NATIONAL AND STATE NURSING EXAM- MCQ _MG_00 219
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1. Which vaccine is contraindicated in pregnancy?
a. Rubella
b. Diphtheria
c. Tetanus
d. Hepatitis B
Answer: a. Rubella
Description:Rubella vaccine, also known as the MMR (Measles, Mumps, Rubella) vaccine, should not be given to pregnant women because it contains live viruses, which could potentially harm the developing fetus. The other vaccines listed (Diphtheria, Tetanus, Hepatitis B) are generally safe during pregnancy and may be recommended in certain situations. However, the specific recommendations may vary, so it's important for pregnant women to consult with their healthcare provider regarding vaccinations.
2. The first dose of MMR vaccine is given at the age of:
a. At birth
b. 6 month
c. 12-15 months
d. 9 months
Answer: d. 9 months
Description:The first dose of the MMR (Measles, Mumps, Rubella) vaccine is typically given at the age of: d. 9 months However, vaccination schedules may vary by country or region, so it's essential to follow the specific recommendations of your local healthcare authorities.
3. MMR vaccine provide protection against all; EXCEPT:
a. Mumps
b. Meningitis
c. Rubella
d. Rubeola
Answer: b. Meningitis
Description:The MMR (Measles, Mumps, Rubella) vaccine provides protection against all of the following diseases: a. Mumps c. Rubella d. Rubeola (Measles) So, the correct answer is: b. Meningitis (The MMR vaccine does not protect against meningitis.)
4. Zero dose of polio vaccine is given:
a. Before giving DPT
b. At birth
c. When child is having diarrhea
d. When child is having polio
Answer: b. At birth
Description:The zero dose of the polio vaccine, also known as the "birth dose," is typically administered shortly after birth to provide early protection against polio (poliomyelitis) in areas where the disease is still a concern.
5. Which of the following statements regarding live vaccine false?
a. Two live vaccines cannot be administered simultaneously
b. Booster doses are not required when live vaccines are administered
c. Single dose gives lifelong immunity
d. Live vaccine contains both major and minor antigens
Answer: a. Two live vaccines cannot be administered simultaneously
Description:The false statement regarding live vaccines among the options provided is: a. Two live vaccines cannot be administered simultaneously In some cases, two live vaccines can be administered simultaneously if recommended by healthcare professionals. However, there may be specific guidelines and considerations for co-administering live vaccines. The other statements (b, c, d) do not accurately represent live vaccines: b. Booster doses may or may not be required for live vaccines, depending on the vaccine and the disease. c. Not all live vaccines provide lifelong immunity; the duration of immunity can vary. d. Live vaccines typically contain both major and minor antigens to stimulate an immune response.
6. Adjuvant used in DPT vaccine is:
a. Zinc
b. Aluminum
c. Copper
d. Magnesium
Answer: d. Magnesium
Description:The adjuvant used in the DPT vaccine is not magnesium. The correct answer is b. Aluminum. Aluminum salts, such as aluminum hydroxide or aluminum phosphate, are commonly used as adjuvants in vaccines, including the DPT (Diphtheria, Tetanus, and Pertussis) vaccine. Adjuvants are added to vaccines to enhance the body's immune response to the antigens in the vaccine.
7. True about polio vaccination is all; EXCEPT:
a. Follow up of AFP every 30 days
b. Salk contains three types of polio virus
c. Pulse polio virus are extra and supplemental
d. oral polio vaccine provides intestinal immunity also.
Answer: a. Follow up of AFP every 30 days
Description:The statement that is not true about polio vaccination is: a. Follow up of AFP every 30 days AFP stands for Acute Flaccid Paralysis, which is a symptom of some polio cases. While it is important to monitor cases of AFP for potential polio infection, it is not done every 30 days as a routine part of polio vaccination. Instead, surveillance for AFP cases is an ongoing process, and suspected cases are reported and investigated promptly. The frequency of follow-up depends on the situation and the presence of suspected cases. The other statements are generally true: b. Salk contains three types of polio virus: The Salk vaccine, also known as the inactivated polio vaccine (IPV), contains inactivated (killed) poliovirus from all three types (type 1, type 2, and type 3). c. Pulse polio vaccines are extra and supplemental: Pulse polio vaccination campaigns are typically conducted as additional vaccination efforts to supplement routine immunization programs. They are often used to target specific high-risk populations and achieve broader polio immunization coverage. d. Oral polio vaccine provides intestinal immunity also: The oral polio vaccine (OPV) contains weakened live poliovirus strains. When administered orally, it provides not only systemic immunity but also intestinal immunity, which can help interrupt polio transmission in communities where the virus is circulating. So, option "a" is the incorrect statement in the context of routine polio vaccination.
8. Which of the following is not true and about Oral polio vaccine:
a. Induces both local and systemic immunity
b. Maternal antibody is completely protective
c. Live attenuated vaccine
d. Requires subzero temperature for long term shortage
Answer: c. Live attenuated vaccine
Description:The statement that is not true about the Oral Polio Vaccine (OPV) is: c. Live attenuated vaccine Oral Polio Vaccine (OPV) is indeed a live attenuated vaccine. It contains weakened live poliovirus strains. So, option "c" is not accurate in the context of OPV.
9. All are true about SALK vaccine; EXCEPT:
a. OPV can be given as booster dose
b. Injections during epidemic prevents paralysis
c. Can be given to immunocompromised
d. Easily transported
Answer: d. Easily transported
Description:The statement that is not true about the Salk vaccine (inactivated polio vaccine or IPV) is: d. Easily transported Inactivated polio vaccine (IPV), such as the Salk vaccine, can be more challenging to transport and store than the oral polio vaccine (OPV). IPV often requires a cold chain to maintain its stability and effectiveness, as it is sensitive to temperature fluctuations. OPV is more temperature-stable and can be easier to transport and administer in areas with limited access to refrigeration facilities. So, option "d" is the incorrect statement in the context of IPV.
10. Following is a live attenuated vaccine:
a. BCG
b. hepatitis B
c. Japanese encephalitis
d. Salk
Answer: a. BCG
Description:The correct option for a live attenuated vaccine is: a. BCG The Bacille Calmette-Guérin (BCG) vaccine is a live attenuated vaccine used to protect against tuberculosis. The other options, hepatitis B, Japanese encephalitis, and Salk (inactivated polio vaccine), are not live attenuated vaccines.
11. Vaccine preventable neonatal disease is:
a. Tuberculosis
b. Measles
c. Pertussis
d. Tetanus
Answer: d. Tetanus
Description:The vaccine-preventable neonatal disease among the options listed is: d. Tetanus Neonatal tetanus is a preventable disease, and vaccination of pregnant women with tetanus toxoid-containing vaccines (such as Tdap) can help protect newborns from tetanus infection. The other diseases listed (Tuberculosis, Measles, and Pertussis) can also be prevented through vaccination but are not specifically neonatal diseases.
12. BCG is vaccine is:
a. Killed
b. Live attenuated
c. Toxoid
d. Cellular fraction
Answer: b. Live attenuated
Description:The BCG (Bacille Calmette-Guérin) vaccine is: b. Live attenuated BCG is a live attenuated vaccine used to protect against tuberculosis (TB).
13. BCG is given:
a. Intramuscular
b. Intradermal
c. Subcutaneous
d. Intravenous
Answer: b. Intradermal
Description:The BCG (Bacille Calmette-Guérin) vaccine is typically given: b. Intradermal It is administered into the skin (dermis) rather than into the muscle, subcutaneous tissue, or intravenously.
14. Dose of OPV given at birth in case instituted delivers is:
a. Primary dose
b. Initial dose
c. Zero dose
d. First dose
Answer: c. Zero dose
Description:The dose of Oral Polio Vaccine (OPV) given at birth in case institutional deliveries is referred to as the: c. Zero dose This zero dose of OPV is provided to infants to provide some level of protection against polio until they receive their routine primary doses of the vaccine.
15. Killed vaccine of polio is:
a. Salk
b. Sabin
c. Both a and b
d. None of these
Answer: a. Salk
Description:The killed vaccine of polio is: a. Salk The Salk vaccine, also known as the inactivated polio vaccine (IPV), is an example of a killed polio vaccine. The Sabin vaccine (b) is an example of an oral polio vaccine (OPV), which contains live attenuated poliovirus strains. So, the correct answer is option "a."
16. Most heat sensitive vaccine is:
a. Measles
b. DPT
c. OPV
d. Hepatitis B
Answer: c. OPV
Description:The most heat-sensitive vaccine among the options listed is: c. OPV (Oral Polio Vaccine) OPV is known for its sensitivity to heat and requires careful temperature control during storage and transportation to maintain its effectiveness. Other vaccines like Measles, DPT (Diphtheria, Pertussis, and Tetanus), and Hepatitis B are relatively more heat-stable.
17. Reconstituted Mealses vaccine should be used within:
a. 1 hour
b. 3 hours
c. 6 hours
d. 12 hours
Answer: b. 3 hours
Description:Reconstituted measles vaccine should generally be used within: b. 3 hours After reconstitution, the measles vaccine should be administered relatively quickly, typically within 3 hours, to ensure its effectiveness and potency. Beyond this timeframe, the vaccine may start to lose its potency, so it's important to use it promptly. Proper storage and handling of vaccines are essential to maintain their efficacy.
18. All are true about measles vaccine; EXCEPT:
a. Freeze dried live attenuated vaccine
b. Single in dose 0.5 mL
c. Occasionally associated with TSS
d. Contraindicated in pregnancy
Answer: b. Single in dose 0.5 mL
Description:The statement that is not true about the measles vaccine is: b. Single in dose 0.5 mL The measles vaccine is typically administered as a single dose, but the volume can vary depending on the formulation. The standard dose of the measles vaccine is usually about 0.5 mL, but it may be given in different volumes depending on the manufacturer and presentation. The other statements are generally true: a. Freeze-dried live attenuated vaccine: The measles vaccine is indeed a freeze-dried live attenuated vaccine. c. Occasionally associated with TSS: The measles vaccine can be occasionally associated with a condition called Transient Synovitis Syndrome (TSS), although it is a rare side effect. d. Contraindicated in pregnancy: The measles vaccine is contraindicated during pregnancy because it contains a live attenuated virus that could pose a risk to the developing fetus. Pregnant women should generally wait until after giving birth to receive the measles vaccine if they are not already immune.
19. Active immunization following exposure is given most commonly for:
a. Rabies
b. Polio
c. Plague
d. Measles
Answer: a. Rabies
Description:Active immunization following exposure, also known as post-exposure prophylaxis (PEP), is most commonly given for: a. Rabies Rabies is a viral infection that can be transmitted through the bite of an infected animal. Following exposure to a potentially rabid animal, individuals are often given the rabies vaccine as part of PEP to prevent the development of rabies. This treatment is highly effective when administered promptly after exposure.
20. Frozen DPT vaccine should be:
a. Discarded
b. Rolled between palms until it reaches room temperature
c. Immersed in hot water
d. Kept out until it reaches room temperature.
Answer: a. Discarded
Description:Frozen DPT vaccine should be discarded.
21. In cold chain process the walk in cold rooms, stores vaccine up to……months
a. 4 months
b. 6 months
c. 3 months
d. 1 months
Answer: c. 3 months
Description:The cold chain system is the process of preserving: d. Vaccines. The cold chain system is a critical infrastructure for the storage, transportation, and distribution of vaccines at the appropriate temperature range to ensure their effectiveness and safety. It helps maintain the potency of vaccines and prevent spoilage or degradation due to temperature fluctuations.
22. Measles vaccine are stored in……..part of refrigerator
a. Chilled tray
b. Deep freezer
c. Tray below the freezer
d. Shelves in the door.
Answer: b. Deep freezer
Description:Measles and polio vaccines are very sensitive to heart of maintain their potency at 2-8 degree Celsius. Hence, it is stored.
23. Cold chain system is the process of preserving:
a. Blood specimen for malarial parasite
b. Chemotherapeutic agent
c. Sputum specimens
d. Vaccines.
Answer: d. Vaccines.
Description:The cold chain system is the process of preserving: d. Vaccines. The cold chain system is a critical infrastructure for the storage, transportation, and distribution of vaccines at the appropriate temperature range to ensure their effectiveness and safety. It helps maintain the potency of vaccines and prevent spoilage or degradation due to temperature fluctuations.
24. System of storage and transport of vaccines at low temperature from the manufactures to the vaccine site is called:
a. Deep small freezers
b. Cold room
c. Cold chain
d. Deep freezers.
Answer: c. Cold chain
Description:The system of storage and transport of vaccines at low temperatures from the manufacturers to the vaccine sites is called: c. Cold chain The cold chain is a well-organized system that includes various components such as refrigerators, freezers, cold rooms, and insulated containers to maintain the required temperature range for vaccines throughout the distribution process, ensuring their effectiveness and safety.
25. Which of the following is true about BCG vaccination:
a. Distilled water is used as diluent
b. The site of injection should be cleaned with spirit
c. Mantoux test becomes positive after 48 hours of vaccines
d. WHO recommends Danish 1331 strain for vaccine production.
Answer: a. Distilled water is used as diluent
Description:The true statement about BCG (Bacille Calmette-Guérin) vaccination is: d. WHO recommends Danish 1331 strain for vaccine production. The Danish 1331 strain is one of the commonly used strains for BCG vaccine production. The other options are not accurate: a. Distilled water is not typically used as the diluent for BCG vaccine. Usually, saline or another appropriate diluent is used. b. The site of injection for BCG should not be cleaned with spirit or alcohol; it is recommended to keep the area clean but not use alcohol-based disinfectants as they can interfere with the vaccine's effectiveness. c. The Mantoux test may become positive, but the timing can vary. It's not strictly limited to 48 hours after vaccination, and it can take longer for some individuals to show a positive reaction.
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