who are immunocompromised (PPSV23 is also given afterwards).

The polysaccharide vaccine PPSV23 is given to adults, the indications for which I won't go into.

Since this patient is 2-years old he should have received the conjugate vaccine per CDC guidelines.

 +2  upvote downvote
submitted by m-ice(272),
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hsiT yob sha sinitgiemn eucsad by petrS uomanieepn, eht omst oomnmc asuec fo sconiuitfe snitegmnii ni r.ealeng hTe vccenia rfo pSter nmuoep is a reaoalpcichysd nitpero ocuetjgna vena.icc eTh heort roamj batireca wtih a cvinace elki ihts si .H aenifulnze.

usmile1  also the meningococcal vaccine! +2