KMTC/QP-07/TIS
KENYA MEDICAL TRAINING COLLEGE – NYAMIRA
END OF YEAR 1 SEMESTER 2 EXAMINATION
MARCH 2013 KRCHN CLASS (PRE-SERVICE)
EPI AND COLD CHAIN
DATE: TIME: ..................
INSTRUCTIONS
1. Enter your examination number and question number on each page
used.
2. ALL questions are compulsory.
3. For part 1 (MCQs), write the answer in the spaces provided on the
answer booklet.
4. For Part 2 (SHORT ANSWER QUESTIONS), answer to each question
MUST be done on a separate sheet of paper.
5. For Part 3 (LONG ANSWER QUESTIONS), answer to each question
MUST be done on a separate sheet of paper.
6. Omission of and or wrong numbering of a question or part of the
question will result in 10% deduction of the marks scored from the
relevant part.
7. Do NOT use a pencil.
8. Mobile phones are NOT allowed in the examination hall.
KMTC/QP-07/TIS
SECTION I: MCQ QUESTIONS
1. Which of the following coordinates national immunization services.
A. All stateholders
B. Ministry of planning
C. Ministry of health
D. WHO
2. Which of the following best describes herd immunity.
A. Immunity that develops when a group of people are vaccinated together.
B. Immunity induced by vaccines used in vertinary medicine .
C. Immunity that develops in non-immunized persons who are in a community
that is well covered with a live vaccine.
D. Immunity developed in humans after using vaccines tested on animal herds.
3. A two month old child is brought to you for immunization for the first time, which
vaccines are you going to give?
A. DPT, measles, OPV
B. DPT, OPV, BCG
C. BCG
D. DPT, Measles
4. Simultaneous administration of several vaccines:-
A. Is harmful and not recommended
B. Can disturb development of immunity
C. Produces good immunity against each vaccine
D. May lead to complications.
5. Which of the following best describes a microplan.
A. A tiny fragment of a macroplan
KMTC/QP-07/TIS
B. A plan to control micro organism that cause EPI target disease
C. A detailed operational plan with clear indications of specific activities,
responsibilities, persons, resources, place and time of activities.
6. Which of the following should an EPI manger do to ensure financial sustainability.
A. Recruit a good finance officer into the EPI team.
B. Prepare a sound strategic plan in consultation with stakeholders and partners.
C. Exclude expensive vaccines from the immunization schedule to reduce
programmes cost.
D. Encourage the government to progressively contribute to programme cost.
7. Write “True or False” against each of the following statements.
A. Immunization can help your child gain weight.
B. One needle one syringe for each injection
C. Polio vaccine can protect your child from all diseases
D. Immunization is effective but a few immunized children can get the diseases.
E. A child cannot avoid measles
F. If your child is immunized he/she will be a bright student in future.
SECTION II: SHORT ANSWER QUESTIONS
1. List Five (5) key immunization operations and Three supportive components of an
immunization programme. 4 Marks
2. State Five (5) programmes that can be integrated with immunization.5 Marks
3. State Four (4) reasons why case definition of target diseases is important. 4 Marks
4. List Four (4) different TYPES of vaccines. 4 Marks
5. State Three (3) situations/ conditions in which a health worker should discard a
vaccine or diluent. 3 Marks
SECTION III: LONG ANSWER QUESTIONS
1. Describe the role of communication in immunization. 20 Marks