Quiz 2: Immunisation

Please choose the one, most correct answer to each question or statement.

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.
   • Intramuscular polio.
   • Oral polio.
   • BCG.
4. When should DTaP (Diphtheria, Tetanus, Pertussis) 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.
   • Oral polio only.
   • Both BCG and oral polio.
   • Hepatitis B.
6. Where should immunisations be recorded?
   • In the child’s Road-to-Health Booklet.
   • 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 both breastfed and bottle-fed infants.
   • Only if the parent or caregiver asks for it.
9. Oral polio immunisation should not be given to children:
   • Who are breastfed.
   • Who are malnourished.
   • With clinical signs of HIV infection.
   • With loose stools.
10. What are common side effects of DTaP (Diphtheria, Tetanus, Pertussis) 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. DTaP (Diphtheria, Tetanus, Pertussis) 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.
    • Intradermally.
    • 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 consists of:
    • Live hepatitis A virus.
    • Dead Haemophilus influenzae.
    • Weakened (attentuated) Herpes B virus.
    • Live influenza virus.
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 DTaP immunisation.
    • An effective way of keeping vaccines cool.