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Influenza vaccination — MCCQE Part 1 MCQ

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EasyVaccinationInfluenza vaccinationMCCQE Part 1

70-year-old woman presents with annual check-up. She has COPD and asks about winter vaccines. Which of the following is the most appropriate next step?

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Correct answer: B — Recommend annual influenza vaccination and review COVID-19, pneumococcal and RSV eligibility

Recommend annual influenza vaccination and review COVID-19, pneumococcal and RSV eligibility is best because older adults and chronic lung disease benefit from immunisation review. Use a United States screening schedule instead of Canadian guidance is suboptimal because MCCQE questions expect Canadian preventive-care guidance; Defer all preventive care until symptoms develop is suboptimal because screening and immunisation aim to prevent disease before symptoms; Order the most invasive test as routine first-line screening is suboptimal because screening should balance benefit, harm and resource use; Screen at every visit regardless of interval or prior results is suboptimal because over-screening causes avoidable false positives and harm. Use provincial eligibility criteria for publicly funded products.

Reference: NACI; Canadian Immunization Guide