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Pediatrics · Immunisation: varicella
Sample itemWhat is the IAP recommendation for varicella vaccination in a healthy 15-month-old child?
Original practice item, not a recalled exam question. Nothing here is recorded.
The answer and the reasoning
A. Two doses, with the second at least 3 months after the first
IAP recommends two doses of live varicella vaccine, the first from 15 months and the second at least 3 months later (some give it at 4 to 6 years). Two doses give better protection and reduce breakthrough disease. Pregnancy and immunodeficiency are contraindications.
Option by option
A. Two doses, with the second at least 3 months after the first (correct)
Correct. Two doses at least 3 months apart.
B. Vaccination is not recommended
Vaccination is recommended.
C. Give only after exposure
Post-exposure use is possible within 3 to 5 days but routine vaccination is advised.
D. One dose at 15 years
Fifteen years is too late.
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.
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