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Influenza vaccination — MCCQE Part 1 MCQ

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EasyPreventive MedicineInfluenza vaccinationMCCQE Part 1

A 71-year-old man with COPD asks about influenza prevention during an October primary care visit. He has no contraindication to vaccination and had influenza 4 years ago. What is the most appropriate screening/prevention?

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Correct answer: D — Offer seasonal influenza vaccination now

NACI recommends seasonal influenza vaccination for people 6 months and older without contraindications, with particular importance in older adults and chronic lung disease. Prior influenza does not provide reliable ongoing protection against new strains. Antivirals are not routine seasonal prevention for stable community patients. Antibiotics do not prevent influenza.

Reference: NACI seasonal influenza statement; Canadian Immunization Guide