BCQ BANK

Question code: __

Module:

Department: Community Medicine

Theme/ topic: _ communicable diseases Subtheme/ subtopic: INFLUENZA

System/Organ: _

Objective:

Level of Learner: UGME year 4TH YEAR

Miller’s Level: Knows/ knows how

Importance: Essential/ Important/Nice To Know

Difficulty level: Hard/ Moderate / Easy

A 16-year-old girl comes to the clinic with a sore throat, fever, and headache,
the symptoms resembled flu-like syndrome.

Lead in: Which of the following primary samples/specimen is collected for

the laboratory diagnosis of influenza virus?

Option list:

a. Blood
b. Sputum
c. Urine
d. Nasopharyngeal washing

a.

d
Key:

Reference:
 BCQ BANK

Question code: __

Module:

Department: Community Medicine

Theme/ topic: _ communicable diseases Subtheme/ subtopic: INFLUENZA

System/Organ: _

Objective:

Level of Learner: UGME year 4TH YEAR

Miller’s Level: Knows/ knows how

Importance: Essential/ Important/Nice To Know

Difficulty level: Hard/ Moderate / Easy

Q: A 5-year-old girl is brought to the pediatric office because of a fever for the
past 3 days. Her mother reports her daughter also has a constant cough and
runny nose. After speaking to other parents from the daycare her daughter goes
to, some of the other children have also experienced similar symptoms during this
winter season. The mother believes that her daughter is allergic to eggs and so
only receives vaccines absolutely required by her school. Physical examination
reveals a temperature of 39o C (103o F) with injection of the nares and
Lead in: ____________________________________________________
oropharynx, but no point findings on the heart or lung exam

Lead in: Based on these clinical findings, which of the following is the most
common complication of this diagnosis?

Option list:

a. Otitis media
b. Pneumonia
c. Febrile seizures
d. asthma

Key:
a
Reference:
 BCQ BANK

Question code: __

Module:

Department: Community Medicine

Theme/ topic: _ communicable diseases Subtheme/ subtopic: INFLUENZA

System/Organ: _

Objective:

Level of Learner: UGME year 4TH YEAR

Miller’s Level: Knows/ knows how

Importance: Essential/ Important/Nice To Know

Difficulty level: Hard/ Moderate / Easy

Q: A 12-year-old boy comes with his mother to the clinic for an annual check-
up. His past medical history is significant for a cardiac transplant 1 year ago. His
mother indicates that he has been well for the past year without complications.
He currently takes tacrolimus and mycophenolate mofetil. Physical examination
is unremarkable.

Lead in: Which of the following immunizations would be contraindicated in

this patient?

Option list:

a. Hepatitis A vaccine
b. Human papilloma virus vaccine
c. Intramuscular influenza vaccine
d. Intranasal influenza vaccine

Key:
d
Reference:

Authors’ name: Dr Zumaira

 BCQ BANK

Question code: __

Module:

Department: Community Medicine

Theme/ topic: _ communicable diseases Subtheme/ subtopic: INFLUENZA

System/Organ: _

Objective:

Level of Learner: UGME year 4TH YEAR

Miller’s Level: Knows/ knows how

Importance: Essential/ Important/Nice To Know

Difficulty level: Hard/ Moderate / Easy

The mother of a newborn infant brings her 2-week old child in for his first
checkup in November. The mother has heard reports on the local news of
influenza in the community and that young infants are at very high risk if they
contract the disease. She asks you if her child can be immunized.

Lead in: At what age can a child first receive influenza vaccine?

Option list:

A) Birth

(B) 2 months

(C) 4 months

(D) 6 months

Key:
d
Reference:

Authors’ name: Dr Zumaira

 BCQ BANK

Question code: __

Module:

Department: Community Medicine

Theme/ topic: _ communicable diseases Subtheme/ subtopic: INFLUENZA

System/Organ: _

Objective:

Level of Learner: UGME year 4TH YEAR

Miller’s Level: Knows/ knows how

Importance: Essential/ Important/Nice To Know

Difficulty level: Hard/ Moderate / Easy

Q: A 26-year-old pregnant woman comes to the clinic for her first visit at 8
week gestation. She does not report any current concerns. It is the month of
October and the influenza vaccine for this year is available.

Lead in: Based on the woman's current condition, why should the patient receive
or not receive the influenza vaccine at this visit?

Option list:

a. No, this patient should not receive the influenza vaccine at this visit because both forms of
the influenza vaccine (live attenuated and inactivated) are contraindicated during
pregnancy.
b. No, because both forms of the influenza vaccine (live attenuated and inactivated) are
contraindicated during the first trimester of pregnancy.
c. Yes, this patient should receive the inactivated influenza vaccine at this visit.
d. Yes, this patient should receive the live attenuated influenza vaccine at this visit.

c
Key:

Reference:

Authors’ name: Dr Zumaira