skip to main content

Doxycycline Counselling — SCE Infectious Diseases MCQ

Instant feedback + full explanation. One question, done properly.

HardAntimicrobial StewardshipDoxycycline CounsellingSCE Infectious Diseases

A severely immunocompromised adult presents to ambulatory care with a vesiculopustular eruption compatible with mpox after travel. Which immediate UK pathway is most appropriate?

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

Reveal the answer and explanation

Correct answer: D — Use single-room isolation with local infection and UKHSA Imported Fever Service review

Explanation lettering: C = shown as A · A = shown as B · B = shown as C

D is correct: current four-nations guidance places a suspected ambulatory case in a single room and uses a competent risk assessment; a mask is offered if tolerated. UKHSA specifically highlights severely immunocompromised suspected cases for local infection input and possible Imported Fever Service discussion. Mpox is no longer automatically managed through an HCID pathway, while mask tolerance neither excludes infection nor removes sampling needs. Tecovirimat requires specialist selection rather than empirical primary-care use.

Reference: UKHSA: Derogation of clade I mpox: https://www.gov.uk/guidance/derogation-of-clade-i-mpox UK four-nations mpox control principles: https://www.gov.uk/guidance/biological-principles-for-control-of-mpox-in-the-uk-4-nations-consensus-statement