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HPV vaccination — MCCQE Part 1 MCQ

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EasyVaccinationHPV vaccinationMCCQE Part 1

12-year-old child presents with routine school immunisation visit. Parents ask whether HPV vaccine is only for girls. Which of the following is the most appropriate next step?

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Correct answer: C — Recommend HPV vaccination according to provincial/NACI schedule regardless of sex

Recommend HPV vaccination according to provincial/NACI schedule regardless of sex is best because HPV vaccination is routine for adolescents of all sexes. 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. HPV vaccination prevents several cancers, not only cervical cancer.

Reference: NACI; Canadian Immunization Guide