ACRRM question of the week.
Week of 26 October 2026. Have a go, then see the reasoning behind every option.
A 35-year-old man has been identified by public health as a high-risk sexual contact of a person with confirmed mpox. The contact was 9 days ago. He is well, with no rash, fever or lymphadenopathy, and has never had an mpox vaccine. What is the most appropriate advice about vaccination?
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ACRRM-style questions, marked with a reason for every option. Free account, no card.
Earlier weeks
During trachoma screening in a remote Central Australian community, the prevalence of active trachoma among children aged 5 to 9 is 3%. A 5-year-old boy (18 kg) has five or more follicles, each at least 0.5 mm, on the upper tarsal conjunctiva on eyelid eversion. He lives with six other people. Under the Australian national trachoma guidelines, what is the most appropriate treatment?
A 46-year-old woman smokes 30 cigarettes a day. She is not ready to stop abruptly but is willing to cut down over the next few months and then stop completely. Which approach is supported by the evidence?
A 45-year-old man from the New South Wales south coast has had three episodes in 6 months of generalised urticaria, lip swelling and light-headedness. Each began 3 to 5 hours after an evening meal: twice after roast lamb and once after a jelly dessert; one episode woke him at 2 am. He has never reacted within minutes of eating, and chicken and fish cause no symptoms. Which test is most likely to confirm the diagnosis?
A 45-year-old man has bloods for a life insurance medical. He is well, with no bruising, bleeding or medicines, and examination is normal. His platelet count is 38 × 10⁹/L on the automated analyser; it was normal 2 years ago. The haemoglobin and white cell count are normal, and the laboratory film comment reads 'platelet clumps seen'. What is the most appropriate next step?
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