WorksheetsCase-based Questions on Immunization
Total questions: 20
Worksheet time: 20mins
A 12-year old child received her annual flu vaccine 3 weeks ago. It was recently announced that free walk-in COVID-19 vaccination will be offered in a nearby mall starting today, so her mother is asking when is the earliest her child can receive a COVID-19 vaccine.
Now
After 1 week
After 2 weeks
After 4 weeks
Among the choices, the only absolute contraindication to administering vaccines to a child is:
Prematurity
Currently taking antibiotics
Fever on the day of immunization
Previous anaphylactic reaction to the same vaccine
A 7 year old child was unfortunately bitten by a stray dog while playing in the street. He was given rabies immunoglobulin and rabies vaccine as post-exposure prophylaxis. This gives him what type of immunity against rabies?
Active immunity
Passive immunity
Both
Neither
A15-month child was brought into the clinic. His mother says he does not have the MMR and varicella vaccines yet, and wants to catch up on her child’s immunizations. What would you advise her?
Administer both now.
Give MMR first then varicella after 4 weeks.
Give varicella first then MMR after 4 weeks.
Both B & C are correct.
A mother asks you when she can start letting her 8-month old child receive the yearly flu vaccine. What will you tell her?
Now
At 12 months
At 15 months
At 24 months
A healthy 6 month old infant and his mother went to the clinic for a consultation because there is a measles outbreak in their community. When should you administer the measles vaccine?
Administer measles vaccine now
Administer the measles vaccine at 9 months
Administer the measles vaccine at 12 months
There is no need to administer the vaccine
A patient was given the first dose of DTwP and developed seizures, somnolence and high fever afterwards. Which of the following must be done?
Do not give the next doses
Give DTwP on the second dose
Give DTaP on the second dose
Give DTwP on the second dose and DTaP on the third dose
A 3 year old is receiving her first influenza vaccine. What is the appropriate dosing for her?
Trivalent vaccine now and after 1 year
Quadrivalent vaccine now and after 1 year
Trivalent vaccine 2 doses at least 2 weeks apart
Quadrivalent vaccine 2 doses at least 4 weeks apart
A 1 year old received her MMR vaccine a week ago. What is the earliest time you can administer a varicella vaccine?
Administer after 1 week
Administer after 2 weeks
Administer after 3 weeks
Administer now
A 16 year old is consulting for the need for a booster dose for hepatitis B. What test should you request?
Anti-HBsAg
Anti-HBc levels
Anti-HBe levels
Anti-Hbs levels
A newborn has just been delivered and the mother has a (+) HbsAg status. What is the best management for the newborn in this case?
Administer HBV then HBIG depending on the infant’s birth weight
Administer first dose of HBV within 24 hrs
Administer HBV and HBIG within 12 hours of life
Administer HBIG after 7 days of age
A 10 year old F came in for HPV vaccination. What is the recommended dosing interval?
2 doses given 6 months apart
3 doses given at 0, 2, and 6 months
1 dose only
The child is too young and HPV vaccination is not recommended
A 5 month old boy did not receive BCG at birth. His mother explains that he has had significant exposure to his grandfather, a suspected case of TB. What is the recommended course of action for this infant?
PPD is not necessary and proceed with administering BCG vaccination
PPD should be done prior to BCG vaccination
Wait for the child to show symptoms then do a PPD
BCG is contraindicated since the child is already infected based on his exposure.
A mother came in and asked if her 10 month old child can be vaccinated for Rotavirus. What is the best course of action for this case?
Administer the rotavirus vaccine
Advise the mother to come back in 2 months then administer the vaccine
Explain that the vaccine will already be ineffective given the child’s age
Do NOT administer the vaccine because it is contraindicated
A 3 years old boy was brought to the clinic for Influenza vaccine. Chicken pox vaccine was just given yesterday. What
will you do?
Give the Influenza vaccine after one month
Give the Influenza vaccine now
Give the Influenza vaccine after 1 week
Tell the mother to come back after 2 years
Robin is a 17-year-old male of complete vaccination record. If he was to be given Japan Encepahlitis vaccine, how many should be given?
1
2
3
4
A 3 year old patient with leukemia is on chemotherapy. Is the condition a contraindication for giving live vaccines
Yes
No
Maybe
AOTA
Annie is a 1 year old female upon consultation she is a candidate for Varicella vaccine. What dose should be given to her given her age?
1st dose
2nd dose
As prophylaxis
Not yet applicable
MMR vaccine is given to a 12 months old boy. Which reaction is expected?
Fever after 7 days
Parotid gland swelling
Lymphadenopathy
AOTA
A 5 year old boy was brought to the clinic for cholera vaccine. Chicken pox vaccine was just given yesterday. What
will you do?
Give the Cholera vaccine now
Give the Cholera vaccine after 4 weeks
Don’t give the Cholera vaccine
Tell the mother to come back after 3 years
