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
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) Perform mantoux if negative then
given BCG
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 interva
c) Advise appropriate antibiotic course during delivery
d) Give one dose of tetanus toxoid and advice the second dose after delivery
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
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
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
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) Yellow fever
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
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
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