Questions
Rubella virus — Questions
Study questions about Rubella virus — exam-style, clinical-scenario and FAQ.
Mock Exam mode
Sit this set one question at a time. Multiple-choice questions mark themselves; written questions reveal a tickable mark scheme so you can score your own answer. You get a combined score at the end.
1 questions: 0 MCQ, 1 written.
High priorityExam-styleA 26-year-old woman requires vaccination before emigrating and needs hepatitis A, hepatitis B, typhoid, measles-mumps-rubella (MMR), varicella, polio and diphtheria-tetanus-acellular pertussis (dTaP). Give your advice and a proposed vaccination schedule. [7]
Model answer
A complete answer first checks existing immunity, then separates live from inactivated vaccines and sequences the doses within the time available.
Assessment first. Take a vaccination history and, where useful, check serology (measles, rubella, varicella, hepatitis B). Do a pregnancy test: the live vaccines (MMR and varicella) are contraindicated in pregnancy, and pregnancy should be avoided for one month after them.
Live vaccines (give on the same day, or at least 4 weeks apart).
- MMR: one or two doses depending on documented immunity.
- Varicella: two doses 4 to 8 weeks apart if there is no history or evidence of immunity.
Inactivated vaccines (flexible timing, may be co-administered at separate sites).
- Hepatitis A: two doses at 0 and 6 to 12 months.
- Hepatitis B: three doses at 0, 1 and 6 months (an accelerated 0, 7, 21 days plus a 12-month dose if time is short). Combined hepatitis A and B is an option.
- Typhoid: single-dose Vi polysaccharide (inactivated).
- Polio: an inactivated polio (IPV) booster.
- dTaP: a single adult Tdap dose, reviewing tetanus and diphtheria status.
A workable sequence. Day 0: MMR, varicella (1), hepatitis A (1), hepatitis B (1), IPV, Tdap and typhoid together at separate sites. Then varicella (2) at 4 to 8 weeks; hepatitis B (2) at 1 month and (3) at 6 months; hepatitis A (2) at 6 to 12 months. Document everything for the destination country’s entry requirements.