Pediatrics · Pediatric Immunization and Vaccines

A 9-month-old child arrives from a village for the first time. The vaccine register confirms no vaccines have been received. Which vaccines should be given TODAY at this visit?

  • A BCG + OPV 0 + Hepatitis B birth dose
  • B MR + OPV + Vitamin A + Pentavalent
  • C BCG + OPV + Measles-Rubella (MR) + Pentavalent + Vitamin A
  • D BCG + MR only (too late for Pentavalent)
Correct answer: C. BCG + OPV + Measles-Rubella (MR) + Pentavalent + Vitamin A

Explanation

Under India's catch-up immunization principles, a 9-month-old with zero doses should receive: BCG (given up to 1 year), OPV (given at 9 months during the catch-up), MR vaccine (due at 9 months under the NIS), and Pentavalent (all three primary doses are given at minimum 4-week intervals; at 9 months only first dose is given today). Vitamin A first dose is due at 9 months with MR. Birth dose of Hepatitis B is not given after 24 hours of birth but is included in Pentavalent. OPV birth dose is not given after 4 weeks of age.

Reference: Ghai Essential Pediatrics, 10th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

Written and medically reviewed by the StethoPrep medical team.

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