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Varicella Exclusion — RACP Paediatrics MCQ

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EasyInfectious DiseaseVaricella ExclusionRACP Paediatrics

A 7-year-old child presents with fever, pruritic vesicular rash in crops at different stages, and malaise. The rash started on the trunk and spread to the face and limbs. He is unvaccinated. When can he return to school?

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Correct answer: A — When all lesions have crusted over

Varicella exclusion: children can return to school when all vesicles have crusted over (usually day 5-7 of rash). Antiviral treatment (oral aciclovir or valaciclovir) is not routinely recommended for otherwise healthy children with uncomplicated varicella.

Reference: Australian Immunisation Handbook – 2025 – Varicella