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Clostridioides difficile — UKMLA MCQ

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HardInfectious DiseasesClostridioides difficileUKMLAMRCGP AKTPARAMRCP Part 1PSA

A household contact spent the previous night with a patient who has confirmed invasive meningococcal disease. The contact is well and has no contraindication. What should the health-protection team arrange?

Educational content. Not a substitute for clinical judgement or local policy.

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Correct answer: D — Contact assessment followed by antibiotic prophylaxis

The best answer is “Contact assessment followed by antibiotic prophylaxis”. Close household contacts have increased short-term risk and are offered prompt chemoprophylaxis through the public-health pathway, with the agent selected for age, pregnancy, interactions and local resistance advice. Prophylaxis reduces carriage but does not guarantee protection, so symptom safety-netting and vaccination assessment remain necessary.

Reference: UKHSA: Meningococcal disease guidance: https://www.gov.uk/government/collections/meningococcal-disease-guidance-data-and-analysis