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Test 2: Immunisation

  1. What is immunisation?
    • A method of treating tuberculosis.
    • A method of preventing serious infections.
    • A method of diagnosing serious diseases.
    • A method of depressing the immune system.
  2. The expanded programme on immunisation includes:
    • Yellow fever.
    • Rabies.
    • Typhoid.
    • Polio.
  3. Which are killed vaccines?
    • Measles.
    • DPT.
    • Oral polio.
    • BCG.
  4. When should DPT (Diphtheria, Pertussis, Tetanus) immunisation be given?
    • At birth and again at 6 months.
    • At 3, 6 and 12 months.
    • At 6, 10 and 14 weeks.
    • At 9 and 18 months.
  5. What immunisations are routinely given to newborn infants?
    • BCG only.
    • Polio only.
    • Both BCG and polio.
    • Hepatitis B.
  6. Where should immunisations be recorded?
    • In the child’s Road-to-Health Card.
    • In the clinic immunisation record book.
    • In the labour ward register.
    • In the hospital records.
  7. BCG immunisation should be given:
    • By intramuscular injection.
    • By intradermal injection.
    • By intravenous injection.
    • By subcutaneous injection.
  8. Polio vaccine should be given:
    • Only in countries where polio is still a common problem.
    • Only to healthy term infants who are breastfed.
    • To breastfed and bottle-fed infants.
    • Only if the parents ask for it.
  9. Oral polio immunisation should not be given to children:
    • Who are breastfed.
    • Who are malnourished.
    • With signs of HIV infection.
    • With loose stools.
  10. What are common side effects of DPT (Diphtheria, Pertussis, Tetanus) immunisation?
    • Local tenderness and mild irritability.
    • An ulcer at the injection site with locally enlarged lymph nodes.
    • A fever above 40.5 °C.
    • Lethargy or persistent screaming or convulsions.
  11. DPT (Diphtheria, Pertussis, Tetanus) immunisation should not be given to:
    • Children over 2 years.
    • Children who had a mildly tender arm after the previous immunisation.
    • Children with eczema.
    • Children with a family history of pyrexial convulsions.
  12. Common complications of measles immunisation include:
    • Pain and swelling at the injection site.
    • A high fever and Koplik spots.
    • A headache and cough.
    • A mild fever and rash.
  13. When should measles immunisation not be given?
    • To children who are underweight for age.
    • To healthy children who were born to an HIV positive mother.
    • To children with a cough and mild fever.
    • To children with untreated tuberculosis.
  14. Hepatitis B vaccine should be given:
    • Orally.
    • Into the right deltoid muscle.
    • Into the right thigh muscle.
    • Into the buttock.
  15. If a mother has had hepatitis B, her infant should be given:
    • Hepatitis B hyperimmune gamma globulin after delivery.
    • Hepatitis B vaccine after delivery.
    • Both hepatitis hyperimmune gamma globulin and vaccine after delivery.
    • Only given routine immunisation with hepatitis B vaccine.
  16. Hib vaccine protects against an infection which causes:
    • Paralysis.
    • Hepatitis.
    • Whooping cough.
    • Meningitis.
  17. Hib vaccine protects the child against:
    • Hepatitis B.
    • Haemophilus influenzae.
    • Herpes B.
    • Viral influenza.
  18. What is herd immunity?
    • A high level of immunity in the community.
    • Immunity to cow pox.
    • Immunity to TB in cattle to prevent human infection via milk.
    • Immunity to prevent deafness following mumps.
  19. The vaccines at an immunisation clinic should be:
    • Kept warm.
    • Kept at room temperature.
    • Kept at 2–8 °C in a fridge.
    • Frozen.
  20. What is the cold chain?
    • A method of treating the raised, red papule after BCG immunisation.
    • A complication of MMR immunisation.
    • A contraindication to DPT immunisation.
    • An effective way of keeping vaccines cool.