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Ebola virus disease — DTM&H MCQ

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ModerateTropical viral infectionsEbola virus diseaseDTM&H

A nurse returns from an Ebola treatment unit and develops fever, diarrhoea and weakness 8 days after a needlestick. She is in a UK emergency department. What is the most important public health measure?

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

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Correct answer: A — Immediate isolation and specialist public health notification

Immediate isolation and specialist public health notification is the single best answer because suspected viral haemorrhagic fever requires isolation, PPE and urgent specialist public health pathways. Send home with oral fluids is plausible in a related presentation, but it is less appropriate because it does not fit the key discriminator in this vignette. The teaching point is that routine clinical handling risks nosocomial transmission.

Reference: WHO disease outbreak guidance; UKHSA travel-associated infection guidance; CDC Yellow Book 2026