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Borderline Parapneumonic Effusion — SCE Infectious Diseases MCQ

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HardRespiratory InfectionBorderline Parapneumonic EffusionSCE Infectious Diseases

A 22-year-old renal-transplant recipient remains eligible for HPV catch-up vaccination but has never received a dose. Which Gardasil 9 schedule should be offered in the UK?

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

Reveal the answer and explanation

Correct answer: E — Give Gardasil 9 at 0, 1 and 4–6 months because immunosuppression requires three doses

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

A is correct. Eligible people who are immunosuppressed require three doses at 0, 1 and 4–6 months. B applies the routine immunocompetent under-25 schedule. C is the GBMSM schedule from age 25, not an immunosuppressed schedule. D invents a two-dose and serology strategy. E may remove the opportunity for protection during prolonged immunosuppression.

Reference: UKHSA HPV vaccination guidance for healthcare practitioners: https://www.gov.uk/government/publications/hpv-universal-vaccination-guidance-for-health-professionals/hpv-vaccination-guidance-for-healthcare-practitioners