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Catch-up immunisation — MCCQE Part 1 MCQ

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ModeratePreventive MedicineCatch-up immunisationMCCQE Part 1

A 7-year-old newcomer to Canada has no written immunisation records. The parents report several vaccines overseas but cannot recall names or dates. The child is well and starts school next month. What is the most appropriate screening/prevention?

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Correct answer: BBegin age-appropriate catch-up immunisation according to provincial schedule

When records are absent or unreliable, Canadian immunisation practice generally favours catch-up vaccination using provincial schedules rather than assuming protection. Serology may be useful for selected antigens but is not needed for every vaccine before starting. Measles vaccine alone is incomplete. Catch-up vaccination protects the child and school community.

Reference: Canadian Immunization Guide, NACI; provincial schedules