COMMUNITY MEDICINE- PAGE 1

COMMUNITY MEDICINE/ PUBLIC HEALTH -PAGE 1

1:-Bad breath is called
A:-Tuberculosis
B:-Halitosis
C:-Pediculosis
D:-Mycoses
Ans: B

2:-The first sign of dehydration in a child with diarrhoea is
A:-pinched skin retracts slowly
B:-unconsciousness
C:-increased thirst
D:-sunken fontanelles
Ans: C

3:-One sub centre covers the area of _________ population in general.
A:-5000
B:-10000
C:-20000
D:-30000
Ans: A

4:-''Rules of nines'' helps to identify the severity of
A:-haemorrhage
B:-burns
C:-growth retardation
D:-physical disability
Ans: B

5:-The following shows bleeding from an artery
A:-colour of blood is dark red
B:-blood oozes slowly
C:-profuse continuous bleeding
D:-blood squirts intermittently
Ans: D

6:-Heimlich maneuver is used as a first aid for managing
A:-choking
B:-poisoning
C:-shock
D:-burns
Ans: A

7:-Iso sorbid dinitrate is a drug used in the treatment of which of the following diseases
A:-Heart disease
B:-Infection
C:-Hypertension
D:-Cancer
Ans: A

8:-Normal haemoglobin for adult female is
A:-10-12 gm%
B:-13-17 gm%
C:-16-18 gm%
D:-12-15 gm%
Ans: D

9:-''Quickening'' occurs in primy gravida at __________ weeks of pregnancy.
A:-10-12 weeks
B:-18-20 weeks
C:-20-24 weeks
D:-26-28 weeks
Ans: B

10:-Chlorpheniramine is an _________ group of drug.
A:-Anticonvulsant
B:-Antihistamine
C:-Antacid
D:-Antibiotic
Ans: B

11:-One pint is equal to ________ ml.
A:-150
B:-200
C:-350
D:-500
Ans: D

12:-The direct cause of bedsore in a patient with incontinence of urine is __________.
A:-Pathogens
B:-Friction
C:-Pressure
D:-Moisture
Ans: D

13:-Inflammation of tongue is ___________.
A:-Glossitis
B:-Stomatitis
C:-Gingivitis
D:-Sinusitis
Ans: A

14:-Premature separation of a normally situated placenta after 28th week of pregnancy is
A:-placenta praevia
B:-habitual abortion
C:-placental abruption
D:-vesicular mole
Ans: C

15:-The hormone which is produced from pineal gland is
A:-Calcitonin
B:-Progesterone
C:-Ghrelin
D:-Melatonin
Ans: D

16:-The name of presentation in which the buttocks of foetus lies in the lower pole of uterus
A:-vertex
B:-face
C:-brow
D:-breech
Ans: D

17:-One gram of fat gives __________ calory energy when broken down.
A:-9 calories
B:-8 calories
C:-4 calories
D:-2 calories
Ans: A

18:-Which of the following is a killed vaccine?
A:-OPV
B:-BCG
C:-MMR
D:-Rabies
Ans: D

19:-The type of isolation technique used in conditions when pathogens are transmitted through fecal matter is
A:-respiratory isolation
B:-enteric isolation
C:-skin isolation
D:-blood isolation
Ans: B

20:-Immediate treatment of dog bite is
A:-Hospitalize
B:-Application of antiseptic
C:-Wash wound with soap and water
D:-Suturing of wound
Ans: C

21:-The vaccine which is given as intramuscular injection
A:-Measles vaccine
B:-BCG
C:-DT
D:-OPV
Ans: C

22:-The green stick type of fracture is common in which of the following group
A:-children
B:-elderly people
C:-women
D:-obese persons
Ans: A

23:-Venom of cobra attacks on
A:-Digestive system
B:-Nervous system
C:-Circulatory system
D:-Respiratory system
Ans: B

24:-Puerperium is the period in a woman's life which is
A:-First week after her first menstruation
B:-First 6 weeks after delivery
C:-First 2 weeks after marriage
D:-Period from conception to delivery
Ans: B

25:-Following is not a staff under primary health center
A:-Medical officer
B:-Health worker female
C:-Lab technician
D:-CT scan technician
Ans: D

26:-Following is a disease spread through the urine of rats
A:-Leptospirosis
B:-Chikungunya
C:-Malaria
D:-Dengue fever
Ans: A

27:-Which of the following statement about rice is false?
A:-Milled raw rice contains low amount of vitamin B
B:-Husked raw rice is a poor source of calcium
C:-Hand pounded undermilled rice is a fair source of B vitamins
D:-Par boiling of rice causes loss of thiamine while milling
Ans: D

28:-At how many weeks of gestation, uterus reaches the level of umbilicus
A:-32 weeks
B:-20 weeks
C:-22 weeks
D:-12 weeks
Ans: C

29:-MDT is a treatment approach for which disease
A:-AIDS
B:-Leprosy
C:-Tuberculosis
D:-Hepatitis
Ans: B

30:-Mission Indradhanush is a programme related to
A:-Palliative care
B:-Antenatal care
C:-Immunization
D:-Mental health
Ans: C

31:-PAP smear is a simple test to predict the occurrence of __________ in females.
A:-Ovarian cancer
B:-Breast cancer
C:-Oral cancer
D:-Cervical cancer
Ans: D

32:-The relationship of foetal head and limb to it's trunk is ___________
A:-Attitude
B:-Lie
C:-Presentation
D:-Polarity
Ans: A

33:-Anganwadis function under which central government programme
A:-BSS
B:-ICDS
C:-NMEP
D:-NRHM
Ans: B

34:-What is the management of postpartum haemorrhage?
A:-Give oxytocic drug
B:-Start an IV infusuion
C:-Massage uterine fundus in circular motion
D:-All the above
Ans: D

35:-Which of the following is a description of a 3rd degree tear after delivery?
A:-2 cm long tear on right medio lateral area of vagina after labour
B:-A tear involving vaginal muscles
C:-A tear involving anal sphincter
D:-A tear extending into vaginal mucosa
Ans: C

36:-A child doubles it's birth weight at
A:-6 months
B:-8 months
C:-10 months
D:-12 months
Ans: A

37:-Photo therapy is used to treat __________ in newborns.
A:-Physiological jaundice
B:-Anemia
C:-Convulsions
D:-Fever
Ans: A

38:-For a poor anaemic woman which of the following foods may be added to her diet in plenty
A:-Milk and curds
B:-Green leafy vegetables
C:-Fruits
D:-Cucumber
Ans: B

39:-Kidneys are composed of millions of functional units called ___________
A:-Neurones
B:-Rod cells
C:-Nephrons
D:-Follicles
Ans: C

40:-Which day is observed as world TB Day?
A:-October 30
B:-September 29
C:-February 14
D:-March 24
Ans: D

41:-_________ is added to water to remove temporary hardness.
A:-Calcium hydroxide
B:-Ion exchange resins
C:-Sodium carbonate
D:-Calcium carbonate
Ans: A

42:-__________ is the best spacing method for a woman who has one child.
A:-Copper T
B:-Tubectomy
C:-Oral pills
D:-Vasectomy
Ans: A

43:-MTP act came into force in India in the year _____________.
A:-1971
B:-1948
C:-1986
D:-1969
Ans: A

44:-Which of the following statements about the rights of children in India is false?
A:-A child has the right for physical emotional and social development
B:-A child's right to survival begins from birth
C:-A child has the right to be protected against all sorts of abuse
D:-A child has the right to participate in any decision directly involving himself
Ans: B

45:-The causative agent of Diphtheria is ___________.
A:-Bordetella
B:-Salmonella
C:-Coryne bacterium
D:-Mycobacterium
Ans: C

46:-Obesity is defined as a body mass index
A:-more than 30
B:-less than 18
C:-between 25 to 29
D:-From 20 to 25
Ans: A

47:-AIDS is transmitted by
A:-Bite of bed bugs
B:-Sitting on same bench with a patient
C:-Sexual contact with a patient
D:-Shaking hands with a patient
Ans: C

48:-The incubation period of influenza is
A:-1-2 days
B:-1-2 weeks
C:-15-20 days
D:-1-6 months
Ans: A

49:-The following is a measure to control dengue fever epidemic in your locality
A:-washing hands before eating food
B:-drinking only boiled water
C:-remove all collections of water from old tyres, broken toys etc
D:-covering mouth and nose while in public places with a mask
Ans: C

50:-The following is an advice given to an ante natal woman
A:-Do not wear cotton garments
B:-Do not eat fruits in early pregnancy
C:-Do not take vitamin supplements
D:-Do not take over the counter medicines
Ans: D

51:-Which of the following is a true statement about breast feeding?
A:-Breast feeding will not help in weight gain of a newborn baby
B:-If a baby develops diarrhoea breast feeding may be stopped temporarily
C:-Breast feeding should be started 2 hours after normal delivery
D:-Breast feeding promotes bonding between mother and baby
Ans: D

52:-Meconium is __________.
A:-Blood in urine
B:-First stool of a new born
C:-Breast milk produced in the first few days after delivery
D:-Discharge from uterus after delivery
Ans: B

53:-Pentavalent vaccine will NOT protect a baby against the following disease
A:-Hepatitis
B:-Pertussis
C:-Polio
D:-Diphtheria
Ans: C

54:-Ratio of cardiac compression to ventilation in giving basic life support for an adult is
A:-15 : 2
B:-20 : 2
C:-30 : 2
D:-40 : 2
Ans: C

55:-Oral pills should not be given to a woman with
A:-Menstrual problems
B:-Hypertension
C:-Asthma
D:-Vaginal infection
Ans: B

56:-The expected date of delivery of a woman with LMP on January 20 is
A:-July 20
B:-October 20
C:-September 27
D:-October 27
Ans: D

57:-The process of developing and providing planned experiences to supply information, change attitudes and influence behavior is
A:-Health promotion
B:-Wellness
C:-Health education
D:-Coordinated school health
Ans: C

58:-An android pelvis is one which has
A:-Kidney shaped brim
B:-5th lumbar vertebra fused to sacrum
C:-Heart shaped brim
D:-Ovoid brim
Ans: C

59:-An increase in thyroid hormone results in
A:-Addison's disease
B:-Cretinism
C:-Cushing's disease
D:-Grave's disease
Ans: D

60:-The UV radiation from the sun is likely to cause ___________ in human.
A:-Skin cancer
B:-Lung cancer
C:-Liver cancer
D:-Brain cancer
Ans: A

61:-Which of the following correctly lists the items from smallest to largest?
A:-DNA, genome, chromosome, gene
B:-DNA, gene, chromosome, genome
C:-Genome, gene, DNA, chromosome
D:-Gene, genome, DNA, chromosome
Ans: B

62:-Which of the following is not a function of medulla oblongata?
A:-Coordination of skeletal muscles
B:-Control of heart beat
C:-Control of respiratory rate
D:-Control of digestion
Ans: A

63:-The normal human uterus is described as
A:-unicornuate
B:-anteverted
C:-bicornuate
D:-subseptate
Ans: B

64:-The normal head circumference in a new born baby is
A:-35-40 cm
B:-33-35 cm
C:-20-30 cm
D:-45-50 cm
Ans: B

65:-Which of the following is an indication for induction of labor?
A:-Unrealiable EDD
B:-Cephalopelvic disproportion
C:-Malpresentation
D:-Previous large baby
Ans: D

66:-__________ is a deworming agent.
A:-Permethrin
B:-Amoxycillin
C:-Mebendazole
D:-Lysol
Ans: C

67. Pick the true statement about measles vaccine :
(A) Vaccine loses 25% of potency when kept at 20 degrees for 1 hour
(B) Both vaccine and diluent must be frozen
(C) Best immunological response to measles vaccine is seen in children at 12 months
(D) 2nd dose of measles vaccine should be introduced in a population with MCV1 coverage <50%
Ans: C

68. Pick the true statement about antigenic changes in influenza virus :
(A) Drift causes pandemics
(B) Shift is due to point mutation
(C) Shift is a gradual antigenic change over time
(D) Most antigenically stable among influenza viruses is Type C
Ans: D

69. The vaccine used for prevention of rubella :
(A) SA 14-14-2 (B) RA27/3 (C) A/California/7 (D) 17D vaccine
Ans: B

70. Rema aged 3 years presents to your OP with diarrhea of 2 days duration. She is drinking fluids. Her weight is 10 kg. Her requirements of ORS in the 1st 4 hours is :
(A) 300 ml (B) 350 ml (C) 500 ml (D) 750 ml
Ans: D

71. The dose of hepatitis B immunoglobulin to be given to a sexual contact of hepatitis B patient is :
(A) Not given, Give vaccine since sexual route (B) 0.01 ml/kg (C) 0.03 ml/kg (D) 0.06 ml/kg
Ans: D

72. The dose of Zinc to be given to child with diarrhea aged 9 months is :
(A) 10 mg for 5 days (B) 10 mg for 14 days (C) 20 mg for 5 days (D) 20 mg for 14 days
Ans: D

73. Hook worm infection may be regarded as a potential danger when Chandler’s index is :
(A) Below 150 (B) 150-200 (C) 200-250 (D) 250-300
Ans: C

74. The total osmolarity and concentration of sodium in low osmolarity ORS is :
(A) 250 m mol/ltr and 100 m mol/ltr (B) 245 m mol/ltr and 50 m mol/ltr (C) 311 m mol/ltr and 90 m mol/ltr (D) 245 m mol/ltr and 75 m mol/ltr
Ans: D

75. Children vaccinated with measles vaccine from a sub center developed abrupt onset of fever, vomiting and diarrhea 4 hours after immunization. During investigation of AEFI it was found that vaccine was used 5 hours after reconstitution. This can be classified as :
(A) Vaccine product related reaction
(B) Vaccine quality related reaction
(C) Immunisation error related
(D) Immunization anxiety related
Ans: C

76. The protocol that envisages prevention of depletion of ozone layer :
(A) Kentucky Protocol (B) Melbourne Protocol (C) Montreal Protocol (D) Kyoto Protocol
Ans: C

77. The total set of greenhouse gas emissions caused by an individual, event, organisation, product expressed as CO2 equivalent :
(A) Carbon foot print (B) Carbon credit (C) Carbon accounting (D) Carbon hole
Ans: A

78. The sustainable development goal associated with gender equality is :
(A) Goal 1 (B) Goal 3 (C) Goal 5 (D) Goal 7
Ans: C

79. The method of cleaning sand bed in rapid sand filter is :
(A) Cleaning (B) Scraping (C) Back washing (D) Back scraping
Ans: C

80. In determining the amount of bleaching powder required for a well using horrocks apparatus, it was found that blue colour was seen in the 3rd cup. Water in the well is 4550 litres. The amount of bleaching powder required is :
(A) 60 grams (B) 12 grams (C) 120 grams (D) 30 grams
Ans: A

81. A case control study done to prove association of fatty food intake and breast cancer showed an odds ratio of 4.3 (95% C.I-0.9-8.5). It means :
(A) Fatty food intake causes breast cancer (B) Fatty food intake protects against breast cancer (C) No significant relation between fatty food intake and breast cancer (D) Cannot be found out with limited data
Ans: C

82. AUDIT test is used in the screening for :
(A) Smoking (B) Alcohol (C) Non alcoholic beverages (D) Trans fats
Ans: B

83. Supranational lab for Tuberculosis in India is :
(A) National Tuberculosis Institute (NTI), Bangalore
(B) National Institute of TB & Respiratory Diseases (NIRTD), New Delhi
(C) Regional Medical Research Centre (RMRC), Bhubaneswar
(D) National Institute for Research in Tuberculosis (NIRT), Chennai
Ans: D

84. The false statement about end TB strategy :
(A) 95% reduction in TB deaths by 2035 compared to 2015
(B) 90% reduction in TB incidence rate by 2035 compared to 2015
(C) TB affected families facing catastrophic costs to 50% by 2030
(D) TB affected families facing catastrophic costs to 0% by 2030
Ans: C

85. Regarding intradermal vaccination against polio using IPV, schedule followed in Kerala :
(A) Single dose i.d at 6 weeks (B) Single dose i.d at 14 weeks (C) 2 doses i.d at 6 and 10 weeks (D) 2 doses i.d at 6 and 14 weeks
Ans: D

86. In case of adequate acute flaccid paralysis surveillance Non polio AFP rate in a population should be :
(A) >1/10,000 (B) >1/1,00,000 (C) <1/10,000 (D) <1/1,00,000
Ans: B

87. The current vaccine against dengue is :
(A) Monovalent vaccine (B) Bivalent vaccine (C) Trivalent vaccine (D) Tetravalent vaccine
Ans: D

88. Average number of children a woman would have if she were to pass through her reproductive years bearing children at the same rates as the women now in each age group is :
(A) General fertility rate (B) Age specific fertility rate (C) Gross reproductive rate (D) Total fertility rate
Ans: D

89. In the National Programme of Nutritional Support to Primary Education the nutritional supplement given to upper primary level is :
(A) 700 calories and 20 grams of protein
(B) 500 calories and 15 grams of protein
(C) 300 calories and 12 grams of protein
(D) 800 calories and 20 grams of protein
Ans: A

90. Current best measure of protein quality as per FAO and WHO :
(A) Amino acid score
(B) Protein Digestibility Corrected Amino Acid Score (PDCAAS)
(C) Digestible Indispensable Amino Acid Score (DIAAS)
(D) Protein efficacy ratio
Ans: C

91. The deficiencies in milk are :
(A) Iron and Vitamin C (B) Calcium and Vitamin C (C) Iron and Vitamin D (D) Iron and Vitamin B12
Ans: A

92. Energy requirements of a person decreases by __________ every decade after age of 60.
(A) 2% (B) 5% (C) 7% (D) 10%
Ans: D

93. The Z score weight for height of a child is −2.65. He is :
(A) Normal (B) Mild stunting (C) Severe wasting (D) Mild wasting
Ans: D

94. Number of measles vaccine required to immunize the target children in a town of 5000 with a birth rate of 30/1000 and a IMR of 100/1000 live births assuming wastage of 30% is :
(A) 135 (B) 150 (C) 190 (D) 270
Ans: C

95. Percentage of people using, at least one method of contraception, regardless of the method used is :
(A) Couple protection rate (B) Contraceptive prevalence rate (C) Effective couple protection rate (D) Overall couple protection rate
Ans: B

96. A randomized controlled trial comparing efficacy of 2 drugs showed that difference is statistically significant with a P value of < 0.001 but in reality the 2 drugs do not differ in their efficacy. This is an example of :
(A) Alfa error (B) Beta error (C) Theta error (D) Gamma error
Ans: A

97. An investigator wants to study the association between maternal intake of Protein (High, moderate and Low) and birth weight of children in grams. The statistical test to be used is :
(A) Kruskal wallis test (B) Unpaired t-test
(C) ANOVA (D) Ranks test
Ans: C

98. Correlation coefficient of GFR and Serum creatinine was found to be 0.8. What percentage in variation of Serum creatinine can be explained with GFR ?
(A) 16% (B) 80% (C) 64% (D) 88%
Ans: C

99. Funnel plot is used analyse :
(A) Recall bias (B) Confounding bias
(C) Publication bias (D) Meta-analysis
Ans: C

100. Pick the false statement about VDPV in polio :
(A) I-VDPV is a bigger threat that c-VDPV in eradication of polio
(B) c-VDPV’s are largely due to type 2 polio virus
(C) Consistent with prolonged replication or transmission
(D) Are diagnosed with rRT-PCR
Ans: A