IMMUNISATION

Question 1

Number of vaccines in the immunisation schedule

Answer 1

Twelve

Question 2

Name the 12 vaccines in the immunisation schedule

Answer 2

BCG
Oral poliomyelitis
Diphtheria
Pertussis
Tetatanus
Hepatitis B
Haemophilus influenzae type B
Pneumococcus
Rotavirus
Mealses
Rubella
Yellow fever

Question 3

Immunisation is recommended for the following persons

Answer 3

High risk groups
Young children
Elderly
The malnourished

Question 4

Vaccines given at birth

Answer 4

BCG (0.05 ml Intradermally)
Polio ’O’ (2 Drops Orally)

Question 5

Vaccines given at 6 weeks

Answer 5

“Five In One” (Or Penta-Vaccine) 1 (0.5 ml IM)
Pneumococcal (PCV) 1 (0.5 ml IM)
Polio ’1’ (2 Drops Orally)
Rotavirus (Rotarix) 1

Question 6

Vaccines given at 10 weeks

Answer 6

“Five In One”2 (Or Penta-Vaccine) 2 (0.5 ml IM)
PCV 2 (0.5 ml IM)
Polio ‘2’ (2 drops orally)
Rotavirus (Rotarix) 2

Question 7

Vaccines given at 9 months

Answer 7

Measles/Rubella (0.5 ml deep SC or IM)
Yellow Fever (0.5 ml IM)

Question 8

Vaccines given at 14 weeks

Answer 8

“Five In One” 3 (Or Penta-Vaccine) 3 (0.5 ml IM)
PCV 3 (0.5 ml IM)
Polio ‘3’ (2 drops orally)

Question 9

Vaccines given at 18 months

Answer 9

Measles (0.5 ml deep SC or IM)

Question 10

Content of the penta-vaccines

Answer 10

Diphtheria
Pertussis
Tetanus
Haemophilus Influenzae B
Hepatitis B

Question 10

Wrong method of administration reduces efficacy. T/F

Answer 10

True

Question 11

If Immunisation course is interrupted, resume with the same brand
of vaccine, else continue with different brand. T/F

Answer 11

False.
Resume with the same brand
of vaccine, else start with different brand

Question 12

There are no contraindications to the immunisation of the sick child if he/she is well enough to go home. T/F

Answer 12

True

Question 13

Children with diarrhoea who are due for oral vaccines

Answer 13

Give but don’t count, then repeat after 4 weeks and record this one as given

Question 14

Don’t give OPV 0 after ……………….

Answer 14

15 days, disturbs regular immunisation schedule

Question 15

Don’t give Rotarix 1st dose after …………….. , 2nd dose after …………….

Answer 15

12 weeks,
24 weeks

Question 16

Immunisation for preterm babies

Answer 16

Consider all premature babies for full immunisation course.

Start immunisation in 2nd month after birth (after 4 weeks) irrespective of degree of prematurity.

Give BCG on discharge.

Delay OPV in neonatal unit and give on discharge from nursery - not while still on admission

Question 17

In premature babies, why is OPV given only on discharge

Answer 17

There is a small chance of transfer of OPV virus to other babies

Question 18

Contraindications to whole cell pertussis vaccine

Answer 18

Evolving neurological disease (e.g. uncontrolled epilepsy)

Question 18

Are vaccines given when the child has a serious febrile illness

Answer 18

No, delay the vaccines

Question 19

Avoid a vaccine in patient with a history of severe reaction after previous dose (e.g. anaphylactic reaction). T/F

Answer 19

True

Question 20

Contraindications to penta-vaccine

Answer 20

Child with convulsion/shock within 3
days of the most recent dose of DPT or DPT/HepB/Hib
Child with recurrent convulsions or active CNS disease

Question 21

Contraindications to yellow fever vaccine

Answer 21

History of anaphylaxis with ingestion of egg
Individuals with symptomatic HIV infection

Question 22

Contraindications to BCG vaccine

Answer 22

Individuals with symptomatic HIV infection, can be given at birth since newborn with HIV is asymptomatic

Question 23

Contraindications to live vaccines

Answer 23

Pregnant women - for risk of teratogenic effect
Patients with malignant disease e.g. leukaemia, Hodgkins disease
Malignant disease of the reticuloendothelial system
Patients with immune suppression, including symptomatic HIV patients
Patients on chemotherapy (defer for 6 months after stopping chemotherapy treatment)

Question 24

Which live vaccine can be given in HIV positive patients

Answer 24

Measles vaccine, benefits outweight the risks