SOCIAL MEDICINE AND COMMUNITY HEALTH
PAPER – II
Note : This paper contains hundred (100) objective type questions of two (2) marks each. All questions are compulsory.
1. Exposure to noise above which of the following dB levels causes permanent hearing loss as it may rupture the tympanic membrane :
(1) Over 60 dB
(2) Over 90 dB
(3) Over 100 dB
(4) Over 160 dB
2. As per ICRP recommendation the radiation dose to the whole population from all sources additional to the natural background should not exceed :
(1) 3 rems over a period of 10 years
(2) 5 rems over a period of 20 years
(3) 3 rems over a period of 30 years
(4) 5 rems over a period of 30 years
3. Corrected effective temperature in which a person feels pleasant and cool is :
(1) 20°C
(2) 23°C
(3) 26°C
(4) 28°C
4. The number of Community Health Centres (CHCs) in the country as on 31/3/17 were :
(1) 4000 – 5000
(2) 5000 – 6000
(3) 6000 – 7000
(4) 7000 – 8000
5. The number of sub-centres without both ANMs and Health Workers-Male as on 31 March 2017 in the country are :
(1) 1000 – 3000
(2) 3000 – 5000
(3) 5000 – 7000
(4) 7000 – 9000
6. According to WHO 2012 if
Fasting Plasma Glucose is <126 mg/100 ml and 2 hours plasma glucose after ingestion of 75 gm oral glucose load is 140 mg/100 ml to 200 mg/100 ml the diagnosis is :
(1) Diabetes
(2) Impaired Glucose Tolerance
(3) Impaired Fasting Glucose
(4) Normal
7. Body mass index (Quetelet’s index) is :
(1) 
(2) 
(3) 
(4) 
8. The term ‘Hidden Hunger’ refers to :
(1) Hunger amongst tribal communities
(2) Hunger amongst war torn area residents
(3) Micronutrient deficiency
(4) Severe malnutrition in young children
9. Which of the following is correct about type A sub-centre ?
(1) Facilities for conducting deliveries are there in the centre
(2) There is good connectivity with the catchment areas
(3) Case load of deliveries is high > 20 deliveries/month
(4) The ANMs at the centre should mandatorily be Skilled Birth Attendants (SBAs) trained
10. In standard normal curve mean ±2 SD covers % of curve :
(1) 50%
(2) 75%
(3) 95%
(4) 99%
11. Registration of pregnancy within 12 weeks is primary responsibility of :
(1) ASHA worker
(2) Gram sevika
(3) ANM
(4) AWW
12. No. of chromosomes in normal human Karyotype is :
(1) 40
(2) 45
(3) 46
(4) 50
13. Jaggery is rich in :
(1) Folic acid
(2) Vit. C
(3) Iron
(4) Calcium
14. Which of the following is not a phase in family cycle ?
(1) Formation
(2) Extension
(3) Maturation
(4) Contraction
15. Human development index value ranges between :
(1) 0 to 100
(2) 0 to 10
(3) 0 to 1
(4) 0 to 0.5
16. Under the National Programme, NCD clinic is established at :
(1) Anganwadi
(2) Sub-centre
(3) PHC
(4) CHC
17. Which of the following is dead end infection ?
(1) Rubella
(2) Tetanus
(3) TB
(4) Typhoid
18. The Hindu god of medicine is :
(1) Atreya
(2) Charaka
(3) Dhanvantari
(4) Vaghbhatt
19. Kyasanur forest disease is transmitted by :
(1) House fly
(2) Sand fly
(3) Hard tick
(4) Soft tick
20. MTP act allows aboration upto :
(1) 10 weeks
(2) 12 weeks
(3) 16 weeks
(4) 20 weeks
21. Which of the following is true for Live Vaccines ?
(a) Live vaccines are generally more potent than killed vaccines.
(b) Live vaccines have all major antigenic components but may lack in minor antigenic components.
(c) Live vaccines should not be administered to persons with immune deficiency diseases.
(d) All live vaccines require regular administration of booster doses.
Code :
(1) (a), (b) and (d) are correct
(2) (a), (c) and (d) are correct
(3) (a) and (d) are correct
(4) (a) and (c) are correct
22. Which of the following epidemiological features are true about AIDS ?
(a) HIV can be transmitted by mosquito bites.
(b) Maternofetal transmission is the most common mode of transmission.
(c) I.V. drug users are at increased risk.
(d) Health-care workers are at higher risk of getting infection.
Code :
(1) (a), (b) and (d) are correct
(2) (a), (b) and (c) are correct
(3) (c) and (d) are correct
(4) (b) and (c) are correct
23. Which of the following characteristics are present in mentally healthy persons ?
(a) Able to like and trust others
(b) Able to meet the demands of life
(c) Unable to accept his short-comings
(d) Has self respect
Code :
(1) (a) and (b) are correct
(2) (a) and (d) are correct
(3) (a), (b) and (d) are correct
(4) (a), (c) and (d) are correct
24. Which of the following statements correctly describe a ‘mob’ ?
(a) A crowd with a leader
(b) It is stable
(c) Lacks internal organization
(d) Has a symbol like a flag
Code :
(1) (a), (b) and (c) are correct
(2) (a), (c) and (d) are correct
(3) (b) and (c) are correct
(4) (b) and (d) are correct
25. Vector indices used for malaria are :
(a) Human blood index
(b) Breteau index
(c) Inoculation rate
(d) Chandler’s index
Code :
(1) (a) and (c) are correct
(2) (b) and (d) are correct
(3) (a), (b) and (c) are correct
(4) (c) and (d) are correct
26. Indications of platelet transfusion in a case of dengue haemorrhagic fever are :
(a) Platelets lesser than 40,000/cmm
(b) Prolonged shock with coagulopathy
(c) Hematocrit rise more than 10%
(d) Systemic massive bleeding
Code :
(1) (a) and (c) are correct
(2) (b) and (d) are correct
(3) (a), (c) and (d) are correct
(4) (a), (b) and (d) are correct
27. Vital events include :
(a) Marriage
(b) Adoption
(c) Divorce
(d) Major Surgical Operation
Code :
(1) (a), (b) and (c) are correct
(2) (a) and (c) are correct
(3) (b) and (d) are correct
(4) (a) and (b) are correct
28. Measures of dispersion include :
(a) Mean deviation
(b) Standard deviation
(c) Range
(d) Sampling error
Code :
(1) (a) and (b) are correct
(2) (b) and (d) are correct
(3) (a) and (c) are correct
(4) (a), (b) and (c) are correct
29. In public health practice the variables in which the data is displayed are :
(a) Discrete variable
(b) Absolute variable
(c) Continuous variable
(d) Positive variable
Code :
(1) (a), (b) and (c) correct
(2) (a) and (c) correct
(3) (c) and (d) correct
(4) (a) and (b) correct
30. Human Development Index (HDI) is a composite index combining the following indicators :
(a) Life expectancy at birth
(b) Infant mortality rate
(c) GNI per capita in Purchasing Power Parity (PPP) in US dollars
(d) Mean years of schooling
Code :
(1) (a), (b) and (c) are correct
(2) (b), (c) and (d) are correct
(3) (a), (b) and (d) are correct
(4) (a), (c) and (d) are correct
31. What is true about SARS ?
(a) Incubation period is commonly 3 – 5 days.
(b) Effective vaccine as 82% protective efficacy.
(c) Ribavirin has been shown to have no activity against the virus in vitro.
(d) Case fatality rate is ninety percent.
Code :
(1) (a) and (c) correct
(2) (a), (b) and (c) correct
(3) (b) and (d) correct
(4) (a), (c) and (d) correct
32. Sampling errors could be due to :
(a) Inter-observer variations
(b) Subject specific variations (natural variability)
(c) Inadequate sample size
(d) High refusal rate
Code :
(1) (a), (b) and (c) are correct
(2) (b) and (c) are correct
(3) (c) and (d) are correct
(4) (a) and (b) are correct
33. Which of the following are true about ‘Janani Suraksha Yojana’ ?
(a) The objective of the scheme is to reduce maternal and infant mortality through encouraging institutional deliveries.
(b) It is only for women below poverty line.
(c) ASHA would be responsible for making available institutional antenatal as well as post-natal care.
(d) All deliveries in low performing states conducted by the trained birth attendants at home are entitled to cash assistance of ` 1500.
Code :
(1) (a), (b) and (c) correct
(2) (a) and (c) correct
(3) (c) and (d) correct
(4) (a), (b) and (d) correct
34. Primordial prevention is/includes :
(a) Primary prevention in purest sense.
(b) Prevention after risk factors have developed in population.
(c) Efforts directed towards encouraging children from adopting harmful lifestyles.
(d) Main intervention through individual and mass education.
Code :
(1) (a), (b) and (c) are correct
(2) (a), (b) and (d) are correct
(3) (a), (c) and (d) are correct
(4) (b), (c) and (d) are correct
35. Models of Health Education include :
(a) Regulatory
(b) Primary Health Care
(c) Medical Model
(d) Social Intervention
Code :
(1) (a) and (c) are correct
(2) (b) and (c) are correct
(3) (c) and (d) are correct
(4) (b) and (d) are correct
36. Which of the following statements are true about mission Indradhanush ?
(a) It was launched by Govt of India on 25th December 2014.
(b) The goal is to vaccinate all under fives by the year 2020.
(c) 201 high focus districts will be covered in the first phase.
(d) No special vaccination campaigns will be conducted under the programme.
Code :
(1) (a), (b) and (c) correct
(2) (a) and (c) correct
(3) (c) and (d) correct
(4) (a) and (b) correct
37. The following are the dimensions of health which have been suggested/considered (ICSSR and ICMR 1981) :
(a) Education dimension
(b) Creative dimension
(c) Cultural dimension
(d) Anxious dimension
Code :
(1) (a) and (b) are correct
(2) (a) and (c) are correct
(3) (b) and (c) are correct
(4) (c) and (d) are correct
38. Table describes screening test results by diagnosis for a disease :
(a) Sensitivity of test is 40%
(b) Specificity of test is 60%
(c) Positive predictive value is 80%
(d) Negative predictive value is 90%
Code :
(1) (a) and (c) are correct
(2) (b) and (d) are correct
(3) (a) and (b) are correct
(4) (c) and (d) are correct
39. Table describes screening test results by diagnosis for a disease :
(a) Sensitivity of test is 80%
(b) Specificity of test is 90%
(c) Positive predictive value is 40%
(d) Negative predictive value is 60%
Code :
(1) (a) and (b) are correct
(2) (a) and (c) are correct
(3) (b) and (c) are correct
(4) (c) and (d) are correct
40. Following statements regarding newborn with an HBV positive mother are correct :
(a) Risk of transmission to newborn is 20% in HBe Ag negative mother.
(b) Risk of transmission to newborn is 20% in HBe Ag positive mother.
(c) Breast feeding is contraindicated.
(d) 50% severe cases of infantile hepatitis are result of untreated Pre-natal transmission.
Code :
(1) (a) and (c) are correct
(2) (b) and (d) are correct
(3) (a) and (d) are correct
(4) (b) and (c) are correct
41. Arrange in increasing order of no. of eggs produced by a female worm in human.
(a) A. Duodenale
(b) Whipworm
(c) Ascaris lumbricoides
(d) N. Americanus
Code :
(1) (a), (b), (c), (d) are correct
(2) (c), (d), (a), (b) are correct
(3) (b), (d), (a), (c) are correct
(4) (d), (a), (b), (c) are correct
42. Arrange new infectious diseases recognised in last five decades in chronological order of their recognition :
(a) H1 N1
(b) H5 N1
(c) Hepatitis-C virus
(d) H. Pylori
Code :
(1) (a), (b), (c), (d) are correct
(2) (b), (c), (d), (a) are correct
(3) (c), (d), (b), (a) are correct
(4) (d), (c), (b), (a) are correct
43. Pick up the correct chronological order for Health Committees given below :
(a) Mudaliar Committee
(b) Bhore Committee
(c) Mukerji Committee
(d) Kartar Singh Committee
Code :
(1) (a), (b), (c), (d) are correct
(2) (b), (a), (c), (d) are correct
(3) (a), (b), (d), (c) are correct
(4) (a), (c), (b), (d) are correct
44. Arrange the diseases according to implementation of national programmes for their control in India in chronological order :
(a) Trachoma
(b) Malaria
(c) Filaria
(d) Guinea Worm
Code :
(1) (a), (b), (c), (d) are correct
(2) (b), (c), (a), (d) are correct
(3) (d), (b), (a), (c) are correct
(4) (b), (d), (a), (c) are correct
45. Arrange the following activities according to increasing energy expenditure (kcal/hour) :
(a) Cleaning/mopping
(b) Walking
(c) Watching TV
(d) Gardening
Code :
(1) (c), (a), (b), (d) are correct
(2) (c), (d), (a), (b) are correct
(3) (c), (b), (a), (d) are correct
(4) (d), (c), (a), (b) are correct
46. Arrange the countries with increasing infant mortality rates :
(a) Sri Lanka
(b) Bangladesh
(c) Afghanistan
(d) Sweden
Code :
(1) (d), (a), (c), (b) are correct
(2) (a), (d), (b), (c) are correct
(3) (a), (d), (c), (b) are correct
(4) (d), (a), (b), (c) are correct
47. Arrange the National Policies according to year of announcement :
(a) National Child Policy
(b) National Policy for older persons
(c) National Health Policy
(d) National Population Policy
Code :
(1) (a), (b), (c), (d) are correct
(2) (a), (c), (d), (b) are correct
(3) (a), (b), (d), (c) are correct
(4) (c), (d), (a), (b) are correct
48. Arrange the following World Health Day themes in descending order of the year they pertain to :
(a) Antimicrobial resistance : “no action today, no cure tomorrow”
(b) 1000 cities, 1000 lives
(c) Save lives. “Make hospitals safe in emergencies”
(d) Ageing and Health, “Good health adds life to years”
Code :
(1) (a), (c), (d), (b) are correct
(2) (d), (a), (b), (c) are correct
(3) (c), (b), (a), (d) are correct
(4) (a), (d), (b), (c) are correct
49. Arrange the following food items in descending order as per their vitamin C content (mg per 100 gm) :
(a) Guava
(b) Lime
(c) Amla
(d) Orange
Code :
(1) (b), (d), (c), (a) are correct
(2) (c), (b), (a), (d) are correct
(3) (c), (a), (b), (d) are correct
(4) (a), (c), (d), (b) are correct
50. The mortality due to cancers amongst men in India in 2012 in decreasing order was as follows :
(a) Lung
(b) Colo rectum
(c) Prostrate
(d) Liver
Code :
(1) (a), (b), (c), (d) are correct
(2) (a), (b), (d), (c) are correct
(3) (b), (c), (a), (d) are correct
(4) (a), (c), (d), (b) are correct
51. Arrange the following blood groups (phenotypes) in ascending order of approximate frequency in Indian population :
Code :
(1) (a), (b), (c), (d) are correct
(2) (c), (d), (a), (b) are correct
(3) (c), (a), (b), (d) are correct
(4) (d), (c), (a), (b) are correct
52. Arrange in ascending order of average incubation period of respiratory infections :
(a) Measles
(b) Rubella
(c) Influenza
(d) Diptheria
Code :
(1) (c), (d), (a), (b) are correct
(2) (d), (c), (b), (a) are correct
(3) (a), (b), (c), (d) are correct
(4) (b), (c), (a), (d) are correct
53. Arrange interventions focussed on newborns under National Health Mission in chronological order :
(a) Facility Based Newborn Care
(b) Navjat Shishu Suraksha Karyakaram
(c) Rashtriya Bal Swasthya Karyakram
(d) Integrated Management of Neonatal and Childhood Illnesses
Code :
(1) (d), (a), (b), (c) are correct
(2) (a), (c), (b), (d) are correct
(3) (d), (b), (a), (c) are correct
(4) (a), (d), (b), (c) are correct
54. Arrange in chronological order according to year of implementation :
(a) Prenatal Diagnostic Technique Act.
(b) MTP Act.
(c) Central Maternity Benefit Act
(d) Prohibition of Child Marriage Act
Code :
(1) (a), (b), (c), (d) are correct
(2) (c), (d), (a), (b) are correct
(3) (d), (c), (b), (a) are correct
(4) (c), (b), (a), (d) are correct
55. Arrange in chronological order according to year of legislation :
(a) Water (Prevention and control of pollution) Act.
(b) Epidemic Disease Act.
(c) Central Births and Deaths Registration Act.
(d) Environment Protection Act.
Code :
(1) (a), (c), (b), (d) are correct
(2) (c), (a), (d), (b) are correct
(3) (b), (d), (c), (a) are correct
(4) (d), (b), (a), (c) are correct
Given below are paired statements, statement A (Assertion) and statement R (Reason). Select appropriate answer using code given below as follows : (Questions 56 to 75)
(1) Both (A) and (R) are true and (R) is the correct explanation of (A).
(2) Both (A) and (R) are true and (R) is not the correct explanation of (A).
(3) (A) is true but (R) is false.
(4) (A) is false but (R) is true.
56. Assertion (A) : Lipid disorder screening is recommended in population at high risk for coronary heart disease
Reason (R) : Detecting and properly managing lipid disorders early prevents development of atherosclerotic plaques.
57. Assertion (A) : The incubation period of staphylococcal food poisoning is short.
Reason (R) : Staphylococcal food poisoning results from ingestion of preformed exotoxin.
58. Assertion (A) : Tracking of blood pressure refers to recording the blood pressure in children, round the clock.
Reason (R) : Population strategy included in primary prevention of blood pressure involves, non-pharmaco-therapeutic interventions.
59. Assertion (A) : It is estimated that in 2010 there were 35.6 million. People living with dementia worldwide.
Reason (R) : The main reason for this high prevalence of dementia is better diagnostic facilities.
60. Assertion (A) : Traditional societies are best adapted to assimilate rapid changes.
Reason (R) : Traditional societies have a sense of continuity and immutability in patterns of social life.
61. Assertion (A) : Cysts are important in the transmission of E. Histolytica.
Reason (R) : Cysts of E. Histolytica remain liable for long and resist chlorination.
62. Assertion (A) : The prevalence of diabetes is approximately twice in urban areas than in rural population.
Reason (R) : Unfavourable modification of lifestyle and dietary habits are associated with urbanization.
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