IMMUNIZATION

IMMUNIZATION
1. Most important reason for recommending oral polio vaccine in the polio eradication
campaign despite availability of a safe injectable vaccine that, it:
a) Provides 90% immunity in one dose
b) Does not interfere with vertical immunity
c) Has been donated by WHO
d) Provides herd immunity
e) Has less side effects
Key: True: d
2. A 5 year old child comes to the immunization centre without BCG scar on his arm;
what would you prefer?
a) Give BCG vaccine
b) Perform mantoux if positive then give BCG
c) No need of BCG
d) Chemoprophylaxis
e) Perform mantoux if negative then given BCG
Key: True: e
3. A woman reports for vaccination against tetanus only 25 days before delivery; she has
not received the first dose what will you do?
a) Give anti tetanus immunoglobulin
b) Give two doses of tetanus toxoid with 2 weeks interval
c) Advise appropriate antibiotic course during delivery
d) Give one dose of tetanus toxoid and advice the second dose after delivery
e) Advise passive immunization after delivery
Key: True: d
4. A woman in the seventh month of pregnancy reports to you in the antenatal clinic for
the first time. The recommended immunization is by:
a) Tetanus toxoid
b) Hepatitis B vaccine
c) Rubella vaccine
d) Pneumococcal vaccine
e) Tetanus immunoglobulin
Key: True: a
5. A doctor was attending a patient suffering from Hepatitis B; he accidentally got a prick
from a contaminated syringe for maximum preventive use of Hepatitis B
Immunoglobulin (HBIG), it is given as:
a) 0.5 ml / kg body weight within 2 hours
b) 0.5 ml / kg body weight within 24 hours
c) 0.06 ml / kg body weight within 3 days of exposure & repeating after one month
d) 0.06 ml / kg body weight preferably within 3 days
e) 0.05 ml / kg body weight within one month & repeating after 6 months
Key: True: c
6. A mother brought her six weeks old child to an EPI centre for routine immunization.
She was enquired about history of Epilepsy in the family and febrile fits. The doctor took
this history to avoid complication with:
a) Diphtheria toxoid
b) Tetanus toxoid
c) Hepatitis B vaccine
d) Pertussis vaccine
e) OPV
Key: True: d
7. A conference is being held for prevention of haemorrhagic fever in our country. The
people from South Africa are also invite your opinion as a health expert is sought
regarding transmission of prevalent infection in South Africa to Pakistan. The infection
that you should be most concerned about is.
a) Dengue fever
b) Typhus
c) Hay fever
d) Congo fever
e) Yellow fever
Key: True: e
8. An M.S student of Wah Medical College got an accidental prick while drawing blood of
hepatitis B positive patient. He had completed his course of immunization against
hepatitis B last year. What would you recommend for him?
a) Booster dose of HB Vaccine
b) Single dose of passive immunization
c) Both active and passive immunization
d) Two doses of immunoglobulins 30 days a part
e) Nothing required
Key: True: d
9. A forty years old guard of forestry presented in emergency with complaint of dog bite
on his left leg. On examination a deep transdermal wound was found. He gave history of
completing the course of immunization against rabies last year. His serum antibody titre
was > 0.5 IU/ml of blood. What would you advise?
a) Complete course of active immunization & passive immunization
b) Only passive immunization
c) Two booster doses of HDC vaccine
d) Three booster doses of HDC vaccine + RIG
e) Only local treatment of wound and anti-tetanus measures
Key: True: c
10. A 20 years old lady read an article in a newspaper on vaccination against tetanus.
She is very conscious of herself being vaccinate The best schedule that you would
suggest for her at this age is:
a) Single dose of TT
b) Two doses of TT one month apart
c) Two doses one month apart with booster after five years
d) Five doses of TT
e) Nothing required till
f) she gets pregnant
Key: True: d
11. A 30 years old man went in Benazir Bhutto’s rally at Rawalpindi, where in a suicidal
attack he got a penetrating injury on his leg. The emergency treatment was given. His
immunity status against tetanus is not known. The required anti tetanus measures are
a) Toxoid one dose
b) Toxoid one dose + TIG
c) Toxoid complete course
d) Toxoid complete course + TIG
e) Fifteen hundred international units of ATS
Key: True: d
12. A primigravida came for antenatal. Her base line investigations along with screening
for Hepatitis B and C were done. She was diagnosed HBV positive. What measure would
you suggest to prevent the infection in her child after delivery?
a) Active immunization only
b) Active & passive Immunization
c) Only passive immunization
d) Chemoprophylaxis
e) Reassurance
Key: True: b
13. A 6 weeks old boy came for DPT, polio & HBV vaccination. He was given initial doses
of all and was called after 4 weeks to have the next doses. The likely reason for calling
him again was:
a) Loss of immune memory
b) Stimulation of macrophages
c) Summation of immune responses
d) Replication of lymphocytes
e) Immune tolerance
Key: True: c
14. A GP purchased BCG vaccine for his clinic. He should store this vaccine at his clinic in:
a) A dark place
b) Deep freezer
c) Water carrier
d) Refrigerator
e) Shelf
Key: True: d
15. A mother brought her four year old child to the doctor. She gave the history that her
child was in close contact with a case of diphtheria in school. She was very anxious about
her child and gave history of booster dose of DT 2 years ago. What would be line of
management for such a child?
a) Booster dose of DT with penicillin
b) Active and passive immunization
c) Active and passive immunization with chemoprophylaxis
d) Only keep under surveillance for 1 week
e) Nothing more required
Key: a
16. A General Practitioner purchased BCG vaccine for his clinic He should store this
vaccine at his clinic in:
a) A dark place
b) Deep freezer
c) Water carrier
d) Refrigerator
e) Shelf
Key: True: d
17. A 5 years old boy is brought to the emergency department with history of dog bit
Examination revealed multiple transdermal bites on left leg. The best management for
such a patient is:
a) Anti-rabies serum, suturing of wound, TT
b) Anti-rabies serum, suturing of wound, Vaccine
c) Vaccine, leave wound open, TT, ARS
d) Vaccine, leave wound open, TT
e) No Treatment if the dog disappears
Key: c
18. 1 year old child is being treated in Shaukat Khanam Hospital Lahore and getting
radiotherapy for carcinoma. A polio case has been detected in his residential locality.
Pediatrician decides to protect him against poliomyelitis by giving:
a) Human normal immunoglobulin
b) Human specific immunoglobulin
c) Oral polio vaccine
d) Inactivated polio vaccine
e) Chemoprophylaxis with antiviral drugs
True: d
19. Most important reason for recommending oral polio vaccine in the polio eradication
campaign despite availability of a safe injectable vaccine is that, it:
a) Provides 90% immunity in one dose
b) Does not interfere with vertical immunity
c) Has been donated by WHO
d) Provides herd immunity
e) Has less side effects
Key: d
20. A 6 months pregnant lady comes for antenatal checkup for the first tim Her baseline
investigation and screening for HBSAG and Anti HCV was don On screening she was
found to have HBSAG. What would you prefer for this lady?
a) Active and passive immunization
b) Passive immunization
c) Active immunization
d) Anti-viral therapy
e) Advice for active and passive immunization of the baby at birth.
Key: e
21. In Sir-Syed Model School a student of class 3 developed measles. The child was
isolated from rest of the class. The school medical officer advised for the contest of this
child:
a) Active immunization within 3 days
b) Passive immunization
c) Chemoprophylaxis
d) Isolation
e) Anti-viral therapy
Key: b
22. A primigravida delivered a baby boy in the obstetric ward of POF hospital the doctor
referred the baby on the same day to the EPI centre for vaccination of:
a) BCH only
b) BCG OPV
c) DPT only
d) DPT HBV +OPV
e) OPV only
Key: b

IMMUNIZATION

Uploaded by

Copyright:

Available Formats

IMMUNIZATION

Uploaded by

Document Information

Original Description:

Copyright

Available Formats

Share this document

Share or Embed Document

Sharing Options

Did you find this document useful?

Is this content inappropriate?

Copyright:

Available Formats

IMMUNIZATION

Uploaded by

Copyright:

Available Formats

IMMUNIZATION

You might also like