1. Which of the following explains the increased susceptibility to infection observed in the older adult?

2. Which immune system components are increased in individuals over 60 years of age?

3. What would constitute a valid contraindication to receiving an influenza vaccine in a 70-year-old woman that, in the previous month, recently experienced a respiratory tract infection necessitating an outpatient course of antibiotic therapy and with a medical history that includes diabetes, dyslipidemia, and hypertension with use of multiple medications for controlling these chronic conditions.

4. Which formulation of the influenza vaccine is currently PREFERRED according to ACIP recommendations for use in people aged 65 or older?

5. Which formulation of the herpes zoster vaccine is PREFERRED in the current ACIP recommendation for patients aged 50 years or older?

6. The duration of protection of the live attenuated herpes zoster vaccine has been determine through clinical studies to persist through what time interval?

7. What is the appropriate recommendation regarding pneumococcal vaccination in a 69-year-old man with a history of hypertension, but no other chronic conditions, who received the pneumococcal polysaccharide vaccine-23 (PPSV23) when he turned 65?

8. What are the current ACIP recommendations regarding PPSV23 in people aged 65 years or older?

9. When does immunity to pertussis wane?

10. What should the pharmacist consider the most important factor regarding the vaccination needs of a 66-year-old retired engineer with has no significant medical history, who takes only a daily vitamin, leads an active life and travels to South Carolina in the winter?

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