Pediatric Immunization: Final Exam (Comprehensive) -
Questions with Correct Answers
100 questions
1. Varicella can be severe in:
A. Only healthy toddlers
B. Only vaccinated children
C. No one
D. Adolescents, adults, newborns and immunocompromised people
Correct Answer: D. Adolescents, adults, newborns and immunocompromised people
Rationale: Higher risk groups.
2. Rubella in children usually causes:
A. Severe pneumonia always
B. Mild illness with rash and lymphadenopathy
C. Paralysis
D. Orchitis
Correct Answer: B. Mild illness with rash and lymphadenopathy
Rationale: Often mild.
3. Meningococcal serogroup B is a common cause of outbreaks in:
A. College campuses
B. Nursing homes
C. Daycares only
D. Hospitals only
Correct Answer: A. College campuses
Rationale: MenB vaccine.
4. For a clean, minor wound in a fully vaccinated child, a tetanus booster is needed if the last
dose was:
A. 1 year ago
B. 5 years ago
C. Never needed
D. 10 or more years ago
Correct Answer: D. 10 or more years ago
Rationale: Clean minor wound rule.
5. PedvaxHIB (PRP-OMP) primary series consists of doses at:
A. 2, 4 and 6 months plus booster
B. Birth only
C. 6 and 12 months
D. 2 and 4 months, followed by a booster at 12-15 months
Correct Answer: D. 2 and 4 months, followed by a booster at 12-15 months
Rationale: Two-dose primary series.
6. Nirsevimab is given by:
A. Oral drops
B. Nasal spray
C. Intramuscular injection
D. Subcutaneous pump
Correct Answer: C. Intramuscular injection
Rationale: Single IM dose.
,7. A child received HepA dose 1 at 12 months. The earliest valid date for dose 2 is:
A. 13 months
B. 24 months only
C. 4 years
D. 18 months of age
Correct Answer: D. 18 months of age
Rationale: 6-month interval.
8. A child should receive influenza vaccine:
A. Only in summer
B. Before the influenza season, ideally by the end of October
C. Only after infection
D. Every 5 years
Correct Answer: B. Before the influenza season, ideally by the end of October
Rationale: Seasonal timing.
9. HPV vaccine during pregnancy:
A. Is required
B. Is not recommended; delay until after pregnancy
C. Is preferred
D. Must be given in the third trimester
Correct Answer: B. Is not recommended; delay until after pregnancy
Rationale: Not recommended in pregnancy.
10. HPV vaccine protects against HPV types that cause about what proportion of cervical
cancers?
A. About 10%
B. About 25%
C. 100%
D. About 90%
Correct Answer: D. About 90%
Rationale: 9-valent vaccine.
11. If the fourth DTaP dose is given at age 4 years or older, the fifth dose:
A. Is still required
B. Is not needed
C. Must be Tdap
D. Must be given within 1 week
Correct Answer: B. Is not needed
Rationale: Catch-up rule.
12. A child who received one MMR dose at 15 months and is now 3 years old should:
A. Restart MMR
B. Skip MMR
C. Receive MMRV twice
D. Receive MMR #2 now or at 4-6 years (at least 28 days after dose 1)
Correct Answer: D. Receive MMR #2 now or at 4-6 years (at least 28 days after dose 1)
Rationale: Flexible second dose.
, 13. The 'minimum age' for a vaccine is:
A. The ideal age
B. The youngest age at which a dose is considered valid
C. The maximum age
D. The average age
Correct Answer: B. The youngest age at which a dose is considered valid
Rationale: Validity.
14. A child behind on vaccines is starting school next week. The best plan is to:
A. Wait until after school starts
B. Give all due vaccines now and schedule remaining doses at minimum intervals
C. Give only one vaccine
D. Skip vaccines
Correct Answer: B. Give all due vaccines now and schedule remaining doses at minimum
intervals
Rationale: Accelerated catch-up.
15. Pentacel (DTaP-IPV/Hib) cannot be used as the fifth DTaP dose because:
A. It is live
B. It is oral
C. It has no DTaP
D. It is licensed only through age 4 years
Correct Answer: D. It is licensed only through age 4 years
Rationale: Product age limits.
16. Reminder/recall systems are used to:
A. Bill insurance
B. Order vaccines
C. Report adverse events
D. Notify families when vaccines are due or overdue
Correct Answer: D. Notify families when vaccines are due or overdue
Rationale: Improve coverage.
17. Children with incomplete records due to disaster or displacement should:
A. Be vaccinated according to age, as extra doses are generally safe
B. Not be vaccinated
C. Wait for records
D. Receive antibiotics
Correct Answer: A. Be vaccinated according to age, as extra doses are generally safe
Rationale: Practical approach.
18. A healthy 6-year-old who never received Hib vaccine needs:
A. No Hib vaccine
B. 1 dose
C. 4 doses
D. 2 doses
Correct Answer: A. No Hib vaccine
Rationale: Not routinely recommended at 5 years and older.
Questions with Correct Answers
100 questions
1. Varicella can be severe in:
A. Only healthy toddlers
B. Only vaccinated children
C. No one
D. Adolescents, adults, newborns and immunocompromised people
Correct Answer: D. Adolescents, adults, newborns and immunocompromised people
Rationale: Higher risk groups.
2. Rubella in children usually causes:
A. Severe pneumonia always
B. Mild illness with rash and lymphadenopathy
C. Paralysis
D. Orchitis
Correct Answer: B. Mild illness with rash and lymphadenopathy
Rationale: Often mild.
3. Meningococcal serogroup B is a common cause of outbreaks in:
A. College campuses
B. Nursing homes
C. Daycares only
D. Hospitals only
Correct Answer: A. College campuses
Rationale: MenB vaccine.
4. For a clean, minor wound in a fully vaccinated child, a tetanus booster is needed if the last
dose was:
A. 1 year ago
B. 5 years ago
C. Never needed
D. 10 or more years ago
Correct Answer: D. 10 or more years ago
Rationale: Clean minor wound rule.
5. PedvaxHIB (PRP-OMP) primary series consists of doses at:
A. 2, 4 and 6 months plus booster
B. Birth only
C. 6 and 12 months
D. 2 and 4 months, followed by a booster at 12-15 months
Correct Answer: D. 2 and 4 months, followed by a booster at 12-15 months
Rationale: Two-dose primary series.
6. Nirsevimab is given by:
A. Oral drops
B. Nasal spray
C. Intramuscular injection
D. Subcutaneous pump
Correct Answer: C. Intramuscular injection
Rationale: Single IM dose.
,7. A child received HepA dose 1 at 12 months. The earliest valid date for dose 2 is:
A. 13 months
B. 24 months only
C. 4 years
D. 18 months of age
Correct Answer: D. 18 months of age
Rationale: 6-month interval.
8. A child should receive influenza vaccine:
A. Only in summer
B. Before the influenza season, ideally by the end of October
C. Only after infection
D. Every 5 years
Correct Answer: B. Before the influenza season, ideally by the end of October
Rationale: Seasonal timing.
9. HPV vaccine during pregnancy:
A. Is required
B. Is not recommended; delay until after pregnancy
C. Is preferred
D. Must be given in the third trimester
Correct Answer: B. Is not recommended; delay until after pregnancy
Rationale: Not recommended in pregnancy.
10. HPV vaccine protects against HPV types that cause about what proportion of cervical
cancers?
A. About 10%
B. About 25%
C. 100%
D. About 90%
Correct Answer: D. About 90%
Rationale: 9-valent vaccine.
11. If the fourth DTaP dose is given at age 4 years or older, the fifth dose:
A. Is still required
B. Is not needed
C. Must be Tdap
D. Must be given within 1 week
Correct Answer: B. Is not needed
Rationale: Catch-up rule.
12. A child who received one MMR dose at 15 months and is now 3 years old should:
A. Restart MMR
B. Skip MMR
C. Receive MMRV twice
D. Receive MMR #2 now or at 4-6 years (at least 28 days after dose 1)
Correct Answer: D. Receive MMR #2 now or at 4-6 years (at least 28 days after dose 1)
Rationale: Flexible second dose.
, 13. The 'minimum age' for a vaccine is:
A. The ideal age
B. The youngest age at which a dose is considered valid
C. The maximum age
D. The average age
Correct Answer: B. The youngest age at which a dose is considered valid
Rationale: Validity.
14. A child behind on vaccines is starting school next week. The best plan is to:
A. Wait until after school starts
B. Give all due vaccines now and schedule remaining doses at minimum intervals
C. Give only one vaccine
D. Skip vaccines
Correct Answer: B. Give all due vaccines now and schedule remaining doses at minimum
intervals
Rationale: Accelerated catch-up.
15. Pentacel (DTaP-IPV/Hib) cannot be used as the fifth DTaP dose because:
A. It is live
B. It is oral
C. It has no DTaP
D. It is licensed only through age 4 years
Correct Answer: D. It is licensed only through age 4 years
Rationale: Product age limits.
16. Reminder/recall systems are used to:
A. Bill insurance
B. Order vaccines
C. Report adverse events
D. Notify families when vaccines are due or overdue
Correct Answer: D. Notify families when vaccines are due or overdue
Rationale: Improve coverage.
17. Children with incomplete records due to disaster or displacement should:
A. Be vaccinated according to age, as extra doses are generally safe
B. Not be vaccinated
C. Wait for records
D. Receive antibiotics
Correct Answer: A. Be vaccinated according to age, as extra doses are generally safe
Rationale: Practical approach.
18. A healthy 6-year-old who never received Hib vaccine needs:
A. No Hib vaccine
B. 1 dose
C. 4 doses
D. 2 doses
Correct Answer: A. No Hib vaccine
Rationale: Not routinely recommended at 5 years and older.
