A 14yearold child who is uptodate with their vacci

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Question 1 of 4

A 14-year-old child who is up-to-date with their vaccine schedule stepped on a rusty nail at a riding school in France a year ago and was given a vaccination abroad following the injury. There is no written record of what was given, although the parents believe this was tetanus vaccine. The child has now presented for a school leaving booster, which of the following is/are true:

A. The booster is not necessary B. The risk of side effects from another tetanus vaccination so soon after the last one is such that Td/IPV should not be given C. The vaccination given at the time of injury should be discounted and Td/IPV given now D. The child should have a further tetanus vaccination in 10 years' time

Correct Answer: D

Rationale: The school-leaver Td/IPV booster is due, with a further dose in 10 years, per Green Book.

Question 2 of 4

Patients with the following conditions should have seasonal influenza vaccine:

A. Class III obesity B. Stage 2 chronic renal disease C. Diabetes contholied by diet D. Cystic fibrosis

Correct Answer: D

Rationale: Cystic fibrosis increases influenza risk, warranting vaccination, per Green Book.

Question 3 of 4

Which of the following is/are true about managing contacts of measles:

A. Advice should be sought from the local HPU or microbiologist B. HNIG may be indicated in non-immune contacts who are pregnant, immunocompromised or under 9 months of age C. In susceptible immunocompetent contacts in whom MMR is not contra-indicated a dose of MMR may protect them if given within 3 days of exposure D. Where HNIG is given, an interval of at least 3 months must be allowed before subsequent MMR immunisation

Correct Answer: C

Rationale: MMR within 3 days can prevent measles in immunocompetent contacts, per Green Book.

Question 4 of 4

Which of the following is/are true about the acellular pertussis vaccines (Infanrix and Pediacel) used in the UK:

A. They are conjugated vaccines B. They offer equal or better protection than the whole peell pertussis vaccine C. They are only given as part of the combined products of aP/IPV/Hib) or DTaP/IPV or dTaP/IPV) D. They are thiomersal-free

Correct Answer: D

Rationale: Acellular pertussis vaccines are thiomersal-free, per Green Book.

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