SOCIAL MEDICINE & COMMUNITY HEALTH
Paper – III
Note : This paper contains seventy five (75) objective type questions of two (2) marks each. All questions are compulsory.
1. Ideal temperature for storage of DPT vaccine at PHC level is
(A) 0 °C
(B) 2 to 8 °C
(C) Room temperature
(D) –20 °C
2. The drug of choice for chemo prophylaxis in Meningococcal Meningitis is
(A) Erythromycin
(B) Streptomycin
(C) Rifampicin
(D) Tetracycline
3. Most of the ElTor vibrios isolated in India belong to the
(A) Inaba serotype
(B) Ogawa serotype
(C) Hitojima serotype
(D) NAG serotype
4. Antibiotic of choice for treating cholera in adults except in pregnant women is
(A) Single dose of doxycycline 300 mg
(B) Tetracycline 500 mg 4 times a day and 3 days
(C) Furazolidone 100 mg 4 times a day and 3 days
(D) Trimethoprim (160 mg) + sulfamethoxazole (800 mg) twice a day × (multi-symbol 3 days
5. Sample registration system was initiated to provide
(A) Reliable estimates of birth and death rates at National and State levels
(B) Reliable estimates of population size
(C) Reliable estimates of morbidity pattern
(D) Reliable cause of death at National and State level
6. The commonest side effect of IUCD is
(A) Pain
(B) Pelvic infections
(C) Uterine perforation
(D) Increased vaginal bleeding
7. The cut off point for blood lead level above which clinical symptoms appear is
(A) 20 μg/100 ml
(B) 50 μg/100 ml
(C) 70 μg/100 ml
(D) 100 μg/100 ml
8. The incubation period of tetanus is usually
(A) 2 to 5 days
(B) 6 to 10 days
(C) 12 to 15 days
(D) 15 to 20 days
9. The additional daily calorie requirement during pregnancy is
(A) 300 Kcals
(B) 400 Kcals
(C) 500 Kcals
(D) 550 Kcals
10. As per the Central Births and Deaths Registration Act 1969, the time limit for registration of births without fine is
(A) 10 days
(B) 14 days
(C) 20 days
(D) 28 days
11. The Dosage of Fenthion used as Larvicide in mosquito control is
(A) 1 to 2 g/hectare
(B) 2 to 20 g/hectare
(C) 224 to 672 g/hectare
(D) 22 to 112 g/hectare
12. Daily requirement of vitamin C for an adult is
(A) 20 mg
(B) 40 mg
(C) 60 mg
(D) 80 mg
13. Gomez classification of PEM is based on
(A) weight for age
(B) weight for height
(C) height for age
(D) mid arm circumference
14. The life cycle of Malarial parasites in man may be described as
(A) Propagative
(B) Cyclo-propagative
(C) Cyclo-developmental
(D) A sexual cycle
15. Trypsin inhibitor is present in
(A) Hen egg
(B) Duck egg
(C) Milk
(D) Fish
16. What is the population norm for mini- Anganwadi centre in a tribal/ desert/riverine/hilly and other difficult areas ?
(A) 150 – 300
(B) 300 – 400
(C) 100 – 200
(D) 150 – 250
17. Which of the following diseases is found in India ?
(A) West Nile fever
(B) Murray valley encephalitis
(C) Yellow fever
(D) Colorado tick fever
18. Net Protein Utilization (NPU) is estimated from
(A) Biological value alone
(B) Biological value and protein efficiency ratio
(C) Biological value and digestibility coefficient
(D) Protein efficiency ratio alone
19. Sick New Born Care Units (SNCUS) are established at which of the following facilities ?
(A) First Referral unit
(B) District Hospital
(C) Community Health Centre
(D) Medical College
20. A corrected effective temperature of how many degree Celsius is considered comfortable in India ?
(A) 20 °C – 30 °C
(B) 20 °C – 25 °C
(C) 27 °C – 30 °C
(D) 25 °C – 27 °C
21. The cut off point for diagnosis of anaemia in children aged 6-14 years as recommended by WHO Expert Group is
(A) 13.8 g/dl haemoglobin
(B) 11.5 g/dl haemoglobin
(C) 12 g/dl haemoglobin
(D) 10 g/dl haemoglobin
22. Under the Indira Gandhi National Old Age Pension Scheme monthly pension is given to
(A) People aged more than 60 years and who are below poverty line
(B) People aged more than 65 years and who are below poverty line
(C) People aged more than 62 years and who are below poverty line
(D) Destitute elderly
23. Which of the following methods is used to remove the permanent hardness of water ?
(A) Boiling
(B) Adding lime
(C) Permutit process
(D) Adding sodium carbonate
24. Supplementary nutrition given to children, aged 6-72 months who are severely malnourished under ICDS is
(A) 800 calories and 20-25 gm protein everyday
(B) 500 calories and 15-20 gm protein everyday
(C) 1000 calories and 20-25 gm protein everyday
(D) 600 calories and 15-20 gm protein everyday
25. ‘Ujjawala’ is a comprehensive scheme launched by the Ministry of Women and Child Development to combat
(A) Child labour
(B) Child abuse
(C) Child trafficking
(D) Juvenile Delinquency
26. Under the ‘Nutrition Programme for Adolescent Girls’ the nutrition provided to each beneficiary is
(A) 600 calories through food per day
(B) 6 kg of free food grain per month
(C) ` 6 for buying food per day
(D) 6 gm proteins through food per day
27. Pasteurization of milk effectively kills all the following except :
(A) fever organisms
(B) Tubercle bacilli
(C) Salmonella
(D) Bacterial spores
28. Abdominal fat accumulation is indicated by waist hip ratio of
(A) more than 1.0 in men and more than 0.85 in women
(B) more than 0.85 in men and more than 0.5 in women
(C) more than 1.0 in men and more than 1.0 in women
(D) more than 1.5 in men and more than 0.85 in women
29. The only cancer in which some cases show spontaneous regression without treatment is
(A) Cancer breast
(B) Lung cancer
(C) Cancer cervix
(D) Oral cancer
30. The minimum number of antenatal visits recommended for a pregnant woman in India is
(A) 2
(B) 4
(C) 3
(D) 6
31. Which indicator is included in Human development index ?
(A) Infant mortality rate
(B) Maternal mortality rate
(C) Life expectancy at birth
(D) Proportion of immunized children
32. Factories Act applies to whole of India except
(A) Andhra Pradesh
(B) Jammu and Kashmir
(C) Himachal Pradesh
(D) Tamil Nadu
33. In a mosquito, period between a blood meal until eggs are laid is called
(A) Serial interval
(B) Genotrophic cycle
(C) Extrinsic incubation period
(D) Generation time
34. Source reduction in mosquito control comprises of
(A) Genetic engineering techniques
(B) Personal protection against bites
(C) Space sprays
(D) Minor engineering methods
35. Highest permissible level of chlorine in drinking water is
(A) 5 mg/lit
(B) 75 mg/lit
(C) 125 mg/lit
(D) 200 mg/lit
36. Waste water from kitchen is called
(A) Refuse
(B) Sullage
(C) Garbage
(D) Sewage
37. The disinfecting action of chlorine is mainly due to which molecule ?
(A) Chlorine
(B) Hypochlorine
(C) Hydrogen
(D) Hypochlorous
38. Which one is the most important single determinant of Infant mortality ?
(A) Mother’s age
(B) Family size
(C) Order of birth
(D) Birth weight
39. Residual action of HCH lasts for
(A) 1 month
(B) 3 months
(C) 10 months
(D) 12 months
40. For every case of paralytic poliomyelitis the estimated no. of subclinical cases are
(A) 10
(B) 100
(C) 400
(D) 1000
41. DEC has no effect against
(A) Microfilaria
(B) Adult worm
(C) 2nd stage larva
(D) Infective stage larva
42. The commonest opportunistic infection associated with HIV in India is
(A) Cryptosporidiosis
(B) Herpes simplex
(C) Tuberculosis
(D) Pneumocystis pneumonia
43. The daily requirement of Iodine in adult male
(A) 10 μ gm/day
(B) 50 μ gm/day
(C) 100 μ gm/day
(D) 150 μ gm/day
44. Primary health care concept was formed by Alma ata Conference in
(A) 1950
(B) 1970
(C) 1978
(D) 1998
45. The incidence of Hydatid disease is highest in
(A) Northern India
(B) Eastern India
(C) Southern India
(D) Western India
46. Specificity of a test refers to its ability to detect
(A) True positive
(B) False positive
(C) True negative
(D) False negative
47. The Body Mass Index (BMI) for a normal adult is
(A) 13.5 – 17.99
(B) 18.5 – 24.99
(C) 25.5 – 30.99
(D) 31.5 – 35.99
48. The most common site of cancer in males in India is
(A) Lung
(B) Prostate
(C) Oro-pharynx
(D) Esophagus
49. The non-modifiable risk factor for hypertension is
(A) Obesity
(B) Stress
(C) Salt intake
(D) Age
50. A case of acute flaccid paralysis must be observed for how many days for residual paralysis after onset of paralysis ?
(A) 15 days
(B) 30 days
(C) 45 days
(D) 60 days
51. Fast breathing in a two years old child is recognised at
(A) ≥ 60 breaths
(B) ≥ 50 breaths
(C) ≥ 40 breaths
(D) ≥ 30 breaths
52. Yellow fever is absent in India because
(A) Climatic conditions are not favourable
(B) Virus is not present
(C) Vector mosquito is absent
(D) Population is immune to the disease
53. Statistical power of a study is related to
(A) α error
(B) β error
(C) systematic error
(D) γ error
54. In estimation of statistical probability, Z score is applicable to
(A) Normal distribution
(B) Skewed distribution
(C) Binomial distribution
(D) Poisson distribution
55. There are no subclinical cases in which of the following infectious diseases ?
(A) Measles
(B) Poliomyelitis
(C) Cholera
(D) Diphtheria
56. Number of live births per thousand women in the reproductive age group in a given year is known as
(A) General Fertility Rate (GFR)
(B) Total Fertility Rate (TFR)
(C) Gross Reproduction Rate (GRR)
(D) Net Reproduction Rate (NRR)
57. If the prevalence is very low as compared to the incidence of a disease, it implies
(A) The disease has low mortality.
(B) The disease is very fatal and /easily curable
(C) The disease has a long latent period
(D) The disease has a short latent period
58. Living standard of people is best assessed by
(A) Infant Mortality Rate (IMR)
(B) Maternal Mortality Rate (MMR)
(C) Physical Quality of Life Index (PQLI)
(D) Perinatal Mortality Rate (PNMR)
59. External validity of a study indicates
(A) Reproducibility
(B) Credibility
(C) Generalizability
(D) Compatability
60. Odds ratio for estimation of strength of association is calculated in
(A) Cross sectional study
(B) Cohort study
(C) Intervential study
(D) Case-control study
61. Sullivan’s index indicates
(A) Life free disability
(B) Pregnancy rate per Hundred Women Years (HWY)
(C) Hook worm eggs/gm of stool
(D) Standard of living
62. Most difficult criterion to establish causal association in etiology of disease is
(A) Temporality
(B) Strength of association
(C) Specificity of association
(D) Biological plausibility
63. Population growth rate is rated to be explosive if the annual growth rate exceeds
(A) 0.5%
(B) 1.0%
(C) 1.5%
(D) 2.0%
64. When was the Health Policy first formulation in India ?
(A) 1983
(B) 1993
(C) 1973
(D) 2003
65. During which Five Year Plan Family Planning Programme was renamed as Family Welfare Programme ?
(A) Second
(B) Third
(C) Fourth
(D) Fifth Five Year Plan
66. Which of the following indirect causes contribute most for maternal mortality in India ?
(A) Anaemia
(B) Pregnancy with T.B.
(C) Pregnancy with Malaria
(D) Pregnancy with Hepatitis
67. Care at birth requires five cleans. Which of the following is not among them ?
(A) Clean hands
(B) Clean cord tie
(C) Clean water tap
(D) Clean razor blade
68. Which of the following institutions is responsible for issues pertaining to health education ?
(A) ICMR
(B) CBHI
(C) CHEB
(D) NIMS
69. Which of the following States in India ranks poorest in nutritional status of children below 5 years of age ?
(A) Chhatisgarh
(B) Orissa
(C) Uttarakhand
(D) Jharkhand
70. Under ICDS which of the following services are not delivered through the Anganwadi centre ?
(A) Sports training to children below 5 years
(B) Growth monitoring
(C) Nutritional supplement
(D) Pre-school education
71. National Malaria Control Programme was rechristened as National Malaria Eradication Program in 1958. When was the National Anti-Malaria Programme introduced ?
(A) 1979
(B) 1999
(C) 1989
(D) 2009
72. Which of the following is not a norm for the delivery of health and family welfare services to rural community in the hilly regions ?
(A) One CHC per 80,000 persons
(B) One sub-centre per 3000 persons
(C) One PHC per 20000 persons
(D) One ASHA per 1000 persons
73. Adolescent age starts from according to WHO
(A) 9 years
(B) 10 years
(C) 14 years
(D) 15 years
74. Lathyrism affects one of the following system :
(A) Gastro intestinal system
(B) Renal system
(C) Cardio vascular system
(D) Central nervous system
75. Commonly affected site of occupational cancer is
(A) Tongue
(B) Cervix
(C) Skin
(D) Brain
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