Immunisation: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Immunisation

Sample item

A 10-week-old infant brought for the second dose of pentavalent vaccine has a runny nose and a temperature of 37.8 degrees Celsius but is feeding well and active. What should be done?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Give the vaccine as scheduled

Mild illness such as a cold, low-grade fever or mild diarrhoea is a false contraindication to immunisation. Delaying leaves infants unprotected and missed visits often mean missed vaccines, so true contraindications are limited to conditions such as a previous severe reaction.

Option by option

  • A. Withhold all vaccines until fully recovered

    Waiting for complete recovery is unnecessary for a minor illness.

  • B. Give the vaccine as scheduled (correct)

    Correct. A mild respiratory illness does not impair response or safety.

  • C. Postpone for 4 weeks

    Postponing the dose for weeks leaves the child vulnerable without good reason.

  • D. Give only antipyretics and send the child home

    Sending the child home without the vaccine misses an opportunity to immunise.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More Pediatrics questions

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is B, Give the vaccine as scheduled. Mild illness such as a cold, low-grade fever or mild diarrhoea is a false contraindication to immunisation.

Why is "Withhold all vaccines until fully recovered" not the answer?

Waiting for complete recovery is unnecessary for a minor illness.

Why is "Postpone for 4 weeks" not the answer?

Postponing the dose for weeks leaves the child vulnerable without good reason.

Why is "Give only antipyretics and send the child home" not the answer?

Sending the child home without the vaccine misses an opportunity to immunise.

What concept does this question test?

It tests Immunisation in Pediatrics. Delaying leaves infants unprotected and missed visits often mean missed vaccines, so true contraindications are limited to conditions such as a previous severe reaction.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Immunisation?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.