Immunisation: rotavirus vaccine contraindication: practice question

A Pediatrics question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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Pediatrics · Immunisation: rotavirus vaccine contraindication

Sample item

Which infant should NOT receive the oral rotavirus vaccine?

AAn infant born at 34 weeks and clinically stableBAn infant with a mild coldCAn infant with a history of intussusceptionDAn asymptomatic HIV-exposed infant

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

C. An infant with a history of intussusception

A previous intussusception contraindicates the oral rotavirus vaccine because of a small excess risk of intussusception with it. Severe combined immunodeficiency is another contraindication. Minor illness, prematurity and HIV exposure are not.

Option by option

A. An infant born at 34 weeks and clinically stable
Stable preterm infants may be vaccinated.
B. An infant with a mild cold
A mild cold is a minor illness and not a contraindication.
C. An infant with a history of intussusception (correct)
Correct. Prior intussusception is a contraindication to the vaccine.
D. An asymptomatic HIV-exposed infant
Asymptomatic HIV-exposed infants may be vaccinated.

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.

Questions about this Pediatrics question

What is the answer to this Pediatrics question?

The best answer is C, An infant with a history of intussusception. A previous intussusception contraindicates the oral rotavirus vaccine because of a small excess risk of intussusception with it.

Why is "An infant born at 34 weeks and clinically stable" not the answer?

Stable preterm infants may be vaccinated.

Why is "An infant with a mild cold" not the answer?

A mild cold is a minor illness and not a contraindication.

Why is "An asymptomatic HIV-exposed infant" not the answer?

Asymptomatic HIV-exposed infants may be vaccinated.

What concept does this question test?

It tests Immunisation: rotavirus vaccine contraindication in Pediatrics. Severe combined immunodeficiency is another contraindication. Minor illness, prematurity and HIV exposure are not.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study Immunisation: rotavirus vaccine contraindication?

Memorise milestones and the vaccine schedule as tables and revise them often. Then use the flashcards and the other Pediatrics questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.