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Microbiology · Vaccines
Sample itemWhy are live attenuated vaccines generally avoided in severe immunosuppression?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
B. Attenuated organism may replicate excessively
Severe immunosuppression can permit excessive replication of an attenuated organism, creating risk of vaccine-related disease despite its usual reduced virulence.
Option by option
A. They cannot induce immunity
They can induce strong immune responses.
B. Attenuated organism may replicate excessively (correct)
Correct: impaired immunity may not control replication.
C. They always cause bacterial sepsis
Bacterial sepsis is not the universal mechanism.
D. They contain no antigen
Live vaccines do contain antigenic organisms.
Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.