NORCET 2 -2021 (Shift…: Match the following correctly? Disease Route A. Measles 1. Oral& x20; b. BCG 2. IM C. Hib 3. ID& x20; d. OPV…

NORCET 2 -2021 (Shift-2)

Pharmacology

Easy

Appeared in: NORCET 2 -2021 (Shift-2)

Explanation

The correct option correctly pairs each vaccine with its standard route of administration, which is critical for vaccine effectiveness.
Measles vaccine is administered subcutaneously (SC), often in the upper arm.
BCG vaccine is uniquely administered intradermally (ID) on the left deltoid to produce a characteristic scar.
Hib vaccine is given intramuscularly (IM), typically in the anterolateral thigh for infants.
Oral Polio Vaccine (OPV), as its name implies, is administered orally.

Option B: This option incorrectly matches Measles with Intradermal (ID), BCG with Subcutaneous (SC), Hib with Oral, and OPV with Intramuscular (IM). All pairings are incorrect.
Option C: This option incorrectly matches BCG with Intramuscular (IM) and Hib with Intradermal (ID). While it correctly identifies Measles (SC) and OPV (Oral), the overall sequence is wrong.
Option D: This option incorrectly matches Measles with Intramuscular (IM) and Hib with Subcutaneous (SC). All pairings except for BCG (ID) and OPV (Oral) are incorrect.

Clinical Relevance

Nursing practice connection: Knowing Vaccine Administration Routes helps nurses interpret findings accurately and avoid errors in routine assessment, medication administration, and patient teaching.
Administering a vaccine by the wrong route can lead to reduced efficacy or an increased risk of local or systemic adverse reactions. For example, giving BCG subcutaneously instead of intradermally can cause a severe local reaction or abscess.
A nurse's role in the Universal Immunization Programme (UIP) in India is critical. It involves not just administering vaccines but also ensuring the '5 Rights' of medication administration (right patient, right vaccine, right dose, right route, right time), maintaining the cold chain, and educating caregivers.
What if? If a nurse accidentally administers the BCG vaccine subcutaneously, they must immediately report the error. The child needs to be monitored for adverse effects like a local abscess, and the incident must be documented as per protocol. The vaccine dose may not be considered valid.

How to Approach the Question

First, read the two columns carefully to understand what needs to be matched: a list of vaccines and a list of administration routes.
Address each item in the first column one by one. Recall or determine the correct administration route for 'a. Measles'. It is Subcutaneous (4).
Continue this process for 'b. BCG' (Intradermal - 3), 'c. Hib' (Intramuscular - 2), and 'd. OPV' (Oral - 1).
Assemble the correct sequence of matches: a-4, b-3, c-2, d-1.
Finally, scan the given options to find the one that exactly matches the sequence you have determined.

Concept Tested & Keywords

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E6 Ghai Essential Pediatrics(pp 26-904 of 913) p. 187-189

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart A (pp 26-201 of 604) p. 99-101