YEAR 05 • ADVANCED CLINICAL

Paediatrics

20 learning units • 100 chapter sections • 200 explained questions. Assess children from birth through adolescence, recognise urgent illness and plan safe treatment, prevention and family-centred follow-up.

Original RAHBAR study material for the Year 5 learning pathway. Clinical cases support supervised undergraduate learning. Treatment choices, doses and procedures must follow current local protocols and the responsible clinical team. References & further reading ↓

MODULE 17 / 20

Immunisation & Communicable Disease

Use current local schedules and recognise infections with individual and public-health implications.

Answer all 10 questions, then submit to see your score and explanations. This is a self-study exercise; results are not saved.

Question 01. Which schedule should guide routine vaccination in this local learning pathway? A. An assumed identical schedule from every countryB. A social-media listC. Only a sibling’s old recordD. Current Pakistan EPI and relevant catch-up guidance

Question 02. What should missing vaccination records prompt? A. Permanent abandonment of vaccinationB. Automatic assumption of complete coverageC. Assessment and an appropriate catch-up planD. No discussion with carers

Question 03. Is every mild illness a contraindication to every vaccine? A. NoB. YesC. Only at school ageD. Only with a runny nose

Question 04. Why ask about significant immunosuppression before vaccination? A. It makes every vaccine mandatory immediatelyB. It eliminates all infection riskC. Some live vaccines may be unsuitableD. It replaces consent

Question 05. Fever with cough, conjunctivitis and rash suggests which possible infection? A. Isolated constipationB. Simple iron deficiencyC. MeaslesD. Uncomplicated nephrotic syndrome

Question 06. What should happen when measles is suspected in a waiting area? A. Keep the child among vulnerable contactsB. Ignore exposure implicationsC. Wait for every result before precautionsD. Apply appropriate infection precautions and seek local advice

Question 07. Which history increases suspicion of childhood TB? A. Relevant contact with persistent symptoms or poor growthB. One resolved sneeze aloneC. A stable minor scarD. Normal appetite alone

Question 08. Does one negative test automatically exclude childhood TB? A. YesB. NoC. Only after vaccinationD. Only if cough is absent

Question 09. Can dengue warning signs appear as fever settles? A. NoB. Only after full recoveryC. Only after adulthoodD. Yes

Question 10. Which dengue feature warrants urgent reassessment? A. Improving appetite aloneB. Normal activity aloneC. A single resolved sneezeD. Persistent vomiting with abdominal pain or lethargy

0 / 10 answered

References & Further Reading

Read the relevant guideline sections alongside these original clinical teaching cases. Local pathways, available services and individual patient factors determine care.

Reference review: 28 September 2026. Consult current local protocols for prescribing, procedures and escalation.