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Vaccines-Osce: Dr. Nibedita Mitra Southern Railways
Vaccines-Osce: Dr. Nibedita Mitra Southern Railways
1. It was launched by Ministry of Health and Family Welfare on Dec 25, 2014
IPV
Measles
Hepatitis B
Answer-6
vaccine Type Dose Route Schedule
OPV LAV 2 drops oral Birth,6,10,14
Sabin strain wks,15-18m,
5yrs,NID,SNID
VITAMIN A
1. How many total doses of Vitamin A
should be given and till what age?
2. What are the storage guidelines?
3. How long can a bottle of vitamin A
be used once it is opened?
4. Hari, 8 months old malnourished
infant is suffering from measles.
Please write the Vitamin A
supplementation schedule for him.
5. How should Vit A be
administered?
ANSWER-7
I. Five years age Arjun, was diagnosed to have Nephrotic syndrome, 4 wks
back. Presently he is on treatment and has no complaints. So parents have
brought him for immunization. Please advice.
2. Preethis mother has brought her for MMR vaccine. She thinks two vaccines
on the same day will be very painful and wants to come after 2 days for
varicella vaccine. Please advise.
3. 12 months old Surabhi was given I/V immunoglobulin for Immune mediated
Thrmbocytopenia. Please write the immunization advise at the time of
discharge.
Door nil 1
Total 5
QUESTION-10
1. Identify
2. Mode of action
VACCINE CARRIER
1 I. Identify
II. Give your comment
2
on
1.
2.
3.
4.
3 4
ANSWER-12
II.
Question-13
ONLY
PROPHYLAXIS
NO
CURE
Question-17
Define:
1. Vaccine Efficacy
2. Vaccine effectiveness
3. Ro
4. Phase 2 trial
5. Phase3 trial
Answer-17
1. VE = (ARU- ARV/ ARu)100
2. Vaccine effectiveness = VE+ herd immunity
3. Ro is Basic reproductive rate i.e avg no. of sec cases
generated by one primary case in susceptible
population.
3. Phase 3 trials are conducted in large no. of healthy
human volunteers for assessing vaccine safety &
immunogenicity.
4. RCT in large no. of subjects for assessing vaccine
safety & immunogenicity
QUESTION-18
One and a half month old male child Nishanth developed inconsolable cry for
4 hours and fever of 40.5 C one day after receiving DPT vaccine from a
PHC.
c. Will you advice DTaP for the next dose and if so why? (1)
a. Yes
d. Anaphylaxis and
encephalopathy within 7 days of DTwP vaccine
AEFI is classified as
Vaccine Reaction
Program error
coincidental
Injection
reaction
unknown
Answer 19 contd.
a. Anaphylaxis in a 3 yr boy after influenza vaccine-
Vaccine reaction
b. Toxic shock syndrome after measles vaccine.-
Program error
c. A 10yr girl faints after vaccination- injection
reaction
d. A 14 wks infant develops pneumonia after the
immunization - coincidental
e. Sterile abscess at the site of BCG vaccination-
vaccine reaction
f. Hepatitis B after Vaccination- program error
QUESTION-20
1. Needles
3. Wrapper of syringes
6. Needle caps
Answer-20
1. Needles Hub Cutter, 1% hypochlorite Soln.