Immunization & infectious diseases of paediatrics MCQ 20+

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• Regarding enteric fever
  ক

  Caused by salmonella typhi

  খ

  Salmonella paratyphi A

  গ

  B & C

  ঘ

  Hyperplasia of peyers patches occur

  ঙ

  Cough and epistaxis may be a part of presenting features

  চ

  Humoral immunity is more important than cellular immunity in protecting host against enteric fever

  ছ

  Widal test is the gold standard for diagnosis
• Evidence of plasma leakage in dengue fever are
  ক

  Pleural effusion

  খ

  Ascites

  গ

  Decrease hematocrit

  ঘ

  Decrease capillary permeability

  ঙ

  Thrombocytopenia
• Laboratory features of dengue haemorrhagic fever includes
  ক

  Thrombocytopenia

  খ

  Raised hepatic enzyme

  গ

  Decreased haematocrit

  ঘ

  Leukocytosis

  ঙ

  Increased CRP
• In dengue hemorrhagic fever, evidence of plasma leakage is/are
  ক

  Pleural effusion

  খ

  Increase HCT 20% from baseline

  গ

  Ascites

  ঘ

  Petechial rash

  ঙ

  Thrombocytopenia
• Regarding complications of chicken pox include
  ক

  Pneumonia particularly in children rather than adult.

  খ

  Proliferative glomerulonephritis

  গ

  Encephalitis with eerebeller involvement

  ঘ

  Acute pancreatitis

  ঙ

  Myocarditis
• Regarding measles
  ক

  Conjunctivitis is a characteristics feature

  খ

  Koplik spots are pathognomonic

  গ

  Characterized by maculopapular rash

  ঘ

  Measles virus is a DNA virus

  ঙ

  Subacute sclerosing panencephalitis is an acute complication of measles
• Vertical transmission can occur in
  ক

  Cytomegalovirus infection

  খ

  Hepatitis C infection

  গ

  Hepatitis B infection

  ঘ

  Hepatitis E infection

  ঙ

  Hepatitis A infection
• EPI in Bangladesh recommends the following vaccines in children below 2 years
  ক

  Haemophilus influenzae vaccine

  খ

  Hepatitis B vaccine

  গ

  BCG vaccine

  ঘ

  Chicken pox vaccine

  ঙ

  MMR vaccine
• Vaccination not included in EPI schedule are
  ক

  MMR

  খ

  Vaccine against Rota virus

  গ

  Meningococcal vaccine

  ঘ

  Haemophilus influenzae

  ঙ

  Hepatitis B
• EPI schedule in Bangladesh includes following vaccine
  ক

  Measles

  খ

  Hepatitis B

  গ

  BCG

  ঘ

  Rotavirus

  ঙ

  Thyphoid
• Following vaccines are practiced in routine EPI schedule in Bangladesh
  ক

  Hepatitis B vaccine

  খ

  Inactivated polio vaccine

  গ

  Pneumococcal vaccine

  ঘ

  Rota viral vaccine

  ঙ

  Typhoid vaccine
• BCG vaccination of baby after birth
  ক

  Prevents tubercular meningitis in children

  খ

  Produces cell mediated immunity

  গ

  Is not recommended in children with immunodeficiency

  ঘ

  Prevent tuberculosis in all vaccinated children

  ঙ

  Not necessary in endemic area
• BCG
  ক

  Is derived from mycobacterium bovis

  খ

  Should be avoided in immuno-compromised patients

  গ

  Is a dead vaccine

  ঘ

  Is given subcutaneously

  ঙ

  Gives cent percent protection from disease
• Following vaccines may be used in immune compromised child
  ক

  Recombinant viral protein antigen

  খ

  Bacterial toxoid

  গ

  Killed whole bacterial cell

  ঘ

  Live attenuated virus

  ঙ

  BCG vaccine
• Examples of inactivated vaccines are
  ক

  Rabies

  খ

  Hepatitis A

  গ

  Yellow fever

  ঘ

  Rota virus

  ঙ

  Small pox