SOCIAL MEDICINE AND COMMUNITY HEALTH
PAPER – II
Note : This paper contains fifty (50) objective type questions of two (2) marks each. All questions are compulsory.
1. The energy requirements of a 55 kg woman doing sedentary work according to ICMR 2010 is :
(1) 1500 k cal/d
(2) 1700 k cal/d
(3) 1900 k cal/d
(4) 2100 k cal/d
2. Vaccination is done for post exposure prophylaxis in :
(1) Measles
(2) Rabies
(3) Chickenpox
(4) Tetanus
3. The energy provided by dietary fibers is :
(1) 0 k cal/g
(2) 1 k cal/g
(3) 2 k cal/g
(4) 3 k cal/g
4. The first Indian state to introduce Panchayati Raj was :
(1) Tamil Nadu
(2) Uttar Pradesh
(3) Kerala
(4) Rajasthan
5. Incubation period in Cholera is :
(1) 0 – 5 days
(2) 6 – 10 days
(3) 10 – 15 days
(4) > 15 days
6. Clinical stage of Cholera has 3 stages except :
(1) Stage of evacuation
(2) Stage of Collapse
(3) Stage of Recovery
(4) Stage of laboratory investigation
7. According to IMNCI guidelines, immediate management of an under five child with visible severe wasting should include all of the following except :
(1) Keep the child warm
(2) Immunise
(3) Maintain blood sugar
(4) Vitamin A administration
8. Biologic transmission may include all except :
(1) Multiplication only without change in form
(2) Development without any multiplication
(3) Change in form as well as number
(4) Involvement of vertebrate host
9. Berkesonian bias occurs as a result of :
(1) Confounding
(2) Differing recall
(3) Systematic differences in selection of cases and controls
(4) Different rates of admission to hospital for different diseases
10. Regions free of rabies are :
(a) England
(b) Germany
(c) Goa
(d) Andaman and Nicobar
Code :
(1) (a) and (b)
(2) (b) and (c)
(3) (c) and (d)
(4) (a) and (d)
11. Virus which may cause cancer are :
(a) Hepatitis A
(b) Hepatitis B
(c) Hepatitis C
(d) HPV
Code :
(1) (a), (b) and (c)
(2) (b) and (c)
(3) (c) and (d)
(4) (b) and (d)
12. Clinical features of HIV infection have been classified into broad categories except :
(1) Initial infection with virus and development of antibodies
(2) AIDS related complex (ARC)
(3) AIDS
(4) Lymph node enlargement
13. Diseases which have been eradicated from India are :
(a) Smallpox
(b) Polio
(c) Plague
(d) Leprosy
Code :
(1) (a), (b) and (c)
(2) (a) and (b)
(3) (b) and (c)
(4) (c) and (d)
14. The Panchayati Raj at the village level consists of :
(a) Gram Sabha
(b) Gram Panchayat
(c) Nyaya Panchayat
(d) Panchayat Samiti
Code :
(1) (a), (b) and (c)
(2) (a), (b) and (d)
(3) (a), (c) and (d)
(4) (a) and (d)
15. Human Development Index (HDI) is a composite index combining indicator representing the following dimensions :
(a) Longevity (life expectancy at birth)
(b) Knowledge (mean years of schooling)
(c) Maternal mortality
(d) Gross National Income per capita in purchasing power parity in US dollars
Code :
(1) (a), (b) and (c)
(2) (a), (b) and (d)
(3) (b), (c) and (d)
(4) (a), (c) and (d)
16. The causative factors of disease referred to as epidemiological triad are –
(a) Agent
(b) Host
(c) Environment
(d) Vector
Code :
(1) (a), (b) and (c)
(2) (a), (b) and (d)
(3) (a), (c) and (d)
(4) (b), (c) and (d)
17. In the iceberg phenomenon of disease :
(a) The submerged portion of the iceberg represents in apparant cases.
(b) A list is made of existing and apparant cases.
(c) Physicians sees only tip of the iceberg.
(d) All diagnosed cases are treated.
Code :
(1) (a) and (b)
(2) (a) and (c)
(3) (a) and (d)
(4) (b) and (d)
18. Mass chemoprophylaxis is recommended for :
(a) Meningococcal meningitis
(b) Cholera
(c) Influenza
(d) Typhoid
Correct answer is :
(1) (a), (b) and (c) are correct.
(2) (a) and (c) are correct.
(3) (c) and (d) are correct.
(4) (a) and (b) are correct.
19. Type B (MCH sub centre) includes the following types of sub centres :
(a) There are nearby higher level delivery facilities.
(b) They have a good case load of deliveries from the catchment areas.
(c) Centrally or better located sub centres with good connectivity to catchment areas.
(d) They have good physical infrastructure.
Correct answer is :
(1) (a), (b) and (c) are correct.
(2) (a) and (b) are correct.
(3) (a) and (d) are correct.
(4) (b), (c) and (d) are correct.
20. Insulin resistance syndrome has :
(a) Dyslipidaemia
(b) Ketoacidosis
(c) Hypertension
(d) Hypoinsulinaemia
Correct answer is :
(1) (a), (b) and (c) are correct.
(2) (a) and (c) are correct.
(3) (c) and (d) are correct.
(4) (a) and (b) are correct.
21. Match the following List – I with List – II :
22. Match List-I with List-II
23. Match List – I with List – II :
24. Match the following List – I with List – II :
25. Match the following List – I with List – II :
26. Match List – I with List – II :
27. Match List – I with List – II.
28. Match the following List – I with List – II.
29. Match List – I with List – II.
30. Match List – I with List – II :
Given below are paired statements, statement A (Assertion) and statement R (Reason). Select appropriate answer using code given below as follows : (Questions 31 to 40) :
(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.
31. (A) Diphtheria control needs a high level of population immunisation.
(R) The vaccine being a toxoid is not directed against organisms.
32. (A) The ‘freeze sensitive ‘ vaccines will get spoilt if they are frozen.
(R) The ‘Shake Test’ is used to check whether the freeze sensitive vaccines have been damaged.
33. (A) Micronutrient deficiencies are referred to as ‘hidden hunger’.
(R) Health and development of a large population is affected by less obvious ‘invisible effects’.
34. (A) The proportion of deaths due to Non communicable diseases is increasing in India.
(R) It is due to the reduction in deaths due to communicable diseases and not to the absolute increase in non-communicable diseases.
35. (A) Cromium can cause an unusual glucose tolerance curve.
(R) Cromium has a role in carbohydrate metabolism.
36. (A) ‘Yield’ is the amount of previously unrecognised disease that is diagnosed as a result of screening efforts.
(R) It depends upon sensitivity and specificity .
37. (A) Direct standardization applies the age specific death rates of the population whose crude death rate is to be adjusted to a standard population.
(R) It removes the compounding effects of different age structures.
38. (A) IPV has been introduced in UIP in India.
(R) IPV increases herd immunity.
39. (A) Fortification of milk with vitamins A and D is a recommended public health measure.
(R) Milk is consumed consistently as part of regular diet.
40. (A) To calculate standard deviation we first need to take the deviation of each value in the sample from the mean.
(R) Standard deviation is a measure of central tendency like the mean.
41. Arrange lifestyle factors according to increasing strength of evidence for increasing the risk for development of type 2 diabetes.
(1) Excess alcohol, trans fat intake, saturated fat intake, physical inactivity
(2) Saturated fat intake, excess alcohol, trans fat intake, physical inactivity
(3) Excess alcohol, physical inactivity, trans fat intake, saturated fat intake
(4) Saturated fat intake, trans fat intake, excess alcohol, physical inactivity
42. Sequence in ascending order for percentage of alpha linolenic acid from total fatty acids for
cooking oils.
(1) Mustard oil, Canola oil, Rice bran oil, Soyabean oil
(2) Rice bran oil, Mustard oil, Canola oil, Soyabean oil
(3) Mustard oil, Rice bran oil, Soyabean oil, Canola oil
(4) Rice bran oil, Soyabean oil, Canola oil, Mustard oil
43. Sequence in ascending order for Saturated fatty acid composition as percentage of total fatty acids in fats is :
(1) Palmolein, Vanaspati, Ghee, Coconut oil
(2) Palmolein, Vanaspati, Coconut oil, Ghee
(3) Palmolein, Ghee, Vanaspati, Coconut oil
(4) Ghee, Palmolein, Vanaspati, Coconut oil
44. Lifestyle modifications according to increasing effect on reduction in Systolic BP are :
(1) Moderate alcohol consumption, DASH eating plan, Physical activity, Weight reduction
(2) Physical activity, DASH eating plan, Weight reduction, Dietary Sodium reduction
(3) Dietary Sodium reduction, Physical activity, DASH eating plan, Weight reduction
(4) Weight reduction, DASH eating plan, Dietary Sodium reduction, Physical activity
45. Chronological order for new infectious diseases recognised is :
(1) Rota virus, HIV, Hepatitis E, Hepatitis C
(2) HIV, Rota virus, Hepatitis C, Hepatitis E
(3) HIV, Rota virus, Hepatitis E, Hepatitis C
(4) Rota virus, Hepatitis C, Hepatitis E, HIV
46. Chronological sequence is :
(1) Health for all, Primary Health Care, Millenium Development Goals, Sustainable Development Goals
(2) Primary Health Care, Health for all, Millenium Development Goals, Sustainable Development Goals
(3) Primary Health Care, Millenium Development Goals, Sustainable Development Goals, Health for all
(4) Primary Health Care, Millenium Development Goals, Health for all, Sustainable Development Goals
47. Content of MUFAs as percentage of total fatty acids in cooking oils in ascending order is :
(1) Cotton seed oil, Corn oil, Sunflower oil, Safflower oil
(2) Sunflower oil, Safflower oil, Corn oil, Cotton seed oil
(3) Safflower oil, Sunflower oil, Cotton seed oil, Corn oil
(4) Cotton seed oil, Sunflower oil, Safflower oil, Corn oil
48. Arrange according to increasing crude birth rate (State of World’s Children, 2014).
(1) China, Sri Lanka, Bangladesh, Pakistan
(2) China, Sri Lanka, Pakistan, Bangladesh
(3) Sri Lanka, China, Bangladesh, Pakistan
(4) Sri Lanka, China, Pakistan, Bangladesh
49. Sequence in ascending order for percent content of essential fatty acids in cooking oils is :
(1) Sunflower, Mustard, Soyabean, Groundnut
(2) Mustard, Groundnut, Soyabean, Sunflower
(3) Soyabean, Mustard, Groundnut, Sunflower
(4) Groundnut, Mustard, Sunflower, Soyabean
50. Chronological order for launch of mentioned programmes is :
(1) National Smallpox Eradication Programme, Integrated Child Services Scheme, National Family Planning Programme, Pulse Polio Immunisation
(2) National Family Planning Programme, National Smallpox Eradication programme, Integrated Child Services Scheme, Pulse Polio Immunisation
(3) National Smallpox Eradication Programme, National Family Planning Programme, Integrated Child Services Scheme, Pulse Polio Immunisation
(4) National Smallpox Eradication Programme, Integrated Child Services Scheme, Pulse Polio Immunisation, National Family Planning Programme
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