PSM

1. Caused by Mite
A. epidemic typhus
B. endemic typhus
C. scrub typhus
D. Q Fever

Explanation:-{Refer. Park 18/e, p 574; 19/e, p 622;20/e,p 672}

Agent

Epidemic Typhus Rickettsia Louse borne

prowazekii

Endemic Typhus Rickettsia typhi Fleas borne

Scrub Typhus Rickettsia Mite Borne

tsutsugamushi

Q Fever No Vector

Answer:- C. Scrub Typhus

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2. PHC population in tribal area

A. 10000
B. 20000
C. 30000
D. 40000

Explanation:-{Refer:- Park 18/e, p 693-695;19/e,p 734; 20/e, p 784}

Health Center Population In Population in Hilly

General Area

Subcentre 5000 3000

PHC 30,000 20,000

CHC 1,20000 80,000

Answer: B. 20,000

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3. Obesity defines above percentile?

A. 80
B. 85
C. 90
D. 95

Explanation:- {Refer:-http://www.cdc.gov/obesity/childhood/defining.html}

 The definition of obesity in children involves BMIs greater than the

85th (commonly used to define overweight) or the 95th (commonly
used to define obesity) percentile, respectively, for age-matched
and sex-matched control subjects.

For children and adolescents (aged 2–19 years), the BMI value is plotted
on the CDC growth charts to determine the corresponding BMI-for-age
percentile.

 Overweight is defined as a BMI at or above the 85th percentile and

lower than the 95th percentile.
 Obesity is defined as a BMI at or above the 95th percentile for
children of the same age and sex.

Answer:- D. 95

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4. Hardness of WATER define as ppm or mg/L

A. 75
B. 100
C. 125
D. 150

Explanation:- {Refer:- http://www.fcwa.org/water/hardness.htm }

Water Hardness Scale

Milligrams Per Liter

Grains Per Gallon (mg/L)or Parts Per Million Classification
(ppm)

less than 1.0 less than 17.1 Soft

1.0 - 3.5 17.1 – 60 Slightly Hard
3.5 - 7.0 60 – 120 Moderately Hard
7.0 - 10.5 120 – 180 Hard
over 10.5 over 180 Very Hard

Answer:- D. 150

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5. Essential component of RCH programme in India include all of

the following except:-
A. Prevention and management of unwanted pregnancies
B. Maternal care including antenatal delivery and postnatal
services
C. Reduce the under fiver mortality to half
D. Management of reproductive tract infections and sexually
transmitted infections

Explanation:-{Refer:- Park 18th/e, p343; 19th/e, p367}

RCH Programme

There are 4 essential Components:-

 Family Planning (Prevention and management of unwanted

pregnancy)

 CSSM (include maternal care including antenatal check up

delivery and postnatal service.

 Client approach of health care.

 Prevention or management of STD, RTI and AIDS.

Answer:- C. Reduce the under five mortality to half

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6. SENSITIVE FOR IODINE DEFICIENCY IN COMMUNITY-

A. Prevalence of goiter among school children
B. Urinary iodine levels among pregnant women
C. Neonatal hypothyroidism
D. Iodine level in soil

Explanation:- {Refer:- Park 18th/e, p451,467; 19th/e, p494}

Epidemiological assessment of iodine deficiency is necessary before

initiating an iodization programme and for surveillance of goiter control
programmes.

The Indicator’s are:-

 Prevalence of cretinism
 Prevalence of goiter
 Prevalence of Neonatal Hypothyroidism
 Urinary iodine excretion
 Measurement of thyroid function

Note:- Neonatal Hypothyroidism is the sensitive indicator of environmental

iodine deficiency.

Answer:- C. Neonatal Hypothyroidism

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7. Which of the following is correct for Case Fatality Rate:-

𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐗 𝟏𝟎𝟎𝟎
A.
𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐂𝐚𝐬𝐞𝐬

𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐗 𝟏𝟎𝟎𝟎

B.
𝐓𝐨𝐭𝐚𝐥 𝐏𝐨𝐩𝐮𝐥𝐚𝐭𝐢𝐨𝐧
𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐗 𝟏𝟎𝟎𝟎
C.
𝐌𝐢𝐝 𝐘𝐞𝐚𝐫 𝐩𝐨𝐩𝐮𝐥𝐚𝐭𝐢𝐨𝐧
𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐗 𝟏𝟎𝟎
D.
𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐂𝐚𝐬𝐞𝐬

Explanation:-{Refer:Park 18th/e, p50,52; 19th/e, p51,53}

Case Fatality Ratio 𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐗 𝟏𝟎𝟎

𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐂𝐚𝐬𝐞𝐬

Crude Death Rate 𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐝𝐮𝐫𝐢𝐧𝐠 𝐚 𝐲𝐞𝐚𝐫 𝐗 𝟏𝟎𝟎𝟎

𝐌𝐢𝐝 𝐘𝐞𝐚𝐫 𝐏𝐨𝐩𝐮𝐥𝐚𝐭𝐢𝐨𝐧

𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐝𝐞𝐚𝐭𝐡 𝐗 𝟏𝟎𝟎

Answer:-D.
𝐓𝐨𝐭𝐚𝐥 𝐍𝐨 𝐨𝐟 𝐂𝐚𝐬𝐞𝐬

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8. Functions of PHC are all except

A. Family planning and referral services
B. Referral services
C. Specialist services
D. Collection and reporting of vital statistics

Explanations: - {Refer:- Park 18/e, p696; 19/e, p 752; 20/e , p 804}

Functions of PHC
 Education concerning health problems and their control
 Collection and reporting of vital statistics
 Family planning (including maternal and child health care)
 Essential drugs
 Referral services
 Safe water supply and basic sanitation prevention used control
of locally endemic diseases.
 Training of health guides, health worker, local disease health
assistants etc.
 Immunization against vaccine preventable diseases
 Nutrition and promoting proper food supply
 Treatment of common diseases and injuries

Answer: C. Specialist services

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9. Primary Health Centre {PHC} is supposed to provide all except:-

A. Treatment of common ailments
B. Surgeries for acute emergency conditions
C. Vaccination
D. Health education

Explanations: - [Ref. Park 18/e, p696; 19/e, p 752; 20/e , p 804]

Functions of PHC
 Education concerning health problems and their control
 Collection and reporting of vital statistics
 Family planning (including maternal and child health care)
 Essential drugs
 Referral services
 Safe water supply and basic sanitation prevention used control of
locally endemic diseases.
 Training of health guides, health worker, local disease health
assistants etc.
 Immunization against vaccine preventable diseases
 Nutrition and promoting proper food supply
 Treatment of common diseases and injuries

Answer: B. Surgeries for acute emergency conditions

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10. Black color in triage is used for

A. Minor illness
B. Possible resuscitation
C. Immediate resuscitation
D. Dead and moribund patients

Explanation:- {Ref:- park 20/e, page 701}

Triage
 Based on likelihood of their survival
 Not Based on severity of their injuries
 Four color code
Color
Red Immediate life saving
surgery
Yellow Possible life saving surgery

Green Minor illness

Black Dead or moribund patients

Answer:- D. Dead and Moribund patients

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11. In a normal distribution curve, the True statement is:-

A. Mean = SD
B. Median = SD
C. Mean = 2 Median
D. Mean = Mode

Explanation:- {Refer:- Park 18th/e, p647; 19th/e, p702}

Normal Distribution
 Bell Shaped smooth curve
 It is symmetrical
 Variance = 1
 Variance = (Standard Deviation)2
 Standard Deviation = Area under curve
 Mean = Mode = Median = 0

Answer:- D. Mean = Mode

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12. In nalgonda tecqnique for defluridation of water agent used is

A. Soda +lime
B. Lime + Soda
C. Alum + Lime
D. Lime + Alum

Explanation:- {Refer:- Park 18th/e, p451, 467; 19th/e, p512}

 Fluoride content in drinking water ~ 0.5mg/l

 Recommended level of fluoride in drinking water = 0.5 to 0.8 mg/l

 Nalgonda technique is used for deflurination of water

 It removes fluoride ion by chemical treatment.
 This technique involve the addition of two chemical Lime and
Alum in sequence followed by flocullation sedimentation and
filtration.

Answer:- D. Lime + Alum

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13. R.O.M.E. defines by:-

A. Bhore committee
B. Kartar Singh Committee
C. Shrivastava Committee
D. Chadah Committee

Explanation:- {Refer:- ………………………….}

Committee Important Points

Bhore committee  Health Survey and
Development committee
 Prepare ‘Social
Physicians’
Kartar Singh Committee  Given MPW (Multi
Purpose Workers)
Shrivastava Committee  Medical education and
Support Manpower
 ROME (Reorientation Of
Medical Education)
Scheme
 Village health Guide
Scheme
 Development of Referral
services complex.
Chadah Committee  For Maintenance phase
of National Malaria
Eradication Programme
(NMEP)

Answer:- C. Shrivastava Committee

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14. In a chi square test degree of freedom for a table 3x6 will be
A. 8
B. 10
C. 12
D. 18

Explanation:- {Refer:- park 20/e, p 755}

Chi-Square Test (Χ2 – Test)

 It is a Non-parametric test of significance
 It is used for Non-Normal distribution
 It is used to test significance of association between 2 or
more Qualitative characteristics
 Degree of Freedom – is the no. of observation in a dataset
that can freely vary once the parameters have been
estimated
DOF = (c-1) (r-1)
c=no. of columns
r= no. of rows
Table Degree Of Freedom
2X2 Table 1
3X3 Table 4
4X4 Table 9
3X6 Table (given in Q) 10
5X5 Table 16

Answer:- B. 10

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15. Incubation period of HIV is

A. 5 years
B. 6 years
C. 8 years
D. 10 years

Important Incubation Periods

Diseasae Incubation Period (IP)
Rubella (German 14-21 days
Measles)
Mumps 14-21 days
Chicken Pox 14-16 days
Small Pox 7-17 days
Measles 10-14 days
Diphtheria 2-6 days
Yellow Fever 2-6 days
Tetanus 6-10 days
Rabies 3-8 weeks
HIV/AIDS Months – 10 years

Answer:- D. 10 years

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16. Primordial level of prevention is:-

A. Life style modification
B. Vaccination
C. Screening for disease
D. Rehabilitation

Explanation:- {Refer:- park 20/e, p 39}

Level of Prevention Mode of Intervention

Primordial Level Prevention of the development
of risk factors
 life style modification
 Individual Education
Primary Level Prior to onset of disease
 Health promotion
 Specific protection
Secondary Level Disease is possible
 Early diagnosis and
treatment
Tertiary Disease has developed
 Disability Limitation
 Rehabilitation

Answer:- A. Life Style modification

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17. All of the following are duties of female multipurpose worker

except:-
A. Registration of an pregnant women in her area
B. Distribution of conventional contraceptive
C. Active surveillance for malaria
D. Maintain birth and death registers

Explanation:- {Refer:- Park 18th/e, p697; 19th/e, p754-55}

A. Answer:- C. Active surveillance for malaria

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18. Rideal Walker coefficient or carbolic acid coefficient is used

for:-
A. Expressing efficiency of carbolic acid
B. Estimating the amount of carbolic acid required for disinfecting
faeces
C. Estimating amount of pure cresol in a crude phenol sample
D. Expressing efficacy of carbolic acid

Explanation:-{Refer:- Ananthnarayan 6th/e, p31}

Rideal Walker Coefficient (RWC):-

 A measure of the efficiency of a disinfectant compared with that of

phenol

 Also known as Carbolic Acid Coefficient

 Is used to represent germicidal power of a disinfectant

 Standard used for comparison is Phenol, because of RWC=1 for

Phenol

 Organism used for testing – S. typhi

Answer:- A. Expressing efficiency of carbolic acid

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19. Height of child become 100 cm at

A. 2 years
B. 3 years
C. 4 years
D. 5 years

Explanation:- {Refer:- nelson 18/e, p 72}

Age Of Child Growth of Height (In cm/mth)

0-3 mth 3.5
3-6 mth 2
6-9 mth 1.5
9-12 mth 1.2
1-3 yr 1 cm/mth
4-6yr 3 cm/ur

Answer:- 4 years

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20. sentinal survillance is done for?

A. Missed cases
B. Subclinical cases
C. Index cases
D. Prodromal infection cases
{Deepak PSM page 458, Q-123}

Explanation:- {Refer:- Park 19th/e, p37}

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21. BOARD DEVELOPMENT-THAT OPTION WITH 500000 FOR

500.[MY SUGGESTION]

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22. mothers milk deficient in all except :fats, proteins, vitamin C and
D, vitamin k
A. fats
B. proteins
C. vitamin C
D. vitamin K
{……..Deepak PSM page199, Q-17} {arora’s peads page 27,
Q=42} {Refer:- nelson 18/e, p 2079}

“Late” Haemorrrhagic disease of newborn is associated with Breast

Fed Infants, is a consequence of vit K deficiency.

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23. Carbohydrate in mid day meal programme is :

A. 100
B. 125
C. 150
D. 175

Explanation:-{Refer:-Park’s 20/e, p575}

Mid-Day Meal Scheme

 Also known as – National programme of Nutrional Support to primary
education
 Launched on 15th Aug. 1995
 Revised in 2004
 Minimum 300 Cal energy
8-12gm protein

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