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Antiviral timing shingles — GPhC CRA MCQ

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EasyInfectionsAntiviral timing shinglesGPhC CRA

A 71-year-old man presents with a painful unilateral vesicular rash on his chest that started yesterday. He is otherwise well and asks whether antiviral treatment may help. What is the most appropriate action?

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

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Correct answer: C — Refer for antiviral treatment because presentation is within 72 hours and age increases risk

Antivirals for shingles are most effective when started early, usually within 72 hours of rash onset, and are recommended for older adults due to risk of complications. Eye involvement, immunosuppression or severe disease increases urgency. Analgesia and advice on transmission should also be considered.

Reference: NICE CKS; BNF