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Herpes zoster vaccination — MCCQE Part 1 MCQ

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ModeratePreventive MedicineHerpes zoster vaccinationMCCQE Part 1

A 66-year-old woman with well-controlled hypertension asks about shingles vaccination. She had shingles 7 years ago and has no immunocompromising condition. What is the most appropriate screening/prevention?

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

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Correct answer: B — Offer recombinant zoster vaccine according to age eligibility

Recombinant zoster vaccine is recommended for eligible older adults, including many who have had prior shingles, because recurrence can occur and vaccine reduces herpes zoster and post-herpetic neuralgia risk. Prior shingles is not a reason to avoid vaccination. Varicella vaccine is not the same as zoster vaccination. Chronic acyclovir prophylaxis is not routine prevention in immunocompetent adults.

Reference: NACI herpes zoster vaccine guidance; Canadian Immunization Guide