In patients with specific high risk medical conditions aged between 19 to 64 years, dual sequential vaccination of the PCV 13 and PPSV23 pneumococcal vaccines is recommended. Which of the following is an exception to this recommendation?

Correct Answer: C

Rationale: Chronic liver disease does not typically require dual sequential vaccination unless immunocompromised; others are high-risk indications.

Correct Answer: C

Rationale: A PGD requires a senior doctor and pharmacist's signature for authorization, per Green Book and NHS rules.

Correct Answer: C

Rationale: IM adrenaline is the standard route for anaphylaxis per Green Book for rapid absorption.

Correct Answer: C

Rationale: Interrupted courses resume without restarting, per Green Book; D is also true but C is a key principle.

Correct Answer: B

Rationale: The second dose is given 1-6 weeks after the first, per Green Book schedule.