2. Primitive Reflexes.

***) A normal full term newborn can demonstrate all of the following reflexes, except:

1. Moro reflex

2. Palmar grasp reflex

3. Sucking reflex

4. Parachute reflex

5. Rooting reflex

Answer: D* Parachute reflex

***) When examining a two months old infant you expect to find all the following reflexes except:

1. Moro Reflex

2. Parachute Reflex

3. Palmar Reflex

4. Rooting Reflex

5. Planter Reflex

Answer: B* Parachute Reflex

***) All of the following statements about Babinski reflex are true, except:

1. Positive response is considered to be normal in the first year of life

2. Negative response is also considered to be normal in the first year of life

3. Asymmetrical positive response is considered normal in the first year of life

4. It is considered as pathological reflex

5. It is induces by stimulating the lateral aspect of foot

Answer: E* It is induces by stimulating the lateral aspect of foot

***) Following a difficult delivery a unilateral Moro reflex is elicited. This is often a presenting sign of a:

1. Subdural hematoma

2. Tentorial tear

3. Fractured clavicle

4. Sepsis

5. Depressed skull fracture

Answer: C* Fractured clavicle

3. Vaccinations.

***) The first dose of DPT and oral polio vaccines is recommended at:

1. First day of life

2. 3 Weeks

3. 2 or 3 months

4. 6 Months

5. 9 Months

Answer: C* 2 or 3 months

***) DPT is a vaccine given to infants usually at 2 months of age, and protects from all of the following disease, except:

1. Diphtheria

2. Pertussis

3. Measles

4. Tetanus

5. Diphtheria and tetanus

Answer: C* Measles

***) Concerning oral polio vaccine OPV (Sabin) all of the following are true, except:

1. OPV is a live attenuated vaccine

2. OPV is best stored at 2-8° C

3. It is easy to administer

4. It is of definite value on controlling epidemics of polio

5. One dose is sufficient and will give long life immunity

Answer: E*One dose is sufficient and will give long life immunity

***) All these vaccines are alive attenuated, except:

1. Mumps

2. Measles

3. Yellow fever

4. Hepatitis B vaccine

5. Rubella

Answer: D* Hepatitis B vaccine

***) All of the following immunizations are generally performed using a live organism, except:

1. Poliomyelitis Sabin

2. Measles

3. Rubella

4. Whooping cough

5. Mumps

Answer: D* Whooping cough

***) The following immunizations are generally performed using a live attenuated organism, except:

1. Poliomyelitis

2. Measles

3. Bacillus Calmette Guerin BCG

4. Pertussis

5. Influenza

Answer: D* Pertussis

***) In immunosuppressed children, all of the following vaccines are contraindicated, except:

1. Measles vaccine

2. Oral polio vaccine

3. Rubella vaccine

4. Pertussis vaccine

5. BCG

Answer: D* Pertussis vaccine

***) One of the following vaccines can be given to patient with T-cell deficiency:

1. Pertussis

2. Oral polio

3. Rubella

4. BCG

5. Measles

Answer: A* Pertussis

***) Measles vaccine is given in Jordan at age:

1. 3 months

2. 6 months

3. 9 months

4. 15 months

5. 24 months

Answer: C* 9 months

***) Select the most appropriate statement:

1. Measles vaccine is a live attenuated virus

2. Prophylaxis against malaria is always effective

3. Tuberculosis can always be prevented by the BCG vaccine alone

4. The most important factor in the prevention of cholera is immunization with vaccine

5. The most important factor in the prevention of coronary heart disease are active exercises

Answer: A* Measles vaccine is a live attenuated virus

***) All of the following about rubella vaccine are true, except:

1. It is a live attenuated viral vaccine

2. It should not be given to children before the age of one year

3. It should not be administered to pregnant women

4. It may be associated with arthritis in adult females

5. It should not be administered with other viral vaccines

Answer: E* It should not be administered with other viral vaccines

***) Reactions to live MMR vaccine usually occur:

1. Within minutes after vaccination

2. Within 24 hours of injection

3. Within 48 hours of injection

4. After 6-8 days following the injection

5. After 14-21 days following the injection

Answer: D* Within minutes after vaccination

***) The national vaccination program in Jordan includes vaccination against all of the following, except:

1. Measles

2. Whooping cough

3. Diphtheria

4. Hepatitis A

5. Poliomyelitis

Answer: D* Hepatitis A