Which of the following vaccines is typically recommended for older adults to prevent complications from pneumonia?

Explanation: Cytotoxic T cells (CD8+ T cells) are the effector cells of cell-mediated immunity. Their primary role is to directly recognize and kill infected or abnormal cells, such as virus-infected cells or cancer cells. Cytotoxic T cells release cytotoxic granules containing perforin and granzymes, which induce apoptosis (cell death) in the target cells.

Incorrect choices:

a. Helper T cells, not cytotoxic T cells, recognize antigens presented by macrophages and play a crucial role in activating other immune cells.

b. B cells are responsible for producing antibodies against pathogens during the humoral immune response, not cytotoxic T cells.

d. Regulatory T cells (suppressor T cells) are involved in regulating the immune response to prevent excessive inflammation and tissue damage, not cytotoxic T cells.

Explanation: Systemic lupus erythematosus (SLE) is an autoimmune disorder that can affect multiple organs and systems, including the skin, joints, kidneys, and nervous system. The presence of a "butterfly rash" on the face, joint pain, and skin lesions are common manifestations of SLE.

Incorrect choices:

b. Fibromyalgia is a chronic pain disorder characterized by widespread pain, fatigue, and tender points in specific areas of the body, but it does not typically present with a "butterfly rash" or skin lesions.

c. Multiple sclerosis (MS) is an autoimmune disorder that affects the central nervous system, causing symptoms such as fatigue, muscle weakness, and coordination problems, but it does not typically present with a "butterfly rash" or joint pain.

d. Sjögren's syndrome is an autoimmune disorder that primarily affects the salivary and lacrimal glands, leading to dry eyes and dry mouth, but it does not typically present with a "butterfly rash" or skin lesions.

VII. Vaccination and Immunization: