1. 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
2. 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
3. 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
4. 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
5. 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
6. 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
7. 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
8. 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
9. 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
10. 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) Advice for active and passive immunization of the baby at birth.