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Duty to warn infectious exposure — ABEM Board MCQ

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ModerateEthics, risk management, disposition, medicolegalDuty to warn infectious exposureABEM Board

A 31-year-old man with confirmed measles wants to sit in the crowded waiting room while awaiting discharge paperwork. Triage acuity is ESI 3; T 101.5 F, HR 104/min. He has cough, conjunctivitis, coryza, and diffuse morbilliform rash. Several infants are nearby. Which of the following is the most appropriate next step in management?

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

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Correct answer: A — Place him in airborne isolation and notify infection control or public health as required

Measles requires airborne isolation and public health notification because of high transmissibility and exposure risk.

Reference: CDC measles infection control and reporting guidance