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Immunization — schedule, vaccines and Universal Immunization Programme MCQ - Practice Questions with Answers

Solve 20 Immunization — schedule, vaccines and Universal Immunization Programme questions for RAS/RPSC preparation.

Practice questions

Q1Which of the following statements about vaccines in the routine schedule is incorrect?

A MR vaccine protects against measles and rubella.
B Rotavirus vaccine is given orally at 6, 10 and 14 weeks.
C PCV has primary doses at 6 and 14 weeks and a booster at 9 to 12 months.
D JE vaccine is given routinely in every district.
Explanation

JE vaccine is given in Japanese encephalitis endemic districts, not routinely in every district. MR covers measles and rubella, and rotavirus follows the 6-, 10- and 14-week oral schedule. PCV is due at 6 and 14 weeks with a booster at 9 to 12 months.

Q2Consider the following statements about the infant primary series: 1. Rotavirus vaccine is due at 6, 10 and 14 weeks. 2. PCV is due at 6, 10 and 14 weeks. 3. Fractional IPV is due at 6 and 14 weeks. Which of the statements given above are correct?

A 1 and 3 only
B 1 and 2 only
C 2 and 3 only
D 1, 2 and 3
Explanation

Statements 1 and 3 are correct: rotavirus vaccine is due at 6, 10 and 14 weeks, and fractional IPV at 6 and 14 weeks. Statement 2 is incorrect because PCV has primary doses at 6 and 14 weeks, followed by a booster at 9 to 12 months. Thus, treating PCV as a three-dose 6-, 10-, 14-week series confuses it with rotavirus vaccine.

Q3Match List I with List II and select the correct code. List I: 1. BCG 2. OPV 3. Rotavirus vaccine 4. JE vaccine. List II: a. Oral vaccine against poliomyelitis b. Given in Japanese encephalitis endemic districts c. Protects against severe childhood forms of tuberculosis and is usually intradermal d. Oral vaccine given at 6, 10 and 14 weeks that reduces severe rotavirus diarrhoea

A 1-b, 2-a, 3-c, 4-d
B 1-c, 2-d, 3-a, 4-b
C 1-c, 2-a, 3-d, 4-b
D 1-d, 2-b, 3-c, 4-a
Explanation

BCG matches c because it protects against severe childhood forms of tuberculosis and is usually intradermal. OPV matches a, Rotavirus vaccine matches d, and JE vaccine matches b because JE vaccination is given in endemic districts; the other codes swap these vaccine-specific features.

Q4According to the National Immunization Schedule, which set of vaccines is due at 6 weeks of age?

A OPV-1, Pentavalent-1, Rotavirus vaccine-1, fractional IPV-1 and PCV-1
B BCG, OPV-0 and the Hepatitis B birth dose
C OPV-2, Pentavalent-2 and Rotavirus vaccine-2
D OPV-3, Pentavalent-3, Rotavirus vaccine-3, fractional IPV-2 and PCV-2
Explanation

At 6 weeks, the schedule lists OPV-1, Pentavalent-1, Rotavirus vaccine-1, fractional IPV-1 and PCV-1. Option B contains the birth vaccines, option C is the 10-week set, and option D is the 14-week set.

Q5At which age is the first dose of measles-rubella vaccine routinely due?

A 6 weeks
B 10 weeks
C 9–12 months
D 16–24 months
Explanation

MR-1 is due at 9–12 months. The 6- and 10-week visits belong to the early primary series, while MR-2 is due later at 16–24 months.

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More questions

6Which of the following vaccine–route pairs is incorrect?

AOPV — oral
BRotavirus vaccine — oral
CFractional IPV — intradermal
DMR vaccine — intramuscular in the anterolateral thigh

7Which one of the following correctly describes Mission Indradhanush?

AA replacement for routine immunization with a separate vaccine list
BA special coverage strategy for unvaccinated and partially vaccinated beneficiaries
CA cold-chain equipment inventory system
DA programme limited to Japanese encephalitis-endemic districts

8Which set contains only the vaccines due at birth under the National Immunization Schedule?

ABCG, OPV-0 and Hepatitis B birth dose
BBCG, MR-1 and Hepatitis B birth dose
COPV-0, Pentavalent-1 and PCV-1
DBCG, Rotavirus vaccine-1 and MR-1

9Arrange the following milestones in the evolution of India's routine immunization programme in chronological order: 1. Universal Immunization Programme 2. Reproductive and Child Health Programme 3. Expanded Programme on Immunization 4. National Rural Health Mission 5. Child Survival and Safe Motherhood Programme Select the correct answer using the code below.

A3, 1, 2, 5, 4
B1, 3, 5, 2, 4
C3, 1, 5, 2, 4
D3, 5, 1, 2, 4

10Consider the following statements: 1. The JE vaccine is routinely given in every district of India. 2. Fractional IPV is administered by the intradermal route. Which of the statements given above is/are correct?

ABoth 1 and 2
B1 only
C2 only
DNeither 1 nor 2

11Which vaccine–route/site combination is correctly matched under the National Immunization Schedule?

ABCG — oral route
BBCG — intradermal route, usually in the left upper arm
CMR — intradermal route in the left upper arm
DFractional IPV — oral route

12How many of the following are listed as due at 14 weeks in the National Immunization Schedule? 1. OPV-3 2. Pentavalent-3 3. Rotavirus vaccine-3 4. fractional IPV-2 5. PCV-2 6. MR-1

A3
B5
C4
D2

13Consider the following statements about the infant schedule: 1. Rotavirus vaccine doses are due at 6, 10 and 14 weeks. 2. PCV has primary doses at 6 and 14 weeks and a booster at 9–12 months. Which option is correct?

AOnly statement 1 is correct
BOnly statement 2 is correct
CBoth statements 1 and 2 are correct
DNeither statement 1 nor 2 is correct

14Which vaccine is ideally given within 24 hours of birth under the National Immunization Schedule?

AHepatitis B birth dose
BBCG
COPV-0
DMR-1

15Consider the following statements about immunization of pregnant women and newborns: 1. Td-2 is due 4 weeks after Td-1. 2. A Td booster is sufficient if two TT or Td doses were received in a pregnancy within the previous 3 years. 3. OPV-0 may be given at birth or within the first 15 days. 4. If BCG is missed at birth, it can be given only up to 6 months of age. How many of the above statements are correct?

AThree
BOne
CFour
DTwo

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