{"question": "Mission Indradhanush is for", "exp": "ref : park 21st ed", "cop": 2, "opa": "non communicable disease", "opb": "universal immunization", "opc": "Family planning", "opd": "safe water and sanitization", "subject_name": "Social & Preventive Medicine", "topic_name": "All India exam", "id": "c1402844-0c2a-4219-8de0-585a18dd9db2", "choice_type": "single"} {"question": "Government of Pak has accepted iron fortification to reduce prevalence of anemia; it has recently been decided to fortify", "exp": null, "cop": 4, "opa": "Salt", "opb": "Skimmed dried milk", "opc": "Sugar", "opd": "Flour", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6018ab9d-e6aa-4d50-afaa-5a5fe40195f9", "choice_type": "single"} {"question": "Mercury is disposed by", "exp": null, "cop": 4, "opa": "Controlled combustion", "opb": "Deep burial", "opc": "Chemical treatment", "opd": "Safely collect and re-use", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "96a0590a-c568-4ac2-95cb-14cbef385f9e", "choice_type": "single"} {"question": "One DALY signifies", "exp": "DALY is a measure of overall disease burden, expressed as a number of years lost due to ill-health, disability or early death. 1 DALY = 1yr of healthy life lost Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition; Page 26", "cop": 2, "opa": "1 year of disease free life", "opb": "1 lost year of healthy life", "opc": "1 month of bedridden life", "opd": "1 day of diseased life", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "5cc35b79-7d6d-4f42-bc13-df7d1e6b33d1", "choice_type": "single"} {"question": "The infective form of malarial parasite through a blood transfusion is", "exp": "Modes of Malaria Transmission:\n• Bite of female anopheline mosquitoes:\n– Infective forms: Sporozoites Transfusion malaria\n• Injection of blood of a malaria patient containing asexual forms:‘Trophozoite induced malaria’ –\n– Transfusion malaria\n– Congenital malaria\n– Malaria in drug addicts", "cop": 2, "opa": "Merozoite", "opb": "Trophozoite", "opc": "Sporozoite", "opd": "Schizont", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3f9e03b0-bb53-418b-a420-d5a63f404b9c", "choice_type": "single"} {"question": "'Moron' is one with an IQ of", "exp": "Levels of intelligence IQ range Idiot 0 - 24 Imbecile 25 - 49 Moron 50 - 69 Borderline 70 - 79 Low normal 80 - 89 Normal 90 - 109 Superior 110 - 119 Very superior 120 - 139 Near genius 140 and over", "cop": 3, "opa": "0-24", "opb": "25-49", "opc": "50-69", "opd": "70-79", "subject_name": "Social & Preventive Medicine", "topic_name": "Mental Health", "id": "7948a629-ef97-4627-b861-62bdd399f224", "choice_type": "single"} {"question": "A &;group on medical education and suppo manpower&; is popularly known as", "exp": "The government of India in the ministry of health and family planning in November 1974 set up a &;group on medical education and suppo manpower&; popularly known as shrivastav committee1. to devise a suitable curriculum for training healthcare assistants2. to suggest steps for improving the existing medical educational processes 3. to make any other suggestions to realize the above objectives and matters incidental theretoRef: Park; 23rd ed; Pg 875", "cop": 3, "opa": "Kaar Singh committee", "opb": "Mudaliar committee", "opc": "Shrivastav committee", "opd": "Bhore committee", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "5a13458f-da6a-491a-bdca-3950e00e97ac", "choice_type": "single"} {"question": "RHIME is used for measuring", "exp": null, "cop": 2, "opa": "Neonatal Mortality rate", "opb": "Maternal Mortality rate", "opc": "Infant Mortality rate", "opd": "Perinatal Mortality rate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0f3be8c2-9c6e-4970-a3ad-86a5826b3f53", "choice_type": "single"} {"question": "Resource person for training of ASHA are", "exp": "NRHM created a cadre ASHA. ASHA must be a resident of the village A women of age group 25 -45 years with formal education upto eighth class having communication skills and leadership quality. The norm is 1 ASHA per 1000 population. AWWs and ANMs will act as resource persons for training ASHA. Ref: Park&;s textbook of preventive and social medicine.K Park. Edition 23.Pg no: 449,450", "cop": 2, "opa": "AWW and MPW", "opb": "AWW and ANM", "opc": "MPW and ANM", "opd": "ANM and MO", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "4450455a-fe22-40d4-a548-316d4fc3f38b", "choice_type": "single"} {"question": "Third generation IUCD is", "exp": "THIRD GENERATION IUDs A third generation of IUDs *based on still another principle, i.e., release of a hormone have become available on a limited scale. The most widely used hormonal device is progestase, which is a T -shaped device filled with 38 mg of progesterone, the natural hormone. The hormone is released slowly in the uterus at the rate of 65 mcg daily. It has a direct local effect on the uterine lining, on the cerl mucus and possibly on the sperms. Because the hormone supply is gradually depleted, regular replacement of the device is necessary. Another hormonal device LNG-20 (Mirena) is a T-shaped IUD releasing 20 mcg of levonorgestrel (a potent synthetic steroid); it has a low pregnancy rate (0.2 per 100 women) and less number of ectopic pregnancies. Long-term clinical experience with levonorgestrel releasing IUD has shown to be associated with lower menstrual blood loss and fewer days of bleeding than the copper devices. The levonorgestrel releasing IUD has an effective life of 10 years. The hormonal devices would be paicularly valuable for women in developing countries in whom excess blood loss caused by ine devices have been shown to result in significant anaemia. But these devices are more expensive, to be introduced on a wide scale. Ref: Park 25th edition Pgno : 548", "cop": 2, "opa": "ML CuT 250", "opb": "MIRENA", "opc": "CuT 380A", "opd": "Copper 7", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "467b4285-c0f3-42ac-b864-87ecefb8e1d9", "choice_type": "single"} {"question": "A study revealed that in study group, intake of carotene | ca colon but it is due to | fibre intake, This is due to", "exp": "A \"confounding factor\" is defined as one which is associated both with exposure and disease, and is distributed unequally in study and control groups. More specifically a \"confounding factor\" is one that, although associated with \"exposure\" under investigation, is Itself, independently of any such association, a \"risk factor\" for the disease. Ref : Park 23rd edition Pgno : 72", "cop": 4, "opa": "Sampling error", "opb": "Eastogical factor", "opc": "Misclassification bias", "opd": "Confounding factor", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "52ab8215-796a-4800-a272-2bfd854398cb", "choice_type": "single"} {"question": "The most appropriate test to assess the prevalence of TB infection in a community is", "exp": "Prevalence of tuberculosis is the percentage of individuals who show a positive reaction to the standard tuberculin test.Prevalence represents a cumulative experience of a population to recent and remote infection with Mycobacterium tuberculosis.limitations are high coverage of BCG vaccination. since most of the vaccinees become positive reactors to the tuberculin test and cross-sensitivity to atypical mycobacteriae.Park 23e pg: 172", "cop": 3, "opa": "Mass miniature radiography", "opb": "Sputum examination", "opc": "Tuberculin test", "opd": "Clinical examination", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "2c2981e6-bdf8-426a-b6c6-aaa684f53ad4", "choice_type": "single"} {"question": "Endemic ascitis is associated with the following aEUR'", "exp": "Pyrrolizidine Repeat from Nov 06 Endemic ascites is caused by a hepatotoxin - pyrrolizidine alkaloid found in weed seeds of Crotolaria (Jhunjhunia). These weed seeds of Jhunjhunia contaminate the millet seeds Panicum milare (locally k/a Gondhli) Endemic ascites presented in Sarguja district of Madhya Pradesh during 1973 & 1976 as outbreak of rapidly developing ascites and jaundice with high moality. Preventive measures - educating the people - deweeding of Jhunjhunia plants which grow along with the staple food-millet. - sieving to separate out the Jhunjhunia seeds from millet seeds. Other food toxicant diseases: Neurolathyrism - caused by toxin Beta oxalyl amino alanine (BOAA) found in seeds of pulse Lathyrus sativum (Khersari dal) Epidemic dropsy - caused by toxic alkaloid Sanguinarine found in argemone mexicana seeds. Argemone oil contaminates mustard oil. Aflatoxicosis is due to ingestion of aflatoxins produced by ceain fungi, Aspergillus flavus and A. parasiticus. Aflatoxins are hepatotoxins & also carcinogenic.", "cop": 1, "opa": "Pyrrolizidine", "opb": "Aflatoxin", "opc": "Sanguinarine", "opd": "Beta oxalylamino alanine (BOAA)", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c02f5a85-51f3-4caa-ae38-ca9e92801884", "choice_type": "single"} {"question": "The course of disease without any intervention is the definition of", "exp": "Answer: a) Natural history of disease (PARK 23rd ED, P-35)Natural history of disease signifies the way in which a disease evolves over time from the earliest stage of its prepathogenesis phase to its termination as recovery, disability or death, in the absence of treatment or prevention.NATURAL HISTORY OF DISEASEDisease processPre-pathogenesis phase Pathogenesis phaseDisease agent has not entered man After the entry of agent into the (man in the midst of disease or man susceptible human host exposed to the risk of disease) Outcome may be - recovery, disability orInteraction between agent, host & death environment required to initiate diseaseprocess in manLevels of preventionPrimary prevention Secondary preventionTertiary preventionModes of interventionHealth promotion Early diagnosisSpecific protection & treatmentDisability limitationRehabilitation", "cop": 1, "opa": "Natural history of disease", "opb": "Spectrum of disease", "opc": "Epidemiology", "opd": "Epidemiological triad", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "0ebc429e-919e-48d0-9358-e5b861e6aea1", "choice_type": "single"} {"question": "Phobia is exaggerated form of", "exp": "When the fear becomes exaggerated or unnecessary, it is called a phobia.A phobia is a type of anxiety disorder.Park 23e pg: 675", "cop": 1, "opa": "Fear", "opb": "Anger", "opc": "Suspicion", "opd": "Love", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "c3e6728c-776d-4665-a181-c138f2d0d98f", "choice_type": "single"} {"question": "Benzathine pencillin treatment in RHD is", "exp": "SECONDARY PREVENTION of Rheumatic hea disease Secondary prevention (i.e., the prevention of recurrences of RF) is a more practicable approach, especially in developing countries. It consists in identifying those who have had RF and giving them one intramuscular injection of benzathine benzyl penicillin (1.2 million units in adults and 600,000 units in children) at intervals of 3 weeks. This must be continued for at least 5 years or until the child reaches 18 years whichever is later. For patients with carditis (mild mitral regurgitation or healed carditis) the treatment should continue for 10 years after the last attack, or at least until 25 years of age, which ever is longer. More severe valvular disease or post-valve surgery cases need life-long treatment. This prevents streptococcal sore throat and therefore recurrence of RF and RHD. However, the crucial problem is one of patient compliance as penicillin prophylaxis is a long-term affair. Studies have shown that secondary prevention is feasible, inexpensive and cost-effective, when implemented through primary health care systems Ref: Park 25th edition Pgno : 402", "cop": 2, "opa": "Primary prevention", "opb": "Secondary prevention", "opc": "Primordial prevention", "opd": "Teiary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "a35abef1-037d-4e89-a37e-923eadfeecf6", "choice_type": "single"} {"question": "Nakayama strain is used in vaccination of", "exp": "Control of Japanese encephalitis:Vaccination: Population at risk has been recommendedThree types of JE vaccines in large-scale use arethe mouse-brain derived, purified and inactivated vaccine which is based on either the Nakayama or Beijing strains of JE virusthe cell culture-derived inactivated JE vaccine based on Bejing P-3 strain andthe cell culture-derived live attenuated vaccine based on the SA 14-14-2 strain of the JE virusVector control: Effective way to deal with them is to reso to aerial or ground fogging with ultra-low-volume insecticides Ref: Park; 23rd ed; pg no: 286", "cop": 2, "opa": "Yellow fever", "opb": "Japanese Encephalitis", "opc": "Kyasanur Forest Disease", "opd": "Ebola Fever", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "6d42b507-e1db-4242-a4d9-b178f9934372", "choice_type": "single"} {"question": "PPV does not depend on", "exp": "Positive Predictive Value(PPV) depends on\n\nSensitivity\nSpecificity\nPrevalence of disease\n\nPPV ∝ Prevalence of disease.\nPPV is directly proportional to prevalence of disease.", "cop": 4, "opa": "Sensitivity", "opb": "Specificity", "opc": "Prevalence of disease", "opd": "Incidence of disease", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "02686e88-16b5-431a-b436-7c4c783b0f9e", "choice_type": "single"} {"question": "The daily extra colorie requirement is first trimester of pregnancy is", "exp": null, "cop": 3, "opa": "50", "opb": "350", "opc": "150", "opd": "450", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "64def2d3-9cad-4b5b-b0b2-66670fcb260d", "choice_type": "single"} {"question": "According to Maslow&;s hierarchy of needs, following is at the top of the pyramid", "exp": "Maslow&;s hierarchy of needs from base to top: Physiological, safety, love/belonging, esteem, self-actualization.They describe the pattern that human motivations generally move through.", "cop": 2, "opa": "Physical needs", "opb": "Self actualization", "opc": "Safety", "opd": "Esteem recognization", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "6cdf81ee-fafa-4d0b-a62b-cf6c4079eae8", "choice_type": "single"} {"question": "Under Vision 2020, to check visual acuity, teacher will refer school child to", "exp": "Under Vision 2020, to check visual acuity, teacher will refer school child to Vision Centre Vision 2020 Right to Sight Major aim - eliminate avoidable blindness by 2020. They are Global India 1. Cataract 1. Cataract 2. RE + Low vision 2. RE + Low vision 3. Childhood blindness 3. Childhood blindness 4. Trachoma 4. Trachoma 5. Onchocerciasis (not present in India) 5. Diabetic Retinopathy 6. Glaucoma 7. Corneal Blindness Number of Authorised bodies Population Norms 2 (APEX) 1/500 million 20 (Centre of Excellence) 1/50 million 200 (Training Centre) 1/5 million 2000 (Service Centre) 1/500000 20000 (Vision Centre) 1/50000 Rajendra prasad institute of Ophthalmic sciences, AIIMS, Delhi: Services offered at Vision centre - vision testing - PMOA Service centre - cataract surgery - ophthalmologist Training centre - Training - opthal depament of medical college", "cop": 4, "opa": "Service centre", "opb": "Training centre", "opc": "Centre for excellence", "opd": "Vision centre", "subject_name": "Social & Preventive Medicine", "topic_name": "NCDs: CHD, HTN, DM, RF, Cancers, Obesity, Blindness", "id": "b88e1497-2b8e-4534-95d1-bcb90f363cdd", "choice_type": "single"} {"question": "Sullivan index is the measure of", "exp": "Ans. a (Disability rate). (Ref. FSM, Park, 17th/pg.22)SULLIVAN INDEX# This index (expectation of life free of disability) is computed by substracting from life expectancy the probable duration of bed disability and inability to perform major activities.# It is considered one of the most advanced indicator/measure of disability rate, currently available", "cop": 1, "opa": "Disability rate", "opb": "Pregancy rate", "opc": "GNP", "opd": "Literacy rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "f4fb2ce1-6954-4b53-a266-1cf75e3d71d3", "choice_type": "single"} {"question": "Boy with IQ of 62 will come under", "exp": "Ans. a (Mild MR). (Ref. PSM, Park, 17th/pg.468)IQ =Mental age-----------Chronological agex 100 Level of intelligenceIQIdiot0-24Imbecile25-49Moron50-69Borderline70-79Low normal80-89Normal90-109Superior110-119Very superior120-139Near genious>140", "cop": 1, "opa": "Mild MR", "opb": "Moderate MR", "opc": "Severe MR", "opd": "Normal", "subject_name": "Social & Preventive Medicine", "topic_name": "Social Science, Mental Health & Genetics", "id": "205fdcf7-6fd2-4090-add5-58a2978790fd", "choice_type": "single"} {"question": "The difference between contamination and infection is that in infection", "exp": "INFECTION The entry and development or multiplication of an infectious agent in the body of man / animals An infection doesn&;t always cause infection Levels of infection:- 1. Colonization- Staphylococcus aureus in skin and nasopharynx 2. Subclinical/inapparent infection- Polio 3. Latent infection- HSV 4. Manifest/clinical infection CONTAMINATION:- The presence of an infectious agent on a body surface, also on/in clothes, bed,toys, instruments or other inanimate substances including water, milk and food Reference: Park&;s textbook of Preventive and Social medicine; 23rd edition;, Page no. 92", "cop": 2, "opa": "Infectious agent is on body surface or on non-human objects", "opb": "Infectious agent is in the body of human", "opc": "Ahropods on the body surface", "opd": "Infectious agents on clothes", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "4620fa4f-60ac-4702-b054-71bffffe64c8", "choice_type": "single"} {"question": "Not seen in fecal pollution", "exp": null, "cop": 1, "opa": "Staphylococcus", "opb": "Streptococcus", "opc": "E.coli", "opd": "Clostridium perfringens", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "06e36549-80f8-45b5-991c-fef7fa6b135c", "choice_type": "single"} {"question": "Fecal contamination of water is evaluated by", "exp": "Coliforms are E. coli (faecal) and Klebsiella (non-faecal). E. coli is the most typical faecal coliform. They are chosen as the indicators of faecal pollution of water because, They are constantly present in abundance in the human intestine. They can be easily detected by culture methods. they tend to survive longer than the pathogens. they have greater resistance to forces of natural purification than waterborne pathogens. Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 780", "cop": 2, "opa": "Klebsiella", "opb": "E.coli", "opc": "Proteus", "opd": "Staphylococcus", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "562b428c-b0bb-4221-a08c-3b40da029907", "choice_type": "single"} {"question": "Not included among major criteria in acute rheumatic fever is", "exp": null, "cop": 3, "opa": "Erythema marginatum", "opb": "Chorea", "opc": "Polyarthralgia", "opd": "Pancarditis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f24156d8-db47-49cb-b005-7193e0956b2a", "choice_type": "single"} {"question": "Indicator solution in Horrocks apparatus contains", "exp": "Horrock&;s apparatus is designed to find out the dose of bleaching powder required for disinfection of water.Starch-iodide indicator solution is used.Park 23e pg: 728", "cop": 2, "opa": "Oho toludine", "opb": "Starch iodide", "opc": "Ohotoludine arsenite", "opd": "Bromocresol purple", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "f493e0d6-3175-4b90-9c8a-873f32b27b47", "choice_type": "single"} {"question": "The National Population Policy 2000 aims to achieve net reproduction rate by the year", "exp": "National Population Policy 2000 has the objective of bringing the total feility rate to replacement level by 2010 It also aims net reproduction rate by 1 by the year 2010 which the National health policy 1983 fails to achieve Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 493", "cop": 2, "opa": "2005", "opb": "2010", "opc": "2015", "opd": "2050", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "eaea23ee-710d-4367-abea-6e77610a425f", "choice_type": "single"} {"question": "Period Prevalence is", "exp": null, "cop": 2, "opa": "No of cases in a given point of time", "opb": "No of cases in a given year", "opc": "No of cases over a period of years mentioned", "opd": "Incidence of no of cases during a given period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ccc67563-0e36-487d-b051-916f1e404deb", "choice_type": "single"} {"question": "Acceptable noise levels in bed room", "exp": "Acceptable noise levels Expressed in dB (A), sound pressure levels conforming to weighting curve (A) Environment Place Acceptable noise level dB(A) Residential Bed room 25 Living room 40 Commercial Office 35-45 Conference 40-45 Restaurants 40-45 Industrial Work shop 40-60 Laboratory 40-50 Educational Class room 30-40 Library 35-40 Hospitals Wards 20-35 Ref: Park 25th edition Pgno : 779", "cop": 4, "opa": "40dB", "opb": "35dB", "opc": "20dB", "opd": "25dB", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "5f0259bf-60fb-4e72-bcc5-c6ade1450ca2", "choice_type": "single"} {"question": "Following age pyramid denotes", "exp": "The pyramid of developing country (e.g. India) has a broad base and a tapering top.\nIn developed countries, the pyramid generally shows a bulge in the middle and has a narrower base (as in figure given in the question).", "cop": 2, "opa": "Developing country", "opb": "Developed country", "opc": "Underdeveloped country", "opd": "Poor country", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a7d2a7d9-0397-4297-bf12-e355e5920226", "choice_type": "single"} {"question": "Village health Nutrition day is observed", "exp": null, "cop": 3, "opa": "Every day", "opb": "Every week", "opc": "Every month", "opd": "Every 6 monthly", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9e4ac74b-ab4f-482c-be76-e78f80c99ba1", "choice_type": "single"} {"question": "WER stands for", "exp": "An impoant activity of WHO is epidemiological surveillance of communicable disease. WHO collects and disseminates epidemiological information on diseases subject to International health regulations and occasionally other communicable diseases of international impoance through an Automatic Telex Reply service (ATRS) and the Weekly epidemiological record (WER)Park 23e pg: 920", "cop": 2, "opa": "World epidemiological record", "opb": "Weekly epidemiological record", "opc": "World epidemic record", "opd": "Weekly environmental record", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "e3f10d8b-15c6-4a55-8b3f-d7c48eadc4a1", "choice_type": "single"} {"question": "Reliability means", "exp": "ref: Park&;s 23rd edition pg138 Reliability / repeatability / precision: that is test must give consistent results when repeated more than once on the same individual or material, under the same conditions. note: Validity or accuracy: given by sensitivity and specificity. Diagnostic power or Predictablity: includes positive and negative predictive values. in order to include or exclude the person.", "cop": 1, "opa": "Number of times the same results on repeated trials", "opb": "Number of times variation is seen", "opc": "Extent of accuracy", "opd": "Level of simplicity", "subject_name": "Social & Preventive Medicine", "topic_name": "Screening", "id": "9bdeb339-ebe0-4ffc-8d30-d75cfeb8deef", "choice_type": "single"} {"question": "Reverse smoking causes", "exp": "Ans. (b) Carcinoma hard palateRef: K. Park 21sted. /357-58* In eastern coastal regions of Andhra Pradesh epidermoid carcinoma of hard palate is most common. It is linked with habit of reverse smoking of cigar (chutta), i.e., smoking with burning end inside the mouth.", "cop": 2, "opa": "Carcinoma lip", "opb": "Carcinoma hard palate", "opc": "Carcinoma soft palate", "opd": "Carcinoma lung", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "532b1298-a525-46ed-ae5b-9f26a63e8dc9", "choice_type": "single"} {"question": "Intramuscular Rabies vaccine Post exposure prophylaxis schedule is", "exp": "New Recommended Regimens/ Schedules { NEW GUIDELINES} Type of prophylaxis Regimen POST EXPOSURE INTRAMUSCULAR Essen Regimen (1-1-1-1-1) Day 0,3,7,14,28 POST EXPOSURE INTRADERMAL Updated Thai Red Cross Regimen (2-2-2-0-2) Day 0,3,7,28 POST-EXPOSURE IN VACCINATED INDIVIDUALS Day 0,3 PRE-EXPOSURE PROPHYLAXIS Day 0,7,21/28", "cop": 2, "opa": "1-1-0-1-1", "opb": "1-1-1-1-1", "opc": "2-2-2-0-2", "opd": "8-0-4-0-0-4", "subject_name": "Social & Preventive Medicine", "topic_name": "Impoant facts in Immunization, Newer Vaccines", "id": "2161312a-0f05-4f16-ac3c-bf04b778f472", "choice_type": "single"} {"question": "Transplacental transmission is not seen in", "exp": "HEPATITIS A Causative agent Enterovirus 72 (Picorna Virus) Incubation period 15-45 days Period of infectivity 2 weeks before to 1 week after onset of jaundice Sex distribution Equal in both sexes Children: More infected but mild or subclinical Reservoir Human cases Modes of transmission Fecal oral (Most common) Parenteral Sexual Disinfectant Formalin UV rays Boiling for 5 min Autoclaving Ref: Park 25th edition Pgno : 230-235", "cop": 3, "opa": "HIV", "opb": "Varicella", "opc": "Hepatitis A", "opd": "Hepatitis B", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "391b8e4c-a37d-4c90-8cf5-adff781d97e4", "choice_type": "single"} {"question": "Birth length of the baby doubles at", "exp": null, "cop": 4, "opa": "6 months of age", "opb": "1 year of age", "opc": "2 years of age", "opd": "4 years of age", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9c721db5-ede0-4feb-8f1c-2e64a1af2ffc", "choice_type": "single"} {"question": "Acceptable noise level in hospital wards", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 1, "opa": "20 - 35dB", "opb": "35 - 40 dB", "opc": "45-55dB", "opd": "50-60dB", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "a1e637db-b402-4437-9423-0f021527aa3d", "choice_type": "single"} {"question": "Iron source of poor man", "exp": null, "cop": 3, "opa": "Soya", "opb": "Orange fruit", "opc": "Jaggery", "opd": "Almond", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "605ac6f3-47ee-483b-b95e-9792b3882ae6", "choice_type": "single"} {"question": "Lowest incidence of trachoma is in", "exp": "• Prevalence rate of active trachoma infection in India 0-14 years (1986-89): –\nPunjab: 21.8%\nHaryana: 15%\nRajasthan: 17.1%\nUP: 11.7%\nOrissa: 10.2%", "cop": 2, "opa": "Punjab", "opb": "Orissa", "opc": "Rajasthan", "opd": "Uttar Pradesh", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b9d05a43-efbf-4ab9-aa05-f5b293bf6e80", "choice_type": "single"} {"question": "Bajaj committee in 1986 proposed", "exp": "Bajaj Committee, 1986An \"Expe Committee for Health Manpower Planning, Production and Management\" was constituted in 1985 under Dr J.S. Bajaj, the then professor at AIIMS. Major recommendations are :Formulation of National Medical & Health Education Policy.Formulation of National Health Manpower Policy.Establishment of an Educational Commission for Health Sciences (ECHS) on the lines of UGC.Establishment of Health Science Universities in various states and union territories.Establishment of health manpower cells at centre and in the states.Vocationalisation of education at 10+2 levels as regards health-related fields with appropriate incentives, so that good quality paramedical personnel may be available in adequate numbers.Carrying out a realistic health manpower survey.", "cop": 2, "opa": "Multipurpose health worker", "opb": "Manpower and planning", "opc": "Rural health service", "opd": "Integrated health services", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "fb7788f1-39e5-4a7f-a76d-6acbba8efc5d", "choice_type": "single"} {"question": "Mission Indradhanush 2014, does not include", "exp": null, "cop": 4, "opa": "Diphtheria vaccine", "opb": "Pertussis vaccine", "opc": "Hepatitis B Vaccine", "opd": "Meningococcal vaccine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6e270de0-0bcc-48cd-b0c2-f1b4606f764c", "choice_type": "single"} {"question": "The heart of activated sludge process is", "exp": null, "cop": 4, "opa": "Secondary sedimentation tank", "opb": "Primary sedimentation", "opc": "Digestion tank", "opd": "Aeration tank", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1b600233-2c22-4651-9f4c-cc2526b6ea1c", "choice_type": "single"} {"question": "Maternal mortality rate (MMR) is expressed as", "exp": null, "cop": 3, "opa": "Per 100,000 births", "opb": "Per 1000 live births", "opc": "Per 100,000 live births", "opd": "Per 1000 births", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3a222ba0-56e0-4b22-b259-ef577f5302fc", "choice_type": "single"} {"question": "Disease not under integrated disease surveillance project is", "exp": "Herpes Zoster is not under integrated disease surveillance project. Disease under integrated disease surveillance includes, Malaria, Typhoid, JE, Dengue, Measles, TB, Polio, Cholera, Hepatitis, Leptospirosis, Yellow fever, Anthrax, Plague, Meningoencephalitis etc. Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 475", "cop": 4, "opa": "TB", "opb": "Meningoencephalitis", "opc": "Cholera", "opd": "Herpes Zoster", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "b36c0a68-f191-4991-888e-337e4708af16", "choice_type": "single"} {"question": "Most common emotion of man", "exp": null, "cop": 1, "opa": "Fear", "opb": "Anger", "opc": "Anxiety", "opd": "Love", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3bdfe8ea-1c09-4256-8819-7521ac50c86b", "choice_type": "single"} {"question": "Crude birth rate is a simplest measure of fertility because it includes", "exp": "Crude birth rate : Number of live births in a year per 1000 mid-year population.\nCBR is simplest indicator of fertility : Total mid-year population is not exposed to child bearing thus it doesnot give true idea of fertility of a population.", "cop": 1, "opa": "Mid year population", "opb": "Total population", "opc": "Live births only", "opd": "Pre-term births", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3a8e7aa5-55e3-4312-8dd6-e177633a5173", "choice_type": "single"} {"question": "IQ of a normal person is", "exp": "Idiot: 0-24Imbecile: 25-49Moron: 50-69Borderline: 70-79Low normal: 80-89Normal: 90-109Superior: 110-119Very superior 120-139Near genius 140 and over Park 23e pg: 679", "cop": 3, "opa": "70-79", "opb": "80-89", "opc": "90-109", "opd": "110-119", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "19b52e07-9a55-4442-a548-bbeb3185d75d", "choice_type": "single"} {"question": "Highest pregnancy rate is associated with", "exp": null, "cop": 1, "opa": "Lippies loop IUD", "opb": "Copper T IUD", "opc": "Progestatsert IUD", "opd": "LNG - IUD", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7c940917-e44f-431b-adef-f45f34b67c7d", "choice_type": "single"} {"question": "Example for \"AMPLIFIER HOST\"", "exp": "
Infected pigs do not manifest any ove symptoms of illness but circulate the virus so that mosquitoes get infected and can transmit the virus to man. Thus pigs are thus considered as &;amplifiers&; of the virus. Reference:Park&;s textbook of preventive and social medicine,K.Park,23rd edition,page no:285. <\\p>", "cop": 1, "opa": "Pig in JE", "opb": "Dog in hydatid disease", "opc": "Cattle in mad cow disease", "opd": "Rat in plague", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "c802f688-ef4c-46fa-b557-766366c4ae38", "choice_type": "single"} {"question": "The newer contraceptive program introduced in Family Planning is", "exp": "The Ministry of Health and Family Welfare has launched two new contraceptives, an injectable contraceptive MPA (medroxyprogesterone) under the 'Antara' programme and a contraceptive pill, 'Chhaya' (Centchroman), in the public health system to expand the basket of contraceptive choices to meet the emerging needs of couples.", "cop": 2, "opa": "Parivahana", "opb": "Antara", "opc": "Prerana", "opd": "Indradanush", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "ae23aa9a-7190-43ca-a343-e74cf987e250", "choice_type": "single"} {"question": "Randomization means", "exp": "Randomization is a statistical procedure by which the study paicipants are allocated into groups usually called study and control groups; to receive or not receive an experimental preventive or therapeutic procedure, maneuver or intervention Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 90", "cop": 1, "opa": "Mixing of cases and controls", "opb": "Selecting cases", "opc": "Selecting controls", "opd": "Vaccine and Erythromycin", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "66b09375-9193-4ccb-9bdf-0612c5da8aa6", "choice_type": "single"} {"question": "Infections transmitted from man to animals is known as", "exp": null, "cop": 2, "opa": "Anthropozoonoses", "opb": "Zooanthroponoses", "opc": "Zoonoses", "opd": "Amphixenosis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "80a9379f-dc0f-4ca7-b890-569cd80713fd", "choice_type": "single"} {"question": "The optimum floor space recommended for a adult person in a house is", "exp": "The accepted standards are:110sq ft or more : 2 persons90-100 sq ft : 1 1/2 person70- 90 sq ft : 1 person50-70 sq ft : 1/2 personUnder 50 sq ft : nilA baby under 12 months is not counted; children between 1 to 10 years counted as half a unit.Park 23e pg: 752", "cop": 1, "opa": "70 to 90 sq.ft", "opb": "101 to 150 sq.ft", "opc": "151 to 200 sq.ft", "opd": "201 to 250 sq.ft", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "ec8a55b2-c24e-45ba-adc2-8b071f53a31f", "choice_type": "single"} {"question": "Scabies, an infection of the skin caused by Sarcoptes scabiei, is an example of", "exp": "Water washed diseases: Include infections of the outer body surface which occur due to inadequate use of water or improper hygiene. Examples : Scabies, Trachoma, Typhus, Bacillary, Dysentry, Amoebic Dysentry Ref: A Dictionary Of public Health by Dr.J.kishore Pgno : 575-576", "cop": 2, "opa": "Water borne disease", "opb": "Water washed disease", "opc": "Water bashed disease", "opd": "Water related disease", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "775d26b5-0258-44f7-9615-53905f9164f8", "choice_type": "single"} {"question": "District health officer visited local general stores in Gujranwala District. He found certain substandard products, Turmeric was found to be containing lead chromate powder and Coriander, cow dung. He reported to the health authorities that the foods in Gujranwala district are", "exp": null, "cop": 1, "opa": "Adulterated", "opb": "Fortified", "opc": "Intoxicated", "opd": "Infected", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2f1adfa9-d13d-4f4b-9a3e-12aaec6b8678", "choice_type": "single"} {"question": "Waist Hip Ratio in men that indicate obesity", "exp": null, "cop": 3, "opa": "> 0.85", "opb": "> 0.95", "opc": "> 1", "opd": "> 1.5", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ff0c1890-3cb3-4860-bfc1-7271ee281380", "choice_type": "single"} {"question": "Prevalence is a", "exp": "Ref: Parks 23rd edition pg 61 Prevalence is a propoion. Time is not mentioned. Point prevalence of a disease is defined as the number of all current cases (old and new) of a disease at one point of time, in relation to a defined population.", "cop": 3, "opa": "Rate", "opb": "Ratio", "opc": "Propoion", "opd": "Mean", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "0f47f721-07b4-4ba2-9642-bd60d6224224", "choice_type": "single"} {"question": "Dosage of Albendazole given as per National deworming program in <2years old child.", "exp": null, "cop": 1, "opa": "200mg", "opb": "400mg", "opc": "500mg", "opd": "2 tablets of 400 mg", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1f89a37b-99d7-4837-9169-3fc3f0547cbf", "choice_type": "single"} {"question": "Standardized mortality rate is standardized for", "exp": null, "cop": 1, "opa": "Age", "opb": "Disease", "opc": "Region", "opd": "A particular time period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7b7cd68d-b3de-4d22-9507-c22e7cad7e05", "choice_type": "single"} {"question": "To prevent Yellow Fever Aedes aegypti index should be less than", "exp": "1%", "cop": 2, "opa": "0.50%", "opb": "1%", "opc": "2%", "opd": "5%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e8560a54-8991-4a24-b1ea-4f636533f40c", "choice_type": "single"} {"question": "KISHORI SHAKTI YOJANA has been designed to improve nutritional status of", "exp": null, "cop": 4, "opa": "Adult men", "opb": "Senior citizens", "opc": "Under five children", "opd": "Adolescent girls", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b08a4524-efe2-4f96-bd7e-88ccdc56a9aa", "choice_type": "single"} {"question": "Temporary hardness of water is due to", "exp": null, "cop": 1, "opa": "Calcium and magnesium Bicarbonate", "opb": "Calcium and magnesium carbonate", "opc": "Potassium carbonate", "opd": "Chlorine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ff944ad3-c16d-47da-ba9d-ac229ecaffe3", "choice_type": "single"} {"question": "In pregnancy content of Iron in IFA tablet is", "exp": null, "cop": 1, "opa": "100 mg", "opb": "200 mg", "opc": "500 mg", "opd": "800 mg", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "31692dd0-581c-4551-8484-df13cbe73635", "choice_type": "single"} {"question": "Post exposure active immunization can be done fora) Rabiesb) Measlesc) Cholerad) Yellow fever", "exp": null, "cop": 2, "opa": "da", "opb": "ab", "opc": "da", "opd": "ac", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0558373f-4a5b-4ccf-9e36-8a04844cadb7", "choice_type": "single"} {"question": "“Inertization” deals with", "exp": "The process of ‘Inertization’ involves mixing biomedical waste with cement and other substance before disposal, so as to minimize risk of toxic substances contained in waste to contaminate ground/surface water. inertization is especiallysuitable for pharmaceuticals and for incineration ashes with high metal content.", "cop": 1, "opa": "Mixing biomedical waste with cement and other substance before disposal", "opb": "Incineration of biomedical waste with cement and other substance before disposal", "opc": "Dumping of Biomedical waste in sanitary landfills", "opd": "Screw feed technology to disinfect sharps", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "505e7abf-7c5a-4db0-8fec-e63bddfe0fc8", "choice_type": "single"} {"question": "Reverse cold chain is used for", "exp": "The cold chain is a system of storage and transpo of vaccines at low temperatures from the manufacturer to the actual vaccination site. The cold chain system is necessary because vaccine failure may occur due to failure to store and transpo under strict temperature control (refer pgno:109 park 23 rd edition)", "cop": 1, "opa": "Carrying stool samples of polio patients from a PHC to the lab", "opb": "Transpoing outdated vaccines from PHC to district hospital", "opc": "Transpoing vaccine to lab, to check its potency", "opd": "Transpoing vaccine from camps to sub - centre", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "aa8510cb-6541-47d8-92b9-1f1e8f066e66", "choice_type": "single"} {"question": "Not included in PQLI is", "exp": "Ans. (a) IncomeRef. K. Park 23rded. /17Components/lndicators of PQLI* Literacy rate* Infant mortality rate* Life expectancy at age 1 year", "cop": 1, "opa": "Income", "opb": "Literacy", "opc": "Life expectancy at age 1", "opd": "Infant mortality", "subject_name": "Social & Preventive Medicine", "topic_name": "Indicators of Health", "id": "b00a11a5-75e0-4477-b62a-b1339131747a", "choice_type": "single"} {"question": "Only certificate of vaccination required for international travel is", "exp": null, "cop": 4, "opa": "Hepatitis B", "opb": "BCG", "opc": "Tetanus", "opd": "Yellow fever", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2121b75f-921c-4331-8839-90b5b16b145d", "choice_type": "single"} {"question": "Peripheral most unit for planning of family planning unde RCH programm", "exp": null, "cop": 2, "opa": "DHC", "opb": "Subcentre", "opc": "Taluk", "opd": "Anganwadi", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fba7c75b-9b6e-4137-bfbe-4bf26819b0ca", "choice_type": "single"} {"question": "Weight in kg is", "exp": "A continuous variable is a variable that has an infinite number of possible values. (ex: weight in Kgs - 48.6, 47.23.etc ) A discrete variable is a variable that can only take on a ceain number of values. (Ex: Number of doctors in a clinic - 5, 11..etc) Ref : Park 23rd edition Pgno : 73", "cop": 4, "opa": "Normal variable", "opb": "Discrete variable", "opc": "Confounding variable", "opd": "Continuous variable", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "89d2b674-5f9a-4fc2-80eb-50c63d8b0f21", "choice_type": "single"} {"question": "A mother brought her six years old child to Eye OPD with history of night blindness. She told that the baby suffered from measles 6 months ago. Examination revealed corneal scarring. The doctor should suspect deficiency of", "exp": null, "cop": 1, "opa": "Vitamin A", "opb": "Vitamin D", "opc": "Vitamin C", "opd": "Vitamin B", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1032b296-2544-439f-9127-0697471f7bd8", "choice_type": "single"} {"question": "In an outbreak of cholera in a village of 2000 population 20 case have occured and 5 have died. Case fatality rate is", "exp": "Case fatality rate = (Total no. of deaths due to a particular case / Total no. of cases due to the same disease) * 100\nHere, CFR = (5/20)*100= 25%", "cop": 3, "opa": "1%", "opb": "0.25%", "opc": "25%", "opd": "5%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "40693814-42f9-489e-96ca-61376cbe9d0e", "choice_type": "single"} {"question": "Human development index value is", "exp": "Ans. (a) 0 - 1Ref: K. Park 23rded. /17* The HDI value ranges between 0 to 1.* This value for a country shows the distance that it has already travelled towards maximum possible value of 1 and also allows comparisons with other countries.", "cop": 1, "opa": "0 - 1", "opb": "0 - 100", "opc": "Any number", "opd": "No number", "subject_name": "Social & Preventive Medicine", "topic_name": "Indicators of Health", "id": "ca076355-6cf5-4837-afbd-d65e628d21d1", "choice_type": "single"} {"question": "In Egg, Egg white contributes", "exp": null, "cop": 1, "opa": "58%", "opb": "50%", "opc": "30%", "opd": "70%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c24abf1f-70a4-4b62-999a-b888e8e38f23", "choice_type": "single"} {"question": "Deficiency of Copper causes", "exp": "(A) Anemia", "cop": 1, "opa": "Anemia", "opb": "Wilson's disease", "opc": "Hypothyroidism", "opd": "Obtundation", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "90ebc9f2-7bbc-48aa-85ca-75ea664ecc45", "choice_type": "single"} {"question": "Risk of the damage of fetus by maternal rubella is maximum if mother gets infected in", "exp": "Congenital Rubella Syndrome (CRS):\n\nCRS is said to have occurred if:\n\n– Infant has IgM rubella antibodies shortly after birth, or\n– IgG antibodies persist for more than 6 months\n\nMajor determinant of extent of fetal infection in CRS: Gestational age at which fetal transmission occurs,\n\n– Infection in I trimester: MOST DISASTROUS TIME\n1. Abortions\n2. Still births\n3. Skin lesions: blueberry muffin lesions\n4. ‘Triad of Congenital Rubella Syndrome’\ni. Sensorineural deafness\nii. Congenital heart defects (MC is PDA)\niii. Cataracts\n– Infection in early part of II Trimester: Deafness (only)\n– Infection after 16 weeks POG: No major abnormalities\nRisk of fetal damage in CRS:", "cop": 4, "opa": "20-24 weeks of pregnancy", "opb": "24-28 weeks of pregnancy", "opc": "32-36 weeks of pregnancy", "opd": "6-12 weeks of pregnancy", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a1421c4e-071b-4e2b-928e-c8b8e38fe80f", "choice_type": "single"} {"question": "A 32 year old person comes to the hospital after 2 weeks of the onset of diarrhoea. Diagnosis of typhoid can be confirmed with", "exp": "Diagnosis done in\n\n1st week - Blood culture\n2nd week - Widal / Antibodies level\n2rd week - Stool culture\n4th week - Urine culture", "cop": 4, "opa": "Urine culture", "opb": "Stool culture", "opc": "Blood culture", "opd": "Widal test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7298a0f2-058e-4d40-86cc-1577c87f129f", "choice_type": "single"} {"question": "Best representation of a population with age variation", "exp": "Ans. is 'c' i.e., Population pyramid The age and sex distribution of a population is best represented by population pyramidIn countries with high bih rates as ours, it is broad based conical pyramid because of high bih rate and tapering of population with increase in age.In developed countries with low bih rate, the pyramid swells in the middle and is narrow at the base and is not so conical at the top. (dumb bell shaped).", "cop": 3, "opa": "Life table", "opb": "Correlation coefficient", "opc": "Population pyramid", "opd": "Bar cha", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "38c63140-784e-4dc6-95a8-3a8bbb27d1f6", "choice_type": "single"} {"question": "Denominator in case fatality rate", "exp": "Case fatality rate Total number of deaths due to a paicular disease ________________________________________ X 100 Total number of cases due to to the same disease Case fatality rate represents the killing power of a disease It is simply the ratio of deaths to cases The time interval is not specified Case fatality rate is typically used in acute infectious diseases ( eg: food poisoning, cholera, measles) Case fatality is closely related to virulence. The case fatality rate for the same disease may vary in different epidemics because of changes in the agent, host and environmental factors Reference: Park&;s textbook of Preventive and Social medicine, 23rd edition, Paeg no. 58", "cop": 3, "opa": "Mid year population", "opb": "Population at risk", "opc": "Number of cases", "opd": "Number of deaths", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "76d03abb-2e5b-4d99-9f0b-66df99a9dfa9", "choice_type": "single"} {"question": "Xpert MTB/RIF test is used to detect", "exp": null, "cop": 3, "opa": "For assessing resistance to isoniazid", "opb": "For assessing multi drug resistant TB", "opc": "For assessing rifampicin resistance", "opd": "Monitoring drug response in MDR TB", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "74bfeec1-dbcd-456c-9a7c-3e42f3cb6565", "choice_type": "single"} {"question": "Spikes protocol is related to", "exp": "SPIKES Technique is found useful in communication of Breast cancer prognosis :\nS - Setting up an interview.\nP - Assessing Perception.\nI - Invitation to explain.\nK - Imparting Knowlwdge.\nE - Adressing Emotions.\nS - Summary and strategy.", "cop": 1, "opa": "Communication of cancer prognosis", "opb": "Death certificate", "opc": "Triage", "opd": "Cohort study", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "836fff5f-4d6b-46eb-9754-afc7165a0ad2", "choice_type": "single"} {"question": "Most common cause of maternal moality", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 1, "opa": "Postpaum hemorrhage", "opb": "Aboion", "opc": "Infection", "opd": "Eclampsia", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "4656f7c1-2b38-4886-be6e-06ce66d23ec4", "choice_type": "single"} {"question": "A subcentre in a hilly area caters to a population of", "exp": "Ans. is `c' i.e., 3000", "cop": 3, "opa": "1000", "opb": "2000", "opc": "3000", "opd": "5000", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4d4ef6fe-bda2-41c1-98f1-1b20fa80a0da", "choice_type": "single"} {"question": "Maximum number of students in a school classroom is", "exp": "Healthful school environment The school building, site and equipment are pa of the environment in which the child grows and develops. A healthful school environment therefore is necessary for the best emotional, social and personal health of the pupils. Schools should also serve as demonstration centres of good sanitation to the community. The following minimum standards for sanitation of the school and its environs have been suggested in India. (1) Location : The school should normally be centrally situated with proper approach roads and at a fair distance from busy places and roads, cinema houses, factories, railway tracks and market places. The school premises should be properly fenced and kept free from all hazards. (2) Site : The site should be on suitable high land, and not subject to inundation or dampness and can be properly drained. The School Health Committee {1961) had recommended that 10 acres of land be provided for higher elementary schools and 5 acres for primary schools with an additional one acre of land per 100 students. In congested areas, the nearest public park or playground should be made available to the students. {3) Structure : Nursery and secondary schools, as far as possible, be single storied. Exterior walls should have a minimum thickness of 10 inches and should be heat resistant. (4) Classroom : Verandhas should be attached to classrooms. No classroom should accommodate more than 40 students. Per capita space for students in a classroom should not be less than 10 sq. ft. (5) Furniture : Furniture should suit the age group of students. It is desirable to provide single desks and chairs. Desks should be of \"minus\" type. Chairs should be provided with proper back-rests, with facilities for desk-work. (6) Doors and windows: The windows should be broad with the bottom sill, at a height of 2'-6\" from the floor level; combined door and window area should be at least 25 per cent of the floor space; windows should be placed on different walls for cross-ventilation; the ventilators should not be less than 2 per cent of the floor area. (7) Colour : Inside colour of the classroom should be white and should be periodically white-washed. (8) Lighting : Classrooms should have sufficient natural light, preferably from the left, and should not be from the front. (9) Water supply : There should be an independent source of safe and potable water supply, which should be continuous, and distributed from the taps. (10) Eating facilities : Vendors other than those approved by the school authorities should not be allowed inside school premises; there should be a separate room provided for mid-day meals. (11) Lavatory : Privies and urinals should be provided one urinal for 60 students and one latrine for 100 students. Arrangements should be separately made for boys and girls. Ref: Park 23rd edition Pgno : 579", "cop": 3, "opa": "30", "opb": "35", "opc": "40", "opd": "50", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "46ea9457-7ec2-4b89-ba27-cd2f02bd9c72", "choice_type": "single"} {"question": "Drug of choice for carriers of typhoid is", "exp": null, "cop": 1, "opa": "Ampicillin", "opb": "Chloramphenicol", "opc": "Co-trimoxazole", "opd": "Clindamycin", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f6fd5075-bb94-4ac6-aa3c-63bfdb180b28", "choice_type": "single"} {"question": "Daily requirement of Iodine in adults is", "exp": "The daily requirement of iodine is 150 mcg supplied normally by well balanced diets and drinking water.", "cop": 3, "opa": "50 mcg", "opb": "100 mcg", "opc": "150 mcg", "opd": "200 mcg", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b61c7961-3100-4f19-95a4-3c81104f84a0", "choice_type": "single"} {"question": "Body mass index is also known as", "exp": "(Quetelet index) (334 - Park 19th)* Body mass index (Quetelet's index) =Weight (kg)-------Height 2(m)* Rest index used for obesity are - Ponderal, Broca, Lorentz *s and corpulence index", "cop": 3, "opa": "Broca's index", "opb": "Corpulence index", "opc": "Quetelet's index", "opd": "Lorentz's formula", "subject_name": "Social & Preventive Medicine", "topic_name": "Non-Communicable Diseases", "id": "ee07e32d-df6e-4025-870b-79252da95dee", "choice_type": "single"} {"question": "(A/A+C) x 100 in the given table isTest resultPersons with diseasePersons without diseaseTotalPositiveABA+BNegativeCDC + D", "exp": "Ans. is 'b' i.e., Sensitivityo In this that A is true positive and C is false negative.ThusA----A + Cx 100 =True Positive--------------------------True Positive + False Negativex 100 = Sensitivity o Specificity in this question isD (True Negative)--------------------------------D (True Negative) + B (False Positive)xl00", "cop": 2, "opa": "Specificity", "opb": "Sensitivity", "opc": "PPV", "opd": "NPV", "subject_name": "Social & Preventive Medicine", "topic_name": "Screening for Disease", "id": "d7c1d456-e2f0-455a-8488-31948e51804c", "choice_type": "single"} {"question": "National Tuberculosis Institute is located at", "exp": null, "cop": 1, "opa": "Bangalore", "opb": "Chingelput", "opc": "New Delhi", "opd": "Chennai", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a924235e-9da1-4479-a318-8e4584423e05", "choice_type": "single"} {"question": "During disaster management green code is given for", "exp": null, "cop": 4, "opa": "Dead patients", "opb": "Medium priority treatment", "opc": "Highest priority treatment", "opd": "Ambulatory patients", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "37f71f2b-0848-43b8-bd12-d0529c72392b", "choice_type": "single"} {"question": "The limiting amino acids in wheat are", "exp": "Wheat Next to rice, wheat is the most impoant cereal. The protein content of wheat varies from 9 to 16 per cent, the limiting amino-acids are lysine and threonine. The wheat grain is much less subjected to loss of essential nutrients during processing than rice. In India, the bulk of wheat is consumed as whole grain wheat flour or atta. Maida or white flour which represents 70 per cent extraction of wheat is poorer from the nutrition standpoint. The whiter the flour the greater the loss of vitamins and minerals. Thus whole grain wheat flour is richer source of vitamin B than refined white flour. Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 1, "opa": "Lysine and threonine", "opb": "Lysine and tryptophan", "opc": "Lysine and leucine", "opd": "Tyrosine and tryptophan", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "25115638-d2b0-424b-98b1-6ab82c21ca22", "choice_type": "single"} {"question": "Standard error of mean is calculated by", "exp": "SD/ 1/7 Standard error of mean = SD/j SD - standard detion n - number of samples", "cop": 3, "opa": "SD/n", "opb": "SD/mean", "opc": "SD/-1/1", "opd": "Mean/SD", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c1f8a479-5e6e-4a8a-ae65-d1a100a115a5", "choice_type": "single"} {"question": "The biological oxygen demand (BOD) indicates", "exp": "Biological Oxygen Demand (BOD): Is defined as ‘amount of oxygen absorbed by a sample of sewage’ during a specified period (Generally 5 days), at a specified temperature (generally 20° C) for aerobic destruction or use of organic matter by living organisms.\nStrong Sewage has BOD > 300 g/litre and Weak Sewage has BOD < 100 g/litre.", "cop": 1, "opa": "Organic matter", "opb": "Bacterial content", "opc": "Anaerobic bacteria", "opd": "Chemicals", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e4cbc7f9-7cff-44e1-885f-a5f9d3420561", "choice_type": "single"} {"question": "Health education is the responsibility of", "exp": null, "cop": 4, "opa": "Health educationalist", "opb": "Doctor", "opc": "Paramedical staff", "opd": "Every health worker", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "28bfc6b4-c7ae-46ce-90c1-e3fe755780a2", "choice_type": "single"} {"question": "Theory of contagion was first enunciated by", "exp": "Revival of medicine encompasses period from 1453 -1600. Fracastorius an Italian physician enunciated &;theory of contagion&;. He envisaged transmission of infection minute invisible paicles and explained cause of epidemics. He recognised syphilis was transmitted from person to person during sexual relationss. He is founder of epidemiology. Ref: Park&;s textbook of preventive and social medicine; 23rd edition; Pg no: 5", "cop": 2, "opa": "Paracelsus", "opb": "Fracastorius", "opc": "Vesalius", "opd": "Pare", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "f4eade2a-0ba4-4200-a256-978bfa35e4c7", "choice_type": "single"} {"question": "A chronic alcoholic was complaining of loss of appetite and pain in lower legs. On examination his gate was ataxia. He is suffering from deficiency of", "exp": null, "cop": 3, "opa": "Niacin", "opb": "Riboflavin", "opc": "Thiamine", "opd": "Folate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6052f50a-5ff5-45ba-bac7-86775e5ab263", "choice_type": "single"} {"question": "National Guinea worm Eradication Programme was launched in", "exp": "National Guinea worm eradication programme:- Launched in 1984 with technical assistance from WHO. From the very beginning, the programme was integrated into the national health system at village level. With well-defined strategies, an efficient information and evaluation system, intersectoral coordination at all levels and close collaboration with WHO and UNICEF, India was able to significantly reduce the disease in affected areas. Strategies: 1. Health education activities with special emphasis on school children and women in rural areas. 2. Rumour registration and rumour investigation. 3. Maintenance of guinea worm disease on the list of notifiable disease and continuation of surveillance in previously infected areas. 4. Careful supervision of the functioning of hand pumps and other sources of safe drinking water. Reference - Park&;s textbook of preventive and social medicine, 23rd edition, pg no.476", "cop": 4, "opa": "1972-73", "opb": "1975-76", "opc": "1980-81", "opd": "1983-84", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "e156c0bd-1a4d-4395-97a2-05979dcf8dac", "choice_type": "single"} {"question": "Global Hunger Index does not include", "exp": null, "cop": 4, "opa": "Undernourishment", "opb": "Mortality of children < 5 years of age", "opc": "Under weight children < 5 years of age", "opd": "Lack of emotional support in children < 5 years of age", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "00a7adba-04ae-4f6e-8536-27c8e9261d94", "choice_type": "single"} {"question": "Useful screening test for lead is measurement of", "exp": "Diagnosis of lead poisoning:", "cop": 2, "opa": "Amino-laevulinic acid in urine", "opb": "Coproprophyrin in urine", "opc": "Lead in blood", "opd": "Lead in urine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "677a68ac-940c-439d-bf13-5f1bda4d24c6", "choice_type": "single"} {"question": "Fibreoptic scopes are sterilized by", "exp": "Ans. a (Glutaraldehyde). (Ananthnarayan, Microbioloyg, 4th ed., 32)SterilisationSterilisation by steam (Autoclave)Sterilisation by hot airSterilisation by ethylene oxideSterilization by low-temperature steam and formal dehydeSterilisation by irradiation- Vegetative bacteria, including tuberculosis, and viruses such as hepatitis B, hepatitis C and HIV and heat-resistant spores, including C.tetani and C.perfringens, are killed.- Combination of pressure, temperature and time with the moist heat is important: 134degC (30 lb/in.2) for a hold time of 3 minutes; 121degC (15 lb/in.2) for a hold time of 15 minutes;- Monitoring=Steam penetration/Bowie - Dick test and chemical indicators, for example Brownes tubes or impregnated tapes, are used to ensure that errors. Biological indicators are not appropriate.- Inefficient compared with moist steam sterilisation, but it has ability to treat solid non- aqueous liquids grease/ ointments and to process closed (airtight) containers.- Lack of corrosion may be important, particularly with instruments with fine cutting edges such as ophthalmic instruments.- It cannot be used for substances such as rubber, plastics and IV fluids which are denatured.- ETO is highly penetrative non- corrosive broad- spectrum cidal gas.- It is utilised for heat-sensitive -materials including electrical equipment.- It is not recommended for ventilator respiratory equipment or soiled instruments because organic debris, including serum, has a marked adverse effect.This uses a combination of dried saturated steam and formaldehyde, with the main advantage being that sterilisation is achieved at a low temperature (73degC) and the method is so suitable for heat-sensitive materials and items of equipment with integral plastic components.- It is not recommended for sealed, oily items or those with retained air.- Some plastics and fabrics absorb formal-dehyde, releasing this in a delayed manner which may cause hypersensitivity to the users.- This employs gamma rays or accelerated electrons.- It is an industrial process and is appropriate to the sterilisation of large batches of similar products, such as syringes, catheters and IV cannulas.- Irradiation dose in excess of 25 kGy is accepted as providing adequate sterility assurance.DisinfectionDisinfection with low-temperature steam:- Typical conditions include exposure to dry saturated steam at a temperature of 73degC for a period of 20 minutes at a pressure below atmospheric. Useful for dealing with dirty returns from OT/clinics which may be contaminated with bodily secretions and microorganisms. Following this instruments must be cleaned.Disinfection with boiling water:- Uses soft water at 100()C at normal pressure for 5min. Instruments must be thoroughly cleaned before utilised.Disinfection with formaldehyde:- Formaldehyde gas is a broad-spectrum antimicrobial agent. This process utilises a cabinet which is airtight and circulates gaseous formaldehyde up to 50degC.Disinfection with glutaraldehyde:A 2 % solution of glutaraldehyde is effective against most bacteria, viruses, including hepatitis B and C and HIV, and is a high-level disinfection particularly useful for the decontamination of flexible endoscopes.", "cop": 1, "opa": "Glutaraldehyde", "opb": "Ethylene oxide", "opc": "Autoclaving", "opd": "Alcohol", "subject_name": "Social & Preventive Medicine", "topic_name": "Hospital waste, disaster management and occupational health", "id": "43b29992-5ed8-42d8-998f-f44706ae7bda", "choice_type": "single"} {"question": "Primary prevention does not include", "exp": "Early detection and treatment is pa of secondary prevention. Level Aim Mode of intervention Primordial prevention Prevention of emergence of risk factors Individual and mass education for life style changes Primary prevention Reduce the incidence of the disease Health promotion - health education, environmental modifications, nutritional modifications, lifestyle changes Specific protection Secondary prevention Reduce the prevalence of the disease by shoening its duration Early diagnosis and treatment Teiary prevention Reduce the number/impact of complications Disability limitation Rehabilitation Ref: Park's Textbook of Preventive and Social Medicine; 24th edition - Page no. 47", "cop": 1, "opa": "Early diagnosis and treatment", "opb": "Health promotion", "opc": "Specific protection", "opd": "Health education", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "aa91c91f-f373-4e80-8fbe-86b1a0ddbfc5", "choice_type": "single"} {"question": "Montenegro test is done for", "exp": "This test is based on skin reaction . Leishmanin is a preparation of 106 per ml washed promastigotes of leishmania, suspended in 0.5 per cent phenol saline or mehiolate. Ref: page No:334; park 25th Edition", "cop": 4, "opa": "Hydatid disease", "opb": "TAENIASIS", "opc": "Filariasis", "opd": "kala-azar", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "c9ea9948-8987-42ea-b93c-5ed99ef65152", "choice_type": "single"} {"question": "n95 mask is used for;", "exp": "An N95 respirator is a respiratory protective device designed to achieve a very efficient filtration of airborne paicles. The 'N95' designation means that when subjected to careful testing, the respirator blocks at least 95 percent of very small (0.3 micron) test paicles. If properly fitted, the filtration capabilities of N95 respirators exceed those of face masks.", "cop": 1, "opa": "respiratory droplets", "opb": "aerosol", "opc": "in general", "opd": "Dust", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2019", "id": "f12922d5-4ba2-4955-b187-d7287fe736cb", "choice_type": "single"} {"question": "Consent from guardian/husband for MTP is required in", "exp": "The written consent of the guardian is necessary before performing aboion in women under 18 years of age and in lunatics even if they are older than 18 years Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 506", "cop": 3, "opa": "Female is below 28 years of age", "opb": "Female is below 23 years of age", "opc": "Female is below 17 years of age", "opd": "Unmaried Female", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "dbb39e57-ec70-483f-8ee6-79b237d8b711", "choice_type": "single"} {"question": "COTPA act is related to", "exp": "The Cigarettes and Other Tobacco Products Act, 2003 or COTPA, 2003 is an Act to prohibit the adveisement of and to provide for the regulation of trade and commerce in, and production, supply and distribution of cigarettes and other tobacco products in India.", "cop": 2, "opa": "Child abuse", "opb": "Cigarette smoking", "opc": "Consumer related", "opd": "Cocaine", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "e1fef0c7-ed9f-4970-921a-92a16e90873d", "choice_type": "single"} {"question": "Rabies in not found in", "exp": null, "cop": 1, "opa": "Lakshadweep Islands", "opb": "Rajasthan", "opc": "Meghalaya", "opd": "Orrisa", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "218dbe80-42a4-4e08-8440-df936da4795f", "choice_type": "single"} {"question": "Ayushman Bharat is", "exp": "Ayushman Bharat is National Health Protection Scheme, which will cover over 10 crore poor and vulnerable families (approximately 50 crore beneficiaries) providing coverage up to 5 lakh rupees per family per year for secondary and teiary care hospitalization. Ayushman Bharat - National Health Protection Mission will subsume the on-going centrally sponsored schemes - Rashtriya Swasthya Bima Yojana (RSBY) and the Senior Citizen Health Insurance Scheme (SCHIS).", "cop": 2, "opa": "Health education program", "opb": "Health protection scheme", "opc": "Health personnel training", "opd": "Health practicing guidelines", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "ae8e864d-3b33-4585-9b33-c315fc9aa66b", "choice_type": "single"} {"question": "Infant mortality rate does not include", "exp": null, "cop": 1, "opa": "Still births", "opb": "Late neonatal mortality", "opc": "Post neonatal mortality", "opd": "Early neonatal mortality", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8a9e83b2-a138-439a-9602-0e4688579e77", "choice_type": "single"} {"question": "A Person is underweight if BMI is", "exp": null, "cop": 2, "opa": "<25", "opb": "<18.5", "opc": "<22", "opd": "<20", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7077955a-ad33-4f51-847f-be059d9f84ec", "choice_type": "single"} {"question": "Changes in occurrence of disease over very long period of time is", "exp": "Long-term or secular trends The term \"secular trend\" implies changes in the occurrence of disease (i.e., a progressive increase or decrease) over a long period of time, generally several years or decades. Although it may have sho-term fluctuations imposed on it, a secular trend implies a consistent tendency to change in a paicular direction or a definite movement in one direction. Examples include coronary hea disease, lung cancer and diabetes which have shown a consistent upward trend in the developed countries during the past 50 years or so, followed by a decline of such diseases as tuberculosis, typhoid fever, diphtheria and polio. Ref : Park 23rd edition Pgno : 66", "cop": 3, "opa": "Modern epidemic", "opb": "Seasonel trend", "opc": "Secular trend", "opd": "Propagatedepidemics", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "cffc3a89-398e-4fd1-bd37-1d58d1f8bab0", "choice_type": "single"} {"question": "An investigator wants to study the association between maternal intake of iron supplements (Yes or No) and incidence of low birth weight (< 2500 or > 2500) gms). He collects relevant data from 100 pregnant women as to the status of usage of iron supplements and the status of low birth weight in their newborns. The appropriate statistical test of hypothesis advised in this situation is", "exp": "Here, an investigator wants to study the association between maternal intake of iron supplements (yes or No) and incidence of low birth weight (< 2500 or > 2500) gms), Thus, association is to be studied between 2 qualitative variables, i.e. status of usage of iron supplements and status of low birth weight in their newborns.\nSo, most appropriate test would be Chi – square test.", "cop": 3, "opa": "Paired – t-test", "opb": "Unpaired or independent t-test", "opc": "Chi – Square test", "opd": "Analysis of variance", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4502e416-3a92-40d9-8a07-b6f74cdf859a", "choice_type": "single"} {"question": "Best contraceptive for newly married couples", "exp": "HORMONAL CONTRACEPTIVES Hormonal contraceptives when properly used are the most effective spacing methods of contraception. Oral contraceptives of the combined type are almost 100 per cent effective in preventing pregnancy. They provide the best means of ensuring spacing between one childbih and another. More than 65 million in the world are estimated to be taking the \"pill\" of which about 9.52 million are estimated to be in India. Beneficial effects The single most significant benefit of the pill is its almost 100 per cent effectiveness in preventing pregnancy and thereby removing anxiety about the risk of unplanned pregnancy. Apa from this, the pill has a number of non- contraceptive health benefits. Both the Royal College of General Practitioners' and the Oxford Family Planning Association's long-term prospective studies of pill use in Britain have shown that using the pill may give protection against at least 6 diseases: benign breast disorders including fibrocystic disease and fibroadenoma, ovarian cysts, iron- deficiency anaemia, pelvic inflammatory disease, ectopic pregnancy and ovarian cancer. Ref : Park 25th edition Pgno : 536-537", "cop": 3, "opa": "Barrier method", "opb": "IUCD", "opc": "Oral contraceptive pill", "opd": "Natural methods", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "cff18034-99ea-46f9-a0ba-af625df6e9cf", "choice_type": "single"} {"question": "Desks provided with table top to prevent neck problems in an example of", "exp": "Specific protection comes under Primary prevention. It prevents risk factor from progressing to disease. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition; Page 42", "cop": 3, "opa": "Primordial prevention", "opb": "Secondary prevention", "opc": "Specific protection", "opd": "Disability limitation", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "c222240e-3b33-4f5d-a035-e3c708f87453", "choice_type": "single"} {"question": "The absolute contraindication for prescribing normal contraceptive pills in a woman of repro ductive age group is", "exp": null, "cop": 3, "opa": "Epilepsy", "opb": "Diabetes mellitus", "opc": "Congenital hyperlipidemia", "opd": "Milk hypertension", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "750e53ed-04b0-4727-b681-80fb0cc2a7c2", "choice_type": "single"} {"question": "Reference protein is", "exp": "Ans. c (Egg). (Ref. Park, PSM, 17th/pg.429)EGG# It is a standard protein against which quality of other proteins is compared (reference protein).# An egg weighing 60 g contains:- 6 g of protein,- 6 g of fat,- 30 mg of calcium- 1.5 mg of iron and- supplies about 70 kcal of energy.# Except for vitamin C and carbohydrates, egg contains all the nutrients.# It has all 9 essential aminoacids.# Net protein utilization (NPU) which combines in a single value the biological value and digestibility, is- 100 for egg,- 80 for meat and- 75 for milk.# Cholesterol content of egg is 250 mg/egg.# Biotin deficiency is caused by antibiotic overuse & ingestion of raw eggs (avidin in egg white avidly binds to biotin).", "cop": 3, "opa": "Milk", "opb": "Meat", "opc": "Egg", "opd": "Pulses", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and Health", "id": "b27b504d-756b-49e9-869f-36ee3ca2b0ba", "choice_type": "single"} {"question": "The demographic goal of Net Reproduction Rate is equal to one (NPR=1) can be achieved only if the Couple Protection Rate exceeds", "exp": "(C) 60%[?]Couple protection rate (CPR)oCouple protection rate (CPR) is an indicator of the prevalence of contraceptive practice in the community.oIt is defined as the per cent of eligible couples effectively protected against childbirth by one or the other approved methods of family planning, viz. sterilization, IUD, condom or oral pills.oSterilization accounts for over 60 per cent of effectively protected couples.oCouple protection rate is based on the observation that 50 to 60 per cent of births in a year are of birth order 3 or more.oThus attaining a 60 per cent CPR will be equivalent to cutting off almost all third or higher order births, leaving 2 or less surviving children per couple.oTherefore, the previous National Population Policy was to attain a CPR of 42 per cent by 1990 (end of Seventh Five Year Plan), and 60 per cent by the year 2000.oHowever about 60 per cent eligible couples are still unprotected against conception.oA state-wise break-up of the figures reported indicates that while some states notably Punjab, Gujarat, Maharashtra, Karnataka, Haryana and Tamil Nadu etc. are forging ahead to cover more than half of their fertility level population by contraception.oDifferent Family Planning methods used for Acceptors of Couple Protection Rate include:-Sterilization-Vasectomy-Tubectomy-IUD insertion-Condom users-Oral Contraceptive Pill UsersoNRR = 1 can be achieved only if the CPR >60%[?]Net Reproduction Rate (NRR)oNet Reproduction Rate (NRR) is defined as the number of daughters a newborn girl will bear during her lifetime assuming fixed age-specific fertility and mortality rates.oNRR is a demographic indicator. NRR of 1 is equivalent to attaining approximately the 2-child norm.oIt is 'the number of daughters a newborn girl will bear during her lifetime assuming fixed age-specific fertility and mortality rates'.oIt is a demographic indicator.oNRR of 1 is equivalent to attaining approximately the 2-child norm. If the NRR is less than 1, then the reproductive performance of the population is said to be below replacement level.oThe average number of Daughters a women would bear in her life if she experiences the age-specific fertility (fro daughters) prevailing at the study period, & if her daughters experienced the prevailing rates of mortality.oIf the age schedules of both fertility & mortality remain constant, the Net Reproduction Rate would be a measure of generational Replacement.oE.g.-NRR =1.1 - Next generation will be 10% larger than the present generation (growth)-NRR =1.0 - Next generation will be the same as the present generation (replacement level)-NPR =0.9 - next generation will be 10% smaller than the present generation (depopulation)[?]Net Reproduction Rate, Pros & Cons.oPros-Taking into account both fertility & survival in getting one indicator of reproductivity of a PopulationoCons-Requires detailed data on fertility & survival of women, up to age 50 years-Does not take into account that women born in different years may have different fertility & survival.", "cop": 3, "opa": "40%", "opb": "50%", "opc": "60%", "opd": "70%", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and Family Planning", "id": "3b7b57b8-3c7d-4020-ac31-7020d9bc40e3", "choice_type": "single"} {"question": "Byssinossis occurs with", "exp": null, "cop": 3, "opa": "Sugarcane fibers", "opb": "Silica fibers", "opc": "Cotton fibers", "opd": "Carbon particles.", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "37a5ef47-1207-4d3e-8fb0-d3ecbe62ee42", "choice_type": "single"} {"question": "Monetary benefit is measured in", "exp": "ref : park 21st ed", "cop": 4, "opa": "Program budgeting system", "opb": "Network analysis", "opc": "Cost effective analysis", "opd": "cost benefit analysis", "subject_name": "Social & Preventive Medicine", "topic_name": "All India exam", "id": "dc2b590f-7616-46df-bfb3-9d3305896751", "choice_type": "single"} {"question": "In an outbreak of cholera in a village of 2000 population 20 cases have occured and 5 have died. Case fatality rate is", "exp": "Ref: Parks 23rd edition Case fatality rate = (Total no. of deaths due to a paicular case / Total no. of cases due to the same disease) x 100 Here, CFR = (5/20) x 100= 25%", "cop": 4, "opa": "1%", "opb": "0.25%", "opc": "5%", "opd": "25%", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "8e3edd81-7d65-42be-a573-c5cfdaf8ea23", "choice_type": "single"} {"question": "Probability =", "exp": null, "cop": 2, "opa": "Odds / (1 + adds)", "opb": "Odds / (1 - adds)", "opc": "(1 + adds) / adds", "opd": "(1 - adds) / adds", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "88309de8-4667-47b7-a6a6-ee27425397ec", "choice_type": "single"} {"question": "Methylene blue test for milk is used to detect", "exp": "Methylene Blue Dye Reduction Test is used to assess the microbiological quality of raw and pasteurized milk. This test is based on the fact that the blue colour of the dye solution added to the milk get decolourized when the oxygen present in the milk get exhausted due to microbial activity. The sooner the decolourization, more inferior is the bacteriological quality of milk assumed to be.", "cop": 1, "opa": "Microorganisms", "opb": "Lactose", "opc": "Proteins", "opd": "Sugars", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "f785f08a-9215-4380-833d-a370ebfe86ae", "choice_type": "single"} {"question": "In a Standard detion of 2, confidence limit is", "exp": "Normal Curve This is a normal distribution curve in which 95% of the population falls between -2SD and +2SD. Confidence limits are the upper and lower boundaries of a confidence interval. Confidence interval is the interval within which a parameter value is expected to lie with ceain confidence levels, as could be revealed by repeated samples.", "cop": 2, "opa": "68.30%", "opb": "95.40%", "opc": "99.70%", "opd": "76.20%", "subject_name": "Social & Preventive Medicine", "topic_name": "Normal Distribution, Skewed Distributions", "id": "09ea11a9-ddf1-4d41-bf63-9653774d54cb", "choice_type": "single"} {"question": "Most common air pollutant is", "exp": "(A) Carbon monoxide # Six Common Air Pollutants are:> Ozone, Carbon monoxide, Sulfur oxides, Nitrogen oxides, and Lead.> Of the six pollutants, particle pollution and ground-level ozone are the most widespread health threats.> Most common and widespread air pollutants include carbon monoxide, sulfur dioxide, nitrogen oxides and particulate matter.> Carbon Monoxide (CO): Fuel combustion from vehicles and engines. Reduces the amount of oxygen reaching the body's organs and tissues; aggravates heart disease, resulting in chest pain and other symptoms.> Ground-level Ozone (O3): Secondary pollutant formed by chemical reaction of volatile organic compounds (VOCs) and NOx in the presence of sunlight. Decreases lung function and causes respiratory symptoms, such as coughing and shortness of breath, and also makes asthma and other lung diseases get worse. More on Ground Level Ozone Here> Lead (Pb): Smelters (metal refineries) and other metal industries; combustion of leaded gasoline in piston engine aircraft; waste incinerators (waste burners), and battery manufacturing. Damages the developing nervous system, resulting in IQ loss and impacts on learning, memory, and behavior in children. Cardiovascular and renal effects in adults and early effects related to anaemia.> Nitrogen Dioxide (NO2) Fuel combustion (electric utilities, big industrial boilers, vehicles) and wood burning. Worsens lung diseases leading to respiratory symptoms, increased susceptibility to respiratory infection.> Particulate Matter (PM) This is formed through chemical reactions, fuel combustion (e.g., burning coal, wood, diesel), industrial processes, farming (plowing, field burning), and unpaved roads or during road constructions. Short-term exposures can worsen heart or lung diseases and cause respiratory problems. Long-term exposures can cause heart or lung disease and sometimes premature deaths.> Sulfur Dioxide (SOS02 comes from fuel combustion (especially high-sulfur coal); electric utilities and industrial processes as well as natural occurances like volcanoes. Aggravates asthma and makes breathing difficult. It also contributes to particle formation with associated health effects.", "cop": 1, "opa": "Carbon monoxide", "opb": "Sulfur oxide", "opc": "Nitrogen oxide", "opd": "Lead", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "f2894119-90ba-4353-bac8-4f720cc56e8c", "choice_type": "single"} {"question": "Energy requirement for pregnant women doing moderate physical activity with body weight 55 kg", "exp": "Group Category / Age Body weight (Kg) Net energy (Kcal/d) Protein (g/d) Man Sedentary work Moderate work Heavy work 60 2,320 2,730 3,490 60.0 Woman Sedentary work Moderate work Heavy work Pregnant woman Lactation 0-6 m 6-12 months 55 1,900 2,230 2,850 +350 +600 +520 55.0 78 74 68 Infants 0-6 months 6-12 months 5.4 8.4 92 kcal/Kg/d 80 kcal/kg/d 1.16g / kg/d 1.69 g/kg/d Children 1-3 years 4-6 years 7-9 years 12.9 18.0 25.1 1,060 1,350 1,690 16.7 20.1 29.5 Boys 10-12 years 34.3 2,190 39.9 Girls 10-12 years 35.0 2,010 40.4 Boys 13-15 years 47.6 2,750 54.3 Girls 13-15 years 46.6 2,330 51.9 Boys 16-17 years 55.4 3,020 61.5 Girls 16-17 years 52.1 2,440 55.5 Energy Requirements Adult Man: ~2300 kcal/day if sedentary level worker, ~2700 kcal/day if moderate level worker and 3500 kcal/day if heavy level worker. Adult Woman: ~1900 kcal/day if sedentary level worker, ~2200 kcal/day if moderate level worker and ~2900 kcal/day if heavy level worker. Infant 0-6months: 92 Kcal/Kg/d i.e. approx. 500 kcal/day and in infants 6-12 months: 80 Kcal/kg/d i.e. approx. 670kcal/day Additional energy requirements in pregnancy: +350 Additional energy requirements in lactation: in 0-6 months is +600 kcal/day and in 6-12 months is +520 kcal/day", "cop": 2, "opa": "2280", "opb": "2580", "opc": "2730", "opd": "2630", "subject_name": "Social & Preventive Medicine", "topic_name": "Allied Health Sciences", "id": "3f1b2617-a977-4388-91ff-7516cd09cbe0", "choice_type": "single"} {"question": "Live attenuated vaccines are A/E", "exp": "The internationally available cell culture and embryonated egg-based vaccine consist of rabies virus that has been propagated in cell substrates such as human diploid cells, Vero cells, primary Syrian hamster kidney cells etc (refer pgno 279 park 23rd edition)", "cop": 2, "opa": "Measles", "opb": "Rabies", "opc": "Oral polio", "opd": "Yellow fever", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "5e5be67b-75a4-4253-9f03-8523a85d51e4", "choice_type": "single"} {"question": "MTP can be done upto", "exp": "MTP act 1971, provides safeguards to the mother by authorizing only a Registered Medical Practitioner having experience in gynecology and obstetrics to perform aboion where the length of Pregnancy does not exceed 12 weeks Where the pregnancy exceeds 12 weeks and is not more than 20 weeks, the opinion of two Registered Medical Practitioners is necessary to terminate the pregnancy Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 506", "cop": 3, "opa": "12 weeks", "opb": "16 weeks", "opc": "20 weeks", "opd": "10 weeks", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "4cb20df6-6726-4827-921a-ce3be9fccf96", "choice_type": "single"} {"question": "The RCH programme was launched in", "exp": "Reproductive and Child Health (RCH) Programme was launched in October 1997. The main aim of the programme is to reduce infant, child and maternal moality rates. RCH - II was launched on 1st April 2005. The main objective of the program was to bring about a change in mainly three critical health indicators i.e. reducing total feility rate, infant moality rate and maternal moality rate with a view to realizing the outcomes envisioned in the Millennium Development Goals.", "cop": 3, "opa": "1993", "opb": "1995", "opc": "1997", "opd": "1999", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "89484d9a-18b0-44f5-9e0f-da44393063ed", "choice_type": "single"} {"question": "SSPE is a rare complication of", "exp": "(B) Measles # SSPE: It is characterized by a history of primary measles infection usually before the age of 2 years, followed by several asymptomatic years (6-15 on average), and then gradual, progressive psychoneurological deterioration, consisting of personality change, seizures, myoclonus, ataxia, photosensitivity, ocular abnormalities, spasticity, and coma.> Pathologic changes are firstly observed in the white matter of the hemisphere.", "cop": 2, "opa": "Mumps", "opb": "Measles", "opc": "Rubella", "opd": "Influenza", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "545e1f10-8c74-440c-bb4d-21a8652a6f58", "choice_type": "single"} {"question": "NITI AAYOG Represents;", "exp": "Government of India has established NITI Aayog (National Institution for Transforming India) on 1st January 2015 It will seek to provide a critical directional and strategic input into the development process. It will emerge as a \"thinktank\" that will provide Governments at the central and state levels. It will monitor and evaluate the implementation of programmes, and focus on technology upgradation and capacity building", "cop": 2, "opa": "Nutritional institute for transforming India", "opb": "National Institute for Transforming India", "opc": "Newer Initiative transforming India", "opd": "Nutrition Intake to India", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2019", "id": "40d3a1ea-35c0-4a27-98fe-89fec39b16f7", "choice_type": "single"} {"question": "While calculating the incubation period for measles in a group of 25 kids, standard detion is 2 and the mean incubation period is 8 days, calculate Standard error.", "exp": "STANDARD ERROR OF MEAN (SEMEAN) SEmean is the measure of difference between sample and population mean values whatever be the sampling procedure or the care taken while selecting sample, the sample estimates (statistics) will differ from population values (parameters) * SE is a 'measure of chance variation', and IT DOES NOT mean an error or mistake. In the given question, n =25 kids, Standard detion (s) = 2, Mean incubation period (u) = 8 days, * Thus, standard error = 2/5 = 0.4", "cop": 1, "opa": "0.4", "opb": "1", "opc": "2", "opd": "0.5", "subject_name": "Social & Preventive Medicine", "topic_name": "Statistical Errors, p-value", "id": "00e47121-575c-4741-8b6c-3c6466a04103", "choice_type": "single"} {"question": "In a population of 1000, there are 200 eligible couples. 30 out of them use condom, 20 use IUCD, 20 use OC pills while 70 have undergone female sterilization. The rest do not use any method. Calculate Couple protection rate.", "exp": "- Given, total eligible couples = 200 ; eligible couples protected by any of approved methods = 30+20+20+70 =140 - CPR = Total no. of eligible couples protected by any of approved methods/Total no. of eligible couples in the communityx100 =140/200 = 70% Approved methods of Family planning Sterlization IUD Condom Oral pills", "cop": 4, "opa": "35%", "opb": "55%", "opc": "62%", "opd": "70%", "subject_name": "Social & Preventive Medicine", "topic_name": "Definitions & Concepts", "id": "009ccb85-62c8-497d-ac52-1b9477075164", "choice_type": "single"} {"question": "Mean Hb values in two population groups are compared by", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 2, "opa": "Paired t test", "opb": "Unpaired t test", "opc": "Chi square test", "opd": "Fischer test", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "eef0905b-965f-4a6b-bd06-604bded9c566", "choice_type": "single"} {"question": "World Breast feeding week is observed during", "exp": "Ref:Park's textbook of Preventive and Social Medicine 25 th Ed", "cop": 3, "opa": "2 nd week of August", "opb": "1 st week of June", "opc": "1st week of August", "opd": "Last week of April", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "35a9d4c8-50f5-4c3d-a3dc-b83cbf63fd44", "choice_type": "single"} {"question": "Screening test is,", "exp": null, "cop": 3, "opa": "Costly", "opb": "Less sensitive", "opc": "Easy to perform", "opd": "Less Specific", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d631cd0e-be6f-485a-8bd3-13db539b37bb", "choice_type": "single"} {"question": "Denominator of Literacy rate is", "exp": null, "cop": 2, "opa": "Total population", "opb": "Total population ≥ 7 years of age", "opc": "Total male population of ≥ 7 years of age", "opd": "Number of school going children", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8e4c66ab-6774-4bfb-ae83-d49eceda6cf2", "choice_type": "single"} {"question": "Live vaccines are", "exp": "BCG consists of living bacteria derived from an attenuated bovine strain of tubercle bacilli. The bacilli used for vaccine production are descendants of the original Calmette strain of BCG (refer pgno:196 park 23rd edition)", "cop": 2, "opa": "TT", "opb": "BCG", "opc": "DPT", "opd": "OPV", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "a38a721f-0ca6-4a5b-95ac-98dfc230ff30", "choice_type": "single"} {"question": "NPU of egg is", "exp": "NPU - Net Protein Utilization One of the best indicator of protein quality for recommending the dietary protein requirement NPU of egg is 96 (Highest); therefore Egg is the 'Reference protein' NPU of meat is 80 NPU of milk is 75 Rice -65 Soya -55", "cop": 2, "opa": "90", "opb": "96", "opc": "6", "opd": "12", "subject_name": "Social & Preventive Medicine", "topic_name": "Proteins, Fats, Rich Sources", "id": "eb80226f-4e4b-4f86-91d2-636fcf8e9907", "choice_type": "single"} {"question": "Not an Ideal Candidate for inseion of IUCD", "exp": "The Ideal IUCD candidateThe planned parenthood federation of America has described the ideal IUCD candidate as a woman:who has born at least one childhas no history of pelvic diseaseis willing to check the IUCD tailhas access to follow up and treatment of potential problems, andis in a monogamous relationshipRef: Park pg no: 497", "cop": 4, "opa": "Have normal menstrual periods", "opb": "No history of PID", "opc": "Has at least one child", "opd": "Cancer Cervix", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "7195909e-bcd7-49a0-911d-08fbd12c6a7a", "choice_type": "single"} {"question": "Cipargamin is a drug under trial for", "exp": "Cipargamin (KAE 609) is a synthetic antimalarial belonging to the spiroindolone class. In trials, it cleared the parasite rapidly in Plasmodium falciparum and Plasmodium vivax in uncomplicated Malaria patients. The safety profile of drug not known yet. Ref : Park 23rd edition Pgno : 262", "cop": 4, "opa": "HIV / AIDS", "opb": "Tuberculosis", "opc": "Typhoid", "opd": "Malaria", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "3b781381-5510-4ac8-8fdd-5c985253b9bf", "choice_type": "single"} {"question": "Vaccine with maximum efficacy is", "exp": "Measles Both measles and tetanus toxoid are highly efficacious vaccines (>95% efficacy). But if we compare the doses required and duration of immunity achieved, measles vaccine is clearly ahead of tetanus toxoid. - A single dose of measles vaccine if given at 12 months can achieve 95% efficacy, and if given at 15 months can achieve 98% efficacy. A 2\" dose of measles vaccine achieves >99% efficacy. \"This immunity appears to be of long duration probably for life.\"-Park 20/e p138 - Tetanus toxoid achieves the same efficacy (>95%) after 3 doses and boosters are required every 5 to 10 yrs to maintain the immunity. (Whereas measles requires no boosters) BCG and OPV can be easily ruled out. BCG has variable efficacy of 0-80%. OPV has >90% efficacy in industrialised countries and 72-98% in hot climates when cold chain is properly maintained. (Lower protection against type 3 which can cause rare vaccine associated paralytic polio.) Ghai writes-\"Primary vaccine failure occasionally occurs after three doses of oral polio vaccine.\"", "cop": 2, "opa": "OPV", "opb": "Measles", "opc": "BCG", "opd": "TT", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a5e30999-f074-474b-89c1-5345c2bb6746", "choice_type": "single"} {"question": "Fat content is minimum in", "exp": "Ans. is 'a' i.e., Human milk Fat content of milk: Buffalo > Goat > Cow > Human Protein content of milk: Buffalo > Goat > Cow > Human Lactose content of milk: Human > Buffalo > Goat > Cow Energy content of milk: Buffalo > Goat > Cow > Human", "cop": 1, "opa": "Human milk", "opb": "Cow milk", "opc": "Goat milk", "opd": "Buffalo milk", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a7887c11-66c8-43ae-813a-5600eff5fca2", "choice_type": "single"} {"question": "Health Survey & Development Committee is given by", "exp": null, "cop": 3, "opa": "Mudaliar", "opb": "Srivasthava", "opc": "Bhore", "opd": "Mukharji", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b33455fe-26b2-4147-9e29-f869416b25d1", "choice_type": "single"} {"question": "Screening test for vitamin D deficiency is", "exp": "Total serum 25-hydroxyvitamin D (the major form of vitamin D that circulates in the body) is used for screening.Recently USPSTF (US preventive services task force) concluded that the evidence on screening for vitamin D deficiency in asymptomatic adults to improve health outcomes is insufficient", "cop": 3, "opa": "7-dehydrocholestrol", "opb": "1,25 dihydroxy vitamin D", "opc": "25 hydroxy vitamin D", "opd": "Serum calcium levels", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "f36c0a1d-ca61-49aa-be4f-eb02f8ea7a3d", "choice_type": "single"} {"question": "Sample registration is done", "exp": "Sample registration system (SRS) SRS is taken once every 6 months It is a dual record data collection system of India Therefore, it is the most accurate data collection system of India", "cop": 2, "opa": "Every 3 months", "opb": "Every 6 months", "opc": "Every 9 months", "opd": "Every 12 months", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2017", "id": "1a74e837-e474-43df-9318-c8ebaa81f3dd", "choice_type": "single"} {"question": "Gold standard study for Clinical research is", "exp": "• Meta-analysis (Highest clinical relevance: GOLD STANDARD)\n• Systematic review\n• Cohort study\n• Case control study\n• Case series\n• Case report\n• Ideas, Editorials, Opinions\n• Animal research\n• In-vitro (test-tube) research (Lowest clinical relevance)", "cop": 2, "opa": "Randomised double-blind trial", "opb": "Systematic meta-analysis", "opc": "Ecological study", "opd": "Retrospective cohort study", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "bfda8a00-319b-495d-b84b-c02d5fd5b562", "choice_type": "single"} {"question": "MMR is expressed as a rate per", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 4, "opa": "100 live bihs", "opb": "1000 live bihs", "opc": "10000 live bihs", "opd": "100000 live bihs", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "d550eccc-84ba-44b1-90fd-ddd0e857c774", "choice_type": "single"} {"question": "M.C. complication of mumps in children is", "exp": null, "cop": 1, "opa": "Aseptic meningitis", "opb": "Pancreatitis", "opc": "Pneumonia", "opd": "Encephalitis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e26217aa-894a-47d9-98f2-e4a67ecfbc31", "choice_type": "single"} {"question": "Father of medicine is", "exp": "Ans) a (Hippocrates) Ref park 20th ed p 3Hippocrates is the father of modern medicine. It was Hippocrates who first related disease to environment.Galen was a great roman medical teacher. His important contributions were in the field of comparative anatomy and experimental physiology. He observed that disease is due to three factors - Predisposing, exciting and environmental factors which was a truly modern idea during those periodsSusrutha is \"father of indian surgery\"Panacea is regarded as \"goddess of medicine\".", "cop": 1, "opa": "Hippocrates", "opb": "Susrutha", "opc": "Galen", "opd": "Panacea", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "2be4f9a2-d450-4571-86c7-b9eadf2a214c", "choice_type": "single"} {"question": "Cu 380A should be replaced once in", "exp": "Change of IUDs Ine IUDs such as Lippes Loop may be left in place as long as required, if there are no side-effects. Copper devices cannot be used indefinitely because copper corrodes and mineral deposits build up on the copper affecting the release of copper ions. They have to be replaced periodically. The same applies to the hormone-releasing devices. This is an inherent disadvantage of medicated devices when they are used in large national family planning programmes. The Cu-T -380A is approved for use for 10 years. However, the Cu-T -380A has been demonstrated to maintain its efficacy over at least 12 years of use. The Cu-T -200 is approved for 4 years and the Nova T for 5 years. The progesterone-releasing IUD must be replaced every year because the reservoir of progesterone is depleted in 12-18 months. The levonorgestrel IUD can be used for at least 7 years, and probably 10 years. The progesterone IUD has a slightly higher failure rate, but the levonorgestrel device that releases 15-20 ug levonorgestrel per day is as effective as the new copper IUDs Ref : Park 25th edition Pgno : 531-548", "cop": 4, "opa": "4years", "opb": "6years", "opc": "8years", "opd": "10years", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "5a2dfc49-5580-48d1-9714-a88a6c637f33", "choice_type": "single"} {"question": "The staing numbers in life table is known as", "exp": "In actuarial science and demography, a life table (also called a moality table or actuarial table) is a table which shows, for each age, what the probability is that a person of that age will die before his or her next bihday (\"probability of death\") There are two types of life tables used in actuarial science. The period life table represents moality rates during a specific time period of a ceain population. A coho life table, often referred to as a generation life table, is used to represent the overall moality rates of a ceain population's entire lifetime. They must have had to be born during the same specific time interval. A coho life table is more frequently used because it is able to make a prediction of any expected changes in moality rates of a population in the future. This type of table also analyzes patterns in moality rates that can be observed over time Ref : https://en.m.wikipedia.org/wiki/Life_table", "cop": 4, "opa": "Radix", "opb": "Radius", "opc": "Origin", "opd": "Coho", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "e93f17fd-c78a-4bf1-886d-bab1fd4cd90f", "choice_type": "single"} {"question": "Low glycemic index among the following is", "exp": "Rice Rice is the staple food of more than half the human race. The rice grain consists of 3 pas the germ (embryo), the inner endosperm, and the outer pericarp and aleurone grain layer. The endosperm is composed mostly of starch; the outer pericarp aleurone layer and germ contain most of the essential nutrients. The protein content of rice varies from 6-9 per cent. Rice proteins are richer in lysine than the other cereal proteins, and for this reason, rice protein is considered to be of better quality; Rice is a good source of B group vitamins, especially thiamine. It is devoid of vitamins A, D and C. It has low glycemic index. In regard to minerals rice is a poor source of calcium and iron Ref: Park 25th edition Pgno : 665", "cop": 4, "opa": "Sucrose", "opb": "Potato", "opc": "Wheat bread", "opd": "Rice", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "a519e1bd-e8a1-4b6b-82f5-6e5a56df6163", "choice_type": "single"} {"question": "Most popular media for mass education of general public is", "exp": "Mass media are mainly a one-way communication (Didactic Methods):\n– Television:\n- Most popular of all media\n- Creates awareness, influence public opinions and introduce new ways of life\n- Raise levels of understanding\n- Has much potential for health communication\n- Not much opportunity for feedback and discussion\n– Radio:\n- Purely didactic medium\n- Valuable aid in putting across health information\n– Internet:\n- Fast growing communication media\n- Holds very large potential to become a major health education tool\n– Newspapers:\n- Most widely disseminated of all forms of literature\n- Reach only to limited population (literates)\n– Printed material:\n- Can convey detailed information\n- Produced in bulk at low cost, can be shared\n– Direct mailing:\n- New innovation in health communication\n– Posters, billboards, signs:\n- Can be displayed at public places\n- Less effective in changing behaviour\n– Health museums and exhibitions\n– Folk media", "cop": 2, "opa": "Radio", "opb": "Television", "opc": "Newspaper", "opd": "Internet", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fc5de819-86e4-4eda-aea4-f10f4dbc9ce1", "choice_type": "single"} {"question": "Direction of case control study", "exp": "Case-control study has 3 distinct features: Both exposure and outcome have occurred before the sta of the study The study proceeds backward from effect to cause It uses a control or comparison group to suppo or refute an inference Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 79", "cop": 1, "opa": "Direction of study is reverse but time is forward", "opb": "Direction of study is forward and time is also forward", "opc": "Direction of study is forward and time is reverse", "opd": "Direction of study is reverse and time is also reverse", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "29ba6d72-8ea4-4a7e-a3e9-e5afa03d2e7a", "choice_type": "single"} {"question": "Find out prevalence in a population of 5000, 500 are suffering from a disease. There are 150 old cases of disease in the population", "exp": "The term \"disease prevalence\" refers specifically to all current cases (old and new) existing at a given point in time, or over a period of time in a given population. A broader definition of prevalence is as follows: \"the total number of all individuals who have an attribute or disease at a paicular time (or during a paicular period) divided by the population at risk of having the attribute or disease at this point in time or midway through the period . No. of old and new cases = 650 Total population at that point of time = 5000 Prevalence = (650/5000) x 100 = 0.13 x 100 = 13%", "cop": 3, "opa": "9%", "opb": "12%", "opc": "13%", "opd": "18%", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "02412fcc-d0a3-42a0-9765-678f1702e077", "choice_type": "single"} {"question": "Triage means", "exp": null, "cop": 4, "opa": "First come first serve", "opb": "Labeling the death patients", "opc": "Treating person with better prognosis", "opd": "Identifying seriously ill who needs treatment first.", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "41e36066-c110-47e1-8cac-fad6a9fc851b", "choice_type": "single"} {"question": "The transmission of filariasis is an example of", "exp": null, "cop": 2, "opa": "Propagative transmission", "opb": "Cyclo-developmental transmission", "opc": "Cyclical transmission", "opd": "Cyclo-propagative transmission", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a1a56c20-64b0-4969-a280-e8d458affed7", "choice_type": "single"} {"question": "Nodal centre in case of disaster management", "exp": null, "cop": 2, "opa": "PHC", "opb": "District", "opc": "Sub centre", "opd": "CHC", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0e5eec31-27ca-4fc9-9dc7-a01fee06b221", "choice_type": "single"} {"question": "Contraception efficacy is measured by", "exp": "Two methods that have been used to measure contraceptive efficacy are the Pearl index and life-table analysis.Pearl index is defined as the number of \" failures per 100 woman-years of exposure (HWY)\"Failure rate per HWY = Total accidental pregnancies / Total months of exposure x 1200The Pearl index is usually based on a specific exposure (usually one year) and, therefore fails to accurately compare methods at various durations of exposure.The life-table analysis calculates a failure rate for each month of use. A cumulative failure rate can then compare methods for any specific length of exposure.Park 23e pg: 510", "cop": 2, "opa": "Pearl index only", "opb": "Pearl index and life table analysis", "opc": "Life table analysis and couple protection rate", "opd": "Couple protection rate and pearl index", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "23a665de-5c15-4175-bc3e-3c75dad0a77c", "choice_type": "single"} {"question": "The maximum number of death in children occur in following age group", "exp": "parks textbook of preventive and social medicine 23rd edition *75% of total neonatal deaths occur within first week of life. *risk of death is greatest during first 24-48hours after bih.", "cop": 3, "opa": "2-5 years", "opb": "1-2 years", "opc": "first 7 days", "opd": "6 months - 12 months", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "8ff9f894-4989-40cb-b2de-f9b034021a04", "choice_type": "single"} {"question": "Missing cases are detected by", "exp": "Sentinal surveillance is a method of identifying the missing cases and thereby supplementing the notified cases. Helps to estimate disease prevalence. Repoing bias minimized. Note: India is the 1st country to have Sentinal surveillance set up for follow up of cataract surgeries. Ref: Park's Textbook of Preventive and Social Medicine; 24th edition - Page no. 45", "cop": 3, "opa": "Active surveillance", "opb": "Passive surveillance", "opc": "Sentinel surveillance", "opd": "Prevalence rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "9829a93e-1135-479b-a757-e47038a51849", "choice_type": "single"} {"question": "Concurrent list includes", "exp": "Ans. is 'c' i.e., Vital statistics", "cop": 3, "opa": "Census collection", "opb": "International health relations", "opc": "Vital statistics", "opd": "Immigration", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b9d181d9-b12c-4892-9254-9c5eb00ec6c1", "choice_type": "single"} {"question": "EYE strategy is developed for elimination of", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed pg.310", "cop": 2, "opa": "Yaws", "opb": "Yellow fever", "opc": "Leptospirosis", "opd": "Zika virus", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "3754b62c-2547-4845-95de-1f68a1274e7e", "choice_type": "single"} {"question": "Central tendency is not given by", "exp": "Central tendency is given by mean, median, mode.", "cop": 2, "opa": "Mean", "opb": "Range", "opc": "Median", "opd": "Mode", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d20af5f6-6552-4cee-aac2-fd495eaa6fc2", "choice_type": "single"} {"question": "Serial interval is a measure of", "exp": "The gap in time between the onset of primary case and the secondary case is known as serial interval. By collecting information of the whole series of onset, we get a distribution of secondary cases from which we can guess the incubation period. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 108", "cop": 3, "opa": "Sensitivity", "opb": "Specificity", "opc": "Incubation period", "opd": "Positive predictive value", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "8d1fdc98-92eb-49e6-a134-c165f41ecf78", "choice_type": "single"} {"question": "PH of drinking water", "exp": null, "cop": 2, "opa": "4.5 - 6", "opb": "6.5 - 8.5", "opc": "7.5 - 9", "opd": "9.5", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "188ed732-8545-4597-9702-cd6dec95fc22", "choice_type": "single"} {"question": "Efficacy of BCG vaccine for Pulmonary Tuberculosis", "exp": "Efficacy of BCG Vaccine 0-80% (0% for pulmonary TB) Average 50% (50% for severe forms of TB)", "cop": 1, "opa": "0%", "opb": "25%", "opc": "33%", "opd": "50%", "subject_name": "Social & Preventive Medicine", "topic_name": "Vaccines", "id": "152de20f-872a-45f2-832c-c5a575f91fc9", "choice_type": "single"} {"question": "After excision of breast for Ca breast, a surgical reconstruction of breast tissue was don This reflects", "exp": null, "cop": 3, "opa": "Primary prevention", "opb": "Secondary prevention", "opc": "Tertiary prevention", "opd": "Medical treatment", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4a720ce4-31da-48b2-acf2-91522ac08b4f", "choice_type": "single"} {"question": "Human Development index(HDI) value lies between", "exp": "HDI lies between 0 to +1.\nHDI of india is 0.64.", "cop": 1, "opa": "0 to +1", "opb": "-1 to +1", "opc": "0 to -1", "opd": "0 to +2", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3d046005-a120-471f-ab1e-46809179dfb0", "choice_type": "single"} {"question": "Farmer's lung result from exposure to", "exp": "(B) Thermophilic actinomycetes # FARMER'S LUNG is due to the inhalation of mouldy hay or grain dust. In grain dust or hay with a moisture content of over 30 per cent bacteria and fungi grow rapidly, causing a rise of temperature to 40 to 50deg C.This heat encourages the growth of thermophilic actinomycetes, of which Micropolyspora faerti is the main cause of farmer's lung.# OTHER FORMS OF PNEUMOCONIOSIS: Coalworker's pneumoconiosis (also known as miner's lung, black lung or anthracosis) -- coal, carbon Asbestosis -- asbestos Silicosis (also known as \"grinder's disease\" or Potter's rot, or when related to silica inhaled from the ash of an erupting volcano, Pneu-mono ultramicroscopic silico-volcanoconiosis) -- crystalline silica dust Bauxite fibrosis -- Bauxite Berylliosis--Beryllium Siderosis--Iron Byssinosis -- Cotton Silicosiderosis -- mixed dust containing silica and iron Labrador lung (found in miners in Labrador, Canada) -- mixed dust containing iron, silica and anthophyllite, a type of asbestos Stannosis -- Tin oxide", "cop": 2, "opa": "Aspergillus", "opb": "Thermophilic actinomycetes", "opc": "Cotton dust", "opd": "Silica", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "e7e18651-60be-4f8b-9223-a3d113cb3dc2", "choice_type": "single"} {"question": "Proposed number of female health workers at subcenter according to IPHS norms.", "exp": "IPHS subcenter norms\n\n\n\n \n\nExisting\n\n\nProposed\n\n\n\nFemale health workers\n\t\t\tMale health workers\n\t\t\tVoluntary workers\n\n1\n\t\t\t1\n\t\t\t1\n\t\t\t(optional)\n\n\n2\n\t\t\t1\n\t\t\t1\n\t\t\t(optional)\n\n\n\n \n2/3\n3/4", "cop": 2, "opa": "1", "opb": "2", "opc": "3", "opd": "4", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9b0355d4-5f6e-4c78-8731-c24aae5b1856", "choice_type": "single"} {"question": "Correlation between Hight and weight is best depicted by", "exp": "Scatter diagram also known as co - relarion diagram.\nCorrection is best depicted by scatter diagram.", "cop": 4, "opa": "Histogram", "opb": "Ogive", "opc": "Line chart", "opd": "Scatter diagram", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6e8186ce-d26a-4102-959a-3224dd57dd3b", "choice_type": "single"} {"question": "Major reason for H5N1 not to become a global pandemic is", "exp": "Reasons for H5N1 not becoming Global Pandemic\n\nAbsence of efficient human to human mode of transmission (Major reason)\nAbsence of replication in humans\nAbsence of serious disease in humans", "cop": 1, "opa": "Man to man transmission is rare", "opb": "Route of transmission is not respiratory", "opc": "Does not cause serious disease among humans", "opd": "Restricted to few countries only", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2a86af34-7f34-4928-9589-da139571dba7", "choice_type": "single"} {"question": "Most common cause of low birth weight", "exp": null, "cop": 4, "opa": "Intrauterine growth Retardation", "opb": "Chromosomal Abnormalities", "opc": "Anemia in mother", "opd": "Prematurity", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "54bb4634-9ad5-436b-b71d-3f13ea03984f", "choice_type": "single"} {"question": "A malarial survey is conducted in 50 villages having a population of 1 lakh. Out of 20000 slides examined,500 turned out to be malaria positive. The annual parasite incidence is", "exp": null, "cop": 1, "opa": "5", "opb": "20", "opc": "0.5", "opd": "0.4", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2663d800-f73b-44e0-8920-25817caf1c6f", "choice_type": "single"} {"question": "Risk of damage to fetus by maternal rubella is maximum if mother gets infected in", "exp": "The risk of congenital malformations following infections by teratogenic organisms is maximum in first trimester, so the best option is 6-12 weeks.", "cop": 1, "opa": "6-12 weeks of pregnancy", "opb": "20-24 weeks of pregnancy", "opc": "24-28 weeks of pregnancy", "opd": "32-36 weeks of pregnancy", "subject_name": "Social & Preventive Medicine", "topic_name": "VBDs, Arboviral & Viral Infections, Surface Infections", "id": "4f7d4e9c-ce76-443c-b95c-2d7e9d953f8c", "choice_type": "single"} {"question": "The time interval between the invasion of the infectious agent and the appearance of the first sign or symptom", "exp": "An infection becomes apparent only after a certain incubation period which is defined as the time interval between invasion by an epidemiological agent and the appearance of first sign or symptoms. During incubation period the infectious agent undergoes multiplication in the host.", "cop": 3, "opa": "Serial interval", "opb": "Quarantine", "opc": "Incubation period", "opd": "Period of infectivity", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "cacc185a-609c-45f0-8be8-f8f1d2ca197b", "choice_type": "single"} {"question": "Category 'C' Bioterrorism agent among the following", "exp": null, "cop": 3, "opa": "Plague", "opb": "Clostridium Perfringens", "opc": "Nipah virus", "opd": "Botulism", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c0d79257-5c51-4c69-b3f6-775cd1a7fe84", "choice_type": "single"} {"question": "The target group of IMNCI", "exp": "Integrated management of neonatal and childhood illness target is upto 5 yrs of age. Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 459", "cop": 1, "opa": "Upto 5 yrs", "opb": "Upto 10 yrs", "opc": "Upto 15 yrs", "opd": "Upto 20 yrs", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "392edf65-6a63-4826-997e-e1d4567670f3", "choice_type": "single"} {"question": "Diagnosis criteria of Acute severe malnutrition does not include", "exp": "WHO Acute malnutrition criteria\n\nVisible severe wasting\nBipedal Edema\nWeight for height < 35D\nMid arm circumference < 115mm", "cop": 3, "opa": "Visible severe wasting", "opb": "Bipedal Edema", "opc": "Weight for height <25D", "opd": "Mid arm circumference < 115mm", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e096ff23-7fde-4a6c-b65a-f3f7605d7880", "choice_type": "single"} {"question": "The age and sex structure of a population can be described by a", "exp": "The age and sex structure of a population are best represented by &;age pyramid&;.Developing countries have a broad base and tapering top. Developed countries show a bulge in the middle and have a narrower base.Park 23e pg: 482", "cop": 3, "opa": "Life table", "opb": "Correlation coefficient", "opc": "Population pyramid", "opd": "Bar cha", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "364f9e9c-acb6-40cd-88a4-32ad7deb0dbc", "choice_type": "single"} {"question": "Man in the only host for", "exp": "Obligate Host: Means the only host\n– Man in Measles\n– Man in Typhoid", "cop": 2, "opa": "Dracunculus medinensis", "opb": "Trichuris trichura", "opc": "Onchocerca volvolus", "opd": "Wuchereria bancrofti", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e248f41a-c40f-46b1-865a-ea0270a1985d", "choice_type": "single"} {"question": "Congenital passive immunity is NOT found in", "exp": "(Rubella) (96, 168-Park 19fh) (97-140-Park 20th)Passive Immunity - when antibodies produced in one body (human or animal) are transferred to another to induce protection against disease* Body does not produce its own antibodies but depends upon ready- made antibodies(a) By administration of an antibody- containing preparation (immune globulin or antiserum)(b) By transfer of maternal antibodies across the placenta Human milk also contains protective antibodies (IgA)(c) By transfer of lymphocytes to induce passive cellular immunity - this procedure is still experimentalPassive immunity differs from active immunity in the following respects1. Immunity is rapidly established2. Immunity produced is only temporary (days to months till the antibody is eliminated from the body3. There is no education of the reticulo endothelial systemPoliomyelitis - The maternal antibodies gradually disappears during the first 6 months of life. Immunity following infection is fairly solid although re infection can occur since infection with one type does not protect completely against the other two types of viruses. Type 2 virus to be most effective antigens* Neutralizing antibody is widely recognized as an important index of immunity to polio after infection * *Mumps - Most infents below the age of 6 months are immune because of maternal antibodies* One attack clinical or subclinical is assumed to induce life -long immunity. Second attack can occure (132-Park 19th)Rubella - Infants of immune mothers are protected from 4 to 6 months**.* One attack gives life long immunity, secondary attack is rare- Transplacental (or vertical) transmission - TORCH agents (Toxoplasm, gondii, rubella virus, CMV and herpes virus) Varicella virus, syphilis, hepatitis, Coxsackie- B and AIDSActive immunity may be acquired1. Following clinical infection eg. Chickenpox, rubella, measles2. Following sub clinical or in apparent infections eg polio, Diptheria3. Following immunization with antigen which may be a killed, live attenevnted or toxoidMeasles (Rubeola) - Infant are protected by maternal antibodies upto 6 months of age or may persists 9 months. (127-P)", "cop": 3, "opa": "Polio", "opb": "Mumps", "opc": "Rubella", "opd": "Measles", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "356d64ea-d8b2-40f4-9a07-6af02a03948c", "choice_type": "single"} {"question": "Treatment for Filariasis is,", "exp": null, "cop": 2, "opa": "Chloroquin", "opb": "Diethyl Carbamazine", "opc": "Tetracycline", "opd": "Praziquantel", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ee0c89ea-59fd-4d18-997d-655028606872", "choice_type": "single"} {"question": "A crowd obeying the orders of the leader is", "exp": null, "cop": 2, "opa": "Mob", "opb": "Herd", "opc": "Band", "opd": "Crowd", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "60896276-9e16-4a0f-abff-f73744b783e2", "choice_type": "single"} {"question": "no of hours per day of work is expected from tribal ASHAs", "exp": "An accredited social health activist (ASHA) is a community health worker instituted by the government of India's Ministry of Health and Family Welfare (MoHFW) as a pa of the National Rural Health Mission (NRHM).. The mission began in 2005; full implementation was targeted for 2012. Once fully implemented, there is to be \"an ASHA in every village\" in India, a target that translates into 250,000 ASHAs in 10 states. ASHAs must primarily be female residents of the village that they have been selected to serve, who are likely to remain in that village for the foreseeable future. Married, widowed or divorced women are preferred over women who have yet to marry since Indian cultural norms dictate that upon marriage a woman leaves her village and migrates to that of her husband. ASHAs preference for selection is they must have qualified up to the tenth grade, preferably be between the ages of 25 and 45, and are selected by and accountable to the gram panchayat (local government). If there is no suitable literate candidate, these criteria may be relaxed Ref:Park's Textbook of Preventive and Social Medicine 25th Ed Pgno : 449", "cop": 3, "opa": "8", "opb": "6", "opc": "4", "opd": "2", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "f711f1ea-4d7c-46ae-a62a-068784d2b02a", "choice_type": "single"} {"question": "Moderately hard water has hardness level", "exp": "Ref: 25th Ed K.Park's Textbook Of Preventive and Social Medicine Pgno : 763", "cop": 2, "opa": "<1", "opb": "3-Jan", "opc": "6-Mar", "opd": ">6", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "a23d4f30-6f96-467b-9e0b-0c21142f8c88", "choice_type": "single"} {"question": "The influence of maternal smoking and LBW incidence is studied. Detailed smoking history is taken at first antenatal visit and smoking history and birth weight were studied later. The type of study is", "exp": null, "cop": 4, "opa": "Retrospective cohort study", "opb": "Cross sectional study", "opc": "Clinical trial", "opd": "Prospective cohort study", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "05dc164e-0277-4a50-8d88-6f4effededc4", "choice_type": "single"} {"question": "A 70 kg farmer consumes 56g proteins, 60g lipids and 270g carbohydrates. He is consuming", "exp": "Farmer is Heavy worker, so the energy requirement per day 58kcal/kg/day\n\n\n\n1g of carbohydrate \n4.1kcal\n\n\n1g of proteins\n4.2 kcal\n\n\n1g of fat\n9.0kcal\n\n\n\nIn this question\n\n\n\n270g of carbohydrates\n= 270×4.1 = 1107kcal\n\n\n56g of proteins\n= 56 × 4.2 = 235 kcal\n\n\n60g of fats\n= 60 × 9 = 540 kcal\n\n\nTotal \n= 1882 kcal\n\n\n\nFarmer requires = 4060kcal/day\nHence, option (1) Less calories.", "cop": 1, "opa": "Less calories", "opb": "Adequate calories", "opc": "More calories", "opd": "Cannot be commented", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c3508c00-2668-40aa-8e00-14d5c9b5e2eb", "choice_type": "single"} {"question": "Annual growth rate is", "exp": "When crude death rate is substracted from crude bih rate , the net residual is current annual growth rate, exclusive of migration. Population growth rates like railway trains are subject to momentum. They sta slowly and gains momentum, once in motion, it takes time to bring momentum under control. Reference: Park&;s textbook of preventive and social medicine, 23rd edition, pg no: 481", "cop": 1, "opa": "Crude bih rate-Crude death rate", "opb": "Crude death rate-Crude bih rate", "opc": "Crude bih rate-Crude death rate x 100\\/Crude bih rate", "opd": "Crude bih rate-crude death rate x 100\\/Mid bih rate population", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "f2bc6d0c-22b5-4c84-a07c-6bd7a0f43e5e", "choice_type": "single"} {"question": "The type of Diphtheria with highest mortality is", "exp": "Clinical manifestations of diphtheria \n1. Faucial (tonsillo pharyngeal) diphtheria\n\nIt is the commonest type of diphtherial infection.\nIncubation period is 2-5 days.\nPatients present with malaise, sore throat and moderate fever.\nA thick adherent pseudomnembrane (gray or white) is present on one or both tonsils or adjacent pharynx.\nDislodging the membrane is likely to cause bleeding.\nA small percentage of patients present with massive swelling of the tonsils and uvula with cervical lymphadenopathy (bull neck) and severe toxemia → Malignant diphtheria.\nSystemic toxicity (toxemia) is usually most severe when pseudomembrane extends from tonsil and pharynx (faucial diphtheria) to adjacent areas.\n\n2. Laryngeal diphtheria\n\nPresents as hoarseness and cough.\nIt is the most severe form of respiratory diphtheria.\nTrocheostomy may be required.\n\n3.Nasal diphtheria\n\nPresents with unilateral or bilateral nasal discharge.\nMildest form of respiratory diphtheria\n\n4. Cutaneous diphtheria\n\nCaused by nontoxigenic strains\nPresents as distinct \"punched out\" ulcers.\nMore common in tropical areas.\nOther less common type of diphtheria are conjunctiva, otitic, genital - (vulval, vaginal or prepucial), gastrointestinal.", "cop": 3, "opa": "Pharyngeal", "opb": "Nasal", "opc": "Laryngeal", "opd": "Conjuntival", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "53ce7653-2757-4761-91e8-c88b2b6a613e", "choice_type": "single"} {"question": "\"Lead time\" refers to the time between", "exp": "LEAD TIME is the advantage gained by screening, i.e., the period between diagnosis by early detection and diagnosis by other means. It is an impoant factor when evaluating the effectiveness of a specific test. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 148", "cop": 4, "opa": "Disease onset and final critical diagnosis", "opb": "Disease onset and final possible point of detection", "opc": "First possible point of detection and final critical diagnosis", "opd": "First possible point of detection and usual time of diagnosis", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "724a281a-0b71-42dc-8ebd-e1b43b382a53", "choice_type": "single"} {"question": "Treatment of choice for sputum positive pulmonary tuberculosis detected in the I trimester of pregnancy is", "exp": null, "cop": 2, "opa": "Defer treatment till II trimester", "opb": "Start Category I immediately", "opc": "Start Category II immediately", "opd": "Start Category III immediately", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ca1d05da-3056-489e-8f0f-8ea1ebbefcf2", "choice_type": "single"} {"question": "Broca&;s index is", "exp": "The Broca Index, also known as the Broca formula was devised back in 1871 by the French physician, surgeon and anthropologist Paul Broca, as a measure of the normal weight of a person. Broca Index Normal Weight = Body Height - 100. Ref: Park 25th edition Pgno : 418", "cop": 2, "opa": "Weight minus 100", "opb": "Height minus 100", "opc": "height /weight", "opd": "Weight /height", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "be4c87f0-9b20-42c4-afa5-d4d8f12d58c4", "choice_type": "single"} {"question": "Incubation period of chancroid is", "exp": null, "cop": 1, "opa": "Less than 7 days", "opb": "10-15 days", "opc": "2-3 weeks", "opd": "3-4 weeks", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ad730709-0b5b-4bcd-87d7-94843340172d", "choice_type": "single"} {"question": "Living standard of people is best assessed by", "exp": "PQLI includes infant moality rate, life expectancy at age 1, and literacy. PQLI does not take income into account. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno 17", "cop": 3, "opa": "Infant Moality Rate", "opb": "Maternal Moality", "opc": "Physical Quality of Life Index", "opd": "Death Rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "83c5e9bf-6711-4699-870b-2ad89c043978", "choice_type": "single"} {"question": "Incubation period of vaccine associated paralytic poliomyelitis is", "exp": "Vaccine derived paralytic poliomyelitis (VAPP) : Develop paralytic polio after 4-30 days of administration of OPV Poliomyelitis among contacts of OPV : Develop within 7-60 days after exposure to recent OPV - recepient Ref: Human vital pathogens by Liu 1st edition Pgno : 79", "cop": 4, "opa": "1-2 hours.", "opb": "1-3 days", "opc": "7-10 days", "opd": "4-30 days", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "a737c620-d247-474e-88bc-6d508b0405e2", "choice_type": "single"} {"question": "Epidemic typhus causes & vector", "exp": null, "cop": 2, "opa": "R. typhi & mite", "opb": "Rickettessia prowazki & louse", "opc": "R. conori & tick", "opd": "R. akari & mite", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e94ce67a-f83b-4d23-bef7-280dd78bd9d4", "choice_type": "single"} {"question": "Midyear population is considered as that on", "exp": "The mid-year population is used to calculate bih and death rates. The mid-point refers to the population estimated as on first of July of a year.Park 23e pg: 55", "cop": 3, "opa": "1st June", "opb": "30th June", "opc": "1st July", "opd": "15th July", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "385555f1-a04d-45d8-8da8-5506f0542d9f", "choice_type": "single"} {"question": "Natural history of disease can be studied from", "exp": "Longitudinal studies There is an increasing emphasis on the value of longitudinal studies in which observations are repeated in the same population over a prolonged period of time by means of follow-up examinations. Cross-sectional studieshave been likened to a photograph, and longitudinal studies to a cine film. Longitudinal studies are useful (i) to study the natural history of disease and its future outcome {ii) for identifying risk factors of disease, (iii) for finding out incidence rate or rate of occurrence of new cases of disease in the community. Longitudinal studies provide valuable information which the cross-sectional studies may not provide, but longitudinal studies are difficult to organize and more time-consuming than cross-sectional studies. Measurement can also be extended to health states and events. For example, the study of blood pressure levels in a population will reveal the normal values, rather than abnormal ones related to disease. Ref : Park 23rd edition Pgno : 69", "cop": 4, "opa": "Community trials", "opb": "Quasi-controlled trials", "opc": "Cross-sectional studies", "opd": "Longitudinal studies", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "f4eabb5c-5e61-4785-96ed-92f209599fde", "choice_type": "single"} {"question": "Second attack rate is minimum in", "exp": null, "cop": 2, "opa": "Diphtheria", "opb": "TB", "opc": "Measles", "opd": "Whooping cough", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ed43f12e-372e-4e1c-b647-e3f13ea81ca2", "choice_type": "single"} {"question": "Dutch cap is a", "exp": "Dutch cap is diaphragm which is used as a vaginal barrier The diaphragm is a shallow cup made of synthetic rubber or plastic material Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 495", "cop": 1, "opa": "Diaphragm", "opb": "Condom", "opc": "Vaginal sponge", "opd": "Vaginal ring", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "5cedf31d-fef7-4535-85f1-9115fd64bbae", "choice_type": "single"} {"question": "Compared with cow’s milk, mother’s milk has more", "exp": null, "cop": 1, "opa": "Lactose", "opb": "Vitamin D", "opc": "Protein", "opd": "Fat", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9a239450-58e2-478b-828c-4b62134c8649", "choice_type": "single"} {"question": "Years of life lost due to premature death and years lived with disability is known as", "exp": "DALY Number of years lost due to ill-health, disability or early death 1 DALY = 1yr of healthy life lost Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 26", "cop": 2, "opa": "HALE", "opb": "DALY", "opc": "Sullivan's index", "opd": "HDI", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "4ee56b82-4319-49ee-a513-aec33a38abf2", "choice_type": "single"} {"question": "Break bone fever", "exp": "(B) Dengue fever > After an incubation period of 2 to 7 days, the typical patient experiences the sudden onset of fever, headache, retroorbital pain, and back pain along with the severe myalgia that gave rise to the colloquial designation \"break-bone fever.\" There is often a macular rash on the first day as well as adenopathy, palatal vesicles, and scleral injection.> Illness may last a week, with additional symptoms usually including anorexia, nausea or vomiting, marked cutaneous hypersensitivity, and--near the time of defervescence--a maculopapular rash beginning on the trunk and spreading to the extremities and the face.> Epistaxis and scattered petechiae are often noted in uncomplicated dengue, and preexisting gastrointestinal lesions may bleed during the acute illness.", "cop": 2, "opa": "Typhoid fever", "opb": "Dengue fever", "opc": "Malignant fever", "opd": "Malaria", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "13d00ba0-357d-43ab-9fb5-c62752116bd7", "choice_type": "single"} {"question": "Human development index doesn&;t include", "exp": "Human Development Index : It is a statistical composite index of These are used to rank countries into four tiers of human development", "cop": 1, "opa": "Mean years of schooling", "opb": "Health", "opc": "Education", "opd": "Living standards", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "03fd8299-9461-4c16-b455-8716bf6760db", "choice_type": "single"} {"question": "Social mobility is", "exp": "Social mobility Indian society is rigidly based on caste system. There is little social mobility, i.e., people do not change their caste or religion. In other words, Indian society is. a \"closed-class\" system. There are societies known as the \"open class societies\" where movement of the social ladder is unrestricted, on the basis of achievement or gaining wealth. Open class societies are therefore more progressive where people according to their ability can go up the social ladder. In closed-class systems, it is difficult to make reforms without meeting resistance of the people. Ref : Park 23rd edition Pgno : 725", "cop": 4, "opa": "From rural to urban areas", "opb": "Industrialization", "opc": "Interaction between cultures", "opd": "Movement in socio economic status", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "7fcfcfc7-6f86-481d-a5bb-28100033b612", "choice_type": "single"} {"question": "The strain used in Mumps vaccine is", "exp": "The various strains used for Mumps include Jeryl-Lynn, RIT-4385, Leningrad-3, L-Zagreb and Urabe strains.", "cop": 1, "opa": "Jeryl Lynn", "opb": "Edmonston Zagreb", "opc": "RA 27/3", "opd": "Oka", "subject_name": "Social & Preventive Medicine", "topic_name": "National Immunization Schedule 2020-21", "id": "ec8069f4-4009-4099-bc14-760c074e034c", "choice_type": "single"} {"question": "Study design of choice for finding out Diurnal variation of fat in Expressed breast milk (EBM) for preterm babies", "exp": "Diurnal variation- fat in Expressed Breast Milk- more in the evening as compared to the morning. To perform this study, we only need to take 2-3 samples in 1-2 days in an adequate sample size. Since this study is being performed at a paicular point in time, it is a CROSS SECTIONAL study. - CROSS SECTIONAL STUDY: Done at point of time, neither forward nor backward. Can't calculate strength of association. Gives prevalence Based on primary data . - Ambispective coho study: observations are bidirectional (past and future both) from the time point it begins.", "cop": 4, "opa": "Prospective coho", "opb": "Ambispective coho", "opc": "Case control", "opd": "Cross sectional", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "52aac52c-9825-4152-adaf-bbac83847547", "choice_type": "single"} {"question": "Period of sickness benefit given under ESI Act", "exp": null, "cop": 3, "opa": "41 days", "opb": "17 days", "opc": "91 days", "opd": "101 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "33d29145-1361-423b-9407-3ee80a60789e", "choice_type": "single"} {"question": "Monday fever is associated with", "exp": null, "cop": 4, "opa": "Bagassosis", "opb": "Silicosis", "opc": "Asbestosis", "opd": "Byssinosis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8947e383-c9d6-464b-8a70-d60db9aed9b8", "choice_type": "single"} {"question": "Persistent diarrhoea in infants", "exp": null, "cop": 4, "opa": "7 days", "opb": "1 month", "opc": "21 days", "opd": "14 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5dd80728-1f03-4b58-9ea2-1f2c40848c40", "choice_type": "single"} {"question": "Provison of PHC was done by", "exp": "Ans. is 'a' i.e.,Bhore Committe Bhore CommitteIt is also known as 'Health Survey and Development Committee'. Its recommendations were :1) Integration of preventive and curative services at all administration levels2) Sho term and long term recommendationsSho term : PHC to cater to a population of 40,000Long term (3 million plan) : PHC units to be set up with 75 bedded hospital for each 10,000 to 20,000 population3) Major charger in medical education including 3 months training in social and preventive medicine to prepare 'social physicians'.", "cop": 1, "opa": "Bhore Committee", "opb": "Chadah Committee", "opc": "Shrivastava Committee", "opd": "Bajaj Committee", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4c3e57b3-a083-48ad-94b9-57a768bbf837", "choice_type": "single"} {"question": "Most common heavy metal poisoning in the world", "exp": null, "cop": 1, "opa": "Lead", "opb": "Arsenic", "opc": "Mercury", "opd": "Cadmium", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f4a692e8-2156-44c7-b6ae-543a369d49ae", "choice_type": "single"} {"question": "Isolation period of hepatitis A is", "exp": "2 weeks", "cop": 2, "opa": "1 week", "opb": "2 weeks", "opc": "3 weeks", "opd": "4 weeks", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "25580ae1-aa72-41b4-b897-c199ceddd09a", "choice_type": "single"} {"question": "Desk for student used is", "exp": "Minus desk", "cop": 2, "opa": "Plus desk", "opb": "Minus des", "opc": "Zero desk", "opd": "No desk", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "cb075159-d8f7-4857-ad4e-ab4c819e8514", "choice_type": "single"} {"question": "Soft water has hardness levels of", "exp": "Ans. is 'a' i.e., 50", "cop": 1, "opa": "50", "opb": "100", "opc": "150", "opd": "200", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "80782fc9-f37a-41c4-a3e8-3f9c6b2cf64f", "choice_type": "single"} {"question": "Feature of slow sand filter", "exp": null, "cop": 3, "opa": "Fit in a little space", "opb": "Filter is cleaned by back washing", "opc": "Can be handled by less killed person", "opd": "Used in Big cities", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "dd797033-59ce-4eab-accc-1744f5049f03", "choice_type": "single"} {"question": "Recommended minimum amount of Residual chlorine in drinking water is", "exp": "Free / Residual chlorine act | Chlorine + water | It combines with impurities and Sestroyes them by formation of hypochlorous acid | Which causes 90% of disinfection | After all impurities are destroyed we leave some Extra chlorine in the water | So that water remains safe and clean to drink for next 24 - 48 hrs. | This additional chlorine is known as free or residual chlorine Recommendation free residual chlorine - In drinking water >= 0.5 mg /L (ppm) - In swimming pools >= 1.0 mg / L - For killing cyclops >= 2.0 mg / L Chloroscope is use to estimate free / residual chlorine level - Test used is ohotulidire test", "cop": 2, "opa": "2 ppm", "opb": "0.5 ppm", "opc": "1.5 ppm", "opd": "4 ppm", "subject_name": "Social & Preventive Medicine", "topic_name": "JIPMER 2019", "id": "7be7ce41-9c7c-48cc-82ad-0a36f2a53af7", "choice_type": "single"} {"question": "Any loss or abnormality of psychological, physiological or anatomical structure or function is known as", "exp": "Impairment - Any loss or abnormality of psychological, physiological or anatomical structure or function. Disability - Any restriction or lack of ability to perform an activity in the manner or within the range considered normal for a human being. Handicap - A disadvantage for a given individual resulting from an impairment or a disability, that limits or prevents the fulfillment of a role that is normal (depending on the age, sex, and social and cultural factors) for that individual. Ref: Park&;s Textbook of Preventive and Social Medicine,24th edition,Page no. 48", "cop": 3, "opa": "Disease", "opb": "Disability", "opc": "Impairment", "opd": "Handicap", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "90eef3fd-df8d-4616-9fca-08562f476239", "choice_type": "single"} {"question": "'Twin Foified Salt' contains", "exp": "National Institute of Nutrition (Hyderabad) developed 'Twin Foified Salt' also known as 'Double Foified sat' DFS contains salt, potassium iodide, ferrous sulphate and Sodium hexa meta phosphate DFS provides 40 mcg Iodine and 1 mg Iron Per gram of salt Ref: Park 22nd edition Pgno : 597", "cop": 3, "opa": "Iodine +Fluorine", "opb": "Iodine + Calcium", "opc": "Iodine + Iron", "opd": "Iodine + Chlorine", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "89d1203e-a016-45e7-9c09-d73a5286e37e", "choice_type": "single"} {"question": "Dependency ratio includes", "exp": "The propoion of persons above 65 years of age and children below 15 years of age are considered to be dependent on the economically productive age group. The ratio of the combined age groups 0-14 years plus 65 years and above to the 15-65 years age group is referred to as the total dependency ratio. Reference : Park&;s textbook of preventive and social medicine, 23rd edition , pg no: 484", "cop": 2, "opa": "0 - 5 yrs age", "opb": "0 - 14 yrs age", "opc": "15 - 45 yrs age", "opd": "<65 yrs", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "a0edf240-f793-46b3-8dd2-3adf5e842567", "choice_type": "single"} {"question": "First referral unit (FRU) is", "exp": "Level of health care Primary Secondary Teiary Status in INDIA First level of contact between population and health care system First referral level of health care Second referral level of health care Health services are delivered through Sub - centre, Primary Health Centre Community Health Centre , District Hospital Medical Colleges and Hospitals", "cop": 3, "opa": "Sub-centre", "opb": "PHC", "opc": "CHC", "opd": "Medical college and hospital", "subject_name": "Social & Preventive Medicine", "topic_name": "Allied Health Sciences", "id": "7abc4d81-a624-4c90-a2b8-9668772d4fef", "choice_type": "single"} {"question": "Glycosylated hemoglobin reflects the mean blood glucose level of previous", "exp": "HBA1c :There should be an estimation of glycosylated haemoglobin at half yearly intervals. This test provides a long-term index of glucose control. This test provides a long-term index of glucose control. This test is based on the following rationale: glucose in the blood is complexed to a ceain fraction of haemoglobin to an extent propoional to the blood glucose concentration. The percentage of such glycosylated haemoglobin reflects the mean blood glucose levels during the red cell lifetime ( about the previous 2-3months ).Ref: Park; 23rd ed; Pg 396", "cop": 3, "opa": "15days", "opb": "1 month", "opc": "3 months", "opd": "6 months", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "a0ca49ab-b895-471e-be2a-014bc589e328", "choice_type": "single"} {"question": "SIDA functions for", "exp": "Swedish International Development Agency (SIDA) is assisting the National tuberculosis control programme. SIDA assistance is usually spent on procurement of supplies like X-ray unit, microscopes and anti-tuberculosis drugs.Park 23e pg: 924", "cop": 2, "opa": "Leprosy", "opb": "TB", "opc": "Blindness", "opd": "Agriculture", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "d4193a0d-3237-4f8b-97e5-4d26ec4bcadd", "choice_type": "single"} {"question": "Quality control agent for Sterilization in Autoclave", "exp": "Autoclaving Geobacillus stearothermophilus(GBS) Hydroclaving Bacillus subtilis Microwaving Bacillus atrophaeus Dry heat GBS or Bacillus atrophaeus", "cop": 3, "opa": "Bacillus subtilis", "opb": "Bacillus pumilus", "opc": "Bacillus stearothermophilus", "opd": "Bacillus globigi", "subject_name": "Social & Preventive Medicine", "topic_name": "Biomedical Waste Management", "id": "7e13f63b-98aa-4207-8227-45e3ae6aaabf", "choice_type": "single"} {"question": "An early expanding stage is denoted by", "exp": "A nation passes through 5 stages of the demographic life cyclea)High stationary: High bih rate, High death rateb)Early expanding: Bih rate begins to decline, bih rate remains unchangedc)Late expanding: Death rate declines fuher, bih rate tends to fall (India Now)d)Fouh stage: Low bih and death rate e)Declining: Bih rate lower than the death ratePark 23e pg: 479", "cop": 4, "opa": "Decreased bih rate and decreased death rate", "opb": "Increased bih rate and increased death rate", "opc": "Decreased bih rate and increased death rate", "opd": "Unchanged bih rate and decreased death rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "810aafdb-9ef1-499e-86d1-43a1f9c3eaec", "choice_type": "single"} {"question": "Risk of failure of cold chain maintainance is more at", "exp": null, "cop": 3, "opa": "District hospitals", "opb": "PHCs", "opc": "Subcentre level", "opd": "CHCs", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f73ac608-1b95-4c2e-b1f4-41fb909fe4bb", "choice_type": "single"} {"question": "Chemoprophylaxis given in cholera", "exp": null, "cop": 4, "opa": "Doxycyclin", "opb": "Azithromycin", "opc": "Erythromycin", "opd": "Tetracyclin", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "cd57e01d-6416-4e85-ab28-1e9e449183a5", "choice_type": "single"} {"question": "Government (public) expenditure on health as percentage of GDP is", "exp": "Current India’s public health expenditure on health is 3.9% of GDP", "cop": 4, "opa": "1.2", "opb": "12", "opc": "0.12", "opd": "5", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "cb566129-59b7-4dee-99e5-4dd0f455af3e", "choice_type": "single"} {"question": "Pearson's Skewness Coefficient is given BY", "exp": "SKEWNESS: * Is measure of asymmetry of a probability distribution of a random variable * Measures of skewness: - - Pearson's mode or First Skewness coefficient = (Mean - Mode) /SD - - Pearson's median or second Skewness coefficient = 3 (Mean - Median) /SD - - Quaile skewness = ( Q3-2Q2 + Q1)/Q3 - Q1", "cop": 1, "opa": "Mean-Mode /SD", "opb": "Mode-Mean/SD", "opc": "SD/Mean-Median", "opd": "SD/Median-Mean", "subject_name": "Social & Preventive Medicine", "topic_name": "Normal Distribution, Skewed Distributions", "id": "c9429413-fa33-4f28-bf49-6f422bdc1ee0", "choice_type": "single"} {"question": "Biological oxidation demand is determined by", "exp": "(D) Organic matter # Biochemical oxygen demand (BOD) is the amount of oxygen absorbed by a sample of sewage during a specified period at a specified temperature for the aerobic destruction or use of organic matter by living organisms. BOD > 300 mg/L is 'strong' sewage; BOD < 100 mg/L is 'weak' sewage. It is due to organic matter present in the sewage.", "cop": 4, "opa": "Sullage", "opb": "Suspended Solids", "opc": "Algae in water", "opd": "Organic matter", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "01a67942-1f32-4e80-bfe4-0a18719ed230", "choice_type": "single"} {"question": "The age and sex structure of a population may be described by a", "exp": "Population pyramid: (age-sex pyramid or age-structure diagram) Is a graphical illustration that shows the distribution of various age groups in a population which normally forms the shape of a pyramid\n\n– Double Histogram: 2 back-to-back histogram graphs\n1. one showing the number of males and\n2. one showing females in a particular population (Males are conventionally shown on left and females on right)\n– The population (%) is plotted on the X-axis and age on the Y-axis (in 5-year age group intervals)", "cop": 3, "opa": "Life table", "opb": "Correlation coefficient", "opc": "Population pyramid", "opd": "Bar chart", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d730c889-c49d-4c26-838f-2c000ec62fb3", "choice_type": "single"} {"question": "Quarantine period", "exp": "QUARANTINE Quarantine has been defined as \"the limitation of freedom of movement of such well persons or domestic animals exposed to communicable disease for a period of time not longer than the longest usual incubation period of the disease, in such manner as to prevent effective contact with those not so exposed\". Quarantine measures are also \"applied by a health authority to a ship, an aircraft, a train, road vehicle, other means of transpo or container, to prevent the spread of disease, reservoirs of disease or vectors of disease\" . Quarantine may comprise (a) absolute quarantine, as defined above; (b) modified quarantine, e.g., a selective paial limitation of freedom of movement, such as exclusionof children from school; (c) segregation which has been defined as \"the separation for special consideration, control of observation of some pa of a group of persons (or domestic animals) from the others to facilitate control 'of a communicable disease, e.g., removal of susceptible children to homes of immune persons\". In contrast to isolation, quarantine applies to restrictions on the healthy contacts of an infectious disease. Quarantine which was once a popular method of disease control has now declined in popularity. With better techniques of early diagnosis and treatment, quarantine, as a method of disease control, has become outdated. It has been replaced by active surveillance. Ref : Park 23rd edition Pgno : 120", "cop": 3, "opa": "Median incubation period", "opb": "Period of communicability", "opc": "Max. incubation period", "opd": "Min. incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "188ee95a-fa5a-49b1-9a45-23602d35efdc", "choice_type": "single"} {"question": "Coho study is a type of", "exp": "Coho or follow up is a type of analytical study with individuals as a unit of the study. (refer pg no: 62, park 23 rd edition )", "cop": 2, "opa": "Clinical trial", "opb": "Analytic study", "opc": "Descriptive study", "opd": "Experimental study", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "52c58dd7-59ac-4670-a2aa-66fe0dfa6b8d", "choice_type": "single"} {"question": "Population of 4000 people,the crude birth rate is 10 / 1000 population.calculate the number of pregnant females", "exp": "CBR = 10 / 1000 population means number of live birth per 1000 population is 10.\nNumber of live births for 4000 population is 40 this implies number of pregnent females is 40. to this add 10% of pregnancy wastage , 44 is the answer.", "cop": 2, "opa": "40", "opb": "44", "opc": "54", "opd": "70", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e4bf76da-0c1b-4e55-a3f4-d8fe71a41f6c", "choice_type": "single"} {"question": "Case control Study is", "exp": "(A) Backward study # Case-control is a type of epidemiological study design. Case-control studies are used to identify factors that may contribute to a medical condition by comparing subjects who have that condition (the 'cases') with patients who do not have the condition but are otherwise similar (the 'controls').> Case-control studies are a relatively inexpensive and frequently-used type of epidemiological study that can be carried out by small teams or individual researchers in single facilities in a way that more structured experimental studies often cannot be. They have pointed the way to a number of important discoveries and advances, but their retrospective-backward, non-randomized nature limits the conclusions that can be drawn from them.", "cop": 1, "opa": "Backward study", "opb": "Forward study", "opc": "Current study", "opd": "Feature study", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "8c99a6dd-c420-495a-b4ca-0e2bb9c44e09", "choice_type": "single"} {"question": "Sound intensity of whispering", "exp": "Ans. is 'a' i.e., 30 dB * Following are intensities when a person is at a distance of one meter from sound source.Whisper30 dBNormal conversation60 dBShout90 dBDiscomfort of ear120 dBPain in ear130 dB", "cop": 1, "opa": "30 dB", "opb": "60 dB", "opc": "90 dB", "opd": "120 dB", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and Health", "id": "fe01cf15-6a4e-42ee-bd65-fcad57e51fc7", "choice_type": "single"} {"question": "Paris green kills", "exp": "Paris green Paris green or copper aceto-arsenite is an emerald green microcrystalline powder, practically insoluble in water but soluble in ammonia and concentrated acids. A good sample of paris green contains over 50 per cent of arsenious oxide. Paris green is a stomach poison. Till the advent of DDT, paris green was extensively used in the control of anopheline larvae, by spraying as a 2 per cent dust over breeding places once a week. The use of paris green was largely responsible for the eradication of A gambiae from Brazil in 1940, and the near-eradication of the same species in Egypt in 1944. Ref: Park 25th edition Pgno :821", "cop": 1, "opa": "Anopheles larva only", "opb": "Culex larva only", "opc": "Anopheles adult mosquito", "opd": "Culex adult mosquito", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "29002ea1-8e29-4d43-82e1-8800fe587639", "choice_type": "single"} {"question": "Most effective approach for prevention of non communicable diseases", "exp": "Primordial prevention Primordial prevention, a new concept, is receiving special attention in the prevention of chronic diseases. This is primary prevention in its purest sense, that is, prevention of the emergence or development of risk factors in countries or population groups in which they have not yet appeared. For example, many adult health problems (e.g., obesity, hypeension) have their early origins in childhood, because this is the time when lifestyles are formed (for example, smoking, eating patterns, physical exercise). In primordial prevention, effos are directed towards discouraging children from adopting harmful lifestyles. The main intervention in primordial prevention is through individual and mass education. Ref: Park 23rd edition Pgno : 41", "cop": 3, "opa": "Primary prevention", "opb": "Specific protection", "opc": "Primordial prevention", "opd": "Secondary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "f56aeb2e-7c4d-4ef9-b6f7-cb1c6518c27c", "choice_type": "single"} {"question": "Period between the possible time of detection and the possible time of diagnosis is", "exp": "Ans. a (Lead time) (Ref. Park's textbook of PSM 22nd/p 95)Lead Time# It is advantge gained by screening, i.e., period between diagnosis by early detection and diagnosis by other means.# It is period between the possible time of detection and possible time of diagnosis.Latent Period# Time between exposure to a risk factor and subsequent development of clinical manifestations of a particular disease.Sreening Time# Interval between first clinical detection and final critical point.Seriai Interval# Time gap between onset of primary and secondary case. It is the measure of incubation period.", "cop": 1, "opa": "Lead time", "opb": "Screening time", "opc": "Generation time", "opd": "Serial interval", "subject_name": "Social & Preventive Medicine", "topic_name": "Screening for Disease", "id": "8c70b474-32cd-418d-a31c-542ebeeba7d8", "choice_type": "single"} {"question": "A 3 year old male child came to casualty with a bat bite on face.Categorize the wound for rabies post exposure prophylaxis", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed pg.305", "cop": 3, "opa": "Category 1", "opb": "Category 2", "opc": "Category 3", "opd": "Category 4", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "73989998-5676-4b09-a9c8-475f84a41295", "choice_type": "single"} {"question": "Eicosapentaenoic acid is richly found in", "exp": "Ans) b (Fish oil) Ref park 20th ed p 529Eicosapentaenoic acid is an essential fatty acidEFAare those that cannot be synthesized by humans. They can be derived only from food. The most importantEFA is linoleic acid, which serves as a basis for the production of other EFAsEicosapentaenoic acid is seen in fish oil (10%). It is a direct pick from the table showing dietary sources of EFAs.", "cop": 2, "opa": "Ground nut oil", "opb": "Fish oil", "opc": "safflower oil", "opd": "sunflower oil", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and Health", "id": "4424bc12-2512-4a29-a529-710ff4b9ae5b", "choice_type": "single"} {"question": "Calculate the Ponderal index of a baby of weight 2000gm and length 50 cm at Bih", "exp": "Ponderal Index (PI) Weight (in grams) x 100 PI = ------------------------------------------------ (Length in cm) 3 So, 2000x 100/(50)3=2,00,000/1,25,000=1.6. Ref : Park 23rd edition Pgno : 399", "cop": 1, "opa": "1.6", "opb": "2.2", "opc": "2.6", "opd": "2", "subject_name": "Social & Preventive Medicine", "topic_name": "All India exam", "id": "19bcc245-c653-469a-b240-2efcefa69d63", "choice_type": "single"} {"question": "The limiting amino acid in wheat is", "exp": "(Lysine & threonine) (497 - Park 19th) (543-Park 20th)* WHEAT - limiting amino acid is lysine and threonine* MAIZE - Deficient in tryptophan and some strains excess of leucine* CEREALS - Deficient amino acid is lysine* RICE - Rice protein richer in lysine", "cop": 2, "opa": "Alanine & threonine", "opb": "Lysine & threonine", "opc": "Zero desk", "opd": "Tyrosine & Methionine", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and Health", "id": "b22a9a36-8b04-4549-8b54-81c3a3282895", "choice_type": "single"} {"question": "Does not include in strand field's \"seven I\" principles of health education", "exp": "\"SEVEN I\" principle of strandfield :\n\nIdentification.\nIndigenization.\nInvolvement.\nIndoctrination.\nIntegration.\nInfluencess.\nInnovation.", "cop": 3, "opa": "Identification", "opb": "Involvement", "opc": "Implementation", "opd": "Innovation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6839663b-84df-4318-aaef-99078a1ee7b7", "choice_type": "single"} {"question": "The term &;social medicine&; was first introduced by", "exp": "The term social medicine was first introduced by jules Guerin ,a french physician in 1848. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition", "cop": 3, "opa": "John Snow", "opb": "David Morley", "opc": "Jules Guerin", "opd": "C.E.A. Winslow", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "a30ee3b2-2c53-4a71-b181-14ac613af232", "choice_type": "single"} {"question": "Inclusion conjunctivitis is caused by", "exp": null, "cop": 2, "opa": "Klebsiella species", "opb": "Chlamydia trachomatis", "opc": "Adeno virus", "opd": "Mycobacterium Leprae", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "307b9572-4f67-4f0f-bac5-50d68e0d295d", "choice_type": "single"} {"question": "Exposure to cotton dust in a textile factory causes", "exp": "(B) Byssinosis # Byssinosis is an asthma-like disorder in textile workers caused by inhalation of cotton dust, pathogenesis is obscure> Chest tightness, cough, and dyspnea are characteristically worse on Mondays or the first day back at work, with symptoms subsiding later in the week, repeated exposure leads to chronic bronchitis. Also called as Monday Morning Asthma> Byssinosis is due to inhalation of cotton fibre dust over long period of time.> The symptoms are chronic cough and progressive dyspnoea, ending in chronic bronchitis and emphysema.", "cop": 2, "opa": "Bagassosis", "opb": "Byssinosis", "opc": "Anthracosis", "opd": "Silicosis", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "84cb690a-165f-4204-8c00-e67ca3935cd3", "choice_type": "single"} {"question": "In calculating RDA for a particular nutrient, 2 SD are not added for", "exp": "Recommended Dietary Allowance (RDA): Is a level of intake corresponding to Mean + 2 Standard Deviation, which covers requirement of 97.5 % of population\n\nRDA is safe level of intake which is likely to be inadequate in not more than 2.5 % population\nRDA 'safe level approach' is NOT USED FOR ENERGY since excess energy intake is undesirable; For energy only mean or average requirement is defined as RDA.", "cop": 3, "opa": "Iron", "opb": "Calcium", "opc": "Energy", "opd": "Vitamin A", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5a4f88f9-65f3-4ff9-895e-15489f42df9c", "choice_type": "single"} {"question": "Population genetics is related with", "exp": null, "cop": 3, "opa": "Mandelian law", "opb": "watson anc Crick model", "opc": "Hardy Weinberg law", "opd": "weigert Meyer rule", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "825d32d6-abbb-47d4-9086-e10f0809ae61", "choice_type": "single"} {"question": "Not a pa of Kangaroo Mother Care", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 4, "opa": "Skin to skin contact", "opb": "Exclusive breast feeding", "opc": "Early discharge", "opd": "Nutritional supplements", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "4575082f-0020-40f0-bd59-6492ae1048bb", "choice_type": "single"} {"question": "The incubation period for polio is", "exp": "The incubation period of Polio is 7 to 14 days (Range 3-35 days)In 91-96% there is inapparent (subclinical) infectionIn 4-8% Aboive polio or minor illnessIn 1% Non-paralytic polioIn less than 1% paralytic polio occursPark 23e pg: 205", "cop": 2, "opa": "3 - 7 days", "opb": "7 - 14 days", "opc": "2 - 3 weeks", "opd": "1 - 2 years", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "f35b6a02-d8d3-47ca-a110-f94e222e5cd4", "choice_type": "single"} {"question": "The method of choice of tuberculosis detection mass screening is", "exp": null, "cop": 2, "opa": "Tuberculin test", "opb": "Sputum smear examination by direct microscopy", "opc": "Mass Miniature Radiography (MMR)", "opd": "Sputum culture", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0ba60ebc-9c92-405e-8bb8-fb39ad029dd7", "choice_type": "single"} {"question": "Child survival index is calculated by", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 3, "opa": "1000-IMR/100", "opb": "IMR-1000/10", "opc": "1000-U5MR/10", "opd": "U5MR-1000/10", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "4d06c304-c67e-4143-9ede-4f1ed5031c75", "choice_type": "single"} {"question": "Shoest incubation period is seen with", "exp": "Influenza has an incubation period of 18 to 72 hours Incubation period of :- Hepatitis A : 10 to 50 days Hepatitis B : 30 to 180 days Rubella : 2 to 3 weeks Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition", "cop": 1, "opa": "Influenza", "opb": "Hepatitis B", "opc": "Hepatitis A", "opd": "Rubella", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "04f211c9-553b-4414-8d87-7efcc96cfce4", "choice_type": "single"} {"question": "Malaria is transmitted by", "exp": "Ans. a (Female anopheles mosquito). (Ref. Park, PSM, 17th/pg.l94)TRANSMISSION OF MALARIA IS BY THREE MODES:# Vector transmission--by female anopheline mosquito# Direct--IM, IV, blood transfusion, drug addicts# CongenitalEducational point:# Blood transfusion of a person in endemic region and who has had malaria should not be accepted as donor until 3 years later.", "cop": 1, "opa": "Female anopheles mosquito", "opb": "Male anopheles mosquito", "opc": "Culex mosquito", "opd": "Aedes mosquito", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "bb9c874e-a49d-4e44-896d-905189fe3653", "choice_type": "single"} {"question": "Presence of infectious arthropod agent on clothes or dressing is termed", "exp": "Infection: Entry of organism and its multiplication and/or development in host\nInfestation: Lodgement, development and reproduction of arthropods on surface of body or clothes\nContamination: Presence of infectious organism on body or in clothings/beds/ toys/surgical instruments/dressings/ in-animate objects\nContagion: Transmission of disease from one person to another by direct or indirect contact", "cop": 1, "opa": "Contamination", "opb": "Infestation", "opc": "Infection", "opd": "Contagion", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e5e4d9d3-6bf7-43fa-89d2-d3132516f882", "choice_type": "single"} {"question": "Lecture method is type of", "exp": null, "cop": 4, "opa": "Visual communication", "opb": "Formal communication", "opc": "Socratic method", "opd": "Dialectic method", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "187c9079-d8b2-438a-9a75-c7245e814c06", "choice_type": "single"} {"question": "\"Critical path\" in network analysis is", "exp": "Critical path method: the longest path of the network is called critical path. If any activity along the path is delayed, the entire project will be delayed.Park 23e pg: 872", "cop": 4, "opa": "Most expensive path in a network", "opb": "Congested path in a network", "opc": "Shoest path in a network", "opd": "Longest path in a network", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "e10d4882-3acd-4553-a151-d031221ca71e", "choice_type": "single"} {"question": "Impoant indicator for socioeconomic health", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 4, "opa": "Maternal moality rate", "opb": "Perinatal moality rate", "opc": "Under 5 moality rate", "opd": "Infant moality rate", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "6a4bb1f5-3b59-4747-be4b-f42ef2293cfa", "choice_type": "single"} {"question": "World Tuberculosis day", "exp": "World Tuberculosis Day, observed on 24 March each year, is designed to build public awareness about the global epidemic of tuberculosis and effos to eliminate the disease. Ref :", "cop": 2, "opa": "March 1st", "opb": "March 24th", "opc": "April 1st", "opd": "April 24th", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "05ce5809-3ac5-45eb-9839-69b70d1b07b8", "choice_type": "single"} {"question": "Iron is maximum in", "exp": "Ans. is 'c' i.e., Meat", "cop": 3, "opa": "Pista", "opb": "Cashewnut", "opc": "Meat", "opd": "Milk", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "29e28b81-8db2-455f-b075-21608e3db798", "choice_type": "single"} {"question": "Chemoprophylaxis for meningococcal meningitis", "exp": null, "cop": 2, "opa": "Ampicillin", "opb": "Rifampicin", "opc": "Tetracycline", "opd": "Erythromycin", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9a9b0a5b-9663-419f-bfea-d68fc26d0a1e", "choice_type": "single"} {"question": "Z score criteria applicable to", "exp": null, "cop": 3, "opa": "Chi-sqare test", "opb": "skewed deviation", "opc": "Normal distribution", "opd": "Paired’t’ test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1da4bd66-2e20-4907-ba82-5dc63092814c", "choice_type": "single"} {"question": "Deficit in weiught fo height in a 3 year old child indicates", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 1, "opa": "Acute malnutrition", "opb": "Chronic malnutrition", "opc": "Concomitant acute and chronic", "opd": "Underweight", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "87dc2eee-92dc-43ca-94f9-e4a92e142386", "choice_type": "single"} {"question": "Zika virus is transmitted through", "exp": "Zika virus disease is caused by a virus transmitted primarily by Aedes mosquitoes, which bite during the day. Symptoms are generally mild and include fever, rash, conjunctivitis, muscle and joint pain, malaise or headache. Symptoms typically last for 2-7 days. Most people with Zika virus infection do not develop symptoms. Zika virus infection during pregnancy can cause infants to be born with microcephaly and other congenital malformations, known as congenital Zika syndrome. Infection with Zika virus is also associated with other complications of pregnancy including preterm bih and miscarriage. An increased risk of neurologic complications is associated with Zika virus infection in adults and children, including Guillain-Barre syndrome, neuropathy and myelitis. Ref:Park's Textbook of Preventive and Social Medicine 25th Ed Pg.301", "cop": 2, "opa": "Anopheles mosquito", "opb": "Aedes mosquito", "opc": "Culex mosquito", "opd": "Fruit fly", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "21fcd90a-62a2-40e8-9857-1ffc9ff8d32b", "choice_type": "single"} {"question": "Silicosis occurs with", "exp": null, "cop": 2, "opa": "Cotton", "opb": "Silica fibres", "opc": "Sugarcane fibres", "opd": "Carbon particles", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c924a651-b846-4881-8f86-f249e7be0ad2", "choice_type": "single"} {"question": "Herd immunity is not seen in", "exp": null, "cop": 4, "opa": "Polio", "opb": "Tetanus", "opc": "Measles", "opd": "Diphtheria", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "776e7f99-622f-4e7b-b5a9-f3a3d2deebfd", "choice_type": "single"} {"question": "Presumptive count includes", "exp": "Presumptive coliform test\n\nIn presumptive coliform test the most probable number of all coliform organisms (not only E.coh) are counted → Presumptive coliform count.\n\nThe methods are : -\n\nMultiple tube method\nMembrane filtration technique.\n\n\nAfter analysing presumptive coliforrn count, E.coli count is confirmed by other tests, e.g., by Eijkman test or indole production..", "cop": 2, "opa": "No E. Coli", "opb": "Coliform but not only E.", "opc": "Gram negative bacilli", "opd": "Any bacteria", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "104ef788-edc8-45e0-8ef2-a2ad76c38e27", "choice_type": "single"} {"question": "Sullivan's index indicates", "exp": "Ans. is 'a' i.e., Life free of disability Sullivan's index Sullivan's index is the expectation of life free of disability. It is computed by subtracting from the life expectancy the probable duration of bed disability and inability to perform major activities. Sullivan's index = life expectancy-- Duration ofbed disability & Inability to perform minor work It is a direct indicator of health and well being in a community. t is one of the most advanced health indicators currently available.", "cop": 3, "opa": "Life free of disability", "opb": "Pregnancy rate per HW", "opc": "Hook worm eggs/gm of stool", "opd": "Standard of living", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0a03de3f-15a8-4ba7-9213-059b3ed3bce2", "choice_type": "single"} {"question": "New RNTCP initiative for Tuberculosis surveillance using case based web based IT system is", "exp": "(A) NIKSHAY[?]REVISED NATIONAL TUBERCUIOSIS CONTROL PROGRAMME (RNTCP)oIn 1993, in order to overcome these lacunae, the Government of India decided to give a new thrust to TB control activities by revitalizing the NTP, with the assistance from international agencies.oThe Revised National TB Control Programme (RNTCP) thus formulated, adopted the internationally recommended Directly Observed Treatment Short-course (DOTS) strategy, as the most systematic and cost-effective approach to revitalize the TB control programme in India.oPolitical and administrative commitment, to ensure the provision of organized and comprehensive TB control services was obtained. Adoption of smear microscopy for reliable and early diagnosis was introduced in a decentralized manner in the general health services. DOTS was adopted as a strategy for provision of treatment to increase the treatment completion rates.oSupply of drugs was also strengthened to provide assured supply of drugs to meet the requirements of the system.oThe objectives of the RNTCP are:1. Achievement of at least 85 per cent cure rate of infectious cases of tuberculosis; through DOTS involving peripheral health functionaries; and2. Augmentation of case finding activities through quality sputum microscopy to detect at least 70 per cent of estimated cases.[?]New InitiativesoThe RNTCP has completed the feasibility study of introducing GeneXpert in RNTCP in 18 Tuberculosis Units in 12 states. RNTCP is currently using CB NAAT for the diagnosis of tuberculosis and MDT-TB in high risk population like HIV positive and paediatric groups.[?]NIKSHAY:oThe word is combination of two Hindi words NI and KSHAY meaning eradication of tuberculosis.owww.nikshav.gov.inNIKSHAY () is a web enabled application, which facilitates monitoring of universal access to TB patients data by all concerned.oTB surveillance using case based web based IT system-Central TB Division in collaboration with National Informatics Centre has undertaken the initiative to develop a case based web based application named Nikshay.-This software was launched in May 2012 and has following functional components.-Master management-User details-TB Patient registration and details of diagnosis, DOT provider, HIV status, follow-up, contact tracing, outcomes.-Details of solid and liquid culture and DST, LPA, CBNMT details.-DR-TB patient registration with details.-Referral and transfer of patients.-Private health facility registration and TB notification.-Mobile application for TB notification.-SMS alerts to patients on registration.-SMS alerts to programme officers.-Automated periodic reports: a. Case finding; b. Sputum conversion; c. Treatment outcome.ObjectivesAchievementsPromoting real time TB surveillance64425 notified TB Patients (up to 20.02.2014) in NikshayMinimizing patient default rate222 private health facilities have been registered & 908 TB patients notified by themLinking TB database with UIDOther Options[?]NIRBHAYA: Fund can be utilized for projects for women safety & security. Central Government ministry of women & child development is the nodal authority for appraising recommend the proposal schemes to be funded under Nirbhaya scheme.[?]Nischay-Home based pregnancy test kits- (PTKs) was launched under NRHM in 2008 across the country.oThe PTKs are being made available at sub-centres and to the ASHAs to facilitate the early detection and decision making for the outcomes of pregnancy.[?]Electronic DOT (eDOT) is an alternative method to in-person DOT in which a patient is remotely observed (E.g., over a smartphone) taking his or her TB medication", "cop": 1, "opa": "NIKSHAY", "opb": "NISCHAY", "opc": "E-DOTS", "opd": "NIRBHAYA", "subject_name": "Social & Preventive Medicine", "topic_name": "Health Programmes in India", "id": "b9812cd1-dff6-4d13-bde3-b3e1c363e3d9", "choice_type": "single"} {"question": "Probability of a person with positive test result having the disease is given by", "exp": "Sensitivity:- It is defined as the ability of a test to identify correctly all those who have the disease (True positives) Specificity:- It is defined as the ability of a test to identify correctly those who do not have the disease (True Negatives) Diagnostic power of the test . Positive predictive value:- Indicates the probability of a person with a positive test result having the disease. It depends on sensitivity, specificity of the test and prevalence of the disease. It is directly propoional with the prevalence of the disease. Negative predictive value:- Probability a person with a negative test result not having the disease Ref:- K Park, 24th ed; pg num:- 149-150", "cop": 2, "opa": "Negative predictive value", "opb": "Positive predictive value", "opc": "Sensitivity", "opd": "Specificity", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "7f6b6013-4319-4a38-8381-e242724b3453", "choice_type": "single"} {"question": "MCH care is assessed by", "exp": null, "cop": 3, "opa": "Death rate", "opb": "Birth rate", "opc": "Maternal mortality rate", "opd": "Anemia in pregnancy", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6e70cf01-216b-4e94-9bf7-201be5548d4e", "choice_type": "single"} {"question": "Under the national population policy 2000, it is aimed to reduce the maternal moality ratio to below", "exp": "Reduce the infant moality rate to below 30 per 1,000 live bihs;Reduce the maternal moality ratio to below 100 per 100,000 live bihs", "cop": 1, "opa": "100 per 1,00,000 live bihs", "opb": "200 per 1,00,000 live bihs", "opc": "300 per 1,00,000 live bihs", "opd": "500 per 1,00,000 live bihs", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "84317fea-a963-44df-bb8b-966d482a8470", "choice_type": "single"} {"question": "Disease rate is", "exp": "Attack rate (case rate or diesease rate):it is an incidence rateusually expressed in percentused only when population is exposed to risk for a limited period of time such as during an epidemicattack rate = (no. of new cases of a specified disease during a specified time interval / total population at risk during the same interval) x 100ref: Park&;s 23rd edition pg 61", "cop": 4, "opa": "Risk of susceptibility", "opb": "Prevalence rate", "opc": "Time period in a calendar year", "opd": "Disease occurrence in a specified time period", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "bc5c7a2c-259f-475b-9b85-aae908b91038", "choice_type": "single"} {"question": "After applying a statistical test, an investigator gets the ‘P value’ as 0.01. it means that", "exp": null, "cop": 2, "opa": "The probability of finding a significant difference is 1%", "opb": "The probability of declaring a significant difference is 1%", "opc": "The difference is not significant 1% times and significant 99% times", "opd": "The power of the test used is 99%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5c9eaa00-66ed-4bee-8d1f-f838d2dd5170", "choice_type": "single"} {"question": "Certificate for vaccination during international travel is required in case of", "exp": null, "cop": 3, "opa": "Japanese Encephalitis", "opb": "Cholera", "opc": "Yellow fever", "opd": "Yellow severe and Cholera", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "72a26e33-de24-4f7a-9066-fe2f1e9bb3d7", "choice_type": "single"} {"question": "Belief is", "exp": null, "cop": 3, "opa": "Temporary", "opb": "Provisional", "opc": "Permanent", "opd": "Objective in nature", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "262ad345-575b-44f2-badc-7a6067418777", "choice_type": "single"} {"question": "Dose of Nevirapine to Newborn for Prevention of Mother to child transmission of HIV is", "exp": "Bih Weight NVP daily dose(in mg) NVP daily dose(in ml) Duration Infants with bih weight <2000gm 2 mg/kg once daily 0.2 ml/kg once daily Upto 6 weeks irrespective of exclusively breast fed or exclusive replacement fed Bih weight 2000 -2500gm 10 mg once daily 1 ml once daily Bih weight more than 2500gm 15 mg once daily 1.5 ml once daily", "cop": 1, "opa": "2 mg/ kg", "opb": "5 mg/kg", "opc": "10 mg/kg", "opd": "20 mg/kg", "subject_name": "Social & Preventive Medicine", "topic_name": "NPCBVI, NACP", "id": "2337c6f6-f686-4ef2-b6fe-456df6c39e42", "choice_type": "single"} {"question": "Waste water from kitchen is", "exp": null, "cop": 1, "opa": "Savage", "opb": "Compost", "opc": "Sewage", "opd": "Hog feeding", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7de3dfbd-cf54-4113-91c5-d577d2ee7660", "choice_type": "single"} {"question": "Janani Suraksha Yojana includes", "exp": "JANANI SURAKSHA YOJANA:- Launched on 12th April 2005. Objectives- To reduce maternal moality and infant moality through encouraging delivery at health institutions, and focus on institutional care among women in below povey line families. Salient features: 100% centrally sponsored scheme. Under NRHM, it integrates cash assistance with institutional care during antenatal, delivery and immediate postpaum care. The benefit is given to all women, both rural and urban, belonging to below povey line household and aged 19 years and above, upto first two live bihs. In low-performing states, the benefit will be extended to the third child if the mother chooses to undergo sterilization in the health facility where she delivered, immediately after delivery. ASHA worker acts as a link health worker between poor pregnant women and public sector health institution. Reference-park&;s textbook of preventive and social medicine, 23rd edition, pg no.455", "cop": 2, "opa": "Tetanus immunization", "opb": "Institutional deliveries", "opc": "Iron supplementaion", "opd": "Aboions", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "de74bd21-49b1-4d43-b6f5-8d5a7fa67f2b", "choice_type": "single"} {"question": "Virulence of a disease is indicated by", "exp": "CASE FATALITY RATIO Case fatality rate represents the killing power of a disease. It is simply the ratio of deaths to cases. The time interval is not specified. Case fatality rate is typically used in acute Infectious diseases (e.g., food poisoning, cholera, measles). Its usefulness for chronic diseases is limited, because the period from onset to death is long and variable. The case fatality rate for the same disease may vary in different epidemics because of changes in the agent, host and environmental factors. Case fatality is closely related to virulence. Ref: Park 25th edition Pgno : 66", "cop": 4, "opa": "Specific moality rate", "opb": "Propoional moality rate", "opc": "Amount of GDP spent on the disease", "opd": "Case fatality ratio", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "05af265a-d283-43b7-bd13-4bda133c6efa", "choice_type": "single"} {"question": "Causative toxin for endemic ascites is", "exp": "It was noticed in the Kusmi block of Sarguja district of Madhya Pradesh during the years 1973 and 1976. There was an outbreak of rapidly progressing ascites and jaundice among the tribals. Moality rate was 40%. Investigation by the National Institute of Nutrition concluded that this outbreak was due to intake of Millet seeds contaminated with Crotalaria seeds which form their main diet. Crotalaria occured as a weed in areas of millet (Panicum miliare) cultivation. Crotalaria seeds contain pyrrolizidine alkaloids which are hepatotoxic. The methods suggested for preventing this were deweeding of farmlands and seiveing of millet seeds before use, as Crotalaria seeds were much smaller Ref : internet", "cop": 3, "opa": "Ergot", "opb": "Aflatoxin", "opc": "Pyrrolizidine", "opd": "Beta-oxylamino-alanine", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "6b3bdef1-e03c-4810-8836-31a1f7c09d40", "choice_type": "single"} {"question": "Lecture Method of teaching is a type of", "exp": "Flow of communication is one way\n– from communicator to audience\n– Disadvantages of one way communication:\n- Knowledge is imposed and learning authoritative\n- Little audience participation and no feedback\n- Does not influence human behaviour\n- Makes no attempt at removing misconceptions and misunderstandings\n- Communicates message even if unintelligible or unacceptable - Autocratic process", "cop": 3, "opa": "Socratic Method", "opb": "Non-verbal communication", "opc": "Didactic Method", "opd": "Visual Communication", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a8ab1640-5221-40eb-abba-ff0b3b49b8e8", "choice_type": "single"} {"question": "Rickettsial agent of Epidemic typhus isRickettsial agent of Epidemic typhus is", "exp": null, "cop": 4, "opa": "R. canorii", "opb": "R. typhi", "opc": "R. tsutsugamushi", "opd": "R. prowazekii", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fad2d758-8984-4443-9ce0-ac020c557282", "choice_type": "single"} {"question": "Calculate degree of freedom Material Location X Y Glass 8 23 Cupboard 56 3 Metal 1 14", "exp": "Degree of freedom = (C-1) (R-1) Given rows = 3 ; columns = 2 DOF = (2-1) (3-1) = 1x2 = 2", "cop": 2, "opa": "1", "opb": "2", "opc": "3", "opd": "4", "subject_name": "Social & Preventive Medicine", "topic_name": "Central tendency, Dispersion", "id": "057c1ee3-f001-4deb-836d-9eb3114b4c26", "choice_type": "single"} {"question": "First requisite before conducting an interview is", "exp": "Steps of interview: Establishing contact: First requisite before conducting an interview Staing an interview Securing rappo Recall Probe questions Encouragement Guiding the interview Closing the interview Repo Ref: Park 25th edition &; pgno: 732", "cop": 3, "opa": "Securing rappo", "opb": "Probe questions", "opc": "Establishing contact", "opd": "Guiding the interview", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "ead00266-ea24-40bc-b84e-e113daa17ae7", "choice_type": "single"} {"question": "Antisera is obtained from", "exp": "Antisera (Antitoxins): Materials prepared in animals; non-human sources like horses", "cop": 2, "opa": "Guinea pig", "opb": "Horse", "opc": "Rat", "opd": "Rabbit", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5d2fb436-836b-4b97-bc95-a25f2d88c742", "choice_type": "single"} {"question": "Under National Program for Control of Blindness, District blindness control society is headed by", "exp": null, "cop": 2, "opa": "District program manager", "opb": "District collector", "opc": "District eye surgeon", "opd": "District health officer", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "31054f53-75db-4260-b3ca-2654985f72c4", "choice_type": "single"} {"question": "Health promotion includes", "exp": "Ref: 25th Ed K.Park's Textbook Of Preventive and Social Medicine", "cop": 4, "opa": "PAP smear", "opb": "Mass treatment", "opc": "Immunization", "opd": "Health education", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "72df8aeb-89c9-4f3b-bd7a-1050e6a3cc06", "choice_type": "single"} {"question": "Hepatitis A virus shedding in faeces is", "exp": null, "cop": 4, "opa": "One week before the symptoms appear", "opb": "Two weeks after the symptoms appear", "opc": "One week before the symptoms and one week thereafter", "opd": "Two weeks before the symptoms and two week thereafter", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c31211a0-71b3-44de-99fa-d8ef79bfaa24", "choice_type": "single"} {"question": "Treatment of lepromatous leprosy is", "exp": "Ans. c (Rifampicin + Dapsone + Clofazimine); (Ref. Park PSM 22nd/pg. 296)Recommended regimens of chemotherapy for Leprosy in adultsFORM OF LEPROSYMORE INTENSIVE REGIMENWHO RECOMMENDED REGIMENLepromatous(multibacillary)Rifampin (600 mg/d) for 3 years plus dapsone (100 mg/d) indefinitelyDapsone (100 mg/d self-administered) plus clofazimine (300 mg once monthly for 1-2 yrs supervised; and 50 mg/d self-adm); and rifampin (600 mg once monthly undersupervision). Note: Clofazimine is unacceptable owing to discoloration of the skin, its replacement by 250-375 mg self-adm daily ethionamide or propionamide has been suggested.Tuberculoid (paucibacillary)Dapsone (100 mg/d) for 5 years Dapsone (100 mg/d, unsupervised) plus rifampin(600 mg/month, supervised) for 6 months.# ******** Duration of Rx for Multibacillary leprosy = MB blisterpacks for 12 months, within 18 months.# ******* Duration of Rx for Paucibacillary leprosy = PB blisterpacks for 6 months, within 9 months# ******Rifampin is considered the most active agent for the treatment of leprosy.# *****Dapsone inhibits bacterial folic acid synthesis & is now considered the second most active drug (after rifampin) in the treatment of leprosy.# ****Clofazimine is useful in treating dapsone-resistant leprosy and may lessen the severity of ENL.# ***Thalidomide is now approved by the FDA for treatment of ENL. This drug is sedating and extremely teratogenic and should never be taken by anyone who is or may become pregnant.# **Ethionamide with rifampin (600 mg/d) is used to treat dapsone-resistant leprosy for who cannot accept the skin- pigmentation of clofazimine.# The newer macrolide antibiotics (particularly clarithromycin), minocycline (a long-acting tetracycline), and a number of fluoroquinolones (including ofloxacin, sparfloxacin, and pefloxacin) have shown promising bactericidal activity against M. leprae. Ofloxacin and minocycline are being investigated with rifampin in short-course regimens for lepromatous disease.", "cop": 3, "opa": "Rifampicin + Dapsone", "opb": "Rifampicin + Clofazimine", "opc": "Rifampicin + Dapsone + Clofazimine", "opd": "Rifampicin + Ofloxacin + Minocycline", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "e8bf4b11-43e8-4f51-842c-deffb5daeda2", "choice_type": "single"} {"question": "Phlebotomus argentipes is killed by", "exp": "DDT (Dichloro-diphenyl-tricholoro ethane) Organo-chlorine Synthesized by Zeidler (1874); Insecticidal propeies discovered by Noble prize winner Paul Miller (1939) Techincal DDT : 70-80% para-para isomer (most active form) Mechanism of action : Contact (Nerve) poison (hours to kill) (Acetylcholinesterase inhibitor) DDT had 'No repellant action' but 'redidal action for 18 months' Dosage : 100-200 mg per sq.ft Sandflies (phlebotamus) has not demonstrated resistance to DDT Ref : Park 25th edition Pgno : 812-813", "cop": 2, "opa": "Malathion", "opb": "DDT", "opc": "BHC", "opd": "Pyrethrum", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "b39daf5b-1fec-402e-a4e9-2fab89797592", "choice_type": "single"} {"question": "Measure of communicability of a disease", "exp": "Secondary attack rate : SAR is defined as “the number of exposed persons developing the disease within the range of incubation period, following exposure to primary case. SAR = No of exposed persons developing disease within the range of the incubation period ——(Total number of exposed/susceptible contact) x 100\nThe important features of SAR are:-\n\nThe primary case is excluded from both the numerator and denominator.\nDenominator is restricted to susceptible contacts of primary case.\nIn denominator, person should be susceptible → Immune person (to disease) are not susceptible to develop the disease, So they are excluded.\nDisease should develop within the range of incubation period.\n\nSAR is an important measure of communicability. Higher secondary attack rate means, more numbers of susceptible contacts are developing the disease after exposure to primary case.\nSo, higher the SAR higher is the communicability (infectiousness) of disease.", "cop": 2, "opa": "Case fatality rate", "opb": "Secondary attack rate", "opc": "Sullivan index", "opd": "Incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5e96491a-7dd7-4bdd-9429-541ac69e2c96", "choice_type": "single"} {"question": "40 years old Bank officer was told to be having illeocecal Tuberculosis (Bovine after thorough investigation. He told the physician that he had no body infected with tuberculosis in the family, but he was told by the Doctor that he acquired this infection from", "exp": null, "cop": 1, "opa": "Infected milk", "opb": "Infected client", "opc": "Contaminated vessel", "opd": "Polluted water", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f8178500-65f3-46c7-b3a3-ff3f24027bac", "choice_type": "single"} {"question": "Effective to change health behaviour and attitudes of people", "exp": "Group discussion is considered a very effective method of health communication. It permits the individuals to learn by freely exchanging their knowledge, ideas and opinions. Where long-term compliance is involved (cessation of smoking) group discussion is considered valuable. Ref : Park 23rd edition Pgno : 680", "cop": 2, "opa": "Workshop", "opb": "Group discussion", "opc": "Panel discussion", "opd": "Demonstration", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "123447d1-ac99-4149-9dcc-8ba1abb25d3e", "choice_type": "single"} {"question": "Toxin causing endemic ascites", "exp": null, "cop": 2, "opa": "BOAA", "opb": "Pyrrolizidine alkaloids", "opc": "Aflatoxin", "opd": "Sanguinarine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c195beab-20a8-4bcc-8527-84b9349968e3", "choice_type": "single"} {"question": "Purest water in nature is", "exp": "Rain : Is the prime source of all water and is the ‘purest form of water in nature.’\nChemically, it is very soft water : contains traces (0.0005%) of solids Gibraltar depends on rain water as a source of supply.", "cop": 1, "opa": "Rain water", "opb": "River water", "opc": "Deep well", "opd": "Impounding reservoirs", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "800c7cce-ebd0-4fa4-b8da-498e88164f31", "choice_type": "single"} {"question": "Pharmaceutical waste includes", "exp": "Pharmaceutical waste: Pharmaceuticals that are expired or no longer needed; Items containing or contaminated by pharmaceuticals.Genotoxic waste: Waste containing substances with genotoxic propeies Ex: cytostatic drugs (often used in chemotherapy)Chemical waste: Lab reagents, film developer, solvents, disinfectants Park 23e pg: 789", "cop": 2, "opa": "Waste containing body pas, blood, and other body fluids", "opb": "Waste containing expired pharmaceuticals", "opc": "Waste containing chemical substances", "opd": "Waste containing cytostatic drugs", "subject_name": "Social & Preventive Medicine", "topic_name": "Hospital waste and disaster management, Occupational health", "id": "9f41b4da-d1c9-4fbb-9019-8982d08f5203", "choice_type": "single"} {"question": "Level of prevention that includes specific protection", "exp": "Specific protection targets a type or group of diseases and complements the goals of health promotion. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 48", "cop": 2, "opa": "Primordial", "opb": "Primary", "opc": "Secondary", "opd": "Teiary", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "1858e6a5-df7b-4fac-b318-1ae908599732", "choice_type": "single"} {"question": "Inhalation of sugarcane dust could cause", "exp": "Bagassosis occurs due to occupational exposure to fibrous residue of sugarcane (bagasse); Bagassosis has been shown to be due to Thermoactinomyces sacchari\nBagasse contains a percentage of silica, innumerable fungal spores and micro-organisms; Bagasse dust blocks bronchioles thus leading to bronchitis and bronchopneumonia\nPrevention and Bagasse control measures:\n\n– Keeping moisture content > 20%\n– Spraying bagasse with 2% propionic acid (fungicide).", "cop": 1, "opa": "Bagassosis", "opb": "Byssinosis", "opc": "tobacosis", "opd": "Farmer's Lungs", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d56347d3-3fd4-43e4-a4e7-496f41356f72", "choice_type": "single"} {"question": "Tomatoes are rich in", "exp": null, "cop": 1, "opa": "Citric acid", "opb": "Oxalic acid", "opc": "Acetic acid", "opd": "Formic acid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e4258b31-281c-47ff-8a12-47a68e66b9fc", "choice_type": "single"} {"question": "Multi load device refers to", "exp": null, "cop": 4, "opa": "First generation IUCD", "opb": "Oral contraceptive pills", "opc": "Barrier contraceptives", "opd": "Second generation IUCD", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "96a5dc9a-1f79-49ca-be32-9e1a5c80cc5f", "choice_type": "single"} {"question": "Vitamin A prophylaxis to a child is", "exp": "Ans. is 'b' i.e. Specific protection Vitamin A prophylaxis is a form of specific protection against vitamin A deficiency resulting in xerophthalmiaSpecific protection is an interventional strategy for primary prevention in a disease process.Disease process, prevention & interventions can be summarised as below:* Health education is a part of health promotion Levels of preventionPrimordial prevention - Prevention of the development or emergence of Risk Factors in population groups in which they have not yet appeared Primary prevention - Action taken prior to the onset of disease which removes the possibility that the disease will ever occur. It signifies intervention in the pathogenesis phase of the disease.Secondary prevention - Action which halts the progress of disease at its incipient stage and prevents complications i.e. early diagnosis & treatment.Tertiary treatment - Intervention in the late pathogenic phase all measures to reduce or limit impairments, Disabilities and handicap Specific protection:Specific protection is possible in a limited number of cases.The interventions available areImmunizationUse of specific nutrients (For e.g. Vit. A, Iron & FA)ChemoprophylaxisProtection against occupational hazardsProtection against accidentsProtection from carcinogensAvoidance of allergensControl of environmental hazards e.g. air pollution, noise control etc.", "cop": 2, "opa": "Health promotion", "opb": "Specific protection", "opc": "Primordial prevention", "opd": "Secondary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "32069db6-aade-45f3-be4c-3ecb99c9f40e", "choice_type": "single"} {"question": "Purest water is", "exp": "Rainwater by nature is purest and soft. it gets contaminated when passing through the atmosphere by dust and microorganisms Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 767", "cop": 2, "opa": "River water", "opb": "Rain water", "opc": "Deep well", "opd": "Impounding reservoir", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "307720e9-7976-4b61-9fae-179d13d92ad8", "choice_type": "single"} {"question": "Cycle that is seen in RBC's in malaria is", "exp": "Human cycle of plasmodium Pre-erythrocytic Schizogony Development of sporozoites in liver parenchyma Liberated merozoites are called as \"Cryptozoites\" No clinical manifestations ; No pathological change Blood is sterile Erythrocytic Schizogony Parasite resides inside RBCs; Passes through stages of Trophozoite, Schizont, Merozoite Parasitic multiplication brings clinical attack of malaria Gametogony Some merozoites develop in RBC's of spleen and bone marrow to form 'Gametocytes' Exo-Erythrocytic Schizogony Persistence of late tissue phase in liver Seen in P.vivax and P.ovale Cause of relapses in Vivax and ovale Malaria. Liberated merozoites are known as 'Phanerozoites' Ref: Park 25th edition Pgno : 281-286", "cop": 4, "opa": "Sexual", "opb": "Sporogony", "opc": "Exogenous", "opd": "Endogenous", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "3967b8b8-8b65-4644-af79-550a8f8fa3b0", "choice_type": "single"} {"question": "A 3 yr old completely unimmunised child comes to an immunization clinic at PHC for the firsr time, He should receive", "exp": ".", "cop": 2, "opa": "BCG, Measles, Vitamin - A", "opb": "DT-1, OPV-1, Measles, Vitamin - A", "opc": "BCG, DPT, DPT-1, OPV-1, Measles, Vitamin - A", "opd": "DPT-1, OPV, Measles, Vitamin - A", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "f9cdd893-49ee-413b-9ce7-78e8d68298f0", "choice_type": "single"} {"question": "Under MCH programme, iron and folic acid tablets to be given daily to mother has", "exp": "An adult tablet of IFA contains: 100 mg elemental Iron and 500 mcg Folic acid (to be given for 100 days minimum in pregnancy).\nA pediatric tablet of IFA contains: 20 mg elemental Iron and 100 mcg Folic acid (to be given for 100 days minimum every year till 5 years age of child).", "cop": 1, "opa": "100 mg iron + 500 mcg folic acid", "opb": "60 mg iron + 500 mcg folic acid", "opc": "60 mg iron + 100 mcg folic acid", "opd": "100 mg iron + 100 mcg folic acid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "488792a7-3ff1-4a14-a712-c0bd6320cc0c", "choice_type": "single"} {"question": "‘Dipstick Test’ for rapid diagnosis of Plasmodium falciparum is based on", "exp": "‘Dipstick Test’ is used for the rapid diagnosis of Plasmodium falciparum (Pf)\n– Is a ‘rapid whole blood immuno-chromatographic test’\n– Uses 2 antibodies specific for ‘Pf Histidine Rich Protein II Antigen’\n– Is a ‘antigen capture assay’ – Colloidal gold is used in the test card\n– Gives results in 3 – 5 minutes\n– Specificity and negative predictive value is 99%\n– Not as effective when parasite levels < 100 parasites/ml of blood\n• Rapid tests for diagnosis of Pf:\n– Dipstick test (Pf Histidine rich protein II – HRP II)\n– Leishman stain\n– Field’s stain\n– Acridine orange.", "cop": 4, "opa": "Arginine-rich protein", "opb": "Serine-rich protein", "opc": "Tyrosine-rich protein", "opd": "Histidine-rich protein", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "da65f910-e789-45b3-b72f-609980443b69", "choice_type": "single"} {"question": "For optimum utilization of health services in a hospital, Bed turnover interval should always be", "exp": "Ans. (a) Slightly positive* Bed turn over interval: Amount of time beds at hospital are unoccupied until next patients' admission following a patients' discharge- Negative values: Indicate over 100% occupancy, scarcity of beds, over-utilization of services- Positive values: Indicate vacant beds, underutilization of services due to defective admission process or poor quality medical care- Slight positive values: Indicate optimum utilization of services", "cop": 1, "opa": "Slightly positive", "opb": "Largely positive", "opc": "Slightly negative", "opd": "Largely negative", "subject_name": "Social & Preventive Medicine", "topic_name": "Indicators of Health", "id": "6f6685c5-48c6-4052-a913-052918639fcb", "choice_type": "single"} {"question": "Sir Alexander Fleming got Nobel Prix for", "exp": "List of Nobel Laureates\n\nWillem Einthoven : ECG.\nSir Alexander Fleming : Penicillin.\nPaul. H. Muller : DDT.\nSir Godfrey N.Hounsfield : Human blood groups.\nKarl Landsteiner : Human blood groups.\nPaul Ehrlich : Immunity.\nSir Peter Mansfield : MRI.", "cop": 3, "opa": "Insulin", "opb": "CT scan", "opc": "Pencillin", "opd": "ECG", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d4c5bdf0-13ee-43c5-b377-bfee7eaed746", "choice_type": "single"} {"question": "The histogram is used as a method of group presentation for", "exp": null, "cop": 2, "opa": "Qualitative data", "opb": "Quantitative continuous data", "opc": "Quantitative data- discrete type", "opd": "Nominal data", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0a856f74-0c4e-4f1f-834e-c235ce756b77", "choice_type": "single"} {"question": "Carriers of avirulent organism is known as", "exp": null, "cop": 2, "opa": "Convalescent carriers", "opb": "Pseudo carriers", "opc": "Temporary carriers", "opd": "Healthy carriers", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8e1988a2-c715-4dc4-be1a-8787b1950da2", "choice_type": "single"} {"question": "A person has lost his hand at work in a factory and is not able to wear his clothes", "exp": null, "cop": 3, "opa": "Disease", "opb": "Impairement", "opc": "Disability", "opd": "Handicap", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "03401599-da16-488b-ae9c-0509d02e36e5", "choice_type": "single"} {"question": "Maximum Power of destruction of a disease is measured by", "exp": "Case fatality rate represents the killing power of disease. It is simply the ratio of deaths to cases.Used in acute infectious diseases.Case fatality is closely related to virulence.Park 23e pg:59", "cop": 2, "opa": "Survival rate", "opb": "Case fatality rate", "opc": "Specific death rate", "opd": "Propoional moality rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "90d8f32a-4b21-458e-9991-e09ad08ac36a", "choice_type": "single"} {"question": "Patients are categorized on the basis of chances of survival in Disaster management;", "exp": "Triage Consists of rapidly classifying the injured on the basis of severity of their injuries and on the likelihood of their survival with prompt medical intervention First come first serve is NOT followed in emergencies Triage yields best results when carried out at the site of disaster COLOR CODING: RED YELLOW GREEN BLACK high priority treatment or transfer medium priority ambulatory patients dead/moribund patients", "cop": 1, "opa": "Triage", "opb": "Tagging", "opc": "Mitigation", "opd": "Surge capacity", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2019", "id": "6ec51868-3953-413d-a364-45c71190652f", "choice_type": "single"} {"question": "Rickettsial agent of Epidemic typhus is", "exp": "(R-prowazekii) (239-PK) (262- Park 20th)DiseaseRickettsial agentInsect vectorsMammalian reservoirsITyphus group a. Epidemic typhusR. prowazekiiLouseHumansb. Murine typhusR. typhiFleaRodentsc. Scrub typhusR. tsutsugamushiMiteRodentsIISpotted fever group a. Indian tick typhusR. conoriiTickRodents, dogsb. Rocky Mountain spotted feverR. rickettsiiTickRodents, dogsc. Rickettsial poxR. akariMiteMiceIIIOthers a. Q-feverC. burnetii-Cattle, sheep, goatsb. Trench feverRochalimaeaquintanaLouseHumans", "cop": 1, "opa": "R. prowazekii", "opb": "R. typhi", "opc": "R. tsutsugamushi", "opd": "R. canorii", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "302c2ead-fe10-4b55-b41c-39333c96f246", "choice_type": "single"} {"question": "Mass approach includes", "exp": "Home visits, Personal letters, personal contact are individual approachTelevision, radio, newspaper, folk methods, internet are mass approaches.Lectures, Demonstrations, Discussion methods (Symposium, conferences, roleplay..etc) are group methods.Park 23e pg: 862", "cop": 1, "opa": "Television", "opb": "Seminars", "opc": "Role play", "opd": "Symposium", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "9287f40b-3193-4ea8-89d3-8bc31ad50343", "choice_type": "single"} {"question": "Recommended daily intake of fibre in diet", "exp": null, "cop": 2, "opa": "20 grams", "opb": "40 grams", "opc": "80 grams", "opd": "100 grams", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1069e5b4-d592-4517-8168-40a7b399eb1b", "choice_type": "single"} {"question": "Amino acid deficient in pulses", "exp": null, "cop": 3, "opa": "Tryptophane", "opb": "Lysine", "opc": "Methionine", "opd": "Leucine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3d588478-dd5b-419d-a6ba-501ab1fc26f8", "choice_type": "single"} {"question": "In defining General Feility Rate, the denominator is", "exp": "General feility rate is the number of live bihs per 1000 women in the reproductive are group ( 15-44 or 49 years) in a given year GFR = Number of live bih in an area during the year X 1000 / mid year female population age group 15-44 (or 49) in the same area in same year Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 488", "cop": 2, "opa": "Population between 15 to 49 years of age", "opb": "Women between 15 to 49 years of age", "opc": "Mid year population", "opd": "Live bihs", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "0e8657d6-84e6-45e8-9f35-bf6ecbe0b70f", "choice_type": "single"} {"question": "Maternal antibodies do not occur for", "exp": "Infants are susceptible to Pertussis infection from birth because maternal antibody does not appear to give them protection.", "cop": 2, "opa": "Polio", "opb": "Whooping cough", "opc": "Diphtheria", "opd": "Tetanus", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2743ce99-173d-416f-923e-b7d12044920c", "choice_type": "single"} {"question": "Ergotism is due to toxic alkaloids produced by fungus", "exp": null, "cop": 1, "opa": "Claviceps purpurea", "opb": "Trichophyton", "opc": "Fusarium species", "opd": "Absidia", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2c7ce4e0-c722-45ff-bc96-058554db785d", "choice_type": "single"} {"question": "Diphtheria carrier are diagnosed by", "exp": null, "cop": 2, "opa": "Gram’s staining", "opb": "Throat culture", "opc": "Albert’s staining", "opd": "Schick test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c86153ce-f47d-4a0d-af52-c5d05eda6ad7", "choice_type": "single"} {"question": "Three doses of tetanus vaccine provides immunity for", "exp": null, "cop": 1, "opa": "10 years", "opb": "1 year", "opc": "5 years", "opd": "15 years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9c9e75ce-3dd8-483d-9986-c62e3b904419", "choice_type": "single"} {"question": "Demographic gap attains its maximum limit is", "exp": "Demographic cycle The history of world population since 1650 suggests that there is a . demographic cycle of 5 stages through which a nation passes: (1) FIRST STAGE (High stationary) This stage is characterized by a high bih rate and a high death rate which cancel each other and the population remains stationary. India was in this stage till 1920. (2) SECOND STAGE (Early expanding) The death rate begins to decline, while the bih rate remains unchanged. Many countries in South Asia, and Africa are in this phase. Bih rates have increased in some of these countries possibly as a result of improved health conditions, and shoening periods of breast-feeding (3) THIRD STAGE (Late expanding) The death rate declines still fuher, and the bih rate tends to fall. The population continues to grow because bihs exceed deaths. India has entered this phase. In a number of developing countries (e.g., China, Singapore) bih rates have declined rapidly. (4) FOUH STAGE (Low stationary) This stage is characterized by a low bih and low death rate with the result that the population becomes stationary. Zero population growth has already been recorded in Austria during 1980-85. Growth rates as little as 0.1 were recorded in UK, Denmark, Sweden and Belgium during 1980-85. In sho, most industrialized countries have undergone a demographic transition shifting from a high bih and high death rates to low bih and low death rates. (5) FIFTH STAGE: (Declining) The population begins to decline because bih rate is lower than the death rate. Some East European countries, notably Germany and Hungary are experiencing this stage. Demographic cycle is based on : Demographic gap DG = Crude Bih Rate (CBR) - Crude death rate DG stas increasing : Early stage II (Early expanding phase) DG is Maximum : Late stage II (Early expanding phase) DG stas declining : Early stage III (Late expanding PHASE) DG is negative : Stage V (Declining phase) DG is Narrow : Stage I (high Stationary) ; Stage IV (Low Stationary) Ref: Foundations of community Medicine, GM Dhaarb& I Robbani, 1st edition Park 25th edition Pgno : 530", "cop": 2, "opa": "Early stage I", "opb": "Late stage II", "opc": "Late stage III", "opd": "Early stage IV", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "f0259a51-3af1-40ec-9bea-10103e9f6b79", "choice_type": "single"} {"question": "Parboiling is done for", "exp": "Parboiling Parboiling (paial cooking in steam) is ancient Indian technique of preserving the nutritive quality of rice. There are many techniques of parboiling. The technique recommended by the Central Food Technological Research Institute, Mysore is known as the hot soaking process. The process stas with soaking the paddy (unhusked rice) in hot water at 65 to 70 deg. C for 3 to 4 hours, which swells the grain. This is followed by draining of water and steaming the soaked paddy in the same container for 5 to 10 minutes. The paddy is then dried and later homepounded or milled. During the steaming process, a greater pa of the vitamins and minerals present in the outer aleurone layer of the rice grain are driven into the inner endosperm. With subsequent milling, even to a high degree, the nutrients are not removed. During the drying process, the germ gets attached more firmly to the grain. In addition, the heat used in drying hardens the rice grain. It results in the grain becoming more *resistant to insect invasion and more suitable for storage than raw rice. The starch also gets gelatinized which improves the -keeping quality of rice. The serious disadvantage of parboiling is the development of a peculiar smell or \"off flavour\" which some consumers do not relish. Modern methods of parboiling rice have been developed by which the finished product does not give any bad odour. Ref : Park 25th edition Pgno : 665", "cop": 3, "opa": "Milling process", "opb": "Polishing of rice", "opc": "Preservation of nutrition", "opd": "Storage of rice", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "6010563c-8446-4443-b525-c2f34a7bdcec", "choice_type": "single"} {"question": "Reservoir of Tetanus infection is", "exp": "Soil is the Reservoir of:\n\nTetanus\nAnthrox\nCoccidiomycosis\nMycetoma", "cop": 2, "opa": "Man", "opb": "Soil", "opc": "Pig", "opd": "Plants", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "caf3ad71-4fcf-4846-8aa0-22dc167cd724", "choice_type": "single"} {"question": "Standardised moality rate is stadardised for", "exp": "Ans. is 'a' i.e., Age", "cop": 1, "opa": "Age", "opb": "Disease", "opc": "Region", "opd": "A paicular time period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0554bfb0-0779-440b-8d82-06f15b4c46b5", "choice_type": "single"} {"question": "Best index of contraceptive efficacy is", "exp": "Pearl index is defined as the number of failures per 100 woman years of exposure (HWY) Failure rate per Hundred Women Years = Total accidental pregnancies X 1200/ Total months of exposure Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 510", "cop": 1, "opa": "Pearl index", "opb": "Chandelers index", "opc": "Quetlet index", "opd": "Broca index", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "028d5d73-b4d4-4e70-80b6-97f20a250e80", "choice_type": "single"} {"question": "Whisper is", "exp": null, "cop": 2, "opa": "10 db", "opb": "20 - 30 db", "opc": "30 - 50 db", "opd": "60 db", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "27cf6ce9-35ec-431d-9150-419472d912b2", "choice_type": "single"} {"question": "Confirmatory diagnostic test used in HIV", "exp": null, "cop": 3, "opa": "ELISA", "opb": "SIMPLE test", "opc": "Western Blot Assay", "opd": "RAPID test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "32d45aad-896a-48ce-9f3a-ace595d66392", "choice_type": "single"} {"question": "CHC acts as a referral center for", "exp": "Community Health Centre (CHC)\n\nSecondary level of health care.\nLocated for population of 1,20,000 in plains.\nLocated for population of 80,000 in hilly areas.\nStaff at CHC : 46-52\nActs as referral unit for 4 PHCS.\nBed strength : 30", "cop": 2, "opa": "2 PHCs", "opb": "4 PHCs", "opc": "6 PHCs", "opd": "8 PHCs", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f4567124-4f4b-4dba-b861-6a56aa6d6acb", "choice_type": "single"} {"question": "Presence of it indicates remote contamination of water", "exp": null, "cop": 3, "opa": "Streptococci", "opb": "Staphalococci", "opc": "Clastridium pertringes", "opd": "Nibrio", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "952f9b45-e625-4c8c-9094-85977dd21b8e", "choice_type": "single"} {"question": "White death is", "exp": null, "cop": 1, "opa": "TB", "opb": "HIV", "opc": "Plague", "opd": "Yellow fever", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ee9716e9-0b2a-427d-b6bc-e793fe8984e3", "choice_type": "single"} {"question": "Maximum tolerated dose of a new drug is evaluated in", "exp": "Phase 1 Clinical trials is used to evaluate Maximum tolerated dose (MTD) of a new drug", "cop": 4, "opa": "Phase 4", "opb": "Phase 3", "opc": "Phase 2", "opd": "Phase 1", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c012d563-7174-44e1-ac21-19cc00727312", "choice_type": "single"} {"question": "Adjuvant used in DPT vaccine is", "exp": "Ans. is 'b' i.e. Aluminium DPT vaccine is of two types : plain & adsorbedAluminium phosphate or Aluminium hydroxide is used as adsorbent.Adsorption increases the immunological effectiveness.WHO recommends use of only adjuvant DPT vaccines in immunization programmes?Also know - Pertussis component in DPT vaccine enhances the potency of the diphtheria toxoid.", "cop": 2, "opa": "Zinc", "opb": "Aluminium", "opc": "Copper", "opd": "Magnesium", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "72140b04-2801-4818-82b9-cf95d68e3f95", "choice_type": "single"} {"question": "Flight range for Aedes Mosquito is", "exp": "Flight range of impoant mosquito vectors in India: Mosquito vector Flight range Anopheles 3-5 Km Culex 11Km Aedes 100m (110 yards) Mansonia - Ref: Park 25th edition Pgno: 808", "cop": 2, "opa": "10 meters", "opb": "100 meters", "opc": "400 meters", "opd": "11 km", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "47e53a9e-35d2-42f7-b6f4-e978b9462ce9", "choice_type": "single"} {"question": "The scatter plot is used to display", "exp": "STATISTICAL MAPS When statistical data refer to geographic or administrative areas, it is presented either as \"Shaded Maps\" or \"Dot maps\" according to suitability. The shaded maps are used to present data of varying size. The areas are shaded with different colours, or different intensities of the same colour, which is indicated in the key. Scatter diagram shows the relationship between two variables, e.g., Fig. 10 shows a positive correlation between the intakes of fat and sugar in the average diets of 41 countries. Populations with more income are known to consume more protein, fat and also sugar If the dots cluster round a straight line, it shows evidence of a relationship of a linear nature. If there is no such cluster, it is probable that there is no relationship between the variables. Ref : Park 23rd edition Pgno : 846", "cop": 2, "opa": "Causality", "opb": "Correlation", "opc": "Power", "opd": "Type II error", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "f6cda688-6771-43eb-9656-a95c3cb7a724", "choice_type": "single"} {"question": "Provision of services at Suraksha Clinic include", "exp": "Services expected at suraksha clinic (STD clinic) are related to I/STI. It includes - Diagnostic services - Treatment care - Preventive services", "cop": 3, "opa": "Immunization services", "opb": "Blood transfusion safety services", "opc": "I/STI services", "opd": "Diarrhea control services", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2018", "id": "a5dcfa4b-4526-4142-8207-f29cc327fb34", "choice_type": "single"} {"question": "Red cross society was staed by", "exp": "The Red Cross is a non-political, non-official international humanitarian organization devoted to the service of mankind in peace and war. Founded by Henry Dunant.Park 23e pg: 925", "cop": 3, "opa": "FORD", "opb": "Rockefeller", "opc": "Henry Durant", "opd": "World bank", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "f1824e4a-8f38-47df-93db-0eda76ebc0cc", "choice_type": "single"} {"question": "The following does not suggest Under Five Care in the community", "exp": null, "cop": 2, "opa": "Infant mortality rate", "opb": "1-4 year mortality", "opc": "Neonatal tetanus", "opd": "Deaths due to diarrhoeal disease between 1-5 years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c0412633-648c-42fa-849b-0421bfbddad5", "choice_type": "single"} {"question": "Fernandez Reaction in Lepromine test is", "exp": null, "cop": 4, "opa": "Type 1 Hypersensitive reaction", "opb": "Type 2 Hypersensitive reaction", "opc": "Type 3 Hypersensitive reaction", "opd": "Type 4 Hypersensitive reaction", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e4329514-094c-4e15-9b59-50d0a8b38fab", "choice_type": "single"} {"question": "3 month's training in preventive and social medicine during internship is recommended by", "exp": "(Bhore committee) (776- Park 20th)* Major changes in medical education which includes 3' months training in preventive and social medicine to prepare prepare \"social physicians\"-recommend by Bhore Committee 1946* \"Health Survey and Planning Committee\" popularily known as the Mudaliar committee* Chadah Committee - recommended that the \"vigilance\" operations is respect of the National malaria Eradication Programme should be the responsibility of the general health services i.e. primary health centres at the block level.", "cop": 1, "opa": "Bhore committee", "opb": "Chadah committee", "opc": "Mudaliar committee", "opd": "Mukerji - committee", "subject_name": "Social & Preventive Medicine", "topic_name": "Healthcare of the Community & International Health", "id": "75558857-7d24-45d0-8f6c-bda485f8d5ec", "choice_type": "single"} {"question": "The age and sex structure of a population may be best described by a", "exp": "The age and sex distribution of a population is best represented by population pyramid\nIn countries with high birth rates as ours, it is broad based conical pyramid because of high birth rate and tapering of population with increase in age.\nIn developed countries with low birth rate, the pyramid swells in the middle and is narrow at the base and is not so conical at the top. (dumb bell shaped).\n\nUtility of population pyramid \nShape of population pyramid indicates fertility pattern\n\nBroad base, Narrow top (upright triangle): High proportion of younger population (developing countries)\nBulge in Middle: High proportion of adults (developed countries)\n\nSpan (height) of population pyramid indicates life expectancy\n\nTaller pyramid: Higher life expectancy (developed countries)\nShorter pyramid: Lower life expectancy (developing countries)\n\nSymmetry of population pyramid indicates sex ratio\n\nSymmetric pyramid: ideal sex ratio ( developed countries)\nAsymmetric pyramid: unfavorable sex ratio <1000 (developing countries)", "cop": 3, "opa": "Life table", "opb": "corelation coefficient", "opc": "Population pyramid", "opd": "Bar chart", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ed7878a6-cf05-40f2-9c7f-ae2bbb3ab3de", "choice_type": "single"} {"question": "Green STD kit contains", "exp": null, "cop": 2, "opa": "Azithromycin, Cefixime", "opb": "Secnidazole, Fluconazole", "opc": "Acyclovir", "opd": "Azithromycin, Doxycycline", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "bee51b0c-2584-4935-8a53-dafa9113a24e", "choice_type": "single"} {"question": "Reservoir of hookworm", "exp": ".man is the only impoant reservoir of human hookworm infection.faeces containing the ova of hookworms is the infective material.as long a sthe person harbours the parasite ,the infectivity of the disease continues. ref:park&;s textbook,ed 22,pg no 221", "cop": 1, "opa": "Human being", "opb": "Soil", "opc": "Faces", "opd": "Monkeys", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "a8f2f089-ff30-442e-bb6b-8634f446c87e", "choice_type": "single"} {"question": "Under ICDS, nutrition given for children < 1 year is,", "exp": null, "cop": 1, "opa": "200kcal", "opb": "500kcal", "opc": "350kcal", "opd": "600kcal", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a905c96e-ecb8-46f5-9ec3-423ddefa16ee", "choice_type": "single"} {"question": "Long term fluctuation is", "exp": "Ans. is 'a' i.., Secular", "cop": 1, "opa": "Secular", "opb": "Cyclical", "opc": "Seasonal", "opd": "Periodic fluctuation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "96882aa6-9d0a-4ba6-9d2a-e9aadc0440ee", "choice_type": "single"} {"question": "Daily calcium requirement of infants is", "exp": null, "cop": 2, "opa": "300 mg", "opb": "500 mg", "opc": "600 mg", "opd": "1200 mg", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a62b7a0e-08cb-4f81-b015-22bb71256934", "choice_type": "single"} {"question": "A community has a population of 10,000 and a birth rate of 36 per 1000. 5 maternal deaths were reported in the current year. The MMR is", "exp": "MMR = 5/360 X 100,000\n = 1388 per 100,000 population\n LB = 13.88 per 1000 LB.", "cop": 2, "opa": "14.5", "opb": "13.8", "opc": "20", "opd": "5", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3c7316aa-7a57-4ae9-bab6-956b9c880ab7", "choice_type": "single"} {"question": "The drug of choice for chempprophylaxis in contacts of a patient of penumonic plague is", "exp": "Cholera: Tetracycline or furazolidone for household contacts Bacterial conjunctivitis: Erythromycin ophthalmic ointment Diphtheria: Erythromycin Influenza: Oseltamivir Meningitis, meningococcal: Ciprofloxacin, and minocycline Plague: Tetracycline for contacts of pneumonic plague Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 137", "cop": 4, "opa": "Penicillin", "opb": "Rifampicin", "opc": "Erythromycin", "opd": "Tetracycline", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "921ab2e2-b398-49aa-892a-a9d12449d12a", "choice_type": "single"} {"question": "'Ring vaccination' is", "exp": "Ring vaccination is a strategy to inhibit the spread of disease by vaccinating only those who are most likely to be infected.", "cop": 3, "opa": "Given by a ring shaped machine", "opb": "Given to produce a ring lesion", "opc": "Given around 100 yards of a case detected", "opd": "Given around a mile of a case", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "ce45f9ff-74f7-4b6a-b7ba-a57f64fa3f4c", "choice_type": "single"} {"question": "Protein requirement of an adult is", "exp": "Protein requirement of an adult:\n\n0.7 gm/kg/day in terms of Egg protein or\n1.0 gm/kg/day in terms of mixed vegetable protein (NEW GUIDELINE: 0.83 g/kg/d)\n\nEgg protein has the highest NPU of 96.\nIndian Council of Medical Research (ICMR) has recommended 1.0 gm protein per kg of body weight for an Indian adult, assuming a NPU of 65 for dietary proteins.", "cop": 3, "opa": "0.7 gm/kg in terms of Egg protein & 0.7 gm/kg in terms of mixed vegetable protein", "opb": "1.0 gm/kg in terms of Egg protein & 1.0 gm/kg in terms of mixed vegetable protein", "opc": "0.7 gm/kg in terms of Egg protein & 1.0 gm/kg in terms of mixed vegetable protein", "opd": "1.0 gm/kg in terms of Egg protein & 0.7 gm/kg in terms of mixed vegetable protein", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e4fd9dc3-9462-4736-9ec5-c58ed6da8daa", "choice_type": "single"} {"question": "Test of significance for comparing means of 2 group is", "exp": "Paired student t - test ⇒ Comparision of means in paired data of 1 group.\nUn - Paired student t - test ⇒ Comparision of means between 2 group.\nANOVA test ⇒ Comparision of means if ≥ 3 groups.", "cop": 2, "opa": "Paired t - test", "opb": "Unpaired t - test", "opc": "Sign test", "opd": "Chi - square test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "57205698-3aeb-4528-88ee-38ad33e006e4", "choice_type": "single"} {"question": "The distinct golden colour in transgenic Golden rice is due to presence of", "exp": "Golden rice:\nVariety of rice produced through genetic engineering to boisynthesize beta carotene, a precursor of vitamin A.\nThe distinct golden colour is due to the beta carotene content.\nIt is indented to produce a fortified food to be grown and consumed in areas with a shortage of dietary vitamin A. \nGolden rice differs from its parenteral strain by the addition of three beta carotene biosynthesis gene.", "cop": 2, "opa": "Riboflavin", "opb": "β-carotene", "opc": "Vitamin B12", "opd": "Xanthopyll", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6f6ba67d-d4d3-430f-9582-42587cd0ea91", "choice_type": "single"} {"question": "If the prevalence is very low as compared to the incidence for a disease, it implies", "exp": "Prevalence = Incidence * Duration of illnessIf incidence is high and prevalence is low compared to the incidence, it means the duration of illness is low.Duration can be low if the disease is fatal or disease is easily curable.Park 23e pg: 62", "cop": 1, "opa": "Disease is very fatal and/or easily curable", "opb": "Disease is non-fatal", "opc": "Calculation of prevalence & incidence is wrong", "opd": "Nothing can be said, as they are independent", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "69463eaa-d7e4-4c8f-9777-3c877bbaf78d", "choice_type": "single"} {"question": "Best statistical data diagram to depict incidence change over a period of tissue is", "exp": null, "cop": 4, "opa": "Pie char", "opb": "Histogram", "opc": "Scatter diagram", "opd": "Line diagram", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c38dd786-e118-448c-9780-29f60c3139fc", "choice_type": "single"} {"question": "The book \"Airs, Water and Places\" considered a treatise on social medicine and hygiene is a work of", "exp": "Hippocrates distinguished between diseases which are epidemic and those which are endemic. His book &; Airs, Water and places are considered a treatise on social medicine and hygiene. The Hippocratic concept of health and disease stressed the relation between man and his environment.Park 23e pg: 3", "cop": 1, "opa": "Hippocrates", "opb": "John Snow", "opc": "John Simon", "opd": "John M Last", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "9e630ae1-772e-4325-92e7-26c9485004cb", "choice_type": "single"} {"question": "Shoest incubation period is seen in", "exp": "Influenza Causative Agent: Ohomyxovirus, 3 types : A, B, C Type A: MC cause of outbreaks/Epidemics ; Only cause of Pandemics Type B. Type C: Not circulating currently Incubation period : 18-72 hours Period of Infectivity : 1-2 days before to 1-2 days after onset of symptoms Ref:Park's Textbook of Preventive and Social Medicine 25th Edition Pgno : 167-172", "cop": 4, "opa": "Hepatitis A", "opb": "Hepatitis B", "opc": "Rubella", "opd": "Influenza", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "2a855ab7-ac87-4940-844b-0b425291bd0e", "choice_type": "single"} {"question": "3 months old infant, no chest indrawing with respiratory rate 52/minute. Diagnosis is", "exp": "Ans. is 'b' i.e., Pneumonia This infant has:? Fast breathing (.. 50 per minute between 2 months to 1 years). No chest indrawing. Diagnosis is Pneumonia.", "cop": 2, "opa": "No pneumonia", "opb": "Pneumonia", "opc": "Severe pneumonia", "opd": "Very severe disease", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fd138028-a63b-429d-b05f-bd4ea898a7b8", "choice_type": "single"} {"question": "The time interval between reception of infection and maximum infectivity of the host is known as", "exp": null, "cop": 1, "opa": "Generation time", "opb": "Serial interval", "opc": "Latent period", "opd": "Median incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4dbdce27-8a36-48b6-8313-49b4c097df37", "choice_type": "single"} {"question": "“Hundred day cough” is the name of", "exp": null, "cop": 2, "opa": "Cough due to haemophylus influenza", "opb": "Cough due to Bordetella pertussis", "opc": "Cough due to adenovirus", "opd": "Cough due to respiratory syncytial virus", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "60e7be33-d296-4787-8e96-726665acde39", "choice_type": "single"} {"question": "Recommended vaccination strategy for rubella is to vaccinate first and foremost", "exp": "Priority groups for rubella vaccination in India:\n1st PRIORITY:\n15 – 49 years reproductive age group females\n2nd priority: All children 1 – 14 years age\n3rd priority: Routine universal immunization of all children aged 1", "cop": 1, "opa": "Women 15-49yrs", "opb": "Infants", "opc": "Adolescent girls", "opd": "Children 1-14yrs", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ea189dcf-5748-4788-912a-8043a0fa4cda", "choice_type": "single"} {"question": "Infant moality rate does not include", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 4, "opa": "Post neonatal moality", "opb": "Early neonatal moality", "opc": "Late neonatal moality", "opd": "Perinatal moality", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "2eea7727-bb7c-4e80-bde0-0ae69f9f3c3c", "choice_type": "single"} {"question": "Therapeutic aboion was accepted by", "exp": "Ans. is 'b' i.e., Declaration of Oslo (1970)", "cop": 2, "opa": "Declaration of Genava (1948)", "opb": "Declaration of Oslo (1970)", "opc": "Declaration of Helsinki", "opd": "Declaration of Tokyo", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "553e0c4a-95de-471f-8ef1-309e50b0d95a", "choice_type": "single"} {"question": "Pearl index of male condom", "exp": null, "cop": 1, "opa": "14/HWY", "opb": "21/HWY", "opc": "5/HWY", "opd": "2/HWY", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4c5f6833-87b8-4457-9b97-63953bcace3e", "choice_type": "single"} {"question": "Consumer Protection Act was passed in", "exp": "Ref: 25th Ed K.Park's Textbook Of Preventive and Social Medicine", "cop": 2, "opa": "1977", "opb": "1986", "opc": "1993", "opd": "1998", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "f3080e15-9c63-43e1-9ee2-8c2b62f010ad", "choice_type": "single"} {"question": "Fibers are maximum in", "exp": "Ans. is 'd' i.e., Corn Wheat bran42.2Oat bran22.2Soy bran70.0Corn bran82.3Rice bran38.0Barley bran70-0", "cop": 4, "opa": "Wheat", "opb": "Oat", "opc": "Rice", "opd": "Corn", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "df6e4103-de15-4b31-8760-3950469489f1", "choice_type": "single"} {"question": "If each value of a given group of observations is multiplied by 10, the standard deviation of the resulting observations is", "exp": null, "cop": 2, "opa": "Original std. Deviation / l0", "opb": "Original std. Deviation × 10", "opc": "Original std. Deviation – 10", "opd": "Original std. Deviation it self", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5796b61b-b98f-41b9-9941-ee1ecb40ffee", "choice_type": "single"} {"question": "The definitive host in Toxoplasmosis is", "exp": "(A) Cat> Toxoplasmosis, a protozoal infection caused by Toxoplasma gondii, can result from ingestion of raw or undercooked meat infected by the organism or from contact with infected cat feces.> The incidence of toxoplasmosis in pregnant women is estimated to be 1 in every 150 to 700 pregnancies. Infection early in pregnancy may cause abortion; later in pregnancy, the fetus may become infected. A small number of infected infants develop involvement of the central nervous system or the eye; most infants who have the disease, however, escape serious clinical problems.> Toxoplasma gondii, -- result from ingestion of raw or undercooked meat infected by the organism or from contact with infect cat feces", "cop": 1, "opa": "Cat", "opb": "Man", "opc": "Pig", "opd": "Dog", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "6e1d890b-9f40-4d24-b237-b6e4a35d2589", "choice_type": "single"} {"question": "Old contamination of water is indicated by", "exp": "Ans. is 'b' i.e., Nitrates", "cop": 2, "opa": "Nitrites", "opb": "Nitrates", "opc": "Ammonia", "opd": "Chlorides", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "cb310219-f1d3-4a11-bd66-70f4fb144900", "choice_type": "single"} {"question": "Maximum damage to Napoleon’s army during his march to Moscow was done by", "exp": null, "cop": 3, "opa": "Diarrhea", "opb": "Plague", "opc": "Typhus", "opd": "Typhoid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0ccd0f32-e3f7-4ca3-b3e6-7ce016770d34", "choice_type": "single"} {"question": "Dose of Rifampicin per month for adult multibacillary leprosy", "exp": "Treatment of adult multibacillary leprosy Rifampicin 600mg once monthly, supervised Dapsone 100mg daily, self-administered Clofazimine 300mg once monthly supervised; and 50 mg daily, self-administered. Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 323", "cop": 1, "opa": "600 mg", "opb": "150 mg", "opc": "450 mg", "opd": "300 mg", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "08c6d111-9bdc-43b6-93d9-c49eea5dadbb", "choice_type": "single"} {"question": "‘Smoking’ is not associated with the following respiratory lesion", "exp": null, "cop": 1, "opa": "Sarcoidosis", "opb": "Chronic bronchitis", "opc": "Emphysema", "opd": "Lung carcinoma", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3f0d8873-9715-4bbb-8e48-825f01c656ec", "choice_type": "single"} {"question": "Most important Essential Fatty Acid is", "exp": "Essential Fatty Acids (EFA): Are those that cannot be synthesized in human body; they can only be derived from the food\nThe most important EFA is Linoleic Acid, which serves as a basis for production of other EFA\n\nDietary sources of EFA:", "cop": 1, "opa": "Linoleic Acid", "opb": "Linolenic Acid", "opc": "Arachidonic Acid", "opd": "Eicosapentanoic Acid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5e6ea0d6-6eb0-47aa-acc8-c143345ad77d", "choice_type": "single"} {"question": "Delinking Malaria activity from Family planning was under the recommendation of", "exp": "Chadah committee recommended that the vigilance operations in respect of the national malaria eradication programme should be the responsibility of the general health services ie primary health centres. Ref : Park 23rd edition Pgno : 874", "cop": 2, "opa": "Mudaliar committee", "opb": "Chadah committee", "opc": "Mukerji committee", "opd": "Kaar Singh committee", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "a6734dbc-2dff-4f24-a6ba-8d1d2ce4fdc0", "choice_type": "single"} {"question": "MDR/XDR treatment given for", "exp": "As Guidelines on Programmatic Management of Drug Resistant TB (PMDT) in IndiaRegimen for MDR-TB This regimen comprises of 6 drugs - Kanamycin, Levofloxacin, Ethionamide, Pyrazinamide, Ethambutol and Cycloserine during 6-9 months of the Intensive Phase and 4 drugs Levofloxacin, Ethionamide, Ethambutol and Cycloserine during the 18 months of the Continuation Phase.Regimen for XDR TBThe Intensive Phase (6-12 months) will consist of 7 drugs - Capreomycin (Cm), Para-aminosalicylic acid (PAS), Moxifloxacin (Mfx), High dose-INH, Clofazimine, Linezolid, and Amoxyclav The Continuation Phase (18 months) will consist of 6 drugs - PAS, Moxifloxacin (Mfx), High dose-INH, Clofazimine, Linezolid, and Amoxyclav", "cop": 4, "opa": "6 months", "opb": "12 months", "opc": "18 months", "opd": "24 months", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "991d2286-1f98-4cc4-a2e8-a2a2414cad91", "choice_type": "single"} {"question": "Under NPCB, screening of school children is first done by", "exp": "Ans. is 'a' i.e. School teachers Under the National Programme for Control of Blindness, all children aged 10-14 years will be screened for refractive errors by trained teachers.Children who cannot read the 6/9 line with any eye are then sent to the ophthalmic assistant of the CHC for refraction test.Children needing spectacles are then provided free spectacles by opticians who have been contracted by the NPCB.", "cop": 1, "opa": "School teachers", "opb": "Village health guide", "opc": "Ophthalmologic assistant", "opd": "Medical officer", "subject_name": "Social & Preventive Medicine", "topic_name": "Non-Communicable Diseases", "id": "f573ae95-8a4e-4b1f-a755-d0f3c815bb2e", "choice_type": "single"} {"question": "“Eugenics” is", "exp": null, "cop": 3, "opa": "A feeling of well-being or elation, may be drug related", "opb": "the humane destruction of an animal accomplished by a method that produces rapid unconsciousness and subsequent death without evidence of pain or distress, or a method that utilizes anaesthesia produced by an agent that causes painless loss of consciousness and subsequent death", "opc": "the study of hereditary improvement of the human race by controlled selective breeding", "opd": "A state of being carried away by overwhelming emotion", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "23e23ed2-569c-4588-9e63-f1040ca70109", "choice_type": "single"} {"question": "Egg yields about K cal of energy", "exp": "Ans. is 'c' i.e., 70 o An egg weighing 60 grams contains. i) 6 gm of protein ii)6 gm of fat iii) 30 mg of calcium iv) 105 mg of iron v) 70 Kcal. of energy", "cop": 3, "opa": "50", "opb": "60", "opc": "70", "opd": "80", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5ca7c23e-fcb0-4fe1-83a7-2645bc1eb67c", "choice_type": "single"} {"question": "The socioeconomic status of community is best indicated by", "exp": "Infant moality rate (IMR) is defined as the ratio of infant deaths registered in a given year to the total number of live bihs registered in the same year, usually expressed as a rate per 1000 live bihs. It is given by the formula: IMR= No. of deaths of children less than 1 year of age in a year --------------------------------------------------------------------x1000 No. of live bihs in the same year IMR is universally regarded not only as a most impoant indicator of the health status of a community but also of the level of living of people in general and effectiveness of MCH services in paicular. Infant moality rate is given a separate treatment by demographers because: IMR is the single largest single age-category of moality. Deaths at this age are due to a peculiar set of diseases and conditions to which the adult population is less exposed or less vulnerable. IMR is affected rather quickly and directly by specific health programmes and hence may change more rapidly than the general death rate. Ref : Park's Textbook of Preventive and Social Medicine; 18th edition; Page-417", "cop": 1, "opa": "IMR", "opb": "Under 5 moality rate", "opc": "Maternal moality rate", "opd": "Perinatal moality rate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "32b5eccd-c554-4592-a884-b72f75c2cfa6", "choice_type": "single"} {"question": "EIKJMAN'S test used in", "exp": null, "cop": 4, "opa": "As coliform test", "opb": "To determine chlorine demond", "opc": "Air quality test", "opd": "Humidity test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a429545b-081f-4674-8d0c-c9375fa44925", "choice_type": "single"} {"question": "Guthrie test is done in neonates for mass screening of", "exp": "Phenylketonuria is a disorder of amino acid metabolism. This is an autosomal recessive trait in babies who are homozygous with a deficiency in the enzyme phenylalanine hydrolase which normally conves phenylalanine to tyrosine. Mass screening of blood phenylalanine in neonates is performed by the Guthrie test. Ref: Park; 23rd ed; Pg 535", "cop": 3, "opa": "Neonatal hypothyroidism", "opb": "Hemoglobinopathies", "opc": "Phenylketonuria", "opd": "CDH", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "6e9070c0-a78e-4835-babd-5ea75eea5888", "choice_type": "single"} {"question": "In a town of population 5000, 500 are already myopic on January 1, 2011. Number of new myopia cases is 90 till December 31, 2011. Calculate incidence of Myopia in the town in 2011.", "exp": null, "cop": 3, "opa": "0.018", "opb": "0.05", "opc": "0.02", "opd": "18", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7654cfb6-7943-40ef-9df2-63cac8c00477", "choice_type": "single"} {"question": "Breteau index is used for", "exp": null, "cop": 1, "opa": "Aedes", "opb": "Anopheles", "opc": "Hook - worm infection", "opd": "Hard tick", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e57376fc-ceea-4255-9db2-5720e7056fc8", "choice_type": "single"} {"question": "Tuberculin test denotes", "exp": "A positive reaction to the tuberculin test is generally accepted as evidence of past or present infection of M.tuberculosis . Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition , Page :185", "cop": 1, "opa": "Previous or present sensitivity to tubercle proteins", "opb": "Patient is restant to tuberculosis", "opc": "Person is susceptible to tuberculosis", "opd": "Protective immune status of individual againts tuberculosis", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "7be8babe-3ed9-4a16-944a-5f614873ad3d", "choice_type": "single"} {"question": "Leprosy is not targeted for global eradication because", "exp": "Ans. d. Long incubation period", "cop": 4, "opa": "No effective vaccine", "opb": "Highly infectious but low pathogenicity", "opc": "Only humans are reservoir", "opd": "Long incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "13f20a1d-cb2d-40cb-ac4c-ae432a04881d", "choice_type": "single"} {"question": "Case Fatality Rate (CFR) of Rabies is", "exp": null, "cop": 3, "opa": "80%", "opb": "90%", "opc": "100%", "opd": "95%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "20fe2e1b-4a4a-4acb-bfb3-421a580953f6", "choice_type": "single"} {"question": "Hospital acquired infection of surgical wound is mostly by", "exp": null, "cop": 2, "opa": "Doctor", "opb": "Instruments", "opc": "Patient", "opd": "Air borne", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b7967306-e15b-4ad1-94bd-5d3e70faba38", "choice_type": "single"} {"question": "Study of human evolution comes under", "exp": null, "cop": 2, "opa": "Social Anthropology", "opb": "Physical Anthropology", "opc": "Cultural Anthropology", "opd": "Medical Anthropology", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "793bb3c3-08e0-4ea9-824e-b860dad05a1d", "choice_type": "single"} {"question": "Positive schick test indicates", "exp": null, "cop": 3, "opa": "Person is susceptible to syphilis", "opb": "Person has immunity to syphilis", "opc": "Person is susceptible to Diphtheria", "opd": "Person has immunity to Diphtheria", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2c3832a2-e804-408f-9a6d-9f8aba97408f", "choice_type": "single"} {"question": "95% of the values in the distribution corresponds to", "exp": "B i.e. (2 SD) (701 Park 19th) (751-Park 20th)In normal distribution curve* 1 Standard deviation =68% of value.* 2 Standard deviation =95% of value* 3 Standard deviation =99.7% value* Standard normal curve - Smooth bell shaped, perfectly symmetrical**1. Total area of the curve is 1*2. Its mean is Zero3. Standard deviation is 14. The mean, median and mode all coinside**", "cop": 2, "opa": "l.S.D", "opb": "2. S. D", "opc": "3. S.D", "opd": "4. S.D", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "aa3e9136-0481-4e54-bafa-b90650066fdd", "choice_type": "single"} {"question": "Life cycle of filaria is", "exp": "Ans. is 'a' i.e. Cyclo developmental Transmission of arthropod-borne diseases occur by following methodsDirect contact - e.g. scabies, pediculosisMechanical Transmission - housefly transmitted diseasesBiological Transmission - It is of three types:Propagative - The agent merely multiplies in vector, but no change in form e.g. plague bacilli in rat flea.Cyclo propagative - The agent changes in form & multiplies in the body of arthropod e.g. malarial parasites in mosquitoCyclo developmental - The disease agent undergoes cyclical changes but no multiplication e.g. filarial parasite in culex mosquito and guinea worm embryo in cyclops.Other methodsTransovarian transmission - The infectious agent is transmitted vertically from the infected female to her progeny in the vector e.g. Ticks transmitting Rickets sial diseases * Ttransstadial transmission - Transmission of the disease agent from one stage of the life cycle to another as for example nymph to adult e.g. Ticks.", "cop": 1, "opa": "Cyclodevelopmental", "opb": "Cyclopropagative", "opc": "Propagative", "opd": "Transovarian", "subject_name": "Social & Preventive Medicine", "topic_name": "Infectious Disease Epidemiology", "id": "0aba9485-2317-4878-8ac1-5c7d75121da0", "choice_type": "single"} {"question": "Indicator solution in Horrock’s Apparatus contains", "exp": "Indicator in Horrock’s apparatus: Starch iodide.\nIndicator in Presumptive coliform test (MPN Multiple Tube Method): Bromocresol purple.", "cop": 4, "opa": "Ortho-toulidine", "opb": "Bromocresol purple", "opc": "Ortho-toulidine arsenite", "opd": "Starch iodide", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "74585ba6-c514-4f31-82be-52788955797e", "choice_type": "single"} {"question": "Fluoride helps in", "exp": "Fluoride helps in denon and reduces tooth decay,\n\nFlourine is oen called a two edged sword\n\n\nExcess intake →Causes Endemic fluorosis\nInadequate →Causes dental caries", "cop": 2, "opa": "Vision", "opb": "Dentition", "opc": "Myelinaon", "opd": "Joint stability", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1f9cbcee-3eb2-41ba-8bc1-cb08b11520be", "choice_type": "single"} {"question": "Index case refers to", "exp": "First case of a communicable disease introduced into the population unit being studied Primary case First case to come to attention of investigator Index case Developing from contact with primary case Secondary case An individual who has signs and symptoms connected to the suspected pathogens Suspect case", "cop": 2, "opa": "First case of a communicable disease introduced into the population unit being studied", "opb": "First case to come to attention of investigator", "opc": "Developing from contact with primary case", "opd": "An individual who has signs and symptoms connected to the suspected pathogens", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "84ce80b0-b792-4f87-9eaa-58e8ac83b9da", "choice_type": "single"} {"question": "Male to Female ratio is", "exp": "The number of females per 1000 males is known as sex ratio Sex composition is one of the basic demographic characteristic of the population Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 482", "cop": 2, "opa": "Males for 1000 popultaion", "opb": "Females for 1000 males", "opc": "Males for 1000 females", "opd": "Females for 100 males", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "59e3ad04-e815-4ef8-bded-4254efe90940", "choice_type": "single"} {"question": "Venturimeter is used to measure", "exp": null, "cop": 3, "opa": "Air velocity", "opb": "Size of suspended particles in the air", "opc": "Bed resistance in a slow sand filter", "opd": "SO2 content in the atmosphere", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "23a2e845-e193-4009-bd45-7620a05eebc9", "choice_type": "single"} {"question": "Physical quality of life index includes", "exp": "Physical Quality of Life Index (PQLI) is an attempt to measure the quality of life or well-being of a country. The value is the average of three statistics: basic literacy rate, infant moality , and life expectancy at age one, all equally weighted on a 0 to 100 scale. HDI includes knowledge, income(GNI) and life expectancy at bih. Ref: Park&;s Textbook of Preventive and Social Medicine; 24th edition, Page no. 17", "cop": 2, "opa": "IMR, Literacy, Life expectancy at bih", "opb": "IMR, Literacy, Life expectancy at one year", "opc": "MMR, IMR and Life expectancy", "opd": "MMR, intake of calories per capital and IMR", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "44531c88-dc9d-430d-9ed4-8c1ddd294222", "choice_type": "single"} {"question": "Empowered Action Group state among the following", "exp": "Empowered action group states are socioeconomically backward states, they are 8 in number - Jharkand, Orissa, Chattisgarh, Rajasthan, Bihar, Madhya Prades, Uttar Pradesh, Uttaranchal.", "cop": 4, "opa": "Maharashtra", "opb": "Karnataka", "opc": "Kerala", "opd": "Orissa", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5ab29baa-99fe-4ba7-8b93-4590bbf97143", "choice_type": "single"} {"question": "A depot contraceptive DMPA is to be given every", "exp": null, "cop": 2, "opa": "1 month", "opb": "3 months", "opc": "2 months", "opd": "6 months", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c0e07c80-b445-4bcb-a434-6d98134b3715", "choice_type": "single"} {"question": "Exposure to multiple outcomes can be studied in", "exp": "In Coho study, multiple outcomes can be studied together. In Case control study, multiple exposures can be studied together. COHO STUDY: Time consuming & expensive study Incidence & RR can be calculated No recall bias Ethical problems are present & is not useful for rare diseases Loss of follow-up can be seen - max allowable attrition rate is < 5% ; ideal retention rate >= 95% HAWTHORN BIAS - study subjects alter their behavior without notice ; can be seen.", "cop": 1, "opa": "Coho study", "opb": "Case control study", "opc": "Cross sectional study", "opd": "Ecological study", "subject_name": "Social & Preventive Medicine", "topic_name": "Classification, Coho Study", "id": "f4e0b827-3dc7-4c68-98ec-c1dd0e9fb87d", "choice_type": "single"} {"question": "First BCG vaccine is prepared from", "exp": "(B) Mycobacterium bovis > Calmette and Guerin, two French scientists began attenuating a virulent strain of M. bovis in 1906, with a view to develop a vaccine against tuberculosis. After 230 subcultures over a period of 13 years, they were able to evolve a strain - known as bacille Calmette Guerin or BCG - which was avirulent for man while retaining its capacity to induce an immune response. Initially BCG was given orally during 1921 to 1925. The first human was vaccinated by the intradermal technique in 1927. Recognition of the value of BCG came in 1948 when it was accepted by tuberculosis workers from all over the world as a safe preventive measure.", "cop": 2, "opa": "Mycobacterium tuberculosis", "opb": "Mycobacterium bovis", "opc": "Mycobacterium kansasii", "opd": "Mycobacterium scrofulaceum", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "ed8ad8b4-9f95-489c-a354-39980e40c755", "choice_type": "single"} {"question": "Most impoant feature to diagnose severe anemia", "exp": "The most impoant signs to consider when deciding if the child has pneumonia are the child's respiratory rate and chest indrawing.In exhausted child, breathing may slow down and chest indrawing may be the only sign.Other signs of severe pneumonia are nasal flaring, grunting, cyanosis.Park 23e pg:170", "cop": 1, "opa": "Chest indrawing", "opb": "Cyanosis", "opc": "Grunting", "opd": "Nasal flaring", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "52cdf5af-c773-4932-9595-9546edeb1599", "choice_type": "single"} {"question": "Residual chlorine required for normal supply of water system in order to disinfect water born pathogen is", "exp": "Ans) a (0.5 mg/L) Ref Park 20th Edn P625The minimum recommended concentration of free chlorine is 0.5 mg/L, for one hour.Tests used for both free and combined chlorine after chlorination isBreak point chlorination- the point at which the residual chlorine appears and when all combined chlorine has been completely destroyed is the break point and the corresponding dosage in break point dosage.Other methods of water disinfectionOzonisationUltra violet irradiationNote- In disinfection of wells by using bleaching powder contact period of one hour is allowed before water is drawn for use.Chlorine demand-the dose of bleaching powder required for disinfec-tion of water. It is estimated by Horrock's apparatus.2.5 gm for 1000Ltrs,0.7 mg for 1 Ltr. Ideally once every week, in epidemic once every day. Con-tact period of 1 hour is essential to kill the bacteria and viruses. But chlo-rine has no effect on spores, protozoal cyst, helminthic ova, needs superchlorination. All viruses except Polio and hepatitis A are killed, these killed, by super chlorination.Indicator used in Horrock's apparatus-Starch -iodide solution. Orthotoludine test-detects both free and combined chlorine simultaneously. OTA test-free and combined chlorine separately", "cop": 1, "opa": "0.5mg/L", "opb": "1mg/L", "opc": "0.1mg/L", "opd": "2.5mg/L", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and Health", "id": "0ddc7f7a-85b6-4827-a7db-1bf4e63af394", "choice_type": "single"} {"question": "In Ecological studies, the unit of Observation is the", "exp": "(A) Population[?]ECOLOGICAL STUDIESoCross-sectional, Case-control & Cohort studies and Trials (and not just population case-series) could also be analyzed in relation to such 'ecological' variables and such units of analysis.oMost ecological analyses are based on population case-series.oEcological analyses are subject to the ecological fallacy.oIn an ecological study, the units of analysis are groups of people rather than individuals.oEcological studies can also be done by comparing populations in different places at the same time or in a time series, by comparing the same population in one place at different times.oIn ecological studies the unit of observation is the population or community.oDisease rates and exposures are measured in each of a series of populations and their relation is examined.oOften the information about disease and exposure is abstracted from published statistics and therefore does not require expensive or time.oEcological Concept:-Deficiencies in the biomedical concept gave rise to other concepts.-Ecologists put forward an attractive hypothesis which viewed health as a dynamic equilibrium between man and his environment, and disease a maladjustment of the human organism to environment.-Health implies the relative absence of pain and discomfort and a continuous relative adaptation & adjustment to the environment to ensure optimal function.oHuman ecology is a subset of more general science of ecologyoHuman ecosystem includes in addition to the natural environment, all the dimensions of the man-made environment - physical, chemical, biological.Other Options[?]Patient:-A patient is any recipient of health care services.-Patient is most often ill or injured & in need of treatment by a physician, advanced practice registered nurse, physiotherapist, physician assistant, psychologist, dentist, podiatrist, veterinarian, or other health care provider.[?]Concept of Disease-A condition in which body health is impaired, a departure from a state of health, an alteration of the human body interrupting the performance of vital functions.-Ecological point of view: disease is defined as 'a maladjustment of the human organism to the human organism to the environment-Sociological point of view: disease is considered a social phenomenon, occurring in all societies and defined & fought in terms of the particular cultural forces prevalent in the society.-Simple definition 'disease is just the opposite of health1[?]Case:-A case is defined as 'a person in the population or study group identified as having the particular disease, health disorder or condition under investigation.-A variety of criteria (E.g. clinical, biochemical, laboratory) may be used to identify cases.-Primary case refers to the first case of a communicable disease introduced into the population unit being studied.-Index case refers to the first case to come to the attention of investigator; it is not always the primary case.-Secondary cases are those developing from contact with primary case.-Suspect case is an individual (or group of individuals) who has all of the signs and symptoms of a disease or condition, yet has not been diagnosed as having the disease or had the cause of the symptoms connected tot he suspected pathogen.", "cop": 1, "opa": "Population", "opb": "Patient", "opc": "Individual", "opd": "Case", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "97405670-7316-4445-976f-905eb9a2bdca", "choice_type": "single"} {"question": "Black fly Transits", "exp": null, "cop": 2, "opa": "Filaria", "opb": "Onchocerciasis", "opc": "Changes disease", "opd": "Oroya fever", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "69535c04-8959-4fc6-ba93-d2b432080753", "choice_type": "single"} {"question": "Mission Indradhanush was staed in", "exp": "Ans. is 'c' i.e., Dec 2014The Government of India launched Mission Indradhanush on 25th December 2014, to cover children who are either unvaccinated or paially vaccinated against seven vaccine preventable diseases, i.e., diphtheria, whooping cough, tetanus, polio, tuberculosis, measles and hepatitis B.The goal is to vaccinate all under-fives by the year 2020. Under the programme, four special vaccination compaigns will be conducted between January and June 2015. Intensive planning and monitoring experience of pulse polio immunization programme will be used.", "cop": 3, "opa": "Jan-05", "opb": "Jul-10", "opc": "Dec-14", "opd": "Mar-16", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4127adf0-3ed5-4591-9f0f-e668fe18a11c", "choice_type": "single"} {"question": "Variables are arranged in ascending or descendintg order to determine", "exp": "Ans. is 'c' i.e. Median", "cop": 3, "opa": "Mean", "opb": "Mode", "opc": "Median", "opd": "Range", "subject_name": "Social & Preventive Medicine", "topic_name": "Measures of Central Tendency and Distribution", "id": "d1ddf324-eb67-4c72-acc8-49994f44f961", "choice_type": "single"} {"question": "In multibicillary leprosy, the follow up examination after adequate Rx should be done yearly for", "exp": null, "cop": 2, "opa": "3 years", "opb": "5 yrs", "opc": "10 years", "opd": "2 years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a3adc68a-b6eb-45d5-88a9-1e6f5ab92e6a", "choice_type": "single"} {"question": "A patient will not shed organisms in", "exp": null, "cop": 3, "opa": "Carrier State", "opb": "Incubation period", "opc": "Latent infection", "opd": "Convalescence", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "87734b8b-bcab-4b91-b536-0d2fe37ba3c3", "choice_type": "single"} {"question": "The efficiency of cold chain system for oral polio vaccine as monitored by Vaccine Vial Monitor (VVM) depends on", "exp": "WHO grading of VVM in OPV: (Marker of pofency)\nIs based on colour changes in VVM: ONLY INNER SQUARE CHANGES COLOUR, circle always remain blue.", "cop": 1, "opa": "Change in colour of monitor", "opb": "Temperature indicator of the system", "opc": "Viral potency test", "opd": "Change in the colour of vaccine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "184f4b56-7746-4377-9d95-5a8a01618e0b", "choice_type": "single"} {"question": "The use of aluminium in vaccine is as", "exp": "Adjuvant in Vaccine Sometimes a substance is added to a vaccine to enhance the immune response by degree and/or duration, making it possible to reduce the amount of immunogen per dose or the total number of doses needed to achieve immunity. The commonly used adjuvant are aluminium salts (aluminium hydroxide, aluminium phosphate or potassium aluminium sulfate) which primarily enhance the immune response to proteins. They have been shown to be safe over several decades of use. Rarely, they may cause injection site reactions, including subcutaneous nodules, sterile abscess, granulomatous inflammation or contact hypersensitivity Ref: Park 25th edition Pgno : 111", "cop": 2, "opa": "Stabiliser", "opb": "Adjuvant", "opc": "Preservative", "opd": "Antibiotic", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "fb0cedf9-08ba-4ca8-81fe-5d563b498f9a", "choice_type": "single"} {"question": "Size of dust particles reaching alveoli", "exp": "Airborne transmission: Droplet nuclei Dried residue of droplets Tiny particles 1-10 microns e.g.\nTB, influenza, chickenpox, measles, Q fever. Particles in 1-5 micron range are liable to be easily drawn into the alveoli of the lungs and may be retained there.\nDust Larger droplets expelled. Settle down in form part of dust. Streptococci, pathogenic bacteria, viruses, fungal spores and skin squamae - found in the dust of hospital wards.\nCoccidiodomycosis is spread through airborne transmission of fungal spores. Streptococcal and staphylococcal infection, pneumonia. TB. Q fever, psittacosis", "cop": 1, "opa": "<5 microns", "opb": "5-10 microns", "opc": ">15 microns", "opd": "10-15 microns", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "33f56f9b-95d7-4688-9ca3-6f7db580e2b6", "choice_type": "single"} {"question": "Contraceptive of choice in diabetic patient", "exp": "BARRIER METHODS A variety of barrier or \"occlusive\" methods, suitable for both men and women are available. The aim of these methods is to prevent live sperm from meeting the ovum. Barrier methods have increased in popularity quite recently because of ceain contraceptive and non-contraceptive advantages. The main contraceptive advantage is the absence of side-effects associated with the \"pill\" and IUD. The non-contraceptive advantages include some protection from sexually transmitted diseases, a reduction in the incidence of pelvic inflammatory disease and possibly some protection from the risk of cervical cancer. Barrier methods require a high degree of motivation on the pa of the user. In general they are less effective than either the pill or the loop. They are only effective if they are used consistently and carefully. Types of barrier method Condom Female condoms Vaginal sponge (Today) Diaphragm Ref: Park 25th edition Pgno : 535", "cop": 2, "opa": "OCP", "opb": "Barrier method", "opc": "Sterilization", "opd": "Cu - T", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "a6f21d7b-16ff-47e7-8830-977d27926cb8", "choice_type": "single"} {"question": "Phase 3 is", "exp": "Demographic cycle based on CBR & CDR Demographic cycle CBR CDR 1st stage High stationary High High 2nd stage Early expanding High Sta decreasing 3rd stage Late expanding Sta decreasing Already decreasing 4th stage Low stationary Low Low 5th stage Decline CDR > CBR", "cop": 2, "opa": "High Stationary Stage", "opb": "Late expanding stage", "opc": "Low Stationary stage", "opd": "Early expanding stage", "subject_name": "Social & Preventive Medicine", "topic_name": "Preventive Medicine in Obstetrics, Paediatrics & Geriatrics", "id": "b63a7c28-43b5-4b58-9c04-92fbb37c2a32", "choice_type": "single"} {"question": "Effective size of sand in rapid sand filter is", "exp": null, "cop": 4, "opa": "0.2 mm", "opb": "0.1 mm", "opc": "0.8 mm", "opd": "0.5 mm", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ff7b014c-be5c-4eda-81a3-ea5e6d7380fd", "choice_type": "single"} {"question": "Lyme disease is transmitted by", "exp": null, "cop": 3, "opa": "Rat flea", "opb": "Mite", "opc": "Tick", "opd": "Mosquito", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9235492e-1a11-4286-824e-cbbeb5df1b20", "choice_type": "single"} {"question": "Maximum concentration of vitamin A is found in", "exp": "(A) LiverRETINOL CONTENT OF SELECTED FOODSRetinol Equivalents (RE) (meg/100 g)* Halibut liver oil900,000* Carrot1167* Cod liver oil18,000* Spinach607* Liver, Ox16,500* Amaranth515* Butter825* Green leaves300* Margarine900* Mango, ripe313* Cheese350* Papaya118* Egg140* Orange25* Cow milk38* Tomato84* Fish40", "cop": 1, "opa": "Liver", "opb": "Pulses", "opc": "Egg", "opd": "Soybean", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "dd45bdba-5377-44b7-b6cb-0e0e5c827838", "choice_type": "single"} {"question": "Most common detion used in social medicine", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 4, "opa": "Mean", "opb": "Range", "opc": "Variance", "opd": "Standard detion", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "b1ce8b61-80a7-415d-90b4-d985f30e6998", "choice_type": "single"} {"question": "Carrier state is not important in transmission of", "exp": null, "cop": 3, "opa": "Typhoid", "opb": "Poliomyelitis", "opc": "Measles", "opd": "Diphtheria", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1c6bbfbb-14c1-4817-b4aa-92e66f8241ce", "choice_type": "single"} {"question": "Discase imported to a country for first time", "exp": null, "cop": 1, "opa": "Exotic disease", "opb": "Epidemic", "opc": "Endemic", "opd": "Hyper endemic", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1572e63d-7309-44b4-9bb4-9e3d0b032599", "choice_type": "single"} {"question": "Diagnostic power of a test is reflected by", "exp": "Diagnostic power of Screening test: Predictive accuracy (it tells the actual no.of people having the disease or not having the disease out of those shown positive or negative by a screening test, respectively) Diagnostic power of a screening test to correctly identify a disease: Positive predictive value(PPV). Diagnostic power of a screening test to correctly exclude a disease: Negative predictive value (NPV) Ref: Parl 25th edition Pgno: 153", "cop": 3, "opa": "image_question", "opb": "image_question", "opc": "image_question", "opd": "image_question", "subject_name": "Social & Preventive Medicine", "topic_name": "Screening", "id": "8667d1a3-bee7-450c-9897-d44d2b2992a9", "choice_type": "single"} {"question": "Study of designing equipment and devices that fit the human body, it&;s movements and it&;s cognitive abilities is", "exp": "Study of designing equipment and devices that fit the human body, it&;s movements and its cognitive abilities is ergonomics The object of ergonomics is \" to achieve the best mutual adjustment of man and his work, for the improvement of human efficiency and well-being\"Park 23e pg: 803", "cop": 2, "opa": "Economics", "opb": "Ergonomics", "opc": "Bionomics", "opd": "Socionomics", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "61a90ebc-26b9-4d23-a6c5-bdf0fb98c4d3", "choice_type": "single"} {"question": "Paucibacillary leprosy treatment includes", "exp": "(A) Rifampicn 600 mg once a month for 6 months + Dapsone 100 mg daily for 6 months # PAUCIBACILLARY CASES should also receive combined therapy in view of primary dapsone resistance which is becoming widespread. Recommended standard regimen for adults is: Rifampicin 600 mg once a month for 6 months, supervised Dapsone 100 mg (1-2 mg/kg of body weight), daily for 6 months.", "cop": 1, "opa": "Rifampicin 600 mg once a month for 6 months + Dapsone 100 mg daily for 6 months", "opb": "Rifampicin 600 mg + Dapsone 100 mg daily for 6 months", "opc": "Rifampicin 600 mg + Dapsone 100 mg + Clofazimine", "opd": "Dapsone 100 mg + Clofazimine 300 mg daily for 6 months", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "faf7124b-d92f-4145-8a23-55405c6dbbec", "choice_type": "single"} {"question": "Secular trend is best demonstrated by", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 1, "opa": "Line diagram", "opb": "Bar graph", "opc": "Stem leaf plot", "opd": "Box and whisker plot", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "0151d6c9-8573-4cca-b6c5-f364b1d02c8e", "choice_type": "single"} {"question": "Trends can be best represented by", "exp": null, "cop": 2, "opa": "Scatter diagram", "opb": "Line diagram", "opc": "Bar diagram", "opd": "Pie chart", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "07984aff-a1e9-47cf-9f04-e1471483012d", "choice_type": "single"} {"question": "Dietary cycle is weighing of raw foods over a period of", "exp": null, "cop": 3, "opa": "1 day", "opb": "3 days", "opc": "7 days", "opd": "10 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "562d7c50-14e4-4214-aec2-a07a056bacbb", "choice_type": "single"} {"question": "DOT's indicates", "exp": null, "cop": 1, "opa": "Short term treatment under supervision", "opb": "Short term treatment without", "opc": "Long term treatment with supervision", "opd": "Long tenn treatment with supervision", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a14e2aa0-4fb2-467d-b08a-d942504af643", "choice_type": "single"} {"question": "Not a feature of Anopheles is", "exp": "Description: Anopheles mosquito: Causes malaria and filaria Breeding habitat: Clean water Eggs laid singly with boat-shaped lateral floats Larvae have no Siphon tube; rest parallel to the undersurface of water Pupae have a broad and sho siphon tube Adults are inclined at an angle to the surface and with spotted wings Can fly 3-5 km Sophisticated mosquitoes Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 831", "cop": 2, "opa": "Spotted wings", "opb": "Siphon tube seen in larvae", "opc": "Boat shaped eggs", "opd": "Rest at an angle, inclined to the surface", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "c973dfbe-00f0-4c20-87fa-7e5723a7ad80", "choice_type": "single"} {"question": "The best indicator for determining the general level of air pollution in an urban area is", "exp": "(A) Sulphur dioxide > Best indicators of air pollution are sulphur dioxide, smoke, suspended particles.# Monitoring of air pollution> Best indicators of air pollution are sulphur dioxide, smoke and suspended particles> These are monitored on a daily basis over several sites. The results are then collected by a central agency.> Sulphur dioxide: This gas is a major contaminant in many urban and industrial areas. Its concentration is estimated in all air pollution surveys,", "cop": 1, "opa": "Sulphur dioxide", "opb": "Carbon dioxide", "opc": "Hydrogen", "opd": "Nitrogen", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "68e828b1-5b68-430e-bd78-1255bd952111", "choice_type": "single"} {"question": "Monkey disease is also known as", "exp": null, "cop": 2, "opa": "Japanese Encephalitis", "opb": "Kyasanur forest disease", "opc": "Rickettsial Disease", "opd": "Rabies", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "66f44728-ecfd-4e27-a9ac-db23c417615e", "choice_type": "single"} {"question": "Amniocentesis to detect chromosomal abnormalities can be done as early as", "exp": "Amniocentesis: examination of a sample of amniotic fluid makes possible the prenatal diagnosis of chromosomal anomalies and certain metabolic defects; the procedure can be used as early as 14th week of pregnancy when abortion of affected fetus is still feasible.", "cop": 1, "opa": "14th week of gestation", "opb": "18th week of gestation", "opc": "22nd week of gestation", "opd": "26th week of gestation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "94b442ef-6a56-4f1f-9a03-21267b8fa470", "choice_type": "single"} {"question": "Not used in health care planning", "exp": null, "cop": 2, "opa": "To match with limited resources", "opb": "Increasing demands for resources", "opc": "To plan best course of action", "opd": "To decrease wastage", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7935eb16-c736-4edb-891a-8427000597fc", "choice_type": "single"} {"question": "Human Development Index is", "exp": "Ans. b (Knowledge, Longevity and Income). (Ref. Park PSM 22nd /pg. 16).# HUMAN DEVELOPMENT INDEX- Consist of three dimensions:- Longevity (life expectancy at birth);- Knowledge (Adult literacy rate and mean years of schooling); and- Income (real GDP per capita in purchasing power).- The HDI ranges between 0 to 1.- In India HDI is 0.602# PHYSICAL QUALITY OF LIFE INDEX (PQLI)- Consists of:- Infant mortality,- Life expectancy at age one, and- Literacy.- National and international comparison can be done- Kerala has highest PQLI# KUPUSWAMY INDEX- Kupuswamy index of social classification includes:# Education# Occupation# Income# SULLIVAN'S INDEX- This index (expectation of life free of disability is computed by subtracting from life expectancy the probable duration of bed disability and inability to perform major activities.- It is considered one of the most advanced indicators/measures of disability rate, currently available.# DALY (Disability Adjusted Life Years)- Measure of burden of disease in defined population and effectiveness of intervention.- 1 DALY = 1 lost year of healthy life.- HALE (Health Adjusted Life Years)- It consists of life expectancy at birth and adjustment of time spent in poor health.", "cop": 2, "opa": "Infant mortality, Longevity and Income", "opb": "Knowledge, Longevity and Income", "opc": "Infant mortality, Health infrastructure and Income", "opd": "Environment, Longevity and Income", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "7ff148d9-0cbc-45d2-869d-6b9c48d43bc3", "choice_type": "single"} {"question": "Low bih weight babies are at a higher risk of dying in the firstweek because", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 4, "opa": "Congenital anomaly,bih injury,infections", "opb": "Bih injury,convulsions,asphyxia", "opc": "Convulsions,congenital anomaly,hypothermia", "opd": "Hypothermia,asphyxia,infections", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "f95d8f54-96e9-49e6-9e2b-90ac0e114973", "choice_type": "single"} {"question": "The age and sex structure of a population may be best described by", "exp": "The age and sex composition of a country can be best described by population pyramid. Age group from 0-80+ is represented in a scale and the male and female population are represented on either side of the population pyramid. Reference: Park&;s textbook of preventive and social medicine, 23rd edition, pg no: 482,483", "cop": 3, "opa": "Life table", "opb": "Correlation coefficient", "opc": "Population pyramid", "opd": "Bar cha", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "dbbc3a3a-8c15-40d4-9ab1-cd6d96596108", "choice_type": "single"} {"question": "Full form of ASHA", "exp": "ASHA: Accredited Social Health Activist", "cop": 2, "opa": "Associate social health activist", "opb": "Accredited social health activist", "opc": "Advanced social health activist", "opd": "Assistant social health activist", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "0f59363e-fba5-4e88-9d9b-0dd9e6e52372", "choice_type": "single"} {"question": "Screening under RNTCP emphasizes on", "exp": "Over-reliance on chesl X-ray was a draw back of National Tuberculosis Programme (NTP) which was over come by Revised National Tuberculosis Control Programme(RNTCP) which staed diagnosing patient by sputum microscopy &;A nation-wide network of RNTCP qaality assured designated sputum smear microscopy laboratories has been set up, providing appropriate, available, affordable and accessible diagnostic services for TB suspects and cases. Ref: Park 24th edition", "cop": 1, "opa": "Sputum microscopy", "opb": "Chest X-ray", "opc": "PCR", "opd": "Sputum culture", "subject_name": "Social & Preventive Medicine", "topic_name": "All India exam", "id": "4da362be-88e9-4098-8fe9-256a62c36ede", "choice_type": "single"} {"question": "The area is declared free of epidemic", "exp": "Investigation of an Epidemic:\n– To define magnitude or involvement (time, place, person)\n– To determine responsible conditions and factors\n– To identify causes, source(s) and modes of transmission\n– To make recommendations to prevent reoccurrence.", "cop": 1, "opa": "No new case reported for twice the incubation period of disease since the last case", "opb": "No new case reported for the incubation period of disease since the last case", "opc": "Till last secondary case recovers", "opd": "No new case reported for six months since the last case", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a11eb7b5-cb08-4941-a5ed-a2b6597b0216", "choice_type": "single"} {"question": "In normal delivery, breast feeding should be started", "exp": "Breast feeding should be iniated within 30 min. of a normal vaginal delivery!.\nBreast feeding should be initiated within 4 hrs of delivery by caesarian section.", "cop": 1, "opa": "1/2 hour after delivery", "opb": "2 hour after delivery", "opc": "4 hour after literary", "opd": "6 hour after delivery", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5f2b875e-7c82-45ef-875b-027c5500d9ba", "choice_type": "single"} {"question": "Kyoto Protocol is for;", "exp": "Kyoto protocol is designated towards reducing greenhouse gas emission. It was signed by 187 countries on 16th Feb, 2005. It includes CO2, N20, CFC, CH4, SF6 and PFC. It is linked to the United Nations Framework Convention on Climate Change (UNFCCC).", "cop": 3, "opa": "Water sanitization", "opb": "Food and nutrition", "opc": "To reduce greenhouse gas emission", "opd": "Water chlorination", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2019", "id": "ef22816d-d99c-4a4f-996e-1fc259afb27c", "choice_type": "single"} {"question": "The severity of disease is assessed by", "exp": "Case Fatality rate represents the killing power of the disease, it is closely related to virulence. It is simply a ratio* of death to cases.\nTotal no. of deaths due to particular disease x 100. Case Fatality rate = Total no. of cases due to same disease.\nCase fatality rate is typically used in acute infectious diseases e.g. (food poisoning, cholera, measles)\nIts usefulness for chronic disease is limited because the period from onset to death is long & variable.\nThe case fatality rate for the same disease may vary in different epidemics because of changes in agent, host & environment factors.", "cop": 1, "opa": "Case fatality rate", "opb": "Standardized mortality rate", "opc": "Incidence rate", "opd": "Prevalence rate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6f573cc9-1e47-41d2-931b-1afb4a3cd899", "choice_type": "single"} {"question": "Vaccine contraindicated in pregnancy", "exp": "In pregnancy all live vaccines are contraindicated except yellow fever. Ref:- K Park, 24th ed; pg num:- 108", "cop": 2, "opa": "Hep A", "opb": "Varicella", "opc": "Rabies", "opd": "Hep B", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "e4b59080-959d-4178-81c8-5f26b3f66cb5", "choice_type": "single"} {"question": "The drug recommended for chemoprophylaxis 1 day before induction into high altitude areas is", "exp": "Acetazolamide is the drug of choice for Acute Mountain Sickness prevention. It inhibits renal carbonic anhydrase, causing a prompt bicarbonate diuresis that leads to metabolic acidosis and hyperventilation.Acetazolamide (125-250 mg twice a day), administered for 1 day before ascent and continued for 2 or 3 days, is effective. Higher doses are not required.Ref: Harrison&;s principles of Internal Medicine; 19th edition; Chapter 476e Altitude Illness", "cop": 1, "opa": "Acetazolamide", "opb": "Furosamide", "opc": "Doxycycline", "opd": "Paracetamol", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "dc636c4c-de99-4844-8261-cec92c66b814", "choice_type": "single"} {"question": "A one day census of inpatients in a mental hospital could", "exp": "A census is defined by UN as the total process of collecting,complying and publishing demographic,economic and social data peaining at a specified time or times to all persons in a country or delimited territory", "cop": 1, "opa": "Give good information about the patients in that hospital at that time", "opb": "Give reliable estimates of seasonal factors in admission", "opc": "Enable us to draw conclusions about the mental hospitals of India", "opd": "Enable us to estimate the distribution of different diagnosis in mental illness in the local area", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "87f40c0c-7659-4ea2-9800-de126705bc75", "choice_type": "single"} {"question": "In a population of 5000, incidence of disease is 100 in 1 year. Duration of disease studied for is 2 years. Calculate prevalence", "exp": "Ref: Parks 23rd edition pg 61. Prevalence = Incidence x Duration = (100/5000) x 2 = (20/1000) x 2 = 40/1000", "cop": 2, "opa": "20\\/1000", "opb": "40\\/1000", "opc": "80\\/1000", "opd": "400\\/1000", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "45a8ce31-3939-486b-bde1-51f2dbef36a3", "choice_type": "single"} {"question": "RCA latrine stands for", "exp": "The Research Cum Action Project at Tamil Nadu, financed by the Ford Foundation and Ministry of Health, Government of India, has its genesis in 1956. The major objective of the project was to improve Educational Methods, Conducting Systematic Research in various Public Health Programmes and to evolve a Low-Cost Sanitary Latrine suitable for the rural household.pg no:795", "cop": 1, "opa": "Research cum action Project", "opb": "Revised cum action project", "opc": "Regular cum action project", "opd": "Reorientation cum action project", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "8e302356-0d86-4b5b-8803-9acc912f7bd3", "choice_type": "single"} {"question": "Death Rate due to Tuberculosis in 2109", "exp": "Death Rate due to Tuberculosis is around 1 Person for 4 minutes", "cop": 2, "opa": "1 Person per 1 Minute", "opb": "1 Person per 4 Minutes", "opc": "1 person per 10 Minutes", "opd": "1 person per 1 Hour", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "515ecc14-deda-411f-9347-c8ad9e16898e", "choice_type": "single"} {"question": "Post exposure prophylaxis is given in A/E", "exp": "Ans. is 'c' i.e., Pertussis Active immunoprophylaxis after exposure to disease is recommended for:RabiesTetanusHepatitisMeasles (within three days of exposure)*VaricellaMeasles vaccine can be given post exposure (within three days of exposure) because incubation period of measles is 7 days when the respiratory tract is bypassed (as with vaccine which is given subcutaneously) whereas normal incubation period is 10 days* from exposure to onset of fever (and 14 days to appearance of rash).", "cop": 3, "opa": "Rabies", "opb": "Measles", "opc": "Pertusis", "opd": "Hepatitis B", "subject_name": "Social & Preventive Medicine", "topic_name": "Whooping Cough (Pertussis)", "id": "323911f6-2d59-4ab9-9cd5-a9f3ca00e472", "choice_type": "single"} {"question": "Additional daily energy required during pregnancy and lactatoin", "exp": null, "cop": 2, "opa": "350 kcals, 350 kcals", "opb": "350 kcals, 600 kcals", "opc": "450 kcals, 600 kcals", "opd": "450 kcals, 350 kcals", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b29c2e93-a022-4db8-8b49-709a824b7c47", "choice_type": "single"} {"question": "Framingham Hea study is an example of", "exp": "Framingham hea study is an example of a coho study.Initiated in 1948, to study the relationship of a number of risk factors to the subsequent development of cardiovascular disease.The study showed an increased risk of CHD with increasing serum cholesterol levels in 45-54 age group.Risk factors have been found to include male sex, advancing age, high serum lipid concentrate, high blood pressure, cigarette smoking, diabetes mellitus, obesity, low vital capacity and ceain ECG abnormalities.Park 23e pg: 80", "cop": 2, "opa": "Case control study", "opb": "Coho study", "opc": "Cross sectional study", "opd": "Interventional study", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "c6c7c2f5-ed96-4922-9e84-0aa523c0b1eb", "choice_type": "single"} {"question": "Swine flu is caused most commonly by", "exp": "Ans. is 'a' i.e., HiNi Swine flu Swine flu, also called swine influenza, or pig influenza, is caused by influenza virus. It is mainly occurs in swines (pigs) and occasionally transmitted to human. It is usually caused by influenza virus type A (Hi-NI). Incubation period is about 1-3 days and the symptoms of swine flu in humans are similar to most influenza infections, e.g. fever, cough, rhinorrhea, fatigue and headache. Other influenza virus causing swine flu, occasionally, are H,N2, H2N,, 1-13N2 and H2N3", "cop": 1, "opa": "HIN,", "opb": "H5N,", "opc": "H3N2", "opd": "B virus", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8bf58a11-1d61-4c13-82e8-a3b643334626", "choice_type": "single"} {"question": "Fresh bleaching powder contains", "exp": null, "cop": 3, "opa": "0.33% chlorine", "opb": "3.3% chlorine", "opc": "33% chlorine", "opd": "0.033% chlorine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a73530d4-81ba-443c-ac7d-458e27e5d675", "choice_type": "single"} {"question": "Optimum unit of preventive, curative and promotive health care is", "exp": "Health care characteristics include 1) Appropriateness - relevance 2) Comprehensiveness - optimum mix of preventive, curative and promotional services. 3) adequacy 4) availability 5) accessibility 6) affordability 7) feasibility Ref: Park&;s Textbook of Preventive and Social Medicine,24th edition, Page no. 33", "cop": 4, "opa": "Appropriateness", "opb": "Availability", "opc": "Adequacy", "opd": "Comprehensiveness", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "0677dffe-ef89-4baa-88f1-11c5592b0330", "choice_type": "single"} {"question": "Additional energy requirement during Pregnancy (Kcalories/day)", "exp": "Energy requirement MAN WOMAN Sedentary 2300 1900 (kcal/day) Moderate 2700 2200 (kcal/day) Heavy 3500 2900 (kcal/day) Additional energy requirements 2/3rd trimester - + 350 1st trimester- 150 2/3rd trimester - 350 Lactation 0-6 month = +600 6-12 month = +520", "cop": 3, "opa": "+300 kcal", "opb": "+600 kcal", "opc": "+350 kcal", "opd": "+520 kcal", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2018", "id": "b0ec7807-cf0b-4ad6-bec4-bb598ff766b5", "choice_type": "single"} {"question": "IQ=49", "exp": "WHO classification of Mental retardation(MR) mild MR...IQ 50-70 moderate MR ...35-49 severe MR..IQ 20-34 profound MR...IQ under 20 ref; (page no;637) 25th edition of PARK's textbook of Preventive and Social medicine", "cop": 2, "opa": "Mild MR", "opb": "Moderate MR", "opc": "Severe MR", "opd": "Profound MR", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "597c0941-cee7-4e65-ae0d-3abc16a8a05d", "choice_type": "single"} {"question": "Specific protection is a type of", "exp": "(A) Primary prevention LEVELS OF PREVENTION* Primordial preventionPrevention of emergence of risk factor, through education* Primary preventionElimination or modification of risk factors throughPopulation (Mass) strategyHigh risk strategy* Secondary preventionActions which halts the progress of the disease at its incipient stage and prevent complication through early diagnosis of adequate treatment* Tertiary preventionIntervention in the late pathogenesis phase - to reduce or limit impair-ment and disabilities through rehabilitation-- psychosocial, vocational etc.", "cop": 1, "opa": "Primary prevention", "opb": "Early secondary prevention", "opc": "Late secondary prevention", "opd": "Tertiary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "56bd70f9-e929-4f42-8701-6046511a30e0", "choice_type": "single"} {"question": "Health related goal in Sustainable Development Goals", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed P.523", "cop": 4, "opa": "SGD 4", "opb": "SDG 6", "opc": "SDG 2", "opd": "SDG 3", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "7aacadfa-1bf0-4cdc-ad56-538a338853a4", "choice_type": "single"} {"question": "Theory of contagion was first given by", "exp": "Fracastorius, an Italian physician enunciated the 'theory of contagion'. He envisaged the transfer of infection minute invisible paicles and explained the cause of epidemics. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 5", "cop": 2, "opa": "Paracelsus", "opb": "Fracastorius", "opc": "Vesalius", "opd": "Pare", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "4c51f2cd-3734-417a-932f-71d58c459ccc", "choice_type": "single"} {"question": "The effective temperature of ‘comfort zone’ is", "exp": null, "cop": 3, "opa": "69 – 76°F", "opb": "83 – 85°F", "opc": "77 – 80°F", "opd": "86 – 90°F", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ff06866f-cf27-406e-818f-c0e98bf56e00", "choice_type": "single"} {"question": "Elimination ofleprosy is defined as prevalance", "exp": "Ans. is \"b' i.e., < 1 per 10000 \"As a result of the hard work and meticulously planned and executed activities, the country achieved the goal of elimination of leprosy s public health problem, defined as less than 1 ease per 10000 population. at the National level in the month of December, 2005. As on 31st December 2005. prevalence rate recorded in the country was 0.95/10,000 population\"", "cop": 2, "opa": "< 1 per 1000", "opb": "< 1 per 10000", "opc": "< 1 per I lakh", "opd": "< 1 per 100", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "911324fc-e41c-4c8b-954e-e43821b29a41", "choice_type": "single"} {"question": "During the demographic transition, demographic dividend is due to decrease in", "exp": "The demographic transition is the transition from high bih and death rates to lower bih and death rates as a country or region develops. This demographic shift initiates the demographic dividend. With fewer younger dependents, due to declining feility and child moality rates, and fewer older dependents, due to the older generations having shoer life expectancies (as in India) Demographic burden is the ratio of the number of persons under working age and over working age per 1000 people of working age. The dependency ratio is a measure showing the number of dependents, aged zero to 14 and over the age of 65, to the total population, aged 15 to 64. It is also referred to as the \"total dependency ratio.\" Ref : Park 23rd edition Pgno : 484", "cop": 1, "opa": "Demographic burden", "opb": "Demographic gain", "opc": "Demographic loss", "opd": "Demographic bonus", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "cdb4061a-ae26-46fa-8f63-45de86a663c0", "choice_type": "single"} {"question": "Type of Growth Charts used by Anganwadi workers (ICDS) for growth monitoring", "exp": "• In NRHM and ICDS, Government of India has adopted WHO Child Growth Standards 2006 (also known as MGRS ‘Multicentre Growth Reference Study’ Standards)\n– Normal zone\n– Below -2 SD: Malnutrition\n– Below -3 SD: Severe Malnutrition", "cop": 1, "opa": "NCHS", "opb": "IAP", "opc": "MRGS", "opd": "CDC", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "bd9eaeaf-ce2f-43ed-9b6b-6dc4923d7526", "choice_type": "single"} {"question": "In a standard deviation of 2, confidence limit is", "exp": "(B) 95.4% # In a NORMAL CURVE, the area between one standard deviation on either side of the mean will include 68%, the area between two standard deviations 95.4% and the area between three standard deviations will include 99.7% of the values in the distribution.> In a Normal curve: Area between one standard deviation on either side of the mean (x +- la) will include approximately 68 per cent of the values in the distribution Area between two standard deviations on either side of the mean (~x +- 2a) will cover most of the values, i.e., approximately 95 per cent of the values Area between (x +- 3a) will include 99.7 per cent of the values. These limits on either side of the mean are called 'confidence limits'.", "cop": 2, "opa": "68.30%", "opb": "95.40%", "opc": "99.70%", "opd": "76.20%", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "f63787e1-1585-498f-b85f-9ce283743f2b", "choice_type": "single"} {"question": "TB research centre located at", "exp": null, "cop": 1, "opa": "Chennai", "opb": "Bangalore", "opc": "Kolkatta", "opd": "Delhi", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0105c7b9-be5b-440d-bf9e-70e87ef822bb", "choice_type": "single"} {"question": "Bagassosis is due to inhalation of", "exp": null, "cop": 2, "opa": "Cotton dust", "opb": "Sugarcane dust", "opc": "Tobacco dust", "opd": "Rice barn dust", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c7ff1edd-34a9-4e9c-b782-d41fb45a2e67", "choice_type": "single"} {"question": "Vaccine undergoing phase 3 trial for HIV is", "exp": "AIDSVAX is an experimental HIV vaccine that was developed originally at Genentech in San Francisco, California, and later tested by the VaxGen company, a Genentech offshoot. A repo published in the December 2009 New England Journal of Medicine on this Thailand clinical trial, also known as the RV144 trial, of the vaccine known as \"ALVAC-AIDSVAX B/E\" showed the combination treatment's efficacy ranging from 26.1 to 31.4%, which though far from optimal makes the combination AIDSVAX-Aventis vaccine one of the first impoant milestones in the world's struggle to produce a globally effective HIV vaccine. However, during the study seven paicipants were removed from the study when the results showed they had already been found with an HIV-1 infection at baseline, which changed the result from 26.1 to 31.4% vaccination efficacy. Ref: https://en.m.wikipedia.org/wiki/AIDSVAX", "cop": 2, "opa": "nVA", "opb": "AIDS VAX", "opc": "CTL strain", "opd": "vDX", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "f4f1ea96-efc7-4de9-95c1-03f30887ccc9", "choice_type": "single"} {"question": "Contraindication of OC Pills", "exp": "Contraindications of OCP's Absolute contraindications Relative contraindications: (Require medical surveillance) Breast cancer Genital cancer Liver disease H/o thromboembolism Cardiac abnormalities Congenital hyperlipidemia. Undiagnosed abnormal uterine bleeding Pregnancy Age >40 years Smoking and age >35 years Mild hypeension Chronic renal disease Epilepsy Migraine Nursing mothers (0-6 months) Diabetes mellitus Gall bladder disease History of infrequent bleeding Amenorrhoea Ref: Park 25th edition Pgno : 537", "cop": 1, "opa": "Liver disease", "opb": "PID", "opc": "Renal disease", "opd": "Epilepsy", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "47228fb1-7cd2-437c-8065-36a520a05640", "choice_type": "single"} {"question": "Anthracosis is caused by;", "exp": "Anthracosis is caused by Coal dust. There are two general phases in Anthracosis The first phase is simple pneumoconiosis which is associated with little ventilatory impairment. The second phase is characterised by progressive massive fibrosis (PMF); this causes severe respiratory disability and frequently results in premature death.", "cop": 3, "opa": "Silica", "opb": "Asbestos", "opc": "Coal dust", "opd": "Sugar cane waste", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2019", "id": "c2eb6d09-8523-43b0-8fd0-f1cf1525d017", "choice_type": "single"} {"question": "Incubation period of salmonella in food poisoning", "exp": null, "cop": 2, "opa": "1-6 hours", "opb": "12-24 hours", "opc": "1-2 days", "opd": "6-12 hours", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c53f8bc6-9162-474f-8095-650c25209ad7", "choice_type": "single"} {"question": "RCH phase 2 does not include", "exp": null, "cop": 4, "opa": "Immunization of pregnant women", "opb": "Treatment of STD/RTI", "opc": "Early registration of pregnancy upto 12-16 weeks", "opd": "Feed to malnourished children", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d4591a67-4704-4912-9b1d-c23952e49a77", "choice_type": "single"} {"question": "Antivenom is given", "exp": null, "cop": 1, "opa": "I.V (Intravenous)", "opb": "I. M (Intra muscular)", "opc": "S. C (Sub-Cutaneous)", "opd": "I. D (Intra - Dermal)", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6ce718c4-069b-418b-9633-4217cf50d265", "choice_type": "single"} {"question": "Drug of choice for Falciparum Malaria is", "exp": "Drug of choice for Plasmodium falciparum, plasmodium malariae is ACT (Aemisinin Combination Therapy) + primaquine Doc for plasmodium vivax & ovale - chloroquine + primaquine Also remember chemoprophylaxis of malaria: - Sho term - Doxycycline - Long term - Mefloquine", "cop": 3, "opa": "Chloroquine", "opb": "Mefloquine", "opc": "ACT", "opd": "Proguanil", "subject_name": "Social & Preventive Medicine", "topic_name": "NVBDCP, NLEP", "id": "f23cd7c6-4c62-4cbf-b707-6c2736cec6c2", "choice_type": "single"} {"question": "A 14 year old boy having lost his father a year ago, is caught shoplifting. The boy will be sent to", "exp": "Ans. is 'd' i.e., A remand home", "cop": 4, "opa": "An orphanage", "opb": "An anganwari", "opc": "A prison", "opd": "A remand home", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ef6e5a1d-a189-4e27-aef7-f26ac431e49b", "choice_type": "single"} {"question": ". Best for studying the decline in percentage of syphilis in men and women in last 10 years", "exp": null, "cop": 4, "opa": "Pie chart", "opb": "Histogram", "opc": "Frequency polygon", "opd": "Line diagram", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c9265d73-2dab-44a9-abc3-3d960372d785", "choice_type": "single"} {"question": "Maximum Biological value is for", "exp": null, "cop": 1, "opa": "Egg", "opb": "Soya", "opc": "Milk", "opd": "Rice", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d7aee94d-4732-4893-ada5-adea7ec1cd9b", "choice_type": "single"} {"question": "ASHA ( accredited social health activist) works at", "exp": "In NRHM at village level with 1000 population, one ASHA and AWWs are present Ref: Park&;s textbook of preventive and social medicine 23rd edition", "cop": 2, "opa": "Community level", "opb": "Village level", "opc": "PHC level", "opd": "District level", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "b331b96a-e132-474c-923c-37d112b001ff", "choice_type": "single"} {"question": "Goal of reduction in morbidity and mortality due to malaria by 2010 is", "exp": null, "cop": 4, "opa": "25% reduction", "opb": "100% reduction", "opc": "75% reduction", "opd": "50% reduction", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "bf3f93e4-3b5b-4559-a07b-27fbb76365a6", "choice_type": "single"} {"question": "Ayushman Bharat was staed in the year", "exp": "Ref: Park's Textbook of Preventive and Social Medicine 2th ed", "cop": 4, "opa": "2015", "opb": "2016", "opc": "2019", "opd": "2018", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "0c97b783-e2a0-4e60-a4f4-bc418c45d32b", "choice_type": "single"} {"question": "Acculturation is", "exp": "Acculturation means &;culture contact&;. When there is contact between two people with different types of culture, there is diffusion between of culture both ways.Park 23e pg: 672", "cop": 2, "opa": "Triage", "opb": "Cultural change due to socialization", "opc": "Attitude", "opd": "Belief", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "1f91cfcc-fd06-4a1e-82ac-be8808502759", "choice_type": "single"} {"question": "“Field carcinogenesis” is seen in", "exp": null, "cop": 4, "opa": "Breast carcinoma", "opb": "Colon carcinoma", "opc": "Brain tumour", "opd": "Head and neck carcinoma", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e9186ee8-bc04-4c46-a200-7bee9c19fe8a", "choice_type": "single"} {"question": "The annual growth rate of a Country was found to be 1.3, country rating under population growth would be under", "exp": "< o.5Slow growth0.5 - 1.0Moderate growth1.0 - 1.5Rapid growth1.5 - 2.0Very rapid growthMore than 2.0 is explosive growth.Currently, India has 1.2% annual growth with 132 crores (in 2016)(Ref:- Park. 23rd ed. Page no 481)", "cop": 2, "opa": "Moderate growth", "opb": "Rapid growth", "opc": "Very rapid growth", "opd": "Explosive growth", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "788c7751-02fb-4c9c-9ba8-e8f487bcca74", "choice_type": "single"} {"question": "Appropriate statistical test to compare two propoions", "exp": "Ref:Parks 23rd edition pg 852 Here, propoion is a Qualitative measure, so we use Chi-square. Tests of significance: Qualitative: Chi- square : 2 or more than 2 groups Mc Nemar test : 1 group. ( before and after intervention) Quantitative: Paired T test: 1 group Student T test/ unpaired T test: 2 groups Anova: more than 2 groups.", "cop": 1, "opa": "Chi-square test", "opb": "Student's t-test", "opc": "Odds ratio", "opd": "Correlation coefficient", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "06478d3c-d0d3-4e73-804b-3a4969110bf8", "choice_type": "single"} {"question": "Fast breathing in less than 2 months old chld the respiratory rate is", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 1, "opa": "60 breaths per minute", "opb": "50 breaths per minute", "opc": "40 breaths per minute", "opd": "30 breaths per minute", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "378413cb-0222-44aa-9930-7829c81e945e", "choice_type": "single"} {"question": "Kala azar is transmitted by", "exp": null, "cop": 3, "opa": "Phlebotomous papatasii", "opb": "Phlebotomous sergenti", "opc": "Phlebotomous argentipes", "opd": "Phlebotomous punjabensis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7d82d69f-79fc-4c4a-81a0-5019cada32e3", "choice_type": "single"} {"question": "Infective period of chicken pox is", "exp": "Chicken Pox Synonym: Varicella Causative agent : Varicella zoster virus Incubation period: 14-16 days Source of infection : Case (person-to-person contact) Mode of transmission : Air droplets (respiratory) Period of communicability : 1-2 days before to 4-5 days after appearance of rash Secondary Attack rate : 90% Rash: Dew drop on rose petal Apperance. Centripetal distribution pleomorphic rash Ref: Park 25th edition Pgno : 157", "cop": 2, "opa": "2 days before and 2 days after rash appearance", "opb": "2 days before and 5 days after rash appearance", "opc": "4 days before and 4 days after rash appearance", "opd": "4 days before and 5 days after rash appearance", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "c1425b88-ab24-4aff-9ee2-509ff29c80d6", "choice_type": "single"} {"question": "Sputum examination for AFB is a type of", "exp": "Sputum AFB is a diagnostic test intended for the early diagnosis and adequate treatment. Secondary prevention: an action which halts the progress of the disease at its incipient stage and prevents complications. The interventions include early diagnosis and treatment. Ref: Park's Textbook of Preventive and Social Medicine; 24th edition - Page no. 46", "cop": 2, "opa": "Primary prevention", "opb": "Secondary prevention", "opc": "Teiary prevention", "opd": "Primordial prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "3d9e6ccd-227a-4e4e-910a-33f67517723c", "choice_type": "single"} {"question": "The recommended concentration of free chlorine is", "exp": "The chlorine demand of water is the difference between the amount of chlorine added to the water and the amount of residual chlorine remaining at the end of a specific period of contact (usually 60 min)The point at which chlorine demand of water is met is called the &;breakpoint chlorine&;Chlorine added beyond breakpoint chlorine is free chlorine (HOCl and OCl). The minimum recommended concentration of free chlorine is 0.5 mg/L for one hour.The free chlorine provides a margin of safety against subsequent microbial contamination such as may occur during storage and distribution.Park 23e pg: 715", "cop": 2, "opa": "0.2mg/dl", "opb": "0.5mg/dl", "opc": "5mg/dl", "opd": "10mg/dl", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "521785c7-ebc4-4bc8-bc9f-42c67d0481ae", "choice_type": "single"} {"question": "Direct standardisation is used to compare moality data of two countries. This is done because of difference in", "exp": "If we want to compare the death rates of two populations with different age-composition, the crude death rate is not the right yardstick This is because rates are only comparable if the populations upon which they are based ae comparable.It is cumbersome to use a series of age-specific death rates, hence &;age standardization&; is used to remove the confounding effect of different age groups.Park 23epg: 59", "cop": 4, "opa": "Causes of deaths", "opb": "Numerators", "opc": "Denominators", "opd": "Age distribution", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "b4c8c38a-60bb-4096-a4c8-0e051545ffb7", "choice_type": "single"} {"question": "Bat is the reservior for,", "exp": null, "cop": 2, "opa": "Japanese encephalitis", "opb": "Ebola", "opc": "Zika", "opd": "Malaria", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c2eb7540-e6b5-495e-8204-cceca3f08676", "choice_type": "single"} {"question": "Under RCH programme, intervention done in selected districts", "exp": null, "cop": 1, "opa": "Treatment of STD", "opb": "Immunization", "opc": "ORS therapy", "opd": "Vitamin A supplementation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c1fefc06-ae2f-439c-9a74-bcd1595fe6ef", "choice_type": "single"} {"question": "Best latrine for rural community is", "exp": "(B) Dug well # Advantages of Dug well type of latrine are:> It is easy to construct and no special equipment such as an auger is needed to dig the pit> The pit has a longer life than the bore hole because of greater cubic capacity. A pit 75 cm (30 in.) diameter and 3 to 3.5 m (10-12 ft.) deep will last for about 5 years for a family of 4 to 5 persons.> When the pit is filled up, a new pit is constructed.> The action of the dug well latrine is the same as in the bore hole latrine, i.e., anaerobic digestion.", "cop": 2, "opa": "Bore hole", "opb": "Dug well", "opc": "Water seal", "opd": "septic tank", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "463f6db8-cdc5-48bd-8653-5b52562c2561", "choice_type": "single"} {"question": "Endemic typhus cause and vector is", "exp": "Endemic Typhus Is also known as 'Flea borne typhus' or 'Murine Typhus' Causative agent : Rickettsia typhi (R.mooseri) Reservoir: Rats Mode of Transmission : Rat Flea (Xenopsylla cheopsis) - But not Through bite, rather through feces innoculation on skin or inhalation of dried infective faeces Incubation period : 1-2 weeks Weil-Felix reaction: Becomes positive with proteus OX-19 in 2nd week Drug of choice : Tetracycline Ref: Park 25th edition Pgno : 316", "cop": 2, "opa": "R. prowazki and louse", "opb": "R. typhi and Rats", "opc": "R. conori and tick", "opd": "R. akari and mite", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "289b2337-8c21-45e7-b667-f40b43a6c7c4", "choice_type": "single"} {"question": "Dental fluorosis is best seen in", "exp": "Dental fluorosis occurs when excess fluoride is ingested during first 7 years of life (years of tooth calcification) It occurs at levels above 1.5 mg/litre intake. It is characterized by \"Mottling\" Which is best seen on incisors of upper jaw Ref: Park 25th edition Pgno : 682 Ref:Park's Textbook of Preventive and Social Medicine 25th Ed Pgno : 682", "cop": 2, "opa": "Central and lateral incisors", "opb": "Central incisors & 1st molars", "opc": "1st and 2nd molars", "opd": "Canines", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "ba82fdec-b10c-42ce-b73b-27ae6938cafe", "choice_type": "single"} {"question": "Iceberg phenomenon is not seen in", "exp": null, "cop": 3, "opa": "AIDS", "opb": "TB", "opc": "Measles", "opd": "Poliomyelitis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e7f2d2c4-f37e-4050-a7e8-8871a6b81a4b", "choice_type": "single"} {"question": "Cigar shaped egg is seen in", "exp": "Description: Eggs laid in groups and cigar shaped. Each raft contains 100-250 eggs Eggs are oval shaped and are not provided with lateral floats. Park's Textbook of Preventive and Social Medicine, 25th Edition, Pg 831", "cop": 1, "opa": "Culex", "opb": "Aedes", "opc": "Anopheles", "opd": "Mansonia", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "7534a93b-b640-4a48-9c4a-d10a93c20729", "choice_type": "single"} {"question": "Disease described as \"Silent Epidemic\" of the century", "exp": "Alzheimer's was considered as silent epidemic of the century. Ref : Park 23rd edition Pgno : 45", "cop": 3, "opa": "Ischeamic hea disease", "opb": "Road traffic accident", "opc": "Alzheimers disease", "opd": "Obesity", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "6cdea194-e7d7-40e8-9746-b4eafb852493", "choice_type": "single"} {"question": "Community health centres covering a population of", "exp": "(80 - 120,000) (753 - Park 19th) (807-Park 20th)* CHC: Covering a population of 80, 000 to 1.20 lakhs.* 30 Beds* Specialist is surgery medicine, obstetrics & Gynaecology and paediatrics* X ray and laboratory facilities* PHC - Every 30,000 rural population in the plains* Every 20,000 population in hilly, tribal and backwardFunctions of PHC1. Medical care2. MCH including family planning3. Safe water supply and basic sanitation4. Prevention and control of locally endemic disease5. Collection and reporting of vital statistics6. Education about health7. National health programme8. Referral services9. Training of health guides, health workers, local dais health assistants10. Basic laboratory services", "cop": 3, "opa": "40-60,000", "opb": "60-80,000", "opc": "80- 1.20,000", "opd": "More than 1.20,000", "subject_name": "Social & Preventive Medicine", "topic_name": "Healthcare of the Community & International Health", "id": "9effc8eb-ccee-4299-9dfd-774853383aee", "choice_type": "single"} {"question": "Sorghum is pellagrogenic due to excess content of", "exp": "Jowar (sorghum) Jowar is also known as kaffir corn or Milo. It is a major crop grown in India next only to wheat and rice. For several population groups, it is a staple diet. The protein content of jowar varies from 9 to 14 per cent, and the proteins are limiting in lysine and threonine. Ceain varieties of jowar have a high leucine content and consumption of these varieties is associated with pellagra. This disorder is often seen in the Telengana and Marathwada regions where jowar is predominantly consumed. Ref:Park's Textbook of Preventive and Social Medicine 23th Ed Pgno: 628", "cop": 3, "opa": "Lysine", "opb": "Threonine", "opc": "Leucine", "opd": "Tryptophan", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "9ccf6348-49f5-453c-9f75-37a99ac5ea3d", "choice_type": "single"} {"question": "Recommended fluoride levels in the water should be", "exp": null, "cop": 2, "opa": "<2 ppm", "opb": "<1 ppm", "opc": "<1 g/litre", "opd": "<2 g/litre", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b84c90b8-2f19-481c-b93c-2ce0a2e4b439", "choice_type": "single"} {"question": "Iodine requirement during lactation is", "exp": "IODINE REQUIREMENT India has adopted WHO guidelines of Iodine requirement 150 mcg per day in Adults, 250 mcg per day in pregnancy and Lactation US recommended daily allowances (RDA) for iodine intake are 150 mcg in adults, 220-250 mcg in pregnant women, and 250-290 mcg in breastfeeding women. Ref: Park 25th edition Pgno : 662", "cop": 4, "opa": "100 mcg per day", "opb": "150 mcg per day", "opc": "220 mcg per day", "opd": "290 mcg per day", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "48af2598-2571-4450-860e-c0235bc8c4e1", "choice_type": "single"} {"question": "Decreased level of serum Vit B6 is seen in", "exp": null, "cop": 2, "opa": "CRF", "opb": "INH therapy", "opc": "CHF", "opd": "Alcohol", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "10dd91d4-bdc1-448a-9278-53052b22aaf3", "choice_type": "single"} {"question": "Level of residual chlorine after one hour", "exp": null, "cop": 3, "opa": "l mg/L", "opb": "1.5 mg/L", "opc": "0.5 mg/L", "opd": "2 mg/L", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8a41677e-9e3c-406b-9ae1-54dec39c106b", "choice_type": "single"} {"question": "A 7 month child presented with chest indrawing with no danger sign is seen the respiratory rate is 65 is classified as", "exp": "(Severe pneumonia): (162- Park 22nd/ edition)Classification and management of illness in young infantsSIGNSStopped feeding well,Convulsions,Abnormally sleepy or difficult to wake,Stridor in calm childWheezing orFever or low body temperatureCLASSIFY ASVERY SEVERE DISEASETREATMENTRefer urgently to hospital Keep young infant warm Give first dose of an antibioticSIGNSSevere chest indrawing, or fast breathing (60 per minute or more)No severe chest indrawing and No fast breathing (less than 60 per minute)CLASSIFY ASSEVERE PNEUMONIANO PNEUMONIA COUGH OR COLDTREATMENTRefer urgently to hospital Keep young infant warm. Give fist dose of an antibiotic (if referral is not feasible , treat with an antibiotic and follow closely)Advise mother to give the following home care- Keep young infant warm- Breast-feed frequently- Clear nose if it interferes with feedingReturn quickly if:-Breathing becomes difficult,Breathing becomes fast,Feeding becomes a problemThe young infant becomes sicker", "cop": 2, "opa": "Very severe pneumonia", "opb": "Severe pneumonia", "opc": "Pneumonia", "opd": "Moderate pneumonia", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "ebb3402b-c1a7-4559-8559-87d102d8e289", "choice_type": "single"} {"question": "Measles vaccination is given at age of", "exp": "Ans) b (9 months) Ref Park 20th ed p 113Another simple question. Just go through the Indian national immunization schedule:a) For infants At birthBCG and OPV - 0 doseAt 6 weeksBCG (if not given at birth) DPT-1 and OPV-1At 10 weeksDPT-2 and OPV-2At 14 weeksDPT-3 and OPV-3At 9 monthsmeaslesb) At 16-24 months-DPT and OPVc) 5- 6 years- DT The second dose of DT should be given at an interval of one month if there is no clear history or documented evidence of previous immunization with DPTd) At 10 and 16 years- TT. The second dose of TT should be given at an interval of one month if there is no clear history or documented evidence of previous immuniza tion with DPT, DT, or TT vaccinese) For pregnant women-early in pregnancy- TT-1 or Booster one month after TT-1, TT-2Resveratrol, a phytoalexin, and Curcumin the natural yellow pigment in turmeric elicit striking inhibitory effects on diverse cellular events associated with the process of carcinogenesis.Lycopene, a carotenoid present in tomatoes is a powerful quencher of singlet oxygen. Epidemiological evidence strongly suggests that lycopene consumption and tomato products contribute to prostate cancer risk reduction.Kolaviron, a natural biflavonoid antioxidant has been extensively investigated for it hepatoprotective, radical scavenging and antigenotoxic properties in vitro and in vivo.Preventative anticarcinogens act by enhancing an organism's natural defences against cancer, by deactivating carcinogens or by blocking the mechanisms by which carcinogens act (such as free radical damage to DNA).Anticarcinoma agents participate in the selective destruction of cancer cells, or inhibit the growth and proliferation of cancer cells.There is epidemiological evidence that a diet rich in antioxidant vitamins andflavonoids is anticarcinogenic.Interest in many popular nutritional supplements, including essential antioxidant nutrients such as selenium compounds and hormones such as melatonin and DHEA, is partly motivated by evidence that these have significant anticarcinogenic effects in appropriate quantities. The major psychoactive component in marijuana, tetrahydrocannabinol, has been shown to have anticarcinogenic activity.", "cop": 2, "opa": "10 weeks", "opb": "9 months", "opc": "14 weeks", "opd": "6 months", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "e99822a7-3fdf-4500-9113-ac96b9d0c5c4", "choice_type": "single"} {"question": "Eligible couple register is maintained at", "exp": null, "cop": 1, "opa": "Sub center", "opb": "PHC", "opc": "District hospital", "opd": "Community Hospital", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6a3197d8-5784-4d09-927c-0492ffc8bda9", "choice_type": "single"} {"question": "Present \"General fertility rates\"", "exp": null, "cop": 1, "opa": "84", "opb": "118", "opc": "128", "opd": "138", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f0b79e2b-fbea-4f09-8749-72e361d2ce2a", "choice_type": "single"} {"question": "Human breast milk has more of", "exp": "Human milk is richer in Carbohydrates (lactose), Iron and water content While cow's milk is richer in fat, protein, calcium and energy content Human milk proteins: More cysteine and taurine; Less methionine; better digested than cow's milk proteins. Human milk fats: Higher levels of PUFAs esp., linoleic acid and a-linoleic acid, better digested and absorbed ; low calcium content but better absorbed than cow's milk Human milk vitamins and minerals : Human milk is richer in Vitamin A, C; richer in copper, cobalt and selenium ; richer in iron and higher bioavailability ; high calcium/phosphorous ratio. Human milk has lesser sodium Ref: Park 25th edition Pgno: 668", "cop": 2, "opa": "Lipids", "opb": "Carbohydrates", "opc": "Proteins", "opd": "Calcium", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "3da3d4fe-609a-425f-a0b0-98838fb588d5", "choice_type": "single"} {"question": "International disease surveillance includes", "exp": "Diseases under WHO surveillance Polio Rabies Relapsing fever Influenza Salmonella Malaria Louse born typhus Ref : Park's Textbook of Preventive and Social Medicine; 24th edition", "cop": 2, "opa": "Hepatitis", "opb": "Polio", "opc": "TB", "opd": "Leprosy", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "0087fd26-6dbb-46a6-b048-d34f69786e64", "choice_type": "single"} {"question": "Mean hemoglobin of a group of pregnant females is found to be 10.6 gm/dL with Standard deviation of 2 gm/dL. 5% pregnant females in this group will have their hemoglobin level below", "exp": "• Mean + 1SD covers 68% values; So, Hb of 68% pregnant females will lie between 10.6 + 2 gm/dL or between 8.6-12.6\ng/dL\n- So, 16% will lie below 8.6 gm/dL\n• Similarly, Mean + 2SD covers 95% values; So, Hb of 95% pregnant females will lie between 10.6 + 2(2) gm/dL or between 6.6-14.6 gm/dL\n- So, 2.5% will lie below 6.6 gm/dL\n• So 5% pregnant females will have Hb below 7.31 gm/dL", "cop": 1, "opa": "7.31 gm/dL", "opb": "8.6 gm/dL", "opc": "6.6 gm/dL", "opd": "5.0 gm/dL", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f885a9e2-bcb2-4e70-9cea-db4bf9a79879", "choice_type": "single"} {"question": "Hypothesised null value for confidence interval of relative risk", "exp": "RELATIVE RISK Relative risk (RR) is the ratio of the incidence of the disease (or death) among exposed and the incidence among non-exposed. Some authors use the term \"risk ratio\" to refer to relative risk. Estimation of relative risk (RR) is impoant in aetiological enquiries. It is a direct measure (or index) of the \"strength\" of the association between suspected cause and effect. A relative risk of one indicates no association; relative risk greater than one suggests \"positive'.' association between exposure and the disease under study.Hypothesised null value for confidence value is arbitrarily taken as 1. A relative risk of 2 indicates that the incidence rate of disease is 2 times higher in the exposed group as compared with the unexposed. Equivalently, this represents a 100 per cent increase in risk. A relative risk of 0.25 indicates a 75% reduction in the incidence rate in exposed individuals as compared with the unexposed It is often useful to consider the 95 per cent confidence interval of a relative risk since it provides an indication of the likely and maximum levels of risk. In our hypothetical example the relative risk is 10. It implies that smokers are 10 times at greater risk of developing lung cancer than non-smokers. The larger the RR, the greater the \"strength\" of the association between the suspected factor and disease. It may be noted that risk does not necessarily imply causal association. Ref : Park 23rd edition Pgno : 78", "cop": 2, "opa": "Zero", "opb": "One", "opc": "Two", "opd": "Five", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "21dc037c-c100-41b4-bd08-5d0fed5ee487", "choice_type": "single"} {"question": "Most effective way to prevent HIV veical transmission is", "exp": "Women enrolled on HAA (Triple ARV prophylaxis) had a much lower (1%) rate of HIV veical transmission as compared to Zidovudine lone HAA showed similar rates of Transmission when Zidovudine monotherapy was combined with single dose of Maternal or neonatal Nevirapine Ref: Perinatal and pediatric HIV/AIDS by Mamatha 1st edition Pgno : 344", "cop": 1, "opa": "HAA", "opb": "Nevirapine", "opc": "Zidovudine", "opd": "Elective cesarean", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "6e07e1b8-f1f2-460b-8668-ccaa14951c5a", "choice_type": "single"} {"question": "On a average, failure rate in the couples using condom is about", "exp": "Condoms can be a highly effective method of contraception, if they are used correctly. Failure rates for the condom vary enormously. Survey has been repoed pregnancy rates bearing from 2 to 3 per 100 women years to more than 14 in typical users. Most failures are due to incorrect use Reference: Park&;s textbook of Preventive and social medicine 23rd edition; Page number 494", "cop": 1, "opa": "0 to 5 percent", "opb": "10 to 20 percent", "opc": "30 to 40 percent", "opd": "50 percent or more", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "39ba2579-32d5-4a34-b1e4-38b88f0e9c81", "choice_type": "single"} {"question": "The National Population Policy 2000 aims to achieve Total Fertility Rate of 2.1 by the year", "exp": "National Population Policy 2000 (NPP 2000)\n• Immediate objective: To address the unmet needs for contraception, health care infrastructure, and health personnel, and to provide integrated service delivery for basic reproductive and child health care.\n• Mid-term objective: To bring the TFR to replacement levels (TFR = 2.1) by 2010.\n• Long term objective: To achieve a stable population by 2045.", "cop": 3, "opa": "2005", "opb": "2015", "opc": "2010", "opd": "2050", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "49ed16f1-1f4e-4871-8b5f-3247ae960ffd", "choice_type": "single"} {"question": "Demographic Gap attains its maximum limit in", "exp": "Demographic cycle Demographic cycle is closely related to : Socio-economic progress of a country There are 5 stages (Phases) of demographic cycle through which a nation passes Stages Phases CBR CDR Stage I High Stationary High high Stage II Early expanding High Stas declining Stage III Late expanding Stas declining Continue declining Stage IV Low Stationary Low Low Stage V Declining CDR > CBR Demographic cycle is based on : Demographic gap DG = Crude Bih Rate (CBR) - Crude death rate DG stas increasing : Early stage II (Early expanding phase) DG is Maximum : Late stage II (Early expanding phase) DG stas declining : Early stage III (Late expanding PHASE) DG is negative : Stage V (Declining phase) DG is Narrow : Stage I (high Stationary) ; Stage IV (Low Stationary) Ref: Foundations of community Medicine, GM Dhaarb& I Robbani, 1st edition Park 25th edition Pgno : 530", "cop": 2, "opa": "Early stage I", "opb": "Late stage II", "opc": "Late stage III", "opd": "Early stage IV", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "1a713d89-50fc-4617-9790-eb1e31af1e20", "choice_type": "single"} {"question": "Most common deviation used in social medicine is", "exp": "\"Standard deviation is most common and generally most appropriate measure of dispersion (variation)\".-Park", "cop": 4, "opa": "Mean", "opb": "Range", "opc": "Variance", "opd": "Standard deviation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "37f535c3-de49-408f-8cea-7f6483b49de0", "choice_type": "single"} {"question": "Temporary hardness of water is primarily due to the presence of", "exp": "Temporary hardness (Carbonate hardness) due to Calcium & Magnesium salts of Bicarbonates.", "cop": 3, "opa": "Calcium and magnesium sulphates", "opb": "Calcium and magnesium chlorides", "opc": "Calcium and magnesium bicarbonates", "opd": "Calcium and magnesium nitrates", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3011674e-110b-4386-b701-16744e43e6d5", "choice_type": "single"} {"question": "Best statistical data diagram to depict Incidence change over a period of time is", "exp": "Line diagrams are used to show the trend of events with the passage of time, hence incidence change ( a trend) is best depicted by a line diagram. Other options: In pie cha, areas of the segments of a circle are compared. Extremely popular but statistically inferior to bar chas. Histogram is a pictorial diagram of frequency distribution for continuous class intervals Scatter diagrams show the relationship between two objects. Eg: Positive correlation between the intakes of fat and sugar in average diets.", "cop": 4, "opa": "Pie cha", "opb": "Histogram", "opc": "Scatter diagram", "opd": "Line diagram", "subject_name": "Social & Preventive Medicine", "topic_name": "Statistical Graphs, Correlation, Locations", "id": "6c3d3d45-cf36-486b-bb2c-0bdc6ac10a1a", "choice_type": "single"} {"question": "Energy requirement in late pregnancy for a moderate worker is", "exp": null, "cop": 3, "opa": "1000 cal", "opb": "1400 cal", "opc": "2500 cal", "opd": "500 cal", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "04415bea-d203-4780-adaf-f983cdc5c0ea", "choice_type": "single"} {"question": "Mean ± 250 in normal distribution", "exp": "In normal distribution :\n\nMean ± 150 lovers 68% values.\nMean ± 250 lovers 95% values.\nMean ± 350 lovers 99% values.", "cop": 2, "opa": "68%", "opb": "95%", "opc": "99%", "opd": "50%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f1ae711c-78f6-4fd5-b4cc-541acb6e56e0", "choice_type": "single"} {"question": "Nipah virus is transmitted by", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 3, "opa": "Pigs", "opb": "Mosquitoes", "opc": "Fruit bats", "opd": "Cattle", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "d39c7a84-fb28-416b-b5ce-c4fdd2e75734", "choice_type": "single"} {"question": "Peripheral neuritis is a deficiency sign of", "exp": "Two principle deficiency diseases associated with thiamine deficiency are beriberi and Wernick&;s encephalopathy. Dry beriberi is associated with nerve involvement Ref: Park; 23rd ed; Page no: 618", "cop": 3, "opa": "Folic acid", "opb": "Niacin", "opc": "Thiamine", "opd": "Tocopherol", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "93a57b34-6b14-4bda-aec8-a0ce3dae1e2c", "choice_type": "single"} {"question": "Udai Pareek scale does not include", "exp": null, "cop": 4, "opa": "Education", "opb": "Family members", "opc": "House", "opd": "Income", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "90a3c304-0623-4d39-9b36-dba90df0c843", "choice_type": "single"} {"question": "Control of hook worm disease is achieved by", "exp": "The work of Rockefeller foundation in India began with a scheme for the control of hookworm disease.The establishment of the All India Institute of Hygiene and Public Health at Kolkata was in a large measure due to the cooperation of the Rockefeller Foundation.At present, the foundation is directing its suppo to the improvement of agriculture, family planning and rural training centres as well as to medical education.Park 23e pg: 924", "cop": 3, "opa": "Ford foundation", "opb": "CARE", "opc": "Rockefeller foundation", "opd": "Red cross society", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "c8091660-d251-42b9-96d2-1aab2d804ff1", "choice_type": "single"} {"question": "Bih rate is", "exp": "Bih rate = number of live bihs during the year X 1000/ estimated mid year population. Unsatisfactory measure of feility because the total population is not exposed to child bearing. Reference : Park&;s textbook of preventive and social medicine, 23rd edition, pg no: 488", "cop": 1, "opa": "Live bih X 1000\\/ mid yr. Population", "opb": "Bih X 1000\\/ mid yr population", "opc": "Live bih X 10000\\/ mid yr. Population", "opd": "Live bih X 10000\\/Population of reproductive age group (15-45)", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "9c3b794c-a78d-4718-aa3b-36be1352003e", "choice_type": "single"} {"question": "Target year for elimination of lymphatic filariasis", "exp": null, "cop": 2, "opa": "2010", "opb": "2015", "opc": "2020", "opd": "2012", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fa07719e-ed42-4881-805c-81ed00fc6e57", "choice_type": "single"} {"question": "Most sensitive index for the recent malarial transmission is", "exp": null, "cop": 2, "opa": "Spleen rate", "opb": "Infant Parasite rate", "opc": "Parasite Rate", "opd": "Slide Falciparum rate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "862bf906-ee8a-4806-bee1-b6d69f0909ee", "choice_type": "single"} {"question": "Due to epidemiological reasons chemoprophylaxis is most impractical in the control of", "exp": null, "cop": 1, "opa": "Tuberculosis", "opb": "Cholera", "opc": "Diphtheria", "opd": "Measles", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4e07ccc0-0ff2-42e5-8f35-948d250f8bdb", "choice_type": "single"} {"question": "The usual incubation period for typhoid fever is", "exp": null, "cop": 3, "opa": "3-5 days", "opb": "21-25 days", "opc": "10-14 days", "opd": "less then 3 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b7a1da86-aa79-4db5-adc1-f0ea17156264", "choice_type": "single"} {"question": "Thiamine deficiency causes", "exp": "Ans: a (Beri Beri)Ref: Park, 20th ed. Pg. 534, Davidson Principles and Practice of Medicine, 20th ed.Recommended name (alternative name)SourcesDeficiencyExcessInvestiga-tionsFAT-SOLUBLEVitamin ALiver, milk, butter, cheese, fish oilsXerophthalmia, almia, night blindness, keratomalacia, follicular hyperkeratosisLiver damage, bone damage, teratogenesisSerum retinolVitamin DMainly manufactured in skin under the influence of sunlightRickets, osteomalaciaHypercal- caemiaPlasma 25(OH)D or 1,25(OH) 2 DVitamin EVegetables, seed oilsHaemolytic anaemia, ataxia Plasma vitamin EVitamin KGreen vegetables, dairy productsCoagulation disorder Coagula-tion assay (e.g. proth-rombin time) +- plasma vitamin KWATERSOLUB LE Thiamine (Vitamin Bl)Cereals, grains, bean, porkBeri-beri, Wernicke- Korsakoff syndrome RBC trans-ketolase or whole blood vitamin B 1Riboflavin (Vitamin B 2)MilkGlossitis, stomatitis RBC glutat-hione reductase or whole blood vitamin B 2Niacin (Nicotinic acid, vitamin B 3) metabolitesMeat, cerealsPellagra Urinary nicotin- amide,Vitamin B 6 (Pyridoxine)Meat, fish, potatoes, bananasPolyneuropathyPolyneu-ropathyPlasma pyridoxal phosphate or eryth ro-cyte trans-aminase activation coefficient Biotin Dennatitis, alopecia, paraesthesiae Liver, egg yolk, cereals, yeastWhole blood or urine biotinFolateLiverAnaemiaRBC folateVitamin B 12 (Cobalamin)Animal productsAnaemia, neurological degenerationPlasma B 12Vitamin C (Ascorbic acid)Fresh fruit and vegetablesScurvyPlasma ascorbic acid (daily intake) Leucocyte ascorbic acid (tissue stores)", "cop": 1, "opa": "Beriberi", "opb": "Night blindness", "opc": "Scurvy", "opd": "Pellagra", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and Health", "id": "6d1b4a13-56ed-43ae-b795-0ec07b1c3755", "choice_type": "single"} {"question": "Threshold level of herd immunity for Peussis is", "exp": "Ans. is 'c' i.e., 90% Advantage of herd immunity o It is not necessary to achieve 100% immunization to control a disease by providing herd immunity. o When a ceain percentage of population, is vaccinated, the spread of disease is effectively stopped. o This critical percentage is referred to as herd immunity threshold. Disease Herd immunity threshod Diphtheria 85% Measles 83-94% Mumps 75-86% Peussis 92-94% Polio 80-86% Rubella 80-85% Small pox 83-85% Limitation of Herd immunity o Only a small fraction of the population (or herd) can be left un-vaccinated for this method to be effective.", "cop": 3, "opa": "80%", "opb": "70%", "opc": "90%", "opd": "50%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2b544534-f1f6-442b-82c4-0ec08799ba67", "choice_type": "single"} {"question": "The mean of the 25 patients' plasma volumes is 12.5 litres. Standard detion is 0.25. Calculate standard error", "exp": "S.E = S/[?]n S = Standard detion = 0.25 n = sample size = 25 S.E. = 0.25/[?] 25 = 0.25/5 = 0.05", "cop": 1, "opa": "0.05", "opb": "0.5", "opc": "0.01", "opd": "0.1", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostats", "id": "502cc028-3dc8-4aef-8aa0-7b08a05b0cd4", "choice_type": "single"} {"question": "Recommended number of population per PHC in tribal area", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 2, "opa": "30000", "opb": "20000", "opc": "40000", "opd": "25000", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "00915159-9dbb-48f0-823d-6892c8593b94", "choice_type": "single"} {"question": "At a PHC, vaccine storage is done in", "exp": "- At PHC level vaccine is stored in small ILR & small deep freezer ILR Cold chain components & level in India STORAGE LEVEL STORAGE DEVICES DURATION OF STORAGE STATE/ REGIONAL LEVEL walk in cold rooms walk in freezer 3 months CHC/ DISTRICT LEVEL Large ILR Large deep freezer 1 month PHC Small ILR Small deep freezer 1 month SUBCENTER LEVEL Vaccine carriers 24-48hrs VILLAGE LEVEL Ice packs 2-4hrs", "cop": 2, "opa": "Vaccine carrier", "opb": "ILR", "opc": "Walk in Cold rooms", "opd": "Cold box", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2018", "id": "6b77f1dd-70e5-428e-a6ea-6a9dc064e3c9", "choice_type": "single"} {"question": "The primary goal of Human Genome Project has been", "exp": "Human Genome Project: HGP is an international scientific research project.\nPrimary goals were to determine the sequence of chemical base pairs which make up dNA and to identify the approximately 25,000 genes of the human genome.", "cop": 2, "opa": "Introduction of a gene sequence into a cell to modify its behavior", "opb": "Identify genes and sequence of base pairs in dNA of human genome", "opc": "Development of new diagnostic techniques such as restriction enzymes", "opd": "Confirmation of Hardy Weinberg law", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "808de995-0733-47ff-95bf-a1ee2f7db76b", "choice_type": "single"} {"question": "The association between oral cancer and tobacco chewing was found to be as follows", "exp": null, "cop": 4, "opa": "0.65", "opb": "0.8", "opc": "1.3", "opd": "2.25", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "074fcdce-4bc6-41c7-aa26-1ea365eb4079", "choice_type": "single"} {"question": "Insecticide of choice for phlebotamus argentipes", "exp": null, "cop": 1, "opa": "DDT", "opb": "Malathoin", "opc": "BHC", "opd": "Pyrethrum", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "590ca16c-18ca-4c18-802c-9d8c2bde577e", "choice_type": "single"} {"question": "Population growth is rated explosive if annual growth rate exceeds", "exp": "Relation between Annual growth rate(AGR) and population Rating Annual GR Population doubling Time Stationary population None - Slow growth <0.5 >139 years Moderate growth 0.5-1.0 139-70 Rapid growth 1.0-1.5 70-47 Very rapid growth 1.5-2.0 47-35 Explosive growth 2.0-2.5 35-28 Explosive growth 2.5-3.0 28-23 Explosive growth 3.0-3.5 23-20 Explosive growth 3.5-4.0 20-18 Ref: Park 25th edition Pgno : 532", "cop": 1, "opa": "2%", "opb": "1.50%", "opc": "1%", "opd": "0.50%", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "f83cdc8c-f7cf-4396-8b5a-6e82a1be97f6", "choice_type": "single"} {"question": "The best parameter for assessment of chronic malnutrition is", "exp": "Height is a stable measurement of growth as opposed to body weight. Whereas weight reflects only the present health status of the child, height indicates the events in the past also. Low height for age: Also known as nutritional stunting or dwarfing. It reflects past or chronic malnutrition.Ref: Park; 23rd ed; Pg 544", "cop": 3, "opa": "Weight for age", "opb": "Weight for height", "opc": "Height for age", "opd": "Mid arm circumference", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "8cdf2b50-2408-456a-8fc9-ce7a460f3510", "choice_type": "single"} {"question": "ICDS does not include", "exp": null, "cop": 3, "opa": "Immunisation", "opb": "Health education", "opc": "Family planning", "opd": "Nutrition", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "faf48b98-4cd8-4b7a-91b5-2b2287fd953e", "choice_type": "single"} {"question": "Most common detion used in social medicine is", "exp": "The standard detion : Most frequently used measure of detion Defined as \"Root -Means -Square -Detion \" Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 848", "cop": 4, "opa": "Mean", "opb": "Range", "opc": "Variance", "opd": "Standard detion", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "5af654c9-cbab-4054-b077-d9c78e92f1ca", "choice_type": "single"} {"question": "ICDS stands for", "exp": "Integrated Child Development Services (ICDS) scheme- Under ICDS scheme, there is an anganwadi worker for every 400-800 population- The beneficiaries include nursing mothers, pregnant women, other women (15-45 years), children below the age of 6 years and adolescent girls.Park 23e pg: 903", "cop": 1, "opa": "Integrated child development services", "opb": "Integrated child development scheme", "opc": "International child development services", "opd": "Indian child development scheme", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "9e28076f-844d-4a69-b195-dd548b77e278", "choice_type": "single"} {"question": "Not included in 5 cleans in conduct of delivery is", "exp": null, "cop": 3, "opa": "Clean hands", "opb": "Clean cord cut", "opc": "Clean Perineum", "opd": "Clean cord tie", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9e3675a0-ed5b-417c-9aac-5c513bd3ec7b", "choice_type": "single"} {"question": "Results of a test were given as very satisfied, satisfied, dissatisfied, it representes", "exp": "Scales can be: Qualitative: Categorical scales: Nominal : eg: names of countries . Dichotomous : eg: yes/no, presence/absence. Ordinal : severity of disease: mild/moderate/severe.eg: staging of cancer, kuppusamy socioeconomic class. Quantitative: Metric scales: Interval Ratio", "cop": 2, "opa": "Nominal scale", "opb": "Ordinal scale", "opc": "interval scale", "opd": "Ratio scale", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "6235d1b3-c517-4e46-a68d-548302dfbba2", "choice_type": "single"} {"question": "Epidemic typhus cause and vector is", "exp": "Epidemic Typhus Is a type of rickettsial disease of typhus group : Recrudence form of Epidemic typhus : Brill Zinsser Disease Was the 'most formidable rickettsial disease in past' Causative agent: R.prowazekii Vector : Louse (p.capitis,p.corporis) Mode of Transmission: (Not by Louse bite) Scratching and inoculation with infected louse faeces Crushing infected louse on body Inhalation of infected louse faeces or dust Clinical picture : Prolonged febrile illness, Vasculitis Drug of choice : Tetracycline Under International Health Regulations (IHRs), \"Louse borne typhus is a disease under surveillance\" Ref: Park 25th edition Pgno : 316", "cop": 1, "opa": "R. prowazki and louse", "opb": "R. typhi and mite", "opc": "R. conori and tick", "opd": "R. akari and mite", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "8bcb2b5c-e686-4533-8b37-2a51f99a0838", "choice_type": "single"} {"question": "Crude bih rate is a simplest measure of feility because it includes", "exp": "Crude bih rate : Number of live bihs in a year per 1000 mid-year population CBR is simplest indicator of feility : Total mid-year population is not exposed to Child bearing thus it doesnot give true idea of feility Ref: Park 25th edition Pgno : 539", "cop": 2, "opa": "Total population", "opb": "Mid year population", "opc": "Live bihs only", "opd": "Pre term bihs", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "76ed2fe9-f206-4708-8b46-c11fa1de839a", "choice_type": "single"} {"question": "A research team conducted a nation wide survey of Industries and factories. While arranging the data they observed that the most common occupational cancer was", "exp": null, "cop": 1, "opa": "CA skin", "opb": "CA bladder", "opc": "CA lung", "opd": "Leukemia", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "99f41c5a-83fc-48e9-93ad-47edd4a0a57b", "choice_type": "single"} {"question": "To study the incidence of malaria, according to various age and sex groups, in a village, we need to undeake", "exp": "Descriptive studies are concerned with observing the distribution of disease or health-related characteristics - When is the disease occurring, where is it occurring, who is getting the disease.Park 23e pg: 63", "cop": 1, "opa": "Descriptive", "opb": "Case-control study", "opc": "Coho study", "opd": "Experimental study", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "3af2dd19-96e3-40d9-934e-84581c37d22d", "choice_type": "single"} {"question": "Secondary attack rate of chicken pox is", "exp": "Chicken pox Agent- Human alpha herpes virus 3 Primary infection causes chicken pox Recovery from primary infection is commonly followed by establishment of latent infection in cranial nerves, sensory ganglia, spinal dorsal root ganglia When the cell mediated immunity wanes, the virus may reactivate in 10-30% cases Incubation period -15 days Distribution of rash:- Centripetal; Axilla affected; Rash seen mostly over flexor aspect Characteristics of rash:- Superficial; Unilocular-dew drops like appearance Rash pleomorphic- different stages of rash evident at one time An area of inflammation seen around vesicle Evolution of rash : very rapid Scab begins to form 4-7 days after the rash appears Fever- temperature rises with each fresh crop of rash Secondary attack rate-90% Reference: Park&;s textbook of Preventive and Social medicine, 23rd edition; Page no.144", "cop": 3, "opa": "60", "opb": "50", "opc": "90", "opd": "40", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "e392ac14-3d5b-4e45-b0b5-db09814bdead", "choice_type": "single"} {"question": "Epidemic typhus is caused by", "exp": "(D) Rickettsia prowazekii # Epidemic typhus is caused by R. prowazekii.> R. prowazekii named after von Prowazek, who had contracted fatal typhus fever while investigating the disease. Amongst the options provided 'Louse' is the insect vector only for Rickettsia Prowazakii.# RICKETTSIAL INFECTION INSECT VECTORS:> Louse: Rickettsia Prowazekii (Epidemic typhus) Bartonella quintana (Trench fever)> Mites: Rickettsia tsutsugamushi (scrub typhus) Rickettsia akari (Rickettsial pox)> Ticks: Rickettsia rickettsii (Rocky Mountain Spotted Fever) Rickettsia conori (Ticky Typhus, Tick Fever) Rickettsia australis (Tick typhus) Rickettsia sibrica (Tick typhus)> Fleas: Rickettsia typhi (Endemic typhus)> Q Fever: Human infection occurs from inhalation of dust (No insect vectors) Etiological agent is Coxiella burneti Insect vector is None", "cop": 4, "opa": "Rickettsia tsutsugamushi", "opb": "Rickettsia Quintana", "opc": "Rickettsia rickettsiae", "opd": "Rickettsia prowazekii", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "9b961f71-2701-48be-b673-74000e915c09", "choice_type": "single"} {"question": "Immunization is", "exp": "Primary prevention is action taken prior to the onset of disease which removes the possibility that a disease will ever occur.It includes actions taken for the protection of health by personal and community effos, such as enhancing nutritional status, providing immunizations and eliminating environmental risks (sanitation...etc)Park 23epg: 43", "cop": 1, "opa": "Primary Prevention", "opb": "Secondary prevention", "opc": "Teiary Prevention", "opd": "Disability Limitation", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "4e3cc771-c07e-4265-ad58-00b76ff091c5", "choice_type": "single"} {"question": "Amount of calories and protein given to a pregnant women under ICDS is", "exp": null, "cop": 1, "opa": "500kcals and 35g protein", "opb": "200kcal and 10g protein", "opc": "500kcal and 10g protein", "opd": "350kcal and 25g protein", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ad8bb65c-78a2-4a2d-a02d-54da5e687b59", "choice_type": "single"} {"question": "World bank gives loans for", "exp": null, "cop": 2, "opa": "Cobalt therapy of radiotherapy department", "opb": "For economic growth", "opc": "Purchase of microscope for tuberculosis investigation", "opd": "To change of the social justice", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9ad1478e-f508-49b3-ab0b-1b9619a32101", "choice_type": "single"} {"question": "Incubation period of syphilis", "exp": "Ans. a (9-90 days). (Ref. Harrison, Principles of Internal Medicine, 18th /Chapter 169. Syphilis)SYPHILIS# T. Pallidum enters foetal circulation after 20th week of gestation with disappearance of cytotrophoblast in villi.0# Basic pathology is obliterative endarteritis.# Placenta becomes bulky and spirochaete can hardly be found in placenta.# Spirochaete can however be detected from maculopapular rash in baby.# Irrespective of the serology, treatment should be repeated in subsequent pregnancies.# Incubation period of syphilis is 9-90 days", "cop": 1, "opa": "9-90 days", "opb": "9-18 days", "opc": "80-90 days", "opd": "10 days", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "1120327a-e046-44d0-a36d-ce9a031d6749", "choice_type": "single"} {"question": "Recommendation of daily moderate exercise for an adult is", "exp": "Physical activity for all These recommendations are relevant to all healthy adults aged 18-64 years unless specific medical conditions indicate to the contrary. They are applicable for all adults irrespective of gender, race, ethnicity or income level. They also apply to individuals in this age range with chronic noncommunicable conditions not related to mobility such as hypeension or diabetes. These recommendations can be valid for adults with disabilities. However adjustments for each individual based on their exercise capacity and specific health risks or limitations may be needed. There are multiple ways of accumulating the total of 150 minutes per week. The concept of accumulation refers to meeting the goal of 150 minutes per week by performing activities in multiple shoer bouts, of at least 10 minutes each, spread throughout the week then adding together the time spent during each of these bouts: e.g. 30 minutes of moderate-intensity activity 5 times per week. Pregnant, postpaum women and persons with cardiac events may need to take extra precautions and seek medical advice before striving to achieve the recommended levels of physical activity for this age group. Inactive adults or adults with disease limitations will have added health benefits if moving from the category of \"no activity\" to \"some levels\" of activity. Adults who currently do not meet the recommendations for physical activity should aim to increase duration, frequency and finally intensity as a target to achieving them. Ref: World Health Organisation", "cop": 2, "opa": "15 mins", "opb": "30 mins", "opc": "45 mins", "opd": "60 mins", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "7a04d4d9-6215-489f-908c-a0ecbe17d82b", "choice_type": "single"} {"question": "According to Registration of Births and Deaths Act 1969, the birth and death are to be registered, respectively in", "exp": null, "cop": 3, "opa": "14 days and 7 days", "opb": "7 days and 14 days", "opc": "21 days and 21 days", "opd": "14 days and 21 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2b62ab7f-fb38-4667-a39c-50ce66367900", "choice_type": "single"} {"question": "Random is Randomization Implies", "exp": null, "cop": 2, "opa": "Unequal and known chances", "opb": "Equal and known chances", "opc": "Unequal and unknown chances", "opd": "Equal and unknown chances", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4efa38e8-5080-448e-b182-a8aa611333e0", "choice_type": "single"} {"question": "Gap in the time interval of between the onset of primary and secondary case is", "exp": "Ans. a (Serial interval) (Ref. Park Textbook of PSM 22nd/pg. 96)TermDefinition1.Serial Interval# Time gap between onset of primary and secondary case. It is the measure of incubation period.2.Lead Time# It is advantage gained by screening, i.e., period between diagnosis by early detection and diagnosis by other means.# It is period between the possible time of detection and possible time of diagnosis.3.Latent Period# Latent period is the period from disease initiation to disease detection or It is time between exposure to a risk factor and subsequent development of clinical manifestations of a particular disease.4.Screening Time# Interval between first clinical detection and final critical point.5.Primary case# First case in community6.Index case# First case detected in community. May or may not be primary case.7.Incubation period# The time interval between invasion by an infectious agent and appearance of the first sign or symptom of the disease.8.Generation time# The interval of time between receipt of infection by a host and maximal infectivity of that host.9.Communicable period# The time during which an infectious agent may be transferred directly or indirectly from an infected person to another person, from an infected animal to man, or from infected man to an animal including arthropod.10.Secondary attack rate# The number of exposed persons developing the disease within the range of the incubation period, following exposure to primary case.11.Median incubation period# The time required for 50% of the cases to occur following exposure.", "cop": 1, "opa": "Serial interval", "opb": "Incubation period", "opc": "Generation time", "opd": "Onset period", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "472a3a0c-d7a1-4152-95fa-0b328fea939c", "choice_type": "single"} {"question": "Chicken pox is infective", "exp": null, "cop": 1, "opa": "2 days before and 5 days after rash appearance", "opb": "2 days before and 2 days after rash appearance", "opc": "4 days before and 4 days after rash appearance", "opd": "4 days before and 5 days after rash appearance", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c6a056d3-05d8-403d-b1a6-6507c057756d", "choice_type": "single"} {"question": "Folic acid supplementation during lactation period is", "exp": null, "cop": 1, "opa": "150 mg/d", "opb": "100 mg/d", "opc": "400 mg/d", "opd": "450 mg/d", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5f2bfc5a-2123-4e83-ac1e-fcbd7e092dda", "choice_type": "single"} {"question": "For an epidemiological study, every 10th person is selected from a population. This type of sampling is known as", "exp": null, "cop": 2, "opa": "Simple random sampling", "opb": "Systematic random sampling", "opc": "Stratified random sampling", "opd": "Cluster random sampling", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "195fb389-b8d7-4090-8029-dbdb65be23f0", "choice_type": "single"} {"question": "'Course of a disease process without any intervention' is the definition of", "exp": "Natural history of disease refers to the progression of a disease process in an individual over time, in the absence of treatment Spectrum of disease signifies that the health of an individual is not static Ref : Park's Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 34", "cop": 3, "opa": "Spectrum of disease", "opb": "Epidemiology of disease", "opc": "Natural history of disease", "opd": "Iceberg Phenomenon", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "84ebd613-cb5e-4732-b42b-2b9dd42987c5", "choice_type": "single"} {"question": "Infections transmitted from vertebrate animals to man is known as", "exp": null, "cop": 2, "opa": "Anthropozoonosis", "opb": "Epizootic", "opc": "Exotic", "opd": "Zooanthroponoses", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3479a5c5-a71b-4cef-b995-594c8016c929", "choice_type": "single"} {"question": "The standard normal distribution", "exp": "Normal Distribution:\n\nIs also known as ‘Gaussian distribution’ or ‘Standard distribution’\nType of distribution: Is the distribution of values of a quantitative variable such that they are symmetric with respect to a middle value with same mean, median and mode, and then the frequencies taper off rapidly and symmetrically on both sides – ‘bell shaped distribution’.", "cop": 2, "opa": "Is skewed to the left", "opb": "Has variance = 1.0", "opc": "Has standard deviation = 0.0", "opd": "Has mean = 1.0", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "30fd59d4-aeb3-428c-b70c-af7a79ab49bd", "choice_type": "single"} {"question": "Willem Einthoven got Nobel Prize for", "exp": "List of Nobel Laureates\n\nWillem Einthoven : ECG.\nSir Alexander Fleming : Penicillin.\nPaul. H. Muller : DDT.\nSir Godfrey N.Hounsfield : Human blood groups.\nKarl Landsteiner : Human blood groups.\nPaul Ehrlich : Immunity.\nSir Peter Mansfield : MRI.", "cop": 2, "opa": "Insulin", "opb": "ECG", "opc": "Plasmodium life cycle", "opd": "Penicillin", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c27b439b-77fa-4b21-ad25-5243827289df", "choice_type": "single"} {"question": "A convalescent case of cholera remains infective for", "exp": "Types of carriers in Cholera:", "cop": 1, "opa": "14-21 days", "opb": "7-14 days", "opc": "< 7 days", "opd": "21-28 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "aba04aa3-15ec-491c-867e-34d0aacb7222", "choice_type": "single"} {"question": "Under RMNCH program peripheral level of planning is done at", "exp": "The RCH phase 1 was launched in 1997 and phase 2 in 2005 which was extended till 2012. thereafter 2013 with expanded strategy in conjunction with NRHM, it was renamed as Reproductive, Maternal, Neonatal, child & Adolescent Health (RMNCH-A) RCH 1 included maternal components, child component, family planning and sexually transmitted infections prevention and control in some selected districts. Categorization of districts based on crude bih rate and female literacy rate for 3 consecutive years. It uses differential approach to all districts. Ref:- K Park, 24th ed; pg num:- 472-474", "cop": 4, "opa": "Anganwadi", "opb": "Subcentre", "opc": "PHC level", "opd": "District level", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "deaebf6e-56b8-4863-ab86-a4d95c1197af", "choice_type": "single"} {"question": "Persuasive communication was deliberately employed to manipulate feelings, attitudes and beliefs of people regarding smoking, this method is known as", "exp": null, "cop": 1, "opa": "Propaganda", "opb": "Motivation", "opc": "Counseling", "opd": "Advising", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "84cbaf05-71a1-4518-a7ba-6b8820007aca", "choice_type": "single"} {"question": "Incidence of TB in a community measured by", "exp": null, "cop": 4, "opa": "Mantoux test +", "opb": "Tuberculin test +", "opc": "Sputum culture", "opd": "Sputum smear +", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "80b23c6f-ae4c-46b2-96d7-4dfaefd5bc1d", "choice_type": "single"} {"question": "Long term fluctuation is seen with", "exp": null, "cop": 1, "opa": "secular trends", "opb": "epidemics", "opc": "cyclic trends", "opd": "seasonal trends", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3b1ffd98-0cde-4f2e-936e-ce48d487897f", "choice_type": "single"} {"question": "Father of Evidence Based Medicine is", "exp": "Wrote the following books:\n1. Clinical Epidemiology\n2. Evidence Based Medicine", "cop": 1, "opa": "Sackett", "opb": "Da vinci", "opc": "Hippocrates", "opd": "Tolstoy", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2e1dcd8e-45b3-4f8e-9352-ed0812e349c9", "choice_type": "single"} {"question": "Sorghum contains excess of", "exp": "Ans. is 'c' i.e., Leucine o Jowar (Sorghum) contains excess of leucine which can cause niacine deficiency and pellagra.", "cop": 3, "opa": "Lycine", "opb": "Arginine", "opc": "Leucine", "opd": "Histidine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0a9c1b39-d2b6-442b-ab22-b9b8b5994052", "choice_type": "single"} {"question": "A good indicator of the availabilty, utilization and effectiveness of health care services in a country is", "exp": "Infant Moality Rate It is one of the most universally accepted indicators of health status of not only infants but also of the whole population and socioeconomic conditions under which they live. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 24", "cop": 3, "opa": "Maternal Moality rate", "opb": "Hospital bed occupancy rate", "opc": "Infant moality rate", "opd": "DALY", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "cd51ed90-9aab-43e9-b2ac-f1263f5a90fd", "choice_type": "single"} {"question": "Modified plan of operation for Malaria is based on", "exp": "Modified Plan of Operation is based on Annual Parasite Incidence (API). In 1977, the Modified Plan of Operation (MPO) was implemented with the immediate objectives of preventing deaths due to malaria and reducing morbidity due to malaria. The programme was also integrated with the primary health care delivery system. Under the MPO, the indoor residual spray was recommended in areas with Annual Parasite Incidence (API) >= 2 in addition to early diagnosis and prompt treatment. Ref : Park 23rd edition Pgno : 416", "cop": 1, "opa": "API", "opb": "ABER", "opc": "Spleen rate", "opd": "Infant parasite rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "716321f7-168a-46cd-883b-b60c7f24c355", "choice_type": "single"} {"question": "Under Revised National Tuberculosis Control Program, drug used for chemoprophylaxis in children is", "exp": "TB preventive therapy in children: The dose of INH for chemoprophylaxis is 10mg/kg administered daily for 6 months and it can be provided to (1) All asymptomatic cases of smear-positive (2) All HIV infected children who either have known exposure to an infectious TB case or tuberculin test positive but have no active TB (3) All tuberculin skin test positive children who are receiving immunocompromised therapy (4) A child born to a mother who was diagnosed to have TB in pregnancy should receive prophylaxis for 6months, provided congenital TB should be ruled out. Ref: Park&;s textbook of preventive and social medicine 23rd edition.", "cop": 2, "opa": "Rifampicin", "opb": "Isoniazid", "opc": "Ethambutol", "opd": "Ciprofloxacin", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "4a393a7b-675e-4094-87b2-3da2521cdd2a", "choice_type": "single"} {"question": "Post exposure, Measles vaccine must be given within", "exp": "- IP of measles - 10 days - IP of vaccine induced measles - 7 days - For providing protection vaccine requires only 6-7 days. - So, vaccine should be used within 3-4 days of exposure.", "cop": 1, "opa": "3-4 days", "opb": "10-Jul", "opc": "10-14 days", "opd": "1-6 months", "subject_name": "Social & Preventive Medicine", "topic_name": "General Epidemiology", "id": "19297273-b7ff-423a-80f3-afafc04784a2", "choice_type": "single"} {"question": "Highest protein content is in", "exp": "Soya bean is richest among pulses. It contains 43.2 % proteins (other pulses contain 17 - 25 % proteins)\n100 gms Soya bean contain 43 gms proteins, 20 gms fat and 4 gms minerals\nLimiting amino acid in soya bean is methionine\nNPU of soya bean is 55.\nSoyabean also has higher fats, calcium, iron, vitamin B1/B2/B3 than other pulses.", "cop": 3, "opa": "Red gram", "opb": "Black gram", "opc": "Soya bean", "opd": "Bengal gram", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8305153a-ecdd-4946-9b78-a43e57d77c6e", "choice_type": "single"} {"question": "International Red cross is in", "exp": "Health Agencies\n\n\nHeadquarters\n\n\n\n\n\n\nWHO\n\t\t\tFAO\n\t\t\tUNICEF\n\t\t\tILO\n\n\nGeneva, Switzerland\n\t\t\tRome, Italy\n\t\t\tNew York, USA\n\t\t\tGeneva, Switzerland", "cop": 1, "opa": "Geneva", "opb": "New York", "opc": "New Delhi", "opd": "Rome", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9023d46f-86a9-4e9b-a637-3f1b38611a2b", "choice_type": "single"} {"question": "HIV prevalence can be assessed by", "exp": "HIV Surveillance: 1) HIV Sentinel surveillance 2) HIV Sero-surveillance 3) AIDS case surveillance 4) STD Surveillance 5) Behavioral surveillance and 6) Integration with surveillance of other diseases like tuberculosis, etc. Ref: Park&;s Textbook of Preventive and Social Medicine, 24th edition, Page no. 452", "cop": 1, "opa": "Sentinel surveillance", "opb": "Active surveillance", "opc": "Passive surveillance", "opd": "Register", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "78038aea-4723-4d29-bd86-7a8a4124e5cc", "choice_type": "single"} {"question": "Colostrum has in compared to normal milk", "exp": null, "cop": 1, "opa": "Increased proteins", "opb": "Decreased Na+", "opc": "Decreased Vitamin A", "opd": "Increased calories", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "07e3d78c-308e-46ae-ba77-9d3aaccfebf8", "choice_type": "single"} {"question": "Eradication of polio type 2 done on", "exp": null, "cop": 2, "opa": "12-May-14", "opb": "20-Sep-15", "opc": "14-Jul-16", "opd": "22-Feb-03", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5216f78a-834a-480f-bf08-b4a496a69dd6", "choice_type": "single"} {"question": "In crude death rate, the population is taken as on", "exp": "The mid-year population is considered.\nHence July 1st is taken.", "cop": 4, "opa": "1st March", "opb": "1st April", "opc": "15th August", "opd": "1st July", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "52235ec1-47d5-418d-afae-238fc932c31c", "choice_type": "single"} {"question": "Killed vaccine is", "exp": "Hepatitis vaccine-2 types Formaldehyde inactivated vaccine Live attenuated vaccine -administered as a single subcutaneous dose (refer pgno:212 park 23 rd edition)", "cop": 1, "opa": "Hepatitis A", "opb": "Measles", "opc": "OPV", "opd": "BCG", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "68f6ce17-59fa-4735-a4e6-32c9b27ea0a2", "choice_type": "single"} {"question": "Rabies free country is", "exp": null, "cop": 2, "opa": "China", "opb": "Australia", "opc": "France", "opd": "Russia", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0eef0b29-6441-4ed7-a249-363cf78f2b45", "choice_type": "single"} {"question": "Not a feature of hard water is", "exp": null, "cop": 4, "opa": "Increased fuel consumption", "opb": "Erosion of lead pipe", "opc": "Scaling of boiler", "opd": "Decreased soap consumption", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "cfb281d3-c604-41d9-9233-0a14c82a9a21", "choice_type": "single"} {"question": "The maximum ozone concentration in the polluted atmosphere is dependent on the concentration and ratio of nitrogen oxides and", "exp": "Ozone is formed by the photochemical reaction of sunlight with pollutants such as nitrogen oxides from vehicles, industrial emissions and volatile organic compounds. The highest level of ozone pollution occurs during periods of sunny weather. Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 794", "cop": 3, "opa": "Carbon monoxide", "opb": "Lead", "opc": "volatile organic compounds", "opd": "Sulphur dioxide", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "8b6591dd-7414-4914-827b-ae4a08a12839", "choice_type": "single"} {"question": "Perinatal moality rate includes", "exp": "Perinatal moality rate = Lare fetal deaths (28 weeks + of gestation) + postnatal deaths (first week) in a year / Live bihs in a year x 1000Park 23e pg: 562", "cop": 3, "opa": "Deaths within first week of life only", "opb": "Aboions, still bihs and deaths within first week of life", "opc": "Deaths from 28weeks to within first week of life", "opd": "Deaths within one month of life", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "8905f384-220e-4aa2-83d7-d162e97cf898", "choice_type": "single"} {"question": "Under Insecticide Treated Bed N ets Program me, insecticide used is", "exp": "Inseccide Treated Bed Nets (ITBN) Programme (esp. deltamethrin) has resulted in significant decline in malaria incidence and API Average decline in anopheline mosquito density - 68% Average decline in cuicine mosquito density - 50%\nChemicals used in ITBN Programme : Synthec pyretheroids Deltamethrin : 2.5% in dosage of 25 mg/m2 Cyfluthrin: 5% in dosage of 50 mg/m2 Other inseccides used : Permethrin, Lambdacyhalothrin, Etofenprox, Cypermethrin\nEffecveness of pyrethroids: For 6-12 months (Retreatment every 6 months)\nLong-lasng inseccidal mosquito nets (LLINs) :\n\nAlso use pyrethroid inseccides, and a chemical binder that allows the nets to be washed > 20 mes, allowing use for > 3 years.", "cop": 1, "opa": "Deltamethrin", "opb": "Malathion", "opc": "Lindone", "opd": "Fenitrothion", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4156c3b4-71a9-4ec1-b449-85df8df770f6", "choice_type": "single"} {"question": "The color code of plastic bag for disposing microbial laboratory culture waste", "exp": "Ans. is `b' i.e., Red o Microbial laboratory culture wastes are category No. 3. o Category 3 wastes have color code Fellow or red.", "cop": 3, "opa": "Black", "opb": "Red", "opc": "Blue", "opd": "Yellow", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7b01d740-226f-443c-80ab-802375be821d", "choice_type": "single"} {"question": "Human’s breast milk is essential for the newborn as it contains", "exp": "Breast milk contains higher amounts of Docosahexaenoic acid (DHA)", "cop": 1, "opa": "Docosahexanoic acid", "opb": "Linolenic acid", "opc": "Linoleic acid", "opd": "Arachidonic acid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "90243573-6687-485c-9336-0aa550aa940d", "choice_type": "single"} {"question": "Denominator of negative predictive value is", "exp": "Predictive value reflects the diagnostic power of the test. It&;s accuracy depends on sensitivity, specificity and disease prevalence. Predictive value of a negative test = d/(c+d)x100 Ref: 25th edition, Park&;s Textbook of Preventive and Social Medicine, Page no. 152", "cop": 3, "opa": "TP + FP", "opb": "TP + FN", "opc": "TN + FN", "opd": "TN + FP", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "0aff22a7-616b-4f06-a78b-ea0dacf9589b", "choice_type": "single"} {"question": "Cronbach alpha is a measure of", "exp": "Cronbach alpha / Guttman's lamdba 3 :\n\nIs measure of internal consistency.\nValue lies between 0 to +1.\nValue +0.7 or more is considered satis factory.", "cop": 1, "opa": "Internal consistency", "opb": "Content validity", "opc": "Central tendency", "opd": "Standard deviation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ea27b3be-0935-47ce-92ec-127e8741fde9", "choice_type": "single"} {"question": "Shakir&;s tape is a useful method to measure", "exp": "Non-stretch MUAC tapes, known as Shakir's tape, were used to measure Mid-arm circumference. Mid-arm circumference yields a relatively reliable estimation of body&;s muscle mass, the reduction of which is one of the most striking mechanisms by which body adjusts to inadequate energy intakes. It cannot be used before the age of one year, between ages one and five, it hardly varies.An arm circumference exceeding 13,5cm is a sign of a satisfactory nutritional status, between 12.5 and 13.5cm it indicates mild to moderate and below 12.5cm severe malnutrition. Ref: Park; 23rd ed; Pg 640", "cop": 2, "opa": "Head circumference", "opb": "Mid arm circumference", "opc": "Height/Length", "opd": "Chest circumference", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "8f51f46c-b070-4269-92bd-2e601fd80fcd", "choice_type": "single"} {"question": "In primary health care, ABC and VED are related to", "exp": "Of all the inventory control systems ABC and VED matrix is most suitable for medical stores. Hence the coupling of ABC and VED matrix for drug inventory in a hospital.ABC analysis is popularly known as \"Always Better Control\" is a very useful approach to material management based on Pareto&;s principle of \"Vital few and tril many\" based on the capital investment of the item. According to Pareto&;s theory O10% items consume about 70 % of the budget (Group A). OThe next 20% consume 20 % of financial resources (Group B) andOremaining 70 % items account for just 10% of the budget (Group C). VED analysis is based on the criticality of an item. O\"V\" is for vital items without which a hospital cannot function, O\"E\" for essential items without which an institution can function but may affect the quality of the services andO\"D\" stands for desirable items, unavailability of which will not interfere with functioning.(Refer: style=\"font-family:Cambria;font-size:13px;\"> and Immunization Handbook for medical officers)", "cop": 2, "opa": "National program evaluation at PHC level", "opb": "Drug inventory management at PHC", "opc": "Staff management at PHC", "opd": "Vaccination coverage assessment in PHC area", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "58025dc6-973b-4414-b61b-32d463af5f50", "choice_type": "single"} {"question": "Blood pressure of 2000 Randomly selected persons from a population was plotted in a graph it is most likely to be a", "exp": "(A) Normal Distribution # Normal Distribution or Gaussian Distribution or Normal Curve is an important concept in statistical theory.> When we collect Blood Pressure values of a very large number of people and make a frequency distribution with narrow class intervals, we are likely to get a smooth, symmetrical curve. Such a curve is called a normal distribution or normal curve.> Shape of the curve will depend upon the mean and standard deviation which in turn will depend upon the number and nature of observations.> Poisson distribution or Poisson law of large numbers is a discrete probability distribution that expresses the probability of a number of events occurring in a fixed period of time if these events occur with a known average rate and independently of the time since the last event. The Poisson distribution can also be used for the number of events in other specified intervals such as distance, area or volume.", "cop": 1, "opa": "Normal Distribution", "opb": "Maxwell Distribution", "opc": "Radial Distribution", "opd": "Poisson Distribution", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "ec5ff0e4-cce8-43e4-bd96-59371a61a60b", "choice_type": "single"} {"question": "Diet given to pregnant lady under ICDS is", "exp": "In ICDS supplementary nutrition is given to children below 6 years, nursing and expectant mothers from low-income group.Each child 6-72 months of age get 500 Cal and 12-15Gm of proteinSeverely malnourished child 6-72 months of age get 800 Cal and 20-25Gm of proteinEach pregnant and nursing women to get 600 Cal and 18-20Gm of proteinPark 23e pg: 591", "cop": 4, "opa": "3000Kcal with 60grams of protein", "opb": "800Kcal with 25grams of protein", "opc": "500Kcal with 12grams of protein", "opd": "600Kcal with 18grams of protein", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "ed366945-d705-4c75-8cea-4bf202fec9a5", "choice_type": "single"} {"question": "The function of grit chamber in modern sewage plants is", "exp": null, "cop": 3, "opa": "Formation of sludge", "opb": "Removal of floating large objects", "opc": "Settlement of heavy objects", "opd": "Formation of Zoogleal layer", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "480da2d8-60b3-4e3d-8416-5c40ed087a18", "choice_type": "single"} {"question": "The flying range of Aedes aegypti is", "exp": "Flight range studies suggest that most female Ae. aegypti may spend their lifetime in or around the houses where they emerge as adults and they usually fly an average of 400 metres. This means that people, rather than mosquitoes, rapidly move the virus within and between communities and places. * Different sources may have given a different distance, WHO mentions it as 400 meters Ref: Park 23rd edition Pgno : 771", "cop": 4, "opa": "100 meters", "opb": "200 meters", "opc": "300 meters", "opd": "400 meters", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "35c6bd31-59cd-4961-a55d-59bcf4ca9428", "choice_type": "single"} {"question": "A nurse was diagnosed to have HBeAg and HBsAg in serum. Most likely she is having", "exp": "HBsAg plus HBEAg in serum\n• Acute hepatitis B\n• Active and Infectious hepatitis B\n• Chronic hepatitis B with Active viral replication (high infectivity)", "cop": 2, "opa": "Chronic hepatitis B", "opb": "Active and infectious Hepatitis B disease", "opc": "HBV + HBE coinfection", "opd": "Recovery from Hepatitis B", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "40dd46d1-0fbd-43ba-b17c-fc86464f9e12", "choice_type": "single"} {"question": "Chikungunya is transmitted by", "exp": "Aedes aegypti primarily, also Culex and Mansonia transmit Chikungunya", "cop": 1, "opa": "Aedes", "opb": "Culex", "opc": "Mansonoides", "opd": "Anopheles", "subject_name": "Social & Preventive Medicine", "topic_name": "VBDs, Arboviral & Viral Infections, Surface Infections", "id": "6e57ec72-8636-4afd-8863-91158baf23bc", "choice_type": "single"} {"question": "Best index for measuring contraceptive efficacy is", "exp": "Life table analysis : Calculates a failure rate for each month of use Cumulative failure rate can then compare methods of any specific length of exposure Women who leave a study for any reason other than unintended pregnancy are removed from analysis, contributing their exposure until the time of exit Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 510", "cop": 2, "opa": "Pearl index", "opb": "Life-table analysis", "opc": "Chandler's index", "opd": "Quetlet index", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "97dd4ead-8bfe-4b64-b8ae-bc481f340b40", "choice_type": "single"} {"question": "Development of national blindness control program is assisted by", "exp": "DANIDA (Danish international development agency) is providing assistance for the development of services under National Blindness Control Programme.Park 23e pg: 924", "cop": 2, "opa": "SIDA", "opb": "DANIDA", "opc": "FORD", "opd": "CARE", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "bf2c38a0-bffb-4b1f-807f-8b70aca265cf", "choice_type": "single"} {"question": "Most common complication of IUCD", "exp": "The commonest complaint of women fitted with an IUCD is increased vaginal bleeding The bleeding may be greater in volume during menstruation or a longer periods or mid cycle bleeding Reference: Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 498", "cop": 1, "opa": "Bleeding", "opb": "Pain", "opc": "PID", "opd": "Aboion", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "84915691-3b75-4551-a8e2-9c1f51d72dac", "choice_type": "single"} {"question": "A concept directed against prevention of risk factors of coronary artery disease is", "exp": "Levels of prevention \nPrimordial prevention - Prevention of the development or emergence of Risk Factors in population groups in which they have not yet appeared.\nPrimary prevention - Action taken prior to the onset of disease which removes the possibility that the disease will ever occur. It signifies intervention in the pathogenesis phase of the disease. \nSecondary prevention - Action which halts the progress of disease at its incipient stage and prevents complications i.e., early diagnosis & treatment.\nTertiary treatment - Intervention in the late pathogenic phase all measures to reduce or limit impairments, disabilities and handicap", "cop": 3, "opa": "Secondary prevention", "opb": "Health education", "opc": "Primordial prevention", "opd": "Primary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9a26bb51-526e-4a49-ab72-5e8c76f4ab0d", "choice_type": "single"} {"question": "Purpose of sentinel surveillance is", "exp": "A method for identifying the missing cases and there by supplementing the notified cases is required. This is known as sentinel surveillance. The sentinel data is extrapolated to entire population to estimate the disease prevalence in entire population", "cop": 1, "opa": "To know total number of cases", "opb": "Health planning", "opc": "Prevention of disease", "opd": "To know natural history of disease", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "16659b38-452a-4a25-a6c1-5fabb33cdd85", "choice_type": "single"} {"question": "Association of two variables explained by third variable", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 2, "opa": "Spurious association", "opb": "Indirect association", "opc": "Direct association", "opd": "Causal association", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "5571992e-5289-4f56-b616-76f83b86c0ac", "choice_type": "single"} {"question": "Linoleic acid is maximum in", "exp": null, "cop": 2, "opa": "Groundnut oil", "opb": "Safflower oil", "opc": "Mustard oil", "opd": "Coconut oil", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "71d59db0-4d22-4500-9088-6351eccef4fe", "choice_type": "single"} {"question": "A new screening test for the breast cancer is approved. Calculate sensitivity and specificity, based on the findings given below.", "exp": null, "cop": 2, "opa": "Sensitivity 82% Specificity 40%", "opb": "Sensitivity 80% Specificity 96%", "opc": "Sensitivity 84% Specificity 76%", "opd": "Sensitivity 90% Specificity 80%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2ca1608e-9d0c-4fac-ba44-7e1bb4bb260d", "choice_type": "single"} {"question": "Positive predictive value of a test does not depends upon", "exp": null, "cop": 1, "opa": "Incidence of disease", "opb": "Specificity", "opc": "Prevalence of disease", "opd": "Sensitivity", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7517dcbe-44b7-442d-a311-dcfc92918bbd", "choice_type": "single"} {"question": "A person with IQ of 55 is", "exp": null, "cop": 1, "opa": "Mild mental Retandation", "opb": "Moderate Mental Retandation", "opc": "Severe Mental Retandation", "opd": "Very Severe Mental Retandation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ef043960-6b0d-4145-9c73-24603d30ef2e", "choice_type": "single"} {"question": "Daily dose of Fe for adult man", "exp": null, "cop": 3, "opa": "34 mg/d", "opb": "24 mg/d", "opc": "18 mg/d", "opd": "40 mg/d", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "08d0f79d-03cc-4a17-a6bc-6a55437c1ae2", "choice_type": "single"} {"question": "Life expectancy as per 2015 estimate is", "exp": "Life expectancy at a given age is the average number of years which a person of that age may expect to live, according to the moality pattern prevalent in that country According to estimates of 2015, the life expectancy at bih for males is 66.90years and that of females is 69.90years. So the life expectancy of population is 68.3years approximately. Reference : Park&;s textbook of preventive and social medicine, 23rd edition, pg no: 486,487", "cop": 1, "opa": "68.3 years", "opb": "62.3 years", "opc": "58.1 years", "opd": "55 years", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "83b42624-7812-4619-935c-34db637ad51a", "choice_type": "single"} {"question": "Risk of damage to the fetus by maternal rubella is maximum if a mother gets infected in", "exp": "The first trimester of pregnancy is the most disastrous time - results in abnormalities in the infant in 85% of cases.16% in the second trimester.Bih defects uncommon after 20 weeks of gestation.Park 23e pg: 145", "cop": 1, "opa": "6 - 12 weeks of pregnancy", "opb": "20 - 24 weeks of pregnancy", "opc": "24 - 28 weeks of pregnancy", "opd": "32 - 36 weeks of pregnancy", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "042f7257-05ce-4f87-8224-bed9c5314662", "choice_type": "single"} {"question": "According to ICMR the ‘Cereals and pulses’ requirement for a sedentary strict vegetarian male is", "exp": null, "cop": 1, "opa": "460 and 40 grams", "opb": "300 and 60 grams", "opc": "200 and 50 grams", "opd": "560 and 50 grams", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3c749ece-b43e-4dbd-a44b-bea4d90643bb", "choice_type": "single"} {"question": "Drawback of ozone as water disinfectant is", "exp": null, "cop": 4, "opa": "No virucidal effect", "opb": "Long time period for action", "opc": "Teratogenicity", "opd": "No residual action", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8cae75fb-20b6-472d-89f0-4bef66fc0433", "choice_type": "single"} {"question": "Rural health scheme introduced by", "exp": "Rural health scheme 1977The most impoant recommendation of the shrivastav committee was that primary health care should be provided within the community itself through specially trained workers so that the health of the people is placed in the hands of the people themselves. Ref: Park; 23rd ed; Pg 875", "cop": 3, "opa": "Bhore committee", "opb": "Mukherjee committee", "opc": "Srivastava committee", "opd": "Mudaliar committee", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "4e5bd834-4766-4b5e-ad43-eddfe33027b3", "choice_type": "single"} {"question": "the value between ist pentile and 4th pentile includes", "exp": "Pentile divides the whole set of values into 5 equal pas Each with 20% P1= 20%:80% P2= 40%:60% P3= 60%:40% P4= 80%:20% So, between P1 and P4 : 80%-20% = 60%", "cop": 3, "opa": "20%", "opb": "40%", "opc": "60%", "opd": "80%", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "ec3ec305-b8c7-42a1-a741-0b90475ad53a", "choice_type": "single"} {"question": "For studying the complete amino acid sequence of two polypeptide chains of Insulin, Nobel Prize was awarded to", "exp": "LIST OF FEW NOBEL LAUREATES IN PHYSIOLOGY OR MEDICINE\n\nSir Ronald Ross: Life cycle of Plasmodium\nI.P. Pavlov: Physiology of digestion\nRobert Koch: Discoveries in Tuberculosis\nPaul Ehrlich: Immunity\nF.G. Banting & J.J.R. McLeod: Insulin\nWillem Einthoven: ECG\nKarl Landsteiner: Human blood groups\nSir Alexander Fleming: Penicillin\nPaul H. Muller: DDT\nS.A. Waksman: Streptomycin (First antibiotic, against TB)\nHar Gobind Khorana: Interpretation of genetic code\nSir Godfrey N. Hounsfield: CT scan\nJ.E. Murray & E.D. Thomas: Organ and cell transplantation\nSir Peter Mansfield: MRI\nB.J. Marshall & J.R. Warren: H. pylori; its role in peptic ulcer disease\nH.Z. Hausen: HPV causing cervical cancer\nF.B. Sinnoussi & L. Montagnair: HIV\nRobert G. Edwards: In-vitro fertilization", "cop": 1, "opa": "Fredreich Sanger", "opb": "Banting and Macleod", "opc": "Paul Muller", "opd": "Alexander Fleming", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "611f31ee-eb43-4a4b-b8d1-b708174a7f6d", "choice_type": "single"} {"question": "USHA workers are proposed to work for population of", "exp": "Health personnel \n\n\nNorm suggested\n\n\n\n\nDoctor \n\n\n1 per 1000\n\n\n\n\nNurse\n\n\n3 per 1 doctor \n\n\n\n\nASHA\n\n\n2 per 1000\n\n\n\n\nHealth workers male and female \n\n\nPlain area - 1 per 5000\n\t\t\tWilly area - 1 per 3000\n\n\n\n\nAnganwadi worker\n\n\nPlain area - 1 per 400-800\n\t\t\tHilly area - 1 per 300-800", "cop": 1, "opa": "1000-2500", "opb": "2500-3000", "opc": "3000-4500", "opd": "5000-10,000", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6b22edbb-b101-47f5-bef6-520d8cb6cb46", "choice_type": "single"} {"question": "Pellagra in Jowar eating population is due to", "exp": null, "cop": 3, "opa": "Niacin in bound form", "opb": "Deficiency of Tryptophan", "opc": "Excess of Leucine", "opd": "High consumption of milk and milk products", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0e452fb2-f782-4198-bf94-a212ffcf6bdd", "choice_type": "single"} {"question": "Accidents happening during weekends is", "exp": null, "cop": 1, "opa": "Cyclic trends", "opb": "Seasonal trends", "opc": "Secular trends", "opd": "Point source epidemic", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b4150677-2bdd-4cf6-a2e5-36a8619380ba", "choice_type": "single"} {"question": "Secondary prevention is applicable to", "exp": "Secondary prevention includes early diagnosis and treatment, so it aims at preventing a disease progressing to complications Ref: Park&;s textbook of preventive and social medicine; 23rd edition; Pg no: 42", "cop": 2, "opa": "Casual factors", "opb": "Early stage of disease", "opc": "Late stage of disease", "opd": "General population", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "928d4a32-5c69-457f-a525-9f4b31b6047b", "choice_type": "single"} {"question": "Antiretroviral prophylaxis decrease the chance of transmission of HIV to fetus during pregnancy of HIV to fetus during pregnancy by", "exp": null, "cop": 4, "opa": "35%", "opb": "45%", "opc": "50%", "opd": "65%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3aa49c44-381a-45ca-afdf-5ea97c8393c9", "choice_type": "single"} {"question": "Best indicator of Cardiovascular Disease risk", "exp": null, "cop": 2, "opa": "Skin fold thickness", "opb": "Waist Hip ratio", "opc": "Waist Circumference", "opd": "BMI", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b12f7404-5ad9-484c-a1c5-8c6f1f8e0c01", "choice_type": "single"} {"question": "Following index measures average achievement in basic dimensions of human development", "exp": "HDI reflects achievements in the most basic human capabilities like leading a long life, being knowledge and enjoying a decent standard of living. HDI includes Knowledge, income and life expectancy at bih. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition - Pgno 17", "cop": 2, "opa": "Human Povey Index", "opb": "Human Development Index", "opc": "Gender Empowerment Index", "opd": "Life Expectancy at Bih", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "15c4ddae-259f-4dec-a78a-0228700bd0ad", "choice_type": "single"} {"question": "In a slow sand filter ,the element responsible for yielding bacteria freewater is the", "exp": "SLOW SAND OR BIOLOGICAL FILTERS Slow sand filters were first used for water treatment in 1804 in Scotland and subsequently in London. During the 19th century their use spread throughout the world. Even today, they are generally accepted as the standard method of water purification. Elements of a slow sand filter Essentially these consists of : (1) supernatant (raw) water (2) a bed of graded sand (3) an under-drainage system; and (4) a system of filter control valves. Vital layer : When the filter is newly laid, it acts merely as a mechanical strainer, and cannot truly be considered as \"biological\". But very soon, the surface of the sand bed gets covered with a slimy growth known as \"Schmutzdecke\", vital layer, zoogleal layer or biological layer. This layer is slimy and gelatinous and consists of threadlike algae and numerous forms of life including plankton, diatoms and bacteria. The formation of vital layer is known as \"ripening\" of the filter. It may take several days for the vital layer to form fully, and when fully formed it extends for 2 to 3 cm into the top poion of the sand bed. The vital layer is the \"hea\" of the slow sand filter. It removes organic matter, holds back bacteria and oxidizes ammoniacal nitrogen into nitrates and helps in yielding a bacteria-free water. Until the vital layer is fully formed, the first few days filtrate is usually run to waste. Ref: Park 25th edition Pgno : 751", "cop": 2, "opa": "Valve", "opb": "Vital layer", "opc": "Supernatant water", "opd": "Under drainage system", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "10a33a43-0eb3-4da5-aae4-8ac7fbf373e1", "choice_type": "single"} {"question": "Method of choice for purification of highly polluted water on a large scale is", "exp": null, "cop": 2, "opa": "Boiling", "opb": "Super chlorination followed by dechlorination", "opc": "Chlorination", "opd": "Ultraviolet light treatment", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e7744009-5551-4324-b7f4-ef5166e3bfec", "choice_type": "single"} {"question": "Vagabond disease transmitted by", "exp": null, "cop": 2, "opa": "Mite", "opb": "Louse", "opc": "Tick", "opd": "Black Fly", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9466022b-83d7-4925-9ae3-fc201787bf59", "choice_type": "single"} {"question": "Relative humidity is determined by", "exp": null, "cop": 3, "opa": "Kata thermometer", "opb": "Anemometer", "opc": "Sling psychrometer", "opd": "Gardbad apparatus", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5ea0552f-99ca-4ad4-9dd4-5c6df0c1cfc7", "choice_type": "single"} {"question": "Chimney Sweeper cancer is the other name for", "exp": "Ref: Park's textbook of Preventive and Social Medicine 25th Ed", "cop": 1, "opa": "Carcinoma scrotum", "opb": "Carcinoma lung", "opc": "Carcinoma skin", "opd": "Carcinoma testis", "subject_name": "Social & Preventive Medicine", "topic_name": "Hospital waste and disaster management, Occupational health", "id": "eeedb13a-ac35-414c-b6f9-6ccd4263f20a", "choice_type": "single"} {"question": "The following set of words can be used synonymously in epidemiology", "exp": "in latent infection the host does not shed the infectious agent which lies dormant within the host without symptoms.the subclinical cases are referred to as inapparent,cove,missed or aboive cases.they are equally impoant as sources of imfections.the term primary case is the first case of a communicable disease and index case refers to the first case that comes to the attention of an investigator.ref;parks textbook ,22 nd ed,pg no 92", "cop": 3, "opa": "Source and reservoir", "opb": "Index and primary case", "opc": "Latent infection and subclinical infection", "opd": "Serial interval and incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "6f008c97-8bf9-4ad0-aae0-b653d350421e", "choice_type": "single"} {"question": "Asha scheme is associated with", "exp": "Creation of a cadre of Accredited Social Health Activist (ASHA) is associated with National rural health mission. Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 449", "cop": 2, "opa": "ICDS", "opb": "Rural health mission", "opc": "20 points programme", "opd": "Minimum needs programme", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "55a66c1f-f2d2-4007-b678-fde0dfbdeadb", "choice_type": "single"} {"question": "In random sampling chance of being picked up is", "exp": "Ans. is 'a' Same & known a Most samples used in biomedical research are probability samples, samples in which the researcher can specify the probability of each population element being included\"There are four basic kinds of probability samples:Simple random samplesStratified random samplesCluster samplesSystematic samplesSimple random sample is the simplest probability samples, it is a sample drawn so that every element in the population has an equal probability of being includedThus reading these above quoted lines, make it clear that the probability of being included (ie chance of being picked up) is same and the researcher can specify it (ie the probability in known).", "cop": 1, "opa": "Same and known", "opb": "Not same and not known", "opc": "Same and not known", "opd": "Not same but known", "subject_name": "Social & Preventive Medicine", "topic_name": "Data Variables", "id": "de1a9630-89d9-4273-9474-f8f1e36277c7", "choice_type": "single"} {"question": "Leptospira icterohaemorrhagiae infection is transmitted by the following animals", "exp": "(A) Rats # Leptospiral infection Serotype: Icterohaemorrhage Disease: Weil's disease Clinical picture: Fever, jaundice, haemorrhages Animal reservoir: Rat Distribution: Worldwide> Several animals act as carriers for Leptospira.> Rats are particularly important for Leptospira as they are ubiquitous and carry most pathogenic serotype iceterohemorrhagiae.> Source of Infection of Leptospira : Leptospira are excreted in the urine of infected animals for a long time, often for an entire life time in cases of rodents> Animal Reservoirs: Leptospirosis affects wild and domestic animals worldwide especially rodents such as rats, mice and voles.", "cop": 1, "opa": "Rats", "opb": "Dogs", "opc": "Birds", "opd": "Bats", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "7b15d9e5-327e-4f28-9852-76de867dd62f", "choice_type": "single"} {"question": "Disinfecting action of chlorine on water is mainly due to", "exp": null, "cop": 3, "opa": "Hydrogen chloride", "opb": "Hydrogen ions", "opc": "Hypochlorous acid", "opd": "Hypochlorite ions", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2ba5d5e3-3ded-4cb1-925c-d9575b92d4ac", "choice_type": "single"} {"question": "Dose response relationship is a measure of", "exp": "Ans. is 'b' i.e., Strength of association* Likehood of a causal relationship is increased by the presence of the following criteria :1. Temporal association# It implies that suspected cause preceds the observed effect. It is the most important criteria.2. Strength of association# It implies how strongly exposure is associated with disease. It can be determined by relative risk (in cohort study), odds ratio (in case-control study), dose response relationship. and cessation of exposure (reversibility).3. Consistency of association# The association is consistent if the results are replicated when studies in different settings and by different methods.4. Coherence of association# The causal association must be coherent (supported by) with relevant facts.5. Specificity of association# It is implies a 'one to one relationship'. It is the weakest and the most difficult criteria to establish.6. Biological plausibility# It implies biological credibility to the association, that is the association agrees with current understanding of the response of cells, tissues organs and system to stimuli.# For example, positive association of food intake with GI cancer is biological plausable (food enters GIT and causes cellular response), while positive association of food intake and skin cancer is not biological plausible.", "cop": 2, "opa": "Consistency of association", "opb": "Strength of associaion", "opc": "Consistency of association", "opd": "Specificity of association.", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "3aae1463-cbb8-45b1-8454-fa4a012ff0ec", "choice_type": "single"} {"question": "Used urine bags and catheters are disposed in", "exp": null, "cop": 1, "opa": "Red bag", "opb": "Yellow bag", "opc": "Blue bag", "opd": "White container", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d855a257-b2aa-47f7-840d-1a7db9656b94", "choice_type": "single"} {"question": "Acute silicosis clinical manifestation is", "exp": "Ans. is 'a' i.e., Pulmonary alveolar proteinosis Silicosis Silicosis is a lung disease caused by inhalation of cystalline silicon diaoxide (silica). o currently, it is the most prevalent occupational disease in the world. o There are three types of silicosis - i) Acute silicosis Results from sho-term exposure to a very large amounts of silica. A subset of acute silicosis is silicoproteinosis the chest radiographic appearance of which mimic pulmonary alveolar proteinosis. A miliary picture with very small round opacities may also occur in lower lung fields. ii) Accelerated silicosis Occurs after exposure to large amounts of silica over a shoer period of time (4-8 years). Inflammation, scarring and symptoms progress faster than chronic silicosis. iii) Chronic silicosis Results from long term exposure (more than 20 years) of low amounts of silica dust. Nodules in upper zones of lung. Fibrotic lesions in hilar lymph node & pleura Progressive massive fibrosis increased susceptibility of TB --> silicotuberculosis", "cop": 1, "opa": "Pulmonary alveolar proteinosis", "opb": "Hypersensitivity penumonitis", "opc": "Hypersensitivity pneumonia", "opd": "Forms nodules and causes pneumoconiosis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8821e8db-71ca-457f-8640-80b8469ba591", "choice_type": "single"} {"question": "Salk vaccine is a", "exp": null, "cop": 4, "opa": "Live vaccine", "opb": "Live attenuated vaccine", "opc": "Toxoid", "opd": "Killed vaccine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e6e1fdc1-6f01-434e-8b2d-3567d97741d7", "choice_type": "single"} {"question": "DALY is", "exp": "(Disability Adjusted Life Year) (24-Park 19th) (26-Park 20th)DALY - (Disability Adjusted Life Year) - is a measure of the burden of disease in a defined population and the effectiveness of the interventions.* DALYs express years of life lost to premature death and years lived with disability adjusted for the severity of the disability. One DALY is \"one lost year of healthy life\"* DALYs are advocated as an alternative to QALY and claimed to be a valid indicator of health* HALE (health-Adjusted Life Expectancy)* DALE (Disability Adjusted Life Expectancy)", "cop": 2, "opa": "Disease - Adjusted Life year", "opb": "Disability Adjusted Life year", "opc": "Disease Associated Life year", "opd": "Disability Associated Life year", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "059d47bc-dcc1-4b57-9e0b-26003f6f9baa", "choice_type": "single"} {"question": "The effective temperature of 'comfo zone is%", "exp": "Arm. is 'a' i.e 25-26.90 C", "cop": 1, "opa": "25-26.9deg C", "opb": "27-29deg C", "opc": "< 19degC", "opd": "19-23deg C", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f07da432-1036-4e3d-bdad-46a9cc13ac41", "choice_type": "single"} {"question": "For a given population, minimum no. of newborns to be examined for calculating percentage of LBW babies is", "exp": "LBW is regardless of gestational age.\nDepending on the population, the percentage of LBW be based on measurements of atleast 500 babies.\nGoal for LBW in National Health Policy 1983: Reduce LBW to <10% by 2000.", "cop": 3, "opa": "100 babies", "opb": "1000 babies", "opc": "500 babies", "opd": "10,000 babies", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7275cdf8-5d43-4bd5-aa9e-82ab14f138b9", "choice_type": "single"} {"question": "Auditory aids include", "exp": "Audio-visual aidsNo health education can be effective without audiovisual aidsAuditory aids:Radio, tape-recorder, microphones, amplifiers, earphonesVisual aids:Not requiring projection: Chalkboard, leaflets, posters, chas, flannelgraph, exhibits, models, specimens etcRequiring projection: Slides, film stripsCombined A-V aids:Television; sound films, Slide tape combinationRef: Park; 23rd ed; Pg 863", "cop": 3, "opa": "Sound films", "opb": "Slide-tape", "opc": "Amplifiers", "opd": "Models", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "4a0fee84-dcbf-48ab-93c5-87122e146533", "choice_type": "single"} {"question": "Child Pugh score is a type of", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 2, "opa": "Nominal", "opb": "Ordinal", "opc": "Quantitative", "opd": "Qualitative", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "c4f5dfb3-d96c-484a-813a-58c9c4a89160", "choice_type": "single"} {"question": "‘Burning Sole Syndrome’ is seen in deficiency of", "exp": "• Pantothenic acid is required by adrenal cortex.\n• Pantothenic acid deficiency was thought to be cause of 'Burning Feet/Sole Syndrome' among PoW in WW II.", "cop": 1, "opa": "Pantothenic acid", "opb": "Pyridoxine", "opc": "Riboflavin", "opd": "Vitamin B12", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4eb049ce-4dca-4024-a489-19575abac996", "choice_type": "single"} {"question": "Contraceptive efficacy expressed as", "exp": "Contraceptive efficacy is assessed by measuring the number of unplanned pregnancies that occur during a specified period of exposure and use of contraceptive methods.Contraceptive efficacy is measured using Pearl index and life table analysis. Pearl index is number of failure per 100 woman-years of exposure (HWY) HWY=total accidental pregnancies/total months of exposure.*1200 Life table analysis measure failure rate per month of exposure. Park&;s textbook of preventive and social medicine.K Park. Edition 23.Pg no: 510", "cop": 3, "opa": "100 women months", "opb": "1000 women years", "opc": "100 women years", "opd": "10 women years", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "d38fd104-f85a-48da-bf47-aa9a951ef3dc", "choice_type": "single"} {"question": "Sullage consists of", "exp": null, "cop": 4, "opa": "Solid vegetable waste matter", "opb": "Inorganic waste", "opc": "Waste containing human excreta", "opd": "Waste water from kitchen", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f1a4ec5d-6368-41c8-93be-0b6858aff7b4", "choice_type": "single"} {"question": "Not included in kuppuswamy scale", "exp": null, "cop": 2, "opa": "Income", "opb": "Housing", "opc": "Occupation", "opd": "Education", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "51be2e59-9a8c-4bbf-ba28-e5de815991da", "choice_type": "single"} {"question": "CO2 in air is measured by", "exp": null, "cop": 1, "opa": "Kieffer test", "opb": "EPKJMAN'S test", "opc": "Silvered thermometer", "opd": "Orthotoludene test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "74e3c7f5-4739-43ff-9f7f-a5eb73933da5", "choice_type": "single"} {"question": "Poverty index does not include deprivation of", "exp": null, "cop": 3, "opa": "Long life", "opb": "Knowledge", "opc": "Income", "opd": "Standard of living", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e2dcd27a-4c75-4f1e-aab2-27700f20293a", "choice_type": "single"} {"question": "Claviceps fusiformis is responsible for", "exp": "Ergot Unlike Aspergillus, ergot is not a storage fungus, but a field fungus. Foodgrains such as bajra, rye, sorghum, and wheat have a tendency to get infested during the flowering stages by the ergot fungus (Claviceps purpurea). Fungus grows as a blackish mass and the seeds become black and irregular and are harvested along with food grains. Consumption of ergot infested grain leads to ergotism. Sporadic outbreaks of ergot poisoning in human population have been repoed from time to time in areas where bajra is consumed as a staple. The symptoms are acute but rarelyfatal and include nausea, repeated vomiting, giddiness and drowsiness extending sometimes for periods upto 24 to 48 hours after the ingestion of ergoty grain. In chronic cases, painful cramps in limbs and peripheral gangrene due to vasoconstriction of capillaries have been repoed. However, the long-term effects of consuming small amounts of the Toxin are not known. A disquieting feature is that the recently introduced high-yielding varieties of bajra are more susceptible to infestation. Ergot-infested grains can be easily removed by floating them in 20 per cent salt water. They can also be removed by hand-picking or air floatation. The upper safe limit for the ergot alkaloids has been estimated to be 0.05 mg per 100 grams of the food material. Ref: Park 25th edition Pgno : 694", "cop": 2, "opa": "Neurolatyrism", "opb": "Ergotism", "opc": "Epidemic dropsy", "opd": "Endemic ascites", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and health", "id": "9d8d6b82-9a1a-432b-bce1-faec2dabb809", "choice_type": "single"} {"question": "Safe period is calculated by", "exp": "The safe period is calculated by the length of menstrual cycle The shoest cycle minus 18 days gives the first day of feile period and longest cycle minus 10 days gives the last day of the feile period The couple should abstain from coitus during feile period Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 507", "cop": 1, "opa": "Length of menstrual cycle", "opb": "Duration Date of ovulation", "opc": "Length of ovulation", "opd": "Length of luteal phase", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "391cd678-7b21-450b-8404-71cd9b0cf1a2", "choice_type": "single"} {"question": "To eradicate measles the percentage of population to be vaccinated is at least............%", "exp": "95", "cop": 4, "opa": "70", "opb": "80", "opc": "85", "opd": "95", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7d389cb6-e142-47c5-a617-af8263daa124", "choice_type": "single"} {"question": "IQ in mild mental retardation is", "exp": "Ans. is 'a' i.e., 50-70", "cop": 1, "opa": "50-70", "opb": "35-49", "opc": "20-34", "opd": "< 20", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ebb44820-9311-4045-adb8-586ac02bc22e", "choice_type": "single"} {"question": "Component of Human Development Life", "exp": "Components of HDI: Life expectancy at bih Knowledge Standard of Living. HDI ranges between 0 to 1. Ref: Park 24th edition. Pg: 17", "cop": 4, "opa": "Infant Moality", "opb": "Literacy", "opc": "Life expectancy at age one", "opd": "Life expectancy at bih", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "a3054de6-0b3e-4e08-acfd-f63565caeffa", "choice_type": "single"} {"question": "Secular trend is demonstrated by", "exp": null, "cop": 2, "opa": "Pic chart", "opb": "Line diagram", "opc": "Scatter diagram", "opd": "Pictogram", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "649091d0-3746-4a59-9f9a-8d82094b0196", "choice_type": "single"} {"question": "The minimum recommended level of residual chlorine in the drinking water is for one hour", "exp": null, "cop": 1, "opa": "0.5 mg/L", "opb": "0.25 mg/L", "opc": "1.0 mg/L", "opd": "2.0 mg/L", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5400b391-a69a-45e7-978d-9ce7d8f4a35f", "choice_type": "single"} {"question": "Not seen in fecal pollution is", "exp": "The primary bacterial indicator recommended for faecal contamination is the coliform group of organisms as a whole (E.Coli)Supplementary indicator organisms are faecal streptococci and sulphite-reducing clostridia.Park 23e pg: 720", "cop": 1, "opa": "Staphylococcus", "opb": "Streptococcus", "opc": "E.coli", "opd": "Clostridium perfringens", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "7f691d6e-2cb9-4746-a0a1-1f6af05d624b", "choice_type": "single"} {"question": "Present \" total feility rates\"", "exp": "Total feility rate : As per 2017 census is 2.2 Ref : Census of India, GOI Park 25th edition Pgno : 540", "cop": 1, "opa": "2.2", "opb": "3.6", "opc": "1.3", "opd": "4.5", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "7e420513-62b0-40f6-9502-a47c0e110445", "choice_type": "single"} {"question": "Kata thermometer measures", "exp": "Kata thermometer measures ‘cooling power of air’: Cooling power of air comprises of\n\n– Air temperature\n– Humidity\n– Air movement\n\nKata thermometer readings as indices of thermal comfort:\n\n– Dry kata reading > 6 (Thermal comfort)\n– Wet kata reading > 20 (Thermal comfort)\n\nNowadays it is used to record low air velocity.", "cop": 2, "opa": "Air temperature only", "opb": "Air temperature, humidity and air movement", "opc": "Air temperature and humidity", "opd": "Air velocity only", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "07c69109-900d-47d5-b89b-aa633a758d86", "choice_type": "single"} {"question": "The standard definition of public health was given by", "exp": "Chadwick worked on great cholera epidemic of 1932 and published \" The sanitary conditions of the labouring population in Great Britan\"Jon Snow studied the epidemic of choleraShattuck published a book on health conditions in Massachusetts.Winslow defined public health as\" the science and a of preventing disease, prolonging life and promoting health and efficiency through organised community effo.Park 23e pg:9", "cop": 1, "opa": "Winslow", "opb": "Virchow", "opc": "Shattuck", "opd": "Chadwick", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "58f1ea77-3c21-4b5b-9939-4cf0ca2c4f6b", "choice_type": "single"} {"question": "Inclusion body in neuron is seen in", "exp": null, "cop": 4, "opa": "Diphtheria", "opb": "Yellow fever", "opc": "Japanese encephalitis", "opd": "Rabies", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "dd991ada-46b8-4a13-9869-ae4035e77103", "choice_type": "single"} {"question": "Measles vaccination is given at", "exp": "
MEASLES VACCINE:- Live attenuated vaccine Person to person transmission of measles vaccine strains has never been documented. Freeze dried product. Before use ,the lyophilised vaccine is reconstituted with sterile diluent. Diluent must be cooled before reconstitution but it should not be freezed.After reconstitution , vaccine must be stored in dark at 2-8 degree celcius and used within 4 hrs. Each dose if 0.5 ml contains > 1000 viral infective units of vaccine strain. Measles vaccine may also contain sorbitol and hydrolysed gelatin as stabilizers and neomycin but it doesn&;t have thiomersal. Age-before 9 months.The age can be lowered to 6 months if there is measles outbreak in community.For infants immunised between 6 and 9 months,second dose administered as soon as possible after the child reaches 9 months provided that at least 4 weeks have elapsed since the last dose. Route-subcutaneous/intramuscular. Immune response- both humoral and cellular. Contraindications- High fever,pregnancy, history of anaphylactic reaction to vaccine components, immunocompromised individuals, leukemia, lymphoma,severe HIV( early stage of HIV is not a contraindication), treatment with steroids, antimetabolites and serious malignancy. Adverse reactions:- TSS-toxic shock syndrome. Occurs when measles vaccine is contaminated or when the same l is used more than once on same day / next day. The vaccine should not be used after 4 hrs of reconstitution. Symptoms of TSS : severe watery diarrhoea, vomiting, high fever repoed within few hours after vaccination. TSS is totally preventable and reflects poor quality of immunisation. {Reference: park&;s textbook of preventive and social medicine, 23rd edition, pg no.149}
", "cop": 1, "opa": "9 months", "opb": "At bih", "opc": "4 weeks", "opd": "8 weeks", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "c49fca52-3025-40d3-9ba0-4908713490f3", "choice_type": "single"} {"question": "Education and motivation for healthy lifestyle is", "exp": "Health promotion Health promotion is \"the process of enabling people to increase control over, and to improve health\" . It is not directed against any paicular disease, but is intended to strengthen the host through a variety of approaches (interventions). The well-known interventions in this area are: i. health education ii. environmental modifications iii. nutritional interventions iv. lifestyle and behavioural changes Ref: Park 24th Edition Pgno: 47", "cop": 3, "opa": "Primordial prevention", "opb": "Secondary prevention", "opc": "Health Promotion", "opd": "Specific Protection", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "85825349-03d1-4eed-a3a8-f45df83237af", "choice_type": "single"} {"question": "Highest level of health care is", "exp": null, "cop": 2, "opa": "Primary health care", "opb": "Tertiary care", "opc": "Child care", "opd": "Secondary level care", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ee776915-2a77-4fcc-a515-dc5221cd3ea1", "choice_type": "single"} {"question": "A dental surgeon appointed in a rural health centre reports an increased incidence of dental caries in the people of that area. Research team confirmed that water supply of that area is deficient in", "exp": null, "cop": 4, "opa": "Chloride", "opb": "Sodium", "opc": "Calcium", "opd": "Fluoride", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c399ec65-ae1f-464b-a75c-6a8ff6fd0e9f", "choice_type": "single"} {"question": "Number of air changes in a drawing room per hour should be at least", "exp": null, "cop": 3, "opa": "5-Apr", "opb": "4-Mar", "opc": "3-Feb", "opd": "6-May", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9503559c-b468-4e9a-9f8f-18e2661dc4ba", "choice_type": "single"} {"question": "Hospital waste product accounts", "exp": "The average composition of hospital wastes in India is: - 15% rags -15% - 10% metals- 1% infectious wastes-1.5% -4% wastes-53.5% Reference : Park&;s textbook of preventive and social medicine, 23rd edition, pg no:790, table 2", "cop": 2, "opa": "Paper: 40%", "opb": "Plastic:10%", "opc": "Infectious waste: 30%", "opd": "Rage: 30%", "subject_name": "Social & Preventive Medicine", "topic_name": "Hospital waste and disaster management, Occupational health", "id": "1bc04b38-1c92-49f3-92c4-c26836925187", "choice_type": "single"} {"question": "Migration study is used to study", "exp": "Large-scale migration of human populations from one country to another provides a unique oppounity to evaluate the role of the possible genetic and environmental factors in the occurrence of disease in a population.Migration studies can be carried out in 2 ways -a) Comparision of disease and death rates for migrants with that kin who have stayed at home. (Genetically similar groups living in different environmental conditions)b) Comparision of migrants with the local population of the host country. (genetically different groups living in the same environment)Park 23e pg: 67", "cop": 3, "opa": "Sociodemographic reasons for migration of a population", "opb": "Prevalence of disease in a population", "opc": "Environmental and genetic factors in a disease in population", "opd": "Diseases with long incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "70fc01f3-b003-4a5b-84b5-3c9273b3e4dd", "choice_type": "single"} {"question": "Schmutzdecke refers to the following", "exp": null, "cop": 3, "opa": "Suspended matter in drinking water", "opb": "Algae in drinking water", "opc": "Algae, plankton, diatoms and bacteria on surface of sand bed filter", "opd": "Alum flocculate on surface of sand bed filter", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "90957f17-585c-43a1-a88b-7e8fdff4d6ce", "choice_type": "single"} {"question": "BCG is", "exp": "Ans. a (Live attenuated vaccine). (Ref. Park, PSM, 17th ed., 148)VACCINESLive attenuated vaccinesInactivated or killed vaccines1.BCG1.Typhoid2.Typhoid oral2.Cholera3.Plague3.Pertussis4.Mumps4.C.S. Meningitis5.Measles5.Plague6.Rubella6.Rabies7.Yellow fever7.Influenza8.OPV8.KFD vaccine9.Influenza9.Salk (Polio)10.Epi. typhus10.Hepatitis B 11.Japanese Encephalitis", "cop": 1, "opa": "Live attenuated vaccine", "opb": "Killed vaccine", "opc": "Toxoid", "opd": "Immunosuppressant agent", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "37e5fc4c-fd2e-4da8-abe7-736b9a3e6ea5", "choice_type": "single"} {"question": "The mean radiant temperature is measured by", "exp": "Instruments used in Air temperature Instrument Measures Dry bulb thermometer Air temperature Wet bulb thermometer Air temperature Maximum thermometer Air temperature Minimum thermometer Air temperature Six's maximum and minimum thermometer Air temperature Silvered thermometer Air temperature Globe thermometer Mean radiant temperature Wet Globe thermometer Environmental heat Kata thermometer Cooling power of Air; Low air velocities Ref: Park 25th edition Pgno : 783-784", "cop": 4, "opa": "Dry bulb thermometer", "opb": "Wet bulb thermometer", "opc": "Six's maximum and minimum thermometer", "opd": "Globe thermometer", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "d0f82df3-9efb-4ef1-89f3-142723c035d4", "choice_type": "single"} {"question": "New family mean couples under", "exp": null, "cop": 4, "opa": "2 years", "opb": "5 years", "opc": "Until first child is born", "opd": "10 years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b989baa0-552d-4db8-9c9d-ca9914ac72d3", "choice_type": "single"} {"question": "The most important function of sentinel surveillance is", "exp": "Sentinel Surveillance\n\nIt estimates disease prevalence in a population.\nIt is a method for identifying the missing cases and thereby supplementing the notified cases.", "cop": 3, "opa": "To determine the trend of disease in a population", "opb": "To notify disease", "opc": "To find the total amount of disease in a population", "opd": "To plan effective control measures", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1c010212-b2d4-4961-bd89-39d5b312db22", "choice_type": "single"} {"question": "Obstetric care will mostly effect", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 4, "opa": "Infant moality rate", "opb": "Late neonatal moality rate", "opc": "Early neonatal moality rate", "opd": "Perinatal moality rate", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "a07386e6-aad1-4b91-886a-7948ad0a8734", "choice_type": "single"} {"question": "According to Maslow’s hierarchy of needs, following is at the top of pyramid", "exp": "Social Pathology : Is the study of social problems which undermine the social, psychological or economical health of the populations; it is used to describe relationship between disease and social conditions.\nSocial pathology is uncovered by 'Social surveys'.", "cop": 2, "opa": "Physical needs", "opb": "Self actualization", "opc": "Safety", "opd": "Esteem recognition", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ca7fb190-b32e-467e-b6ef-eaee1ae3bd94", "choice_type": "single"} {"question": "Zoonotic disease among the following", "exp": null, "cop": 4, "opa": "Scabies", "opb": "Malaria", "opc": "Tetanus", "opd": "Hydatid cyst", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5b925bbb-0386-4b71-9e7e-6692e60d5957", "choice_type": "single"} {"question": "For diagnosis of TB under RNTCP guidelines, minimum number of sputum specimens taken", "exp": null, "cop": 2, "opa": "1", "opb": "2", "opc": "4", "opd": "3", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "56bf5253-5ce6-45ba-8b47-a0a3937a1544", "choice_type": "single"} {"question": "The most sensitive indicator of environmental iodine deficiency is", "exp": "Ans. d. Neonatal hypothyroidism", "cop": 4, "opa": "Serum T4 levels", "opb": "Serum T3 levels", "opc": "Urine iodine excretion", "opd": "Neonatal hypothyroidism", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7c7996cf-aa19-4f35-8b16-a67fd1bb3897", "choice_type": "single"} {"question": "Respirable dust for pneumoconiosis", "exp": null, "cop": 1, "opa": "0.1–5 m", "opb": "5–10 m", "opc": "10–15 m", "opd": "15–20 m", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5ae42c7b-b489-4fd7-a24b-8ee4f1579349", "choice_type": "single"} {"question": "Mudaliar committee is also know as", "exp": "Bhore committee : Health surgery and Development committee.\nMudaliar committee : Health survey and Planning committee.\nJungalwalla committee : Committee on Integration of health survives.\nKartar signs committee : Committee on multipurpose workers under health and family planning.", "cop": 2, "opa": "Health survey and Development committee", "opb": "Health survey and Planning committee", "opc": "Committee on Integration of health survives", "opd": "Committee on multipurpose workers", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0c304257-8feb-4fcc-8091-43bab29ccb38", "choice_type": "single"} {"question": "Bacterial Index deals with", "exp": "In leprosy, Bacterial Index is the only objective way of monitoring the benefit of treatment. 0 No bacilli in any of 100 oil immersion fields1+ 1-10 in 1002+ 1-10 in 103+ 1-10 in each field4+ 10-1005+ 100-10006+ more than 1000It is calculated for each site examined an average is taken.Park 23e pg: 314", "cop": 2, "opa": "Tuberculosis", "opb": "Leprosy", "opc": "Syphilis", "opd": "Gonorrhea", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "e7b0643a-a2dc-45d9-8be6-b94bdfbef484", "choice_type": "single"} {"question": "Vaccine preventable neonatal disease is", "exp": null, "cop": 2, "opa": "Tuberculosis", "opb": "Tetanus", "opc": "Pertussis", "opd": "Measles", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b401f233-8a2f-43a3-a4da-d2410734b990", "choice_type": "single"} {"question": "Visible spectrum of light", "exp": "Ans. is 'a' i.e., 370-740 nm o As perceived by the human eye; light consists of those wavelengths of electromagenatic radiation (approximately 400-700 mm) which are capable of eliciting retinal response.", "cop": 1, "opa": "370 - 740 nm", "opb": "740-1140 nm", "opc": "200 - 370 nm", "opd": "200 - 370 nm", "subject_name": "Social & Preventive Medicine", "topic_name": "Light", "id": "c9f79ca8-3c4e-4ae6-88ca-94d48ab84a53", "choice_type": "single"} {"question": "Population covered by Anganwadi in tribal area is", "exp": null, "cop": 1, "opa": "700", "opb": "100", "opc": "400", "opd": "1000", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6542d0f3-1aa3-4683-a2d1-9acd3f44439a", "choice_type": "single"} {"question": "UNDP works as", "exp": null, "cop": 2, "opa": "The main source of funds for child health", "opb": "The main source of funds for technical assistance", "opc": "The Source of funds for research and development", "opd": "Education source for developing countries", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a5670e80-e052-4c21-a0d6-7bcb9a0fc9d9", "choice_type": "single"} {"question": "IQ is calculated by", "exp": "IQ = mental age / chronological age x 100Idiot: 0-24Imbecile: 25-49Moron: 50-69Borderline: 70-79Low normal: 80-89Normal: 90-109Superior: 110-119Very superior 120-139Near genius 140 and over Park 23e pg: 679", "cop": 1, "opa": "Mental age/chronological age x 100", "opb": "Mental age - chronological age x 100", "opc": "Chronological age/mental age x 100", "opd": "Chronological age - mental age x 100", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "e2f0250c-35a9-4e7d-bbeb-fb104cbb4574", "choice_type": "single"} {"question": "The breeding ground for the vectors of Japanese B virus is", "exp": "Japanese encephalitis JE is a mosquito-borne encephalitis caused by group B arbovirus (Flavivirus) and transmitted by culicine mosquitoes. Zoonotic disease. Transmission occurs principally in rural agricultural location where flooding irrigation is practiced. Ref: Park&;s textbook of preventive and social medicine 23rd edition", "cop": 1, "opa": "Paddy field", "opb": "Mixed garbage", "opc": "Cooler water", "opd": "Stale food", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "c1ed56e7-2aa1-4deb-b52b-c93cc3075724", "choice_type": "single"} {"question": "In a community of 5000 people, the crude bih rate is 30 per 1000 people. The number of pregnant females is", "exp": "No. of Pregnancies = number of bihs + number of aboions + estimated total fetal lossespregnancy wastage = number of aboions+ estimated total fetal losses is taken as 10% (as per Indian demographic data)pregnancy rate = 30*5 + 10% 0f 30*5 = 150+ 15 = 165", "cop": 2, "opa": "150", "opb": "165", "opc": "175", "opd": "200", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "d2dd98c1-f548-4019-819c-6e66bc31fdfb", "choice_type": "single"} {"question": "The denominator in General feility rate", "exp": "General feility rate (GFR) : Number of live bihs per 1000 women in the reproductive age group 15-49 years in a given year Denominator : Takes 'mid-year population' of 15-49 years age females into account Ref: Park 25th edition Pgno : 539", "cop": 3, "opa": "Live bihs", "opb": "Mid year population", "opc": "Reproductive women in the age group 15-45 mid year population", "opd": "Married women in the age group 15-45", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "81e75f78-2c14-4b8d-bcff-1f3d47cdc9ed", "choice_type": "single"} {"question": "Emporiatrics deals with the health of", "exp": "Emporiatrics : it is the term coined to describe the science of health of travellers . Ref : parks textbook of PSM 24th edition page no :135", "cop": 2, "opa": "Farmers", "opb": "Travellers", "opc": "Industrial workers", "opd": "Mine workers", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "e566344d-17f8-4d15-8802-4131ef3048da", "choice_type": "single"} {"question": "The health indicator obtained by dividing height by cube root of weight is", "exp": "Park's textbook of preventive and social medicine 23rd edition. ponders index= height (cm)/cube root of body wgt quetelet's index= wgt (kg)/height square. Brocca index =height -100 Corpulence index= actual wgt/ desirable wgt", "cop": 4, "opa": "Quetelet's index", "opb": "Brocca index", "opc": "Corpulence index", "opd": "Ponderal index", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "1f1e9cf3-66ce-476f-a1d2-57c78ca28d41", "choice_type": "single"} {"question": "Putting profit ahead of health as a cause of disease is provided by theory of sociology", "exp": null, "cop": 1, "opa": "Marxist theory", "opb": "Feminist theory", "opc": "Parsonian theory", "opd": "Foucauldian theory", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "06771210-909a-4361-a099-549b30cc1535", "choice_type": "single"} {"question": "Infectivity of an organism is measured by", "exp": "Infectivity of an organism is measured by incidence rate Incidence rate: It is the number of new cases occuring in a defined population during a specified period of time Prevalence rate: It is the number of new and old cases existing in a population during a specified period of time Case fatality rate: It is the ratio of total number of deaths due to a paicular disease to total number of cases due to same disease Secondary attack rate: It is defined as the number of exposed person developing the disease within the range of the incubation period following exposure to a primary case Ref : Park&;s Textbook of preventive and social medicine; 24th edition; Pg no 60", "cop": 1, "opa": "Incidence rate", "opb": "Prevalence rate", "opc": "Secondary attack rate", "opd": "Case fatality rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "55d54895-2c51-4c24-b324-790ac73bd48c", "choice_type": "single"} {"question": "The number of live birth per 1000 women in the reproductive age group in a year refers to", "exp": null, "cop": 1, "opa": "General Fertility Rate", "opb": "Gross Reproduction Rate", "opc": "Net Reproduction Rate", "opd": "Total fertility rate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "bef4eff8-654d-451f-9aaf-0768d3c10c61", "choice_type": "single"} {"question": "Alfred Grotjahn is famous for", "exp": "In 1911, the concept of social medicine was revived by Alfred Grotjahn (1869-1931) of Berlin who stressed the impoance of social factors in the aetiology of disease, which he called \"social pathology\". Others called it geographical pathology and population pathology. Ref : Park 23rd edition Pgno : 8", "cop": 4, "opa": "Epidemiology", "opb": "Biostatistics", "opc": "Vaccination", "opd": "Social hygiene", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "15cc99bf-e2a4-465b-b714-bb5d3acf3ae5", "choice_type": "single"} {"question": "The growth pattern of a population with an annual growth rate of 1.5% to 2.0% is", "exp": "When crude death rate is substracted from crude bih rate ,the net residual is current annual grow rate , exclusive of migration. If the annual growth rate is increased from 1.5% to 2.0%, then it is rated as very rapid growth. Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Pg no:481, table5", "cop": 4, "opa": "Slow growth", "opb": "Moderate growth", "opc": "Rapid growth", "opd": "Very rapid growth", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "1b8adb41-e318-4669-a790-6f6f2f0f55c2", "choice_type": "single"} {"question": "The father of modern epidemiological surveillance is", "exp": "William Farr is often referred to as the father of modern epidemiological surveillance. Textbook on Public Health and Community Medicine pg: 14.", "cop": 1, "opa": "William Farr", "opb": "James Lind", "opc": "Edwin Chadwick", "opd": "Pettenkofer", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "1a38a051-66c8-4b09-8318-27658d58706e", "choice_type": "single"} {"question": "Prevention of emergence of risk factor is", "exp": "Primodial prevention aims at preventing emergence of risk factors Ref : Park's Textbook of Preventive and Social Medicine; 23rd edition", "cop": 1, "opa": "Primordial prevention", "opb": "Primary prevention", "opc": "Secondary prevention", "opd": "Teiary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "910989f3-2d65-43fc-9ee9-9a68458b7bf7", "choice_type": "single"} {"question": "Mass prophylaxis not done in", "exp": null, "cop": 1, "opa": "Scabies", "opb": "Lymphatic filariasis", "opc": "Vitamin A deficiency", "opd": "Worm infestation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "73dff89e-30aa-4277-8817-2a6c47e37e1c", "choice_type": "single"} {"question": "Compared to cow&;s milk, human milk has", "exp": "Cow&;s milk and human milk are dissimilar in many aspects. The differences may be seen as great as the difference between brain and brawn.Protein: Human milk contains low protein, 3times less than cows milk. Human milk contains more cysteine, essential for prematures and less methionine than cows milk. Human milk is viually a living fluidFats: Mothers milk is especially rich in fats, which represent between 30-50 percent of total energy value. Carbohydrates: Human milk contains more lactose than most other milks. It may be especially useful for growing brainsVitamins and Minerals: Human milk is rich in Vitamin D, C, A etcAnother factor which is supposed to be deficient in human milk is iron but again recent work has shown that iron contained in breast milk has a high level of bioavailability.Ref: Park; 23rd ed; Pg 540", "cop": 3, "opa": "More proteins", "opb": "Less carbohydrates", "opc": "More iron", "opd": "Less of vitamins", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "c916dd34-37a4-443b-a3d9-cb709260c5dc", "choice_type": "single"} {"question": "Most peripheral laboratory under RNTCP", "exp": null, "cop": 2, "opa": "Peripheral Reference laboratory", "opb": "Designated microscopy centre", "opc": "Tuberculosis unit", "opd": "Intermediate Reference laboratory", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8abad965-61f6-4928-965d-4fed143670d0", "choice_type": "single"} {"question": "Best in primary prevention of tuberculosis and leprosy", "exp": "No preventive campaign is complete without health education Health education aims at helping people develop attitude and behaviour by their own actions and effos and seeking professional help when needed Health education should be directed towards patient and his family for better patient compliance with the drug regimen and to reduce high dropout rates and the general public to remove superstition and wrong belief and the social stigma associated with the disease Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition; Page no 328", "cop": 1, "opa": "Health education", "opb": "Early diagnosis and treatment", "opc": "Isolation", "opd": "Chemotherapy", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "67cf4d22-348b-4ebc-aeb5-56c34a813f15", "choice_type": "single"} {"question": "Unit of study in Randomised control trial is", "exp": null, "cop": 3, "opa": "Population", "opb": "Healthy person", "opc": "Patient", "opd": "Sample group", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "210416db-c684-4ea5-ab7f-d2a075124fd6", "choice_type": "single"} {"question": "Vaccine administered by following route is", "exp": "Hlnl live (Intranasal route)", "cop": 3, "opa": "Typhoral live", "opb": "H1n1 killed", "opc": "H1n1 live", "opd": "Yellow fever live", "subject_name": "Social & Preventive Medicine", "topic_name": "Influenza", "id": "63de4ee4-9b7b-4312-aad2-45f5aa3cac7b", "choice_type": "single"} {"question": "The depth of water seal in RCA latrine is", "exp": "RCA latrine TRAP Latrine pan The trap is a bent pipe, about 7.5 cm in diameter and is connected with the pan. It holds water and provides the necessary 'water seal'. The water seal is the distance between the level of water in the trap and the lowest point in the concave upper surface of the trap. The depth of the water seal (AB) in the RCA latrine is 2 cm ( 3/4 in.). The water seal prevents the access by flies and suppresses the nuisance from smell. Ref : Park 25th edition Pgno : 796", "cop": 2, "opa": "1cm", "opb": "2cm", "opc": "5cm", "opd": "12cm", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "c98f181d-d1f1-495a-bf81-3b0f1e018cef", "choice_type": "single"} {"question": "Best site for measuring skin fold thickness", "exp": null, "cop": 2, "opa": "Subscapular region", "opb": "Mid triceps", "opc": "Abdominal region", "opd": "Mid thighs", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ac0756a5-59b4-46cb-a7cb-d15a768f10da", "choice_type": "single"} {"question": "IQ value of Imbecile according to weehsler Intelligence scale", "exp": null, "cop": 1, "opa": "25 - 49", "opb": "50 - 69", "opc": "70 - 79", "opd": "90 - 109", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "74aebdbd-0bfa-4862-8ee7-17e4dea69416", "choice_type": "single"} {"question": "Glycosylated haemoglobin reflects the mean blood glucose level of previous", "exp": null, "cop": 3, "opa": "15 days", "opb": "1 month", "opc": "3 months", "opd": "6 months", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "80645cce-f833-482e-8ec7-41f98bd443a2", "choice_type": "single"} {"question": "Disinfection of sputum is done by", "exp": "Sputum is best received in gauze or paper handkerchief and destroyed by burning. If the amount is considerable it may be disinfected by boiling or autoclaving for 20 minutes at 20 lbs pressure. Alternatively, the patient may be asked to spit in a sputum cup half-filled with 5 percent creosol. When the cup is full it is allowed to stand for an hour and the contents may be emptied and disposed off. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 143", "cop": 2, "opa": "Boiling", "opb": "Autoclaving", "opc": "Sunlight", "opd": "Burning", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "e14a18fd-b1a6-4595-94dc-269627a1b34e", "choice_type": "single"} {"question": "Focus group discussion should have", "exp": null, "cop": 2, "opa": "4 - 6 members", "opb": "6 - 12 members", "opc": "> 12 members", "opd": "< 4 members", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "544eda7f-41d7-4bfe-8af9-1490e6f5c3ee", "choice_type": "single"} {"question": "Acceptable fluoride concentration in drinking water is", "exp": null, "cop": 4, "opa": "4 ppm", "opb": "2 ppm", "opc": "3 ppm", "opd": "1 ppm", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1af0675f-1703-4fd7-92bc-5fdddf12ad24", "choice_type": "single"} {"question": "Best level of prevention for Breast cancer", "exp": "Ans. (b) Early diagnosis and treatmentRef. Park 25/e p416]Screening of Breast Cancer* Tests: Mammography, USG, Thermography, Breast self-examination (BSE), Palpation by Physician/Surgeon, MRI* Level of prevention: Secondary (Early diagnosis)", "cop": 2, "opa": "Specific protection", "opb": "Early diagnosis and treatment", "opc": "Disability limitation", "opd": "Rehabilitation", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "9e2d0c29-bab5-4416-82ff-d63448723d13", "choice_type": "single"} {"question": "Pearl Index is expressed", "exp": null, "cop": 3, "opa": "Per 10 woman years", "opb": "Per 1000 woman years", "opc": "Per 100 woman years", "opd": "Per 50 woman years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6f64a94a-1502-4fe5-8c73-576796fa852c", "choice_type": "single"} {"question": "Most common side effect of IUDs", "exp": "Most common side effect : Increased vaginal bleed.\n2nd most common side effect : Pain.", "cop": 2, "opa": "Pain abdomen", "opb": "Increased vaginal bleed", "opc": "Abortion", "opd": "Pelvic Infleammatiom", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5b84564b-7696-4c95-a8ed-0db5a79a3a8c", "choice_type": "single"} {"question": "Target couple is;", "exp": "The definition of a target couple includes- Couples who have had 2-3 living children, and family planning was largely directed to such couples Fuher, definition has been gradually enlarged to include families with one child or even newly married couples to develop acceptance of the idea of family planning.", "cop": 4, "opa": "Couple with 3 children", "opb": "Couple using contraception", "opc": "Currently married couple where the wife is in reproductive age (15-49 year)", "opd": "Couple that is eligible for practicing family planning", "subject_name": "Social & Preventive Medicine", "topic_name": "FMGE 2019", "id": "3b889857-396c-47a7-9fc6-57dfaf6a03c8", "choice_type": "single"} {"question": "The organism most commonly causing genital filariasis in most parts of Bihar and Eastern U.P. is", "exp": "• Problem statement of Lymphatic filariasis: –\nGlobal: Affects 120 million people in 120 countries; 1.1 billion people live in areas with risk of infection.\nSEAR: 600 million live in endemic areas; 60 million infected.\nIndia: Lymphatic filariasis is a major public health problem in India with 553 million people at risk in 233 districts; heavily endemic in UP, Bihar, Jharkhand, Andhra Pradesh, Orissa, Tamil Nadu, Kerala, Gujarat.", "cop": 2, "opa": "Brugia malayi", "opb": "Wuchereria bancrofti", "opc": "Brugia malayi", "opd": "Dirofilaria", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e39bbadb-f2a2-4aff-9a89-8e1cf73af8c1", "choice_type": "single"} {"question": "Immunoglobulins found maximum in secretions", "exp": "(IgA): Ref: (100-Park 20th)IMMUNOGLOBULINSIgG:-* Major immunoglobulins of serum (85%)* IgG is transported across placenta (extra vascular)* Antibodies to gram positive pyogenic bacteria, antiviral and antitoxic antibodies are found exclusively among. IgGlobulinsIgM: -* It represents antibody that is promptly formed with exposure to antigen* Its presence may be indicative of recent infection* IgM antibody has high agglutinating and complement fixing abilityIgA: -* IgA is found relatively in large quantities in body secretions eg saliva, milk, colostrums, tears, bronchial secretions, nasal mucosa, prostatic fluid, vaginal secretions and mucous secretion of the small intestine* It provides the primary defence mechanism at the mucous membrane against local infectionIgE:-* IgE is concentrated in submucous tissues,", "cop": 3, "opa": "IgM", "opb": "IgG", "opc": "IgA", "opd": "IgD", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "1c95fa62-12c7-4902-a0d9-2cddeb4b47c8", "choice_type": "single"} {"question": "A Female health worker has to teach women in Urban slum about ORS preparation. Best method will be", "exp": "Demonstration -Is a carefully planned presentation where idea is to show ' how to perform' a skill/procedure Two principles : 1. Seeing is believing 2. learning by doing", "cop": 3, "opa": "Lecture", "opb": "Flipcha", "opc": "Demonstration", "opd": "Workshop", "subject_name": "Social & Preventive Medicine", "topic_name": "HC Methods, D-P Communication", "id": "470f8c6c-20e6-4251-9931-79116a602ced", "choice_type": "single"} {"question": "Arrange the following stages of family cycle in chronological sequence", "exp": "A normal family cycle is conceived as having 6 phases: Phases of family cycle Events in charcterising Description Begining of Phase End of Phase I Formation Marriage Bih of 1st Child II Extension Bih of 1st child Bih of last child III Complete Extension Bih of last child 1st child leaves home IV Contraction 1st child leaves home Last child leaves home V Complete contraction Last child leaves home 1st spouse dies VI Dissolution 1st spouse dies Death of survivor (extinction) Ref: Park 25th edition Pgno: 720", "cop": 4, "opa": "Formation, Extension, Complete extension, Dissolution, Contraction, Complete contraction", "opb": "Formation, Extension, Contraction, Complete extension, Complete contraction, Dissolution", "opc": "Formation, Contraction, Complete contraction, Extension, Complete extension, Dissolution", "opd": "Formation, Extension, Complete extension, Contraction, Complete contraction, Dissolution", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "4f4ede1b-a236-4d31-866a-100f236a93dd", "choice_type": "single"} {"question": "Most important strategy for control of malaria in endemic area", "exp": null, "cop": 3, "opa": "Early treatment of case", "opb": "Chemoprophylexis", "opc": "Vector control", "opd": "Eliminaon of plasmodium", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b06d18a4-6c7a-4e66-b1fd-48b6a2af8047", "choice_type": "single"} {"question": "Oral iron pills or iron injections must be taken along with", "exp": null, "cop": 2, "opa": "High doses of Vitamin A", "opb": "High doses of Vitamin C", "opc": "High doses of Essential fatty acids", "opd": "High doses of Vitamin D", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6789b506-ffae-4506-8c7e-8663241eece5", "choice_type": "single"} {"question": "Most undesirable mineral in water is", "exp": "Iron in water leads to discolouration and failure of metal pipings. Zinc leads to an undesirable astringent taste and greasy film while boiling Copper stains laundry like Iron Chronic consumption of water with lead causes plumbism Park's Textbook of Preventive and Social Medicine, 25th edition, Page No. 780", "cop": 4, "opa": "Iron", "opb": "Copper", "opc": "Zinc", "opd": "Lead", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "6c68414d-2229-4e46-8fce-d7c5bd33089b", "choice_type": "single"} {"question": "Infant mortality rate is", "exp": "o IMR is defined as the number of death of child of less than 1 years of age per 1000 live births. It is a rate.\nIMR", "cop": 3, "opa": "Death of infants per 1000 pregnent women", "opb": "Death of infants per 1000 births", "opc": "Death of infants per 1000 live births", "opd": "Death of infants per 1000 population", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "d08c38d3-a526-4148-9b7f-87a2b16748f3", "choice_type": "single"} {"question": "IY1MR vaccine is a type of", "exp": "(C) Live attenuated vaccine IMMUNIZING AGENTSLive vaccinesKilled vaccinesBacterialBCGTyphoid Typhoid oralCholera PlaguePertussis C.S. Meningitis PlagueViralOral PolioRabies Yellow fever MeaslesSalk (polio) RubellaInfluenza MumpsHepatitis B InfluenzaJapanese encephalitis Epi. typhusKFD Toxoids BacterialDiphtheria Tetanus", "cop": 3, "opa": "Killed vaccine", "opb": "Toxoid", "opc": "Live attenuated vaccine", "opd": "Immunoglobulin", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "54341352-a026-43ee-ac10-cac5babaf460", "choice_type": "single"} {"question": "Mean hemoglobin of a sample of 100 pregnant women was found to be 10 mg% with a standard error of 1.0 mg%. The standard error of the estimate would he", "exp": "0.1 Standard error of mean = Standard detion / lisample size = 1/ V100 = 1/10 = 0.1", "cop": 2, "opa": "0.01", "opb": "0.1", "opc": "1", "opd": "10", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "509da9f1-b7f8-45c2-8642-5e9b952ac602", "choice_type": "single"} {"question": "Normal curve", "exp": "Ref:Parks 23rd edition pg 849 Stadardised normal curve : Smooth, bell-shaped, perfectly symmetrical curve based on an infinitely large number of observations . Total area of the curve= 1 Mean= 0 Standard detion = 1 Mean, median and mode all coincide.", "cop": 1, "opa": "Distribution of data is symmetrical", "opb": "Mean > Mode", "opc": "Mode > Mean", "opd": "Median > Mean", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "42e19670-4b07-422f-b5d7-70b9a2dd9f57", "choice_type": "single"} {"question": "Marker for infectivity of serum in Hepatitis B is", "exp": "Markers of Hepatitis B infection (in order of appearance in serum) : HBsAg (Hepatitis B Surface antigen ): Also known as &;Australian antigen&; First antigen to appear in serum- &;first evidence of infection&; &;Epidemiological marker of Hepatitis B infectionHBcAg (Hepatitis B core antigen) Alone doesnot appear in serum HBeAg (Hepatitis B envelope antigen) Is secretory form of HBcAg Indicates active viral replication Is a marker of infectivity for Hepatitis B Persistence beyond 3 months: Increased likelihood of chronic Hepatitis B. AntiHBc (Antibody to Hepatitis B core antigen) First antibody to appear in serum IgM Anti-HBc indicates a diagnosis of acute Hepatitis B IgG Anti-HBc persists indefinitely Anti-HBe (Antobody to Hepatitis B envelope antigen) Signals &;stoppage of active viral replication Indicates end of period of infectivity Anti-HBs (Antibody to Hepatitis B surface antigen) Last antibody to appear in serum Signals &;recovery, end of period of communicability&; Ref: Park 25th edition Pgno: 235", "cop": 3, "opa": "HBsAg", "opb": "Anti-HBc", "opc": "HBeAg", "opd": "Anti Hbc", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "d4a43574-88c7-44a1-8dc5-d2f1b0b2ccf8", "choice_type": "single"} {"question": "Highest amount of Vitamin D is present in", "exp": "Sources of Vitamin D Vitamin D is unique because it is derived both from sunlight and foods (a) Sunlight : Vitamin Dis synthesized by the body by the action of UV rays of sunlight on 7-dehydrocholesterol, which is stored in large abundance in the skin. Exposure to UV rays is critical; these can be filtered off by air pollution. Dark-skinned races such as Negros, also suffer from this disadvantage because black skin can filter off up to 95 per cent of UV rays. (b) Foods : Vitamin D occurs only in foods of animal origin. Liver, egg yolk, butter and cheese, and some species of fish contain useful amounts. Fish liver oils, although not considered to be a food, are the richest source of vitamin D. Human milk has been shown to contain considerable amounts of water-soluble vitamin D sulphate. Other sources of vitamin D are foods aificially foified with vitamin D, such as milk, margarine, vanaspati and infant foods. Dietary sources of vitamin D are as given in Table Ref: Park 25th edition Pgno : 653", "cop": 4, "opa": "Sunlight", "opb": "Shark liver oil", "opc": "Cod liver oil", "opd": "Halibut fish liver oil", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "c8facaa4-2594-4947-9fac-4f4d07e42cd0", "choice_type": "single"} {"question": "Biochemical oxygen demand is determined by", "exp": "Ans. is 'a' . Organic matter & Bacteria. \"The strength of sewage is expressed in terms ofBiochemical oxygen demandChemical oxygen demandsSuspended solids demand\"\"Biochemical Oxygen demand -It is the most important test done on sewage. It is defined as the amount of oxygen absorbed by a sample of sewage during a specified period, generally 5 days, at a specified temperature, generally 20 deg. G, for the aerobic destruction or use by organic matter and living organisms. BOD value ranges from about 1 mg per litre for natural waters to about 300 mg per litre for untreated domestic sewage. If the BOD is 300 mg/I and above, sewage is said to be strong ; if it is 100 mg/l, it is said to be weak.\"", "cop": 1, "opa": "Oranic matter and bacteria", "opb": "Oxygen content", "opc": "Alage content in water", "opd": "Agriculture fertiliser content in water.", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and Health", "id": "610bc09a-c6ea-438c-8b09-e1c47268b8ca", "choice_type": "single"} {"question": "Most sensitive indicator of recent transmission of malaria of", "exp": null, "cop": 1, "opa": "Infant parasite rate", "opb": "ABER", "opc": "Spleen rate", "opd": "Annual parasite index", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a384314b-b9be-4b60-b209-77b57f443330", "choice_type": "single"} {"question": "Isolation in patient with Salmonellosis is done", "exp": null, "cop": 2, "opa": "Till fever subsides", "opb": "Till 3 stool test are negative", "opc": "Till Widal becomes negative", "opd": "For 48 hrs of Chloramphenicol treatment", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "df753230-cb9b-4f67-8f85-b4c1d93464e0", "choice_type": "single"} {"question": "Classical dengue fever is transmitted by", "exp": null, "cop": 2, "opa": "Anopheles mosquito", "opb": "Aedes mosquito", "opc": "Mansonoides mosquito", "opd": "Culex mosquito", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b5fc64ad-7384-4f11-985c-35d07083ed26", "choice_type": "single"} {"question": "Most heat sensitive vaccine is", "exp": "Most Thermolabile vaccine: Reconstituted BCG\nMost Thermostable vaccine: TT", "cop": 1, "opa": "Polio", "opb": "BCG", "opc": "Measles", "opd": "DPT", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "aaee5837-52f2-4fd8-b987-c0da06805ef6", "choice_type": "single"} {"question": "Case control study estimates", "exp": "Case-control studies is basically a comparison study. Cases and control must be comparable with respect to known \"confounding factors \"such as age, sex occupation, social status etc. The questions asked relate to personal characteristics and antecedent exposures which may be responsible for the condition studied. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 79", "cop": 1, "opa": "Only odd's ratio", "opb": "Odds ratio and attributable risk", "opc": "Relative risk, attributable risk, population attributable risk", "opd": "Incidence, Relative risk, and attributable risk", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "4d434288-38f2-48a7-80da-618f83d5956f", "choice_type": "single"} {"question": "Bacteria is not shed in", "exp": "Ans. is 'b' i.e., Latent infection", "cop": 2, "opa": "Carrier state", "opb": "Latent infection", "opc": "Incubation period", "opd": "Subclinical infection", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "451d826f-d580-4326-9120-44308c8b2fa8", "choice_type": "single"} {"question": "A family consists of 2 parents & 6 children susceptible to measles. There occurs a primary case of measles and 3 secondary cases within a short period of time. Secondary attack rate is", "exp": null, "cop": 4, "opa": "60%", "opb": "38%", "opc": "67%", "opd": "50%", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "baadb81f-75e1-4d53-8e3e-d4e1314d9fe9", "choice_type": "single"} {"question": "The population covered by an ASHA", "exp": "In NRHM Cadre of Accredited Social Health Activist (ASHA) is created ASHA must be a women resident of the village, preferably 25-45 years with formal education up to 8th standard 1 ASHA for 1000 population. In tribal, hilly and dese areas the norm could be relaxed to 1 ASHA per habitation.Park 23e pg: 449", "cop": 2, "opa": "500", "opb": "1000", "opc": "2000", "opd": "2500", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "9a832759-0bf5-492b-a5e9-732b1fffd01d", "choice_type": "single"} {"question": "Histogram is used to describe", "exp": "Histogram: - Is graphical presentation for 'continuous quantitative data' Continuous groups are marked on X-axis (abscissa) while frequencies are marked on y -axis (ordinate).", "cop": 1, "opa": "Quantitative data of a group of patients", "opb": "Qualitative data of a group of patients", "opc": "Data collected on nominal scale", "opd": "Data collected on ordinal scale", "subject_name": "Social & Preventive Medicine", "topic_name": "Statistical Graphs, Correlation, Locations", "id": "5a6e4d53-b5e8-49e2-9406-de6a89024170", "choice_type": "single"} {"question": "“Multibacillarv\" is a spectrum of disease, seen in", "exp": null, "cop": 1, "opa": "Leprosy", "opb": "TB", "opc": "Tetanus", "opd": "Trachoma", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6983afca-b76a-47ce-ae86-6801d3079906", "choice_type": "single"} {"question": "Disability Limitation is pa of", "exp": "Disability limitation When a patient repos late in the pathogenesis phase, the mode of intervention is disability limitation. The objective of this intervention is to prevent or halt the transition of the disease process from impairment to handicap. The intervention in disability will often be social or environmental as well as medical. While impairment which is the earliest stage has a large medical component, disability and handicap which are later stages have large social and environmental components in terms of dependence and social cost. Disability prevention Another concept is \"disability prevention\". It relates to all the levels of prevention: (a) reducing the occurrence of impairment, viz. immunization against polio (primary prevention); (b) disability limitation by appropriate treatment (secondary prevention); and, (c) preventing the transition of disability into handicap (teiary prevention) The major causes of disabling impairments in the developing countries are communicable diseases, malnutrition, low quality of perinatal care and accidents. These are responsible for about 70 per cent of cases of disability in developing countries. Primary prevention is the most effective way of dealing with the disability problem in developing countries Ref: Park 24th Edition. Pg: 48", "cop": 4, "opa": "Primordial prevention", "opb": "Primary prevention", "opc": "Secondary prevention", "opd": "Teiary Prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "11effcc2-3844-41b8-b255-db1cde1227e9", "choice_type": "single"} {"question": "Most important in diagnosing Acute Hepatitis B is", "exp": null, "cop": 3, "opa": "IgG Anti-HBc", "opb": "Anti HBs", "opc": "IgM Anti-HBc", "opd": "HBsAg", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2a1f7def-52f0-4cce-8886-825025aee58d", "choice_type": "single"} {"question": "Resource person for Training ofASHA are", "exp": "Ans. is 'b i.e., AWW and ANM o Angan-Wadi Workers (AWW) and Auxiliary Nurse Midwife (ANM) act as resource persons far training of ASHA (Accredited Social Health Activist).", "cop": 2, "opa": "AWW and MPW", "opb": "AWW and ANM", "opc": "MPW and ANM", "opd": "ANM and MO", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b1ed28c9-87c0-4759-942d-919cfd83f045", "choice_type": "single"} {"question": "Active search for disease in an apparently healthy individual is k/a", "exp": "Ans. is 'c' i.e. screening Screening is defined as 'the search for unrecognized disease or defect by means of rapidly applied tests, examination or other procedures in apparently healthy individuals.\"Other termsCase finding : is the use of clinical and/or laboratory tests to detect disease in individuals seeking health care for other reasons for example ELISA for HIV in pregnant women.Monitoring : is performing and analysing routine measurements to detect changes in the health status of population or changes in the environment for eg. monitoring of air pollution, water quality, growth and nutritional status etc.Sentinel surveillance : As no routine notification system can detect all cases of infection or disease, sentinel surveillance is a method to identify the missing cases.", "cop": 3, "opa": "Monitoring", "opb": "Case finding", "opc": "Screening", "opd": "Sentinel surveillance", "subject_name": "Social & Preventive Medicine", "topic_name": "Screening for Disease", "id": "2f685937-8f5a-41c5-8e27-4989b700515e", "choice_type": "single"} {"question": "In T.B/ a ‘case’ is”", "exp": null, "cop": 3, "opa": "Cough", "opb": "Mantoux positive", "opc": "Sputum positive", "opd": "X-ray positive", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "47621d9e-75f4-4063-89af-689adf96ea46", "choice_type": "single"} {"question": "A 37 weeks pregnant woman attends an antenatal clinic at a Primary Health Centre. She has not had any antenatal care till now. The best approach regarding tetanus immunization in this case would be to", "exp": null, "cop": 1, "opa": "Give a dose of Tetanus Toxoid (TT) and explain to her that it will not protect the new born and she should take the second dose after four weeks even if she delivers in the meantime", "opb": "Do not waste the TT vaccine as it would anyhow be of no use in this pregnancy", "opc": "Given one dose of TT and explain that it will not be useful for this pregnancy", "opd": "Give her anti-Tetanus Immunoglobulin along with the TT vaccine", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0a83ea1b-5760-4e2a-a844-0892b3b0f3ca", "choice_type": "single"} {"question": "Multidrug resistance in TB is defined as resistance to", "exp": "Multidrug Resistant TB (MDR-TB): Resistance to Isoniazid and Rifampicin “with or without resistance to other drugs‘\n\nTreatment of MDR-TB must be done on the basis of sensitivity testing\nDirectly observed therapy certainly helps to improve outcomes and should be considered an integral part of the treatment of MDR-TB.\n\nExtensive Drug Resistant TB (XDR–TB): Resistance to rifampicin and isoniazid as well as to any member of the quinolone family and at least one of the following second-line TB.\nTB treatments: kanamycin, capreomycin, or amikacin.", "cop": 2, "opa": "Streptomycin, Rifampicin and Isoniazid", "opb": "Isoniazid and Rifampicin", "opc": "Streptomycin and Rifampicin", "opd": "Streptomycin and Isoniazid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6554bb80-9eac-4a44-b8f3-f905fdcc6bc0", "choice_type": "single"} {"question": "Statistical method of calculate death rate among two population with different age groups", "exp": "Ans. is 'b' i.e., Standardized death rate Standardization (or adjustment) of rates is used to unable the valid comparison of groups that differ regarding an impoant health determinant (most commonly age). For example, if we want to compare the death rates of two different populations with different age composition, the crude death rate is not right yardstick because rates are only comparable if the populations upon which they are based are comparable. To remove this confounding effect of different age structure, adjustment or standardization is done. Two major approaches to standardization have been used :? Direct standardization Indirect standardization", "cop": 2, "opa": "Crude death rate", "opb": "Standardized death rate", "opc": "Case fatality rate", "opd": "Age specific death rate", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b1bec34a-7689-4b4f-896b-53a97dfdcca3", "choice_type": "single"} {"question": "An investigator finds out that 5 independent factors influence the occurrence of a disease. Comparison of multiple factors that are responsible for the disease can be assessed by", "exp": "• ANOVA: Analysis of Variance is a parametric test used for polyotomous independent variable\n• Chi-square test: Is non-parametric test used for testing association between 2 or more qualitative variables\n• Multiple linear regression: Is used if the target variables are dimensional having multiple possible values (e.g. blood pressure, serum cholesterol, body temperature)\n• Multiple logistic regression: Is used if the target variables are binary having only two possible values (e.g. hypertension, smoking, geriatric age group)", "cop": 1, "opa": "Multiple logistic regression", "opb": "Multiple linear regression", "opc": "Chi-square test", "opd": "ANOVA", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c34a2a68-2520-46c6-aa7d-8fe1de5649f8", "choice_type": "single"} {"question": "Konkan integrated development project is developed by", "exp": "CARE (Cooperative for Assistance and Relief Everywhere) is helping in following projects: Integrated nutrition and health project; Better health and nutrition project; Anaemia control project; Improving women&;s health project; Improved Healthcare for Adolescent Girls project; Child survival project; Improving women's reproductive health and family spacing project; Konkan Integrated Development project ..etcPark 23e pg: 924", "cop": 1, "opa": "CARE", "opb": "DANIDA", "opc": "Rockefeller foundation", "opd": "Ford foundation", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "bb6b91eb-237f-4e61-adc1-22a093b6499b", "choice_type": "single"} {"question": "Highest amount of vit. C is found in", "exp": null, "cop": 4, "opa": "Orange", "opb": "Lemon", "opc": "Grapes", "opd": "Indian goose berry", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b3cb52f7-7f52-4370-ba9b-1ad894e641a7", "choice_type": "single"} {"question": "Society is", "exp": null, "cop": 1, "opa": "Systems of relations between individuals", "opb": "Inter-relation between person and society", "opc": "A group of people with geographical boundaries", "opd": "Study of laws", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "27ce4b90-41fc-4528-bd1c-fff2fcd9e8c5", "choice_type": "single"} {"question": "Most sensitive test for sanguinarine is", "exp": null, "cop": 1, "opa": "Paper chromatography", "opb": "FeC13", "opc": "HCl", "opd": "Nitric Acid", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f46bf997-ae2c-47fa-a37f-a3946926133e", "choice_type": "single"} {"question": "The micronutrient, helping to increase the absorption of iron from the diet", "exp": "Dietary composition affects the biologic availability and use of nutrients. For example, the absorption of iron may be impaired by large amounts of calcium or lead; likewise, non-heme iron uptake may be impaired by a lack of ascorbic acid and amino acids in the meal.Ref: Harrison&;s Principles of Internal Medicine; 19th edition; Chapter 95e; Nutrient Requirements and Dietary Assessment", "cop": 2, "opa": "Folic acid", "opb": "Ascorbic acid", "opc": "Nicotinic acid", "opd": "Pantothenic acid", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "5c9af250-5072-4ec1-bed5-72b27b9486b2", "choice_type": "single"} {"question": "Diabetes mellitus is best diagnosed by", "exp": "The WHO recommendations for the diagnostic criteria for diabetes:Fasting plasma glucose: >/= 126mg/dlor2-hour plasma glucose: > 200mg/dlRef: Park; 23rd ed; Pg 395", "cop": 2, "opa": "Fasting blood sugar > 100mg/dl and post prandial blood sugar > 140mg/dl", "opb": "Fasting blood sugar > 126mg/dl and post prandial blood sugar > 199mg/dl", "opc": "HbA1C = 5.5%", "opd": "Fasting blood sugar > 70mg/dl", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "42e5ad00-e6a4-4d87-ac65-6873230bfb10", "choice_type": "single"} {"question": "MDR defined as", "exp": "(INH & Rifampicin): (180-Park 22nd/ edition; K. Park 20th/ed p-173. K. Park21st/ed p 178-79, New RNTCP Module, www.tbcindia.org)WHO defines a multi drug resistant (MDR) strain as one that is at least resistant to isoniazid and rifampicin, with or without resistant to other anti TB drugsMultidrug Resistant TB - is defined by WHO as tuberculosis disease where the bacilli is resistant to Isonaiazid (H) and Rifampicin (R). with or without resistance to other drugs- Most common cause - Irregular consumption & frequent interruption in antitubercular treatment- In India 2-3% in new cases and 14%-17% in re-treatment cases - Estimated 99,000 cases every year- Prevention of MDR-TB is given priority under RNTCP rather than its treatmentManagement of MDR-TB is preferably undertaken at DOTS Plus site with experience, expertise and availability of required diagnostic and treatment facilities.Criteria for Identification of MDR-TB suspects:- A new smear positive patient remaining smear positive at the end of fifth month- A new smear negative patient becoming smear positive at the end of fifth month- A patient treated with regimen for previously treated remaining positive at fourth month- Smear positive contacts of an established / confirmed MDR-TB caseDiagnosis - Culture & drug susceptibility testing from a quality- assured laboratoryMDR - TB treatment regimen* Intensive Phase - 6-9 months, Comprises of 6 drugs (Kanamycin ), Levofloxacin (Ivx) Ethionamide , Pyrazinamide , Ethambutol and Cycloserine .* Continuation Phase - 18 months. Comprises of 4 drugs (Ivx, Eto, E and Cs) p-aminosalicylic acid (PAS) is a substitute drug if any of the bactericidal drug (Kanamycin / Ethonamide) is not tolerated.* Dosages of the drugs are based upon three weight bands * II patients receive drugs under direct observation on 6 days of the week. On the 7th day (Sunday), the oral drugs will be administered unsupervised and kanamycin will be omitted* If intolerance occurs to the drugs, ethionamide, cycloserine and PAS may be split into two dosages and the morning dose administered under DOT. The evening dose self - administered* The empty blister packs of the self -administered doses will be checked the next morning during DOT* 100 mg of pyridoxine is administered to all patients on the RNTCP MDR-TB treatment regimen.* If a patient gains at least 5 kg weight during treatment & crosses the weight- bands range, DOTS - plus site committee may consider moving the patient to higher weight-band drug dosages, whenever the patient is due for next 3-monthly supply of drugs in normal course of treatment .Follow-up schedule - Smear examination should be done monthly during IP and at least quarterly during CP.Culture examination should be done at least at 4, 6, 12, 18 and 24 months of treatmentExtensively Drug Resistant TB (XDR-TB)Q - is a subset of MDR- TB* TB bacilli, in addition to being resistant to R and H, are also resistant to fluoroquinolones and any one of the 2nd line injectable drugs (namely Kanamycin, Capreomycin, or Amikacin).* XDR-TB has been reported in India", "cop": 2, "opa": "INH only", "opb": "INH & Rifampicin", "opc": "More than two drugs", "opd": "INH, Pyrazinamide, Ethambutol.", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "17ee48a5-5444-4586-b12a-fc2c547d5545", "choice_type": "single"} {"question": "Mother friendly bih initiative was launched in", "exp": "Baby friendly hospitals initiatives It was launched in USA by combined effos of WHO & UNICEF Since 1993 WHO's effos to improve infant and young child nutrition have focused on promoting breast feeding. It has been calculated that breast feeding could prevent deaths of at least one million children a year. A new \"baby-friendly hospital initiative\" (BFHI), created and promoted by WHO and UNICEF, has proved highly successful in encouraging proper infant feeding practices, staing at bih. BFHI is suppoed by the major professional medical and nursing bodies in India. The global BFHI has listed ten steps which the hospital must fulfil. This includes: (1) Have a written breast-feeding policy that is routinely communicated to all health care staff; (2) Train all health care staff in skills necessary to implement this policy; (3) Inform all pregnant women about the benefits and management of breast- feeding; (4) Help mothers initiate breast-feeding within one half-hour of bih; (5) Show mother, how to breast-feed and maintain lactation, even if they should be separated from their infants; (6) Give newborn infants no food or drink other than breast milk, not even sips of water, unless medically indicated; (7) Practice rooming-in that is, allow mothers and infants to remain together 24 hours a day; (8) Encourage breast-feeding on demand; (9) Give no aificial teats or pacifiers (also called dummies or soothers) to breast-feeding infants; and (10) Foster the establishment of breast-feeding suppo groups and refer mothers to them on discharge from the hospital or clinic. The \"Baby friendly\" hospitals in India are also expected to adopt and practice guidelines on other interventions critical for child survival including antenatal care, clean delivery practices, essential newborn care, immunization and O Ref: Park 25th edition Pgno : 568", "cop": 4, "opa": "India", "opb": "England", "opc": "Australia", "opd": "USA", "subject_name": "Social & Preventive Medicine", "topic_name": "Maternal and child care", "id": "746e48e1-07fa-40b1-9d66-6674236bfdbc", "choice_type": "single"} {"question": "During a disaster, rapidly classifying the injured on the basis of likelihood of their survival with prompt medical intervention, is a part of", "exp": "Triage:\nConsists of rapidly classifying the injured ‘on the basis of severity of their injuries and likelihood of their survival’ with prompt medical intervention.", "cop": 3, "opa": "Search, rescue and first aid", "opb": "Tagging", "opc": "Triage", "opd": "Disaster mitigation", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "853889e2-7480-4823-b479-b102081b2e7d", "choice_type": "single"} {"question": "Maximum working hours duration including overtime for a person working in a factory as per the factories act 1948 is", "exp": "Factories Act* The act prohibits employment of children below the age of 14 years and declares that age between 15 to 18 as adolescents.* Adolescents should be duly certified by the Certifying surgeons.* Adolescent s employees are allowed to work only between 6 AM and 7 PM.* Prescribes a maximum of 48 hours per week not exceeding 9 hours per day with 1/2 hr rest after 5 hours of continuous work.* The total number of hours of work in a week including overtime shall not exceed 60 hrs.", "cop": 2, "opa": "48 hours", "opb": "60 hours", "opc": "72 hours", "opd": "80 hours", "subject_name": "Social & Preventive Medicine", "topic_name": "Hospital waste, disaster management and occupational health", "id": "b65d3ebf-dc11-42ac-a762-3be67941c42d", "choice_type": "single"} {"question": "PE and critical path methods are employed in", "exp": "PE and CPM are pa of network analysis, a management technique.", "cop": 3, "opa": "Community education", "opb": "Health planning", "opc": "Management", "opd": "Health survey", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "24f8d2f9-2afb-4309-81d9-21bca5f910cc", "choice_type": "single"} {"question": "Holding time for Hot air oven with temperature of 1800C", "exp": ".", "cop": 2, "opa": "15 min", "opb": "30 min", "opc": "60 min", "opd": "120 min", "subject_name": "Social & Preventive Medicine", "topic_name": "All India exam", "id": "b0ad169d-f946-4ab3-9943-0c5718258a91", "choice_type": "single"} {"question": "Black color in triage", "exp": "Triage\n\nWhen the quantity and severity of injuries overwhelm the operative capacity of health facilities, a different approach to medical treatment must be adopted.\nThe usual principle of first come, first treated”, is not followed in mass emergencies.\nTriage consists of rapidly classifying the injured and the likelyhood of their survival with prompt medical intervention.\n\n3 Higher priority is granted to victims whose immediate or long-term prognosis can be dramatically affected by simple intensive care.\n\nMoribund patients who require a great deal of attention, with questionable benefit have the lowest priority.\nThe most common triage classification system used international is four colour code system.\n\n\nRed → High priority treatment or transfer\nYellow → Medium priority\nGreen → Ambulatory patients 4. Black → Dead or moribund patients", "cop": 1, "opa": "Death", "opb": "Transfer", "opc": "High priority'", "opd": "Low' priority'", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fdc8c533-e9ec-4fa2-b2a9-33eada055759", "choice_type": "single"} {"question": "The ‘acceptable’ noise level is", "exp": null, "cop": 1, "opa": "85 dB", "opb": "90 dB", "opc": "95 dB", "opd": "100 dB", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "632b5e2d-c1f5-4618-9b47-7023a5487b9e", "choice_type": "single"} {"question": "BCG is given", "exp": null, "cop": 3, "opa": "Intramuscular", "opb": "Subcutaneous", "opc": "Intradermal", "opd": "Intravenous", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6877e88a-bb95-4eb5-aaa3-3acebcd303d0", "choice_type": "single"} {"question": "Vaccine contraindicated during Pregnancy is", "exp": "- All live vaccines (except Yellow fever vaccine) are contraindicated in pregnancy. - Pregnancy is a immunocompromised state. Hence, CI for live attenuated vaccines, unless the risk of infection exceeds risk of harm to fetus. Classification of vaccines: Live vaccines BCG, OPV, Measles, Mumps, Rubella, Yellow fever vaccine, Varicella, Typhoral, JE live vaccine, H1N1 live, Rotaviral vaccine Killed vaccines Peussis , Rabies vaccine, IPV, Hep-A vaccine, Meningococcal vaccine, KFD, JE killed vaccine , H1N1 killed vaccine Toxoids Diphtheria, Tetanus Proteinaceous vaccines Acellular peussis, Anthrax Polysaccharide vaccines Typhim-vi, Pneumococcal vaccine, Meningococcal vaccine, Hib Glycoconjugate vaccines Pneumococcal vaccine, Meningococcal vaccine, Hib Combination vaccines MMR, MR, DPT, Pentavalent Recombinant vaccines Hepatitis -B , HPV", "cop": 4, "opa": "Hepatitis A", "opb": "Hepatitis B", "opc": "Rabies", "opd": "Varicella", "subject_name": "Social & Preventive Medicine", "topic_name": "Contraindications, AEFIs", "id": "a1b46762-a2c7-4c0f-a8d5-228ad3dc3e37", "choice_type": "single"} {"question": "Raltegravir belongs to", "exp": "More than 25 antiretrovirals (ARV) drugs in six mechanistic classes are Food and Drug Administration (FDA)-approved for treatment of HIV infection. These six classes include the nucleoside/nucleotide reverse transcriptase inhibitors (NIs), non-nucleoside reverse transcriptase inhibitors (NNIs), protease inhibitors (PIs), a fusion inhibitor (FI), a CCR5 antagonist, and integrase strand transfer inhibitors (INSTIs). In addition, two drugs, ritonavir (V or r) and cobicistat (COBI or c) are used solely as pharmacokinetic (PK) enhancers (or boosters) to improve the pharmacokinetic profiles of some ARV drugs (e.g., PIs and the INSTI elvitegravir ).Dolutegravir , Elvitegravir , Raltegravir are integrase strand transfer inhibitors (INSTIs).", "cop": 3, "opa": "NIs", "opb": "NNIs", "opc": "INSTIs", "opd": "CCR5 antagonist", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "b29296ad-5200-437c-a1c8-515bc21395f8", "choice_type": "single"} {"question": "Home delivery of contraception is carried out by", "exp": null, "cop": 3, "opa": "Anganawadi worker", "opb": "Male health worker", "opc": "ASHA worker", "opd": "Female health worker", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "56cf7fab-5a30-45b8-b39b-69f7ea268370", "choice_type": "single"} {"question": "First in sequence", "exp": "Ans. b (Disease). (Ref. Park, PSM, 17th ed., 36)Concept of health and diseaseThe sequence of events leading to disability and handicap is: Disease -impairment -disability -handicap-rehabilitation.WHO definitions:ImpairmentAny loss or abnormality of psychological, physiological or anatomical structure of function.DisabilityAny restriction or lack of ability to perform an activity in manner or within range considered normal for human.HandicapA disadvantage for a given individual resulting from an impairment or disability that limits or prevents fulfillment of role that is normal for that individual.RehabilitationIt is intervention at the level of psychological, vocational and medical.", "cop": 2, "opa": "Impairment", "opb": "Disease", "opc": "Disability", "opd": "Rehabilitation", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of Health and Disease", "id": "3de2e343-9a0d-48c3-bb53-680afb3631d6", "choice_type": "single"} {"question": "Ideal cholesterol level should be below", "exp": null, "cop": 3, "opa": "300", "opb": "220", "opc": "200", "opd": "350", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b27822bd-7419-4b0f-9026-39a4c7e51f56", "choice_type": "single"} {"question": "Post exposure prophylaxis schedule of rabies vaccine in a previously immunized person", "exp": "Ans. (c) Day 0, 3, 7Ref: K. Park 23rd ed. / 279-80Schedule of Prophylaxis Rabies vaccineTypes of prophylaxisSchedulePre-exposureDay 0, 7, 28Post- exposureDay 0, 3, 7,14, 28, 90Post- exposure in vaccinatedDay 0, 3, 7", "cop": 3, "opa": "Day 0,3, 7, 14,21,90", "opb": "Day 0,3, 7, 14,28,90", "opc": "Day 0, 3, 7", "opd": "day 0, 7, 28", "subject_name": "Social & Preventive Medicine", "topic_name": "Principles of Immunization and Vaccination", "id": "1957d96b-d883-487e-b08d-fd6f8380442b", "choice_type": "single"} {"question": "LD (50) (30) is the radiation required to", "exp": "Ans) a (Kill 50% of the ...30days) Ref park 20th edThe median lethal dose, LD50 (abbreviation for \"Lethal Dose, 50%\"), LC50 (Lethal Concentration, 50%) or LCt.50 (Lethal Concentration & Time) of a toxic substance or radiation is the dose required to kill half the members of a tested population. LD50 figures are frequently used as a general indicator of a substance's acute toxicity.The related quantities LD50/30 or an LD50/60 are used to refer to a dose that without treatment will be lethal to 50% of the population wiihin (respectively) 30 or 60 days. These measures are used more commonly withinRadiation Health Physics, as survival beyond 60 days usually results in recovery.", "cop": 1, "opa": "Kill 50% of the animals in 30 days", "opb": "Kill 30% of the ani? .5s in 50 days", "opc": "Kill 50% of the animals in 50 days", "opd": "Kill 30% of the animals in 30 days", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and Health", "id": "a216df72-093a-4dc1-874a-05a2e00dde00", "choice_type": "single"} {"question": "Relationship between the disease and social conditions", "exp": null, "cop": 3, "opa": "Political science", "opb": "Social Psychalogy", "opc": "Social Pathology", "opd": "Social Sciences", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b0a2ee6f-a113-4c92-a771-c4b7a347c477", "choice_type": "single"} {"question": "Janani shishu suraksha karyakram includes", "exp": "JANANI SHISHU SURAKSHA KARYAKRAM The government of India launched this programme on 1st June 2011. The National initiative for better facilities for mother and child. Major initiatives:- All pregnant women delivering in public health institutions to have absolutely free and no expense delivery including caesarean section. The entitlements include free drugs and consumables, free diet upto 3 days during normal delivery and 7 days for caesarean section, free diagnostics, free blood, free transpo from home to the institution. Similar entitlements have been put in place for all sick newborns assessing public health institutions for treatment till 30 days after bih. The scheme has now been extended to cover complications during ANC, PNC and also sick infants. The scheme motivates institutional deliveries. Reference-park&;s textbook of preventive and social medicine, 23rd edition, pg no.456", "cop": 4, "opa": "Free treatment to newborn till 45 days of delivery", "opb": "Free treatment to newborn till 40 days of delivery", "opc": "Free food to mother and child", "opd": "Free delivery in hospital", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "dbe2fc6a-8614-4198-a0e3-74c3c881fec8", "choice_type": "single"} {"question": "Power of study can be increased by", "exp": "Power of a Test:\n– Is probability of rejecting a Null hypothesis when a predetermined clinically significant difference is indeed\npresent\n– Measures the ability to demonstrate an association, when one really exists\n– Power of a statistical test: 1 – b ( 1 – probability of Type II error)\n– Power of a statistical test is complimentary to b (probability of Type II error)\n– Power of a statistical test is a numeric representation of: Sensitivity\n– Power of a statistical test can be increased by:\n1. Increasing the no. of subjects in a trial (sample size)\n2. Reducing b (probability of Type II error)\n3. Increasing sensitivity\n– Power of a statistical test is also used for calculation of sample size for a study", "cop": 4, "opa": "Increasing a error", "opb": "Increasing b error", "opc": "Decreasing a error", "opd": "Decreasing b error", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7b145468-6ba4-4013-b948-624fada92f12", "choice_type": "single"} {"question": "Diagnosis of Filariasis is confirmed most commonly done by", "exp": "Standard/definitive method for diagnosing active Filariasis infection is the identification of microfilariae in a blood smear by microscopic examination. Microfilariae that cause Lymphatic Filariasis circulate in the blood at night (Nocturnal periodicity) Blood collection (20 cu.mm) should be done at night to coincide with the appearance of the microfilariae, and a thick smear should be made and stained with Giemsa or haemayoxylin and eosin For increased sensitivity, concentration techniques can be used Serological techniques provide an alternative to microscopic detection of microfilariae for the diagnosis of Lymphatic Filariasis Patients with active filarial infection typically have elevated levels of antifilarial IgG4 in the blood and these can be detected using routine assays Ref: Park 25th edition Pgno : 298", "cop": 2, "opa": "Clinical features", "opb": "Detection of microfilariae", "opc": "PCR", "opd": "Serological test", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "fb5c34f6-7409-407a-8250-5855048148c6", "choice_type": "single"} {"question": "Prophylaxis for anthrax", "exp": null, "cop": 2, "opa": "Erythromycin", "opb": "Doxycycline", "opc": "Penicillin", "opd": "Vancomycin", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6c7dedda-1014-48e9-87b2-7c1f8bc80807", "choice_type": "single"} {"question": "The best measure of burden of disease in a defined population is", "exp": null, "cop": 1, "opa": "DALY - Disability Adjusted Life Years", "opb": "QALY - Quality Adjusted Life Years", "opc": "HATE - Health Adjusted Life Expectancy", "opd": "DFLE - Disability Free Life Expectancy", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "71efe3e4-b84f-4d57-bef9-41912313e619", "choice_type": "single"} {"question": "2 snake bite cases found in Bihar, it is", "exp": null, "cop": 3, "opa": "Epidemic", "opb": "Pandemic", "opc": "Sporadic", "opd": "Endemic", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "86e0041b-c512-492b-a00a-eab6a72c9bb7", "choice_type": "single"} {"question": "Communicability of disease is assessed by", "exp": null, "cop": 1, "opa": "Secondary attack rate", "opb": "Generation time", "opc": "Serial interval", "opd": "Incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "6ab8d1af-6d24-4ea6-af28-b8de1f400a3d", "choice_type": "single"} {"question": "Natural history of a disease is studied with", "exp": "Longitudinal studies are in which observations are repeated in the same population over a prolonged period of time by means of follow-up examination. They are useful in1) to study the natural history of the disease and its future outcome2) for identifying risk factors for disease3) For finding out incidence rate or rate of occurrence of new cases of a disease in the community.Park 23e pg: 70", "cop": 1, "opa": "Longitudinal studies", "opb": "Cross sectional studies", "opc": "Randomized control trials", "opd": "Randomized sampling", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "b6761f3f-7a30-4e11-82f5-b228bb9ff0d7", "choice_type": "single"} {"question": "Communicability is best measured by", "exp": "SAR is defined as the number of exposed persons developing the disease within the range of the incubation period, following exposure to the primary case. Hence it shows the communicability.", "cop": 2, "opa": "Serial Interval", "opb": "Secondary attack rate", "opc": "Case fatality rate", "opd": "Generation time", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "0b34f7a1-8c3b-4306-a07b-b3915d7681e1", "choice_type": "single"} {"question": "Concentration of diethylcarbomazine in DEC medicated salt in endemic filariasis is", "exp": "Ans. is 'a' i.e., 2-4 gm/kg o The use of DEC-medicated salt is a special form of mass treatment using very low doses of drug over a long period of time. o Common salt medicated with 1-4g of DEC per kg has been used for filariasis control in endemic areas of W. bancrofti and B malayi, paicularly in Lakshadweep islands. o Treatment should be continued for at least 6-9 months.", "cop": 1, "opa": "2-4 gm/kg", "opb": "3-6 gm/kg", "opc": "5- 1 0 gm/kg", "opd": "10- 15 gm/kg", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "40f3c0a5-fec8-4ba0-be41-8229cb9a3c5f", "choice_type": "single"} {"question": "Most reliable test for the screening of diabetes mellitus among the following is", "exp": "The measurement of glucose levels in random blood samples is considered unsatisfactory for epidemiological useThe fasting value alone is considered less reliable since true fasting cannot be assured and spurious diagnosis of diabetes may readily occur.For epidemiological purposes, the 2-hour value after 75gm oral glucose may be used either alone or with the fasting value.Park 23re pg: 395", "cop": 3, "opa": "Random blood sugar", "opb": "Fasting blood sugar", "opc": "Glucose tolerance test", "opd": "Urine sugar", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "4a982e40-efa4-4bde-888d-6cb874056af3", "choice_type": "single"} {"question": "Epidemiology of cholera in England was clasified by", "exp": "An english epidemiologist John Snow studied the epidemiology of cholera in London from 1848 to 1854. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition", "cop": 1, "opa": "John Snow", "opb": "Winslow", "opc": "Chadwick", "opd": "Howard huges", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "7d86e77a-4877-4a8d-82d5-cca119c8e737", "choice_type": "single"} {"question": "Disease not included under International surveillance", "exp": "Disease under international surveillance\n\nRabies\nMalaria\nRelapsing fever\nHuman Influenza\nSalmonellosis\nTyphus fever (Louse borne)\nPoliomyelitis", "cop": 1, "opa": "Yellow fever", "opb": "Poliomyelitis", "opc": "Malaria", "opd": "Relapsing fever", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "12587d05-7d72-4b2a-8a64-0e68da240af6", "choice_type": "single"} {"question": "Frequently occurring value in a series is known as", "exp": "Ans. (d) ModeRef : K. Park 23rd ed. / 847-88THE MODE* The mode is the commonly occurring value in a distribution of data. It is the most frequent item or the most fashiionable\" value in a series of observations. For example, the diastolic blood pressure of 20 individuals was:85, 75 79, 71, 95, 75, 75, 77, 75, 9071, 75, 79, 95, 75, 77, 84, 75, 81, 75* The mode or the most frequently occurring value is 75.", "cop": 4, "opa": "Average", "opb": "Median", "opc": "Mean", "opd": "Mode", "subject_name": "Social & Preventive Medicine", "topic_name": "Measures of Central Tendency and Distribution", "id": "7fc84625-370f-4d36-9d37-403d32c10e25", "choice_type": "single"} {"question": "Rubella is caused by", "exp": "Family Togaviridae includes Genus Alphavirus --> Western Equine Encephalitis (WEE) , Eastern Equine Encephalitis (EEE) , Venezuelan Equine Encephalitis (VEE) and Chikungunya fever (CGF) Genus Rubivirus --> Rubella Rubella: Aka German measles. I.P - 14-21 days Source : cases Mode of transmission : Respiratory / air droplets Period of communicability: 1 week before symptoms & 1 week after rash. Vaccine: Live attenuated; RA 27/3 strain", "cop": 3, "opa": "Ohomyxovirus", "opb": "Paramyxovirus", "opc": "Toga virus", "opd": "Arbovirus group B", "subject_name": "Social & Preventive Medicine", "topic_name": "NEET 2019", "id": "679de40e-f99a-4754-977c-709e449f77af", "choice_type": "single"} {"question": "IT Based TB monitoring", "exp": null, "cop": 3, "opa": "e DOTS", "opb": "Nischay", "opc": "Nikshay", "opd": "Ujjwala", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f271b3a0-b09f-412d-a9c3-aac5a999e57e", "choice_type": "single"} {"question": "The breeding ground for the vectors of Japanese", "exp": null, "cop": 1, "opa": "Paddy field", "opb": "Mixed garbage", "opc": "Cooler water", "opd": "Stale food", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "28f792a1-d684-487b-b281-2099d40fc118", "choice_type": "single"} {"question": "In endemic area, most sensitive indicator of recent transmission of malaria is", "exp": null, "cop": 1, "opa": "Infant parasite site", "opb": "Spleen rate", "opc": "ABER", "opd": "API", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8b3c37b7-94ae-4724-b55c-fefa18abf45b", "choice_type": "single"} {"question": "Employee's contribution to Employee State Insurance", "exp": "According to ESI Act amendment 2019", "cop": 4, "opa": "3.75", "opb": "3.5", "opc": "2.75", "opd": "0.75", "subject_name": "Social & Preventive Medicine", "topic_name": "Hospital waste and disaster management, Occupational health", "id": "9f61049c-a964-4bab-bc7b-b263b92575d1", "choice_type": "single"} {"question": "ICD 10", "exp": "ICD-10 is the 10th revision of the International Statistical Classification of Diseases and Related Health Problems (ICD) Medical classification list by the World Health Organization (WHO); Revised every 10years Consists of 21chapters The ICD-10 consists of: Tabular lists containing cause-of-death titles and codes (Volume 1) Inclusion and exclusion terms for cause-of-death titles (Volume 1) Description, guidelines, and coding rules (Volume 2) and An alphabetical index to diseases and nature of injury, external causes of injury, table of drugs and chemicals (Volume 3) Ref : Park's textbook of preventive and social medicine; 23rd edition", "cop": 3, "opa": "Revised every 5 years", "opb": "Consists of 10 chaptors", "opc": "Arranged in 3 volumes", "opd": "Produced by UNICEF", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "2f67e365-82f7-43fc-9f39-794048f1fd3a", "choice_type": "single"} {"question": "Amniocentesis in early pregnancy for genetic disorders is a kind of", "exp": "As it is a diagnostic test, it comes under secondary prevention. It is a diagnostic test done in the 2nd trimester (only after completion of 12wks). it can detect many abnormalities like Down's, Neural tube defects Ref : Park's Textbook of Preventive and Social Medicine; 23rd edition - Pgno. 578", "cop": 3, "opa": "Primordial prevention", "opb": "Primary prevention", "opc": "Secondary prevention", "opd": "Teiary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "b8cb603a-476b-42d2-b7cc-f5dd44d04f5e", "choice_type": "single"} {"question": "Sullivan&;s index is indicator of", "exp": "SULLIVAN&;S INDEX also known as Disability Free Life Expectancy (DFLE) is a method to compute life expectancy free of disability. *It is calculated by formula:L Lifeexpectancy {\\displaystyle -} duration of disability . Health expectancy calculated by Sullivan's method is the number of remaining years, at a paicular age, that an individual can expect to live in a healthy state. It is computed by subtracting the probable duration of bed disability and inability to perform major activities from the life expectancy. The data for calculation is obtained from population surveys and period life table. The Sullivan&;s index collects moality and disability data separately, and this data is almost often readily available. The Sullivan health expectancy reflects the current health of a real population adjusted for moality levels and independent of age structure. Ref: 25th edition Park&;s Textbook of Preventive and Social Medicine, Page no. 26", "cop": 4, "opa": "Burden of disease", "opb": "Literacy rate", "opc": "Moality rate", "opd": "Disability rate", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "4885b419-8f09-4ca7-9b61-b2c30e613ad4", "choice_type": "single"} {"question": "Didactic method of communication is", "exp": "One-way communication is also known as a didactic method.Ex: Lecture in classroomsDrawbacks are: Knowledge is imposed, learning is authoritative, Little audience paicipation, no feedback, does not influence human behaviour.Two-way communication is called a Socratic method.Park 23e pg: 855", "cop": 2, "opa": "Two way communication", "opb": "One way communication", "opc": "Knowledge is not imposed", "opd": "Influence human behavior", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "a488da9a-b6e6-426c-b07f-c8d149b457fd", "choice_type": "single"} {"question": "Maternal Mortality Rate is calculated by", "exp": "Maternal Mortality rate (MMR): Maternal deaths expressed as per 100,000 live births, where a ‘maternal death’ is defined as ‘death of a woman while pregnant or during delivery or within 42 days (6 weeks) of termination of pregnancy,\nirrespective of duration or site of pregnancy, from any cause related to or aggravated by the pregnancy or its management but not from accidental or incidental causes.’\nMaternal deaths expressed as per 100,000 live births (earlier it was expressed per 1000 live births but that yielded fractions like 4.08 maternal deaths per 1000 LB; so denominator was extrapolated to 100,000 to make MMR value more sensible.)", "cop": 1, "opa": "Maternal deaths/live birth", "opb": "Maternal deaths/1000 live births", "opc": "Maternal deaths/100000 live births", "opd": "Maternal deaths/100000 population", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "47157e11-eca6-4c56-889d-081659cd04f5", "choice_type": "single"} {"question": "Pellagra", "exp": "• RDA is often higher than the recommended minimum requirement: RDA includes both daily requirement and some additional requirement for periods of growth or illness.", "cop": 2, "opa": "Is due to pyridoxine deficiency", "opb": "Occurs with diet chiefly on maize", "opc": "Night blindness is a presenting feature", "opd": "Causes high output cardiac failure", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "838b3d39-2878-42f8-a2bb-d018a5bc2b7e", "choice_type": "single"} {"question": "Fat content is highest in", "exp": "Ans. is 'a' i.e., Beef", "cop": 1, "opa": "Beef", "opb": "Mutton", "opc": "Chicken", "opd": "Fish", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7fae3796-b35f-4dd2-a0ae-1c75cb8f6555", "choice_type": "single"} {"question": "During post disaster period most commonly reported disease is", "exp": null, "cop": 3, "opa": "Acute respiratory infections", "opb": "Tetanus", "opc": "Gastroenteritis", "opd": "Urinary tract infection", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e7b00ed7-cf11-41e7-90d6-8f14389da9bc", "choice_type": "single"} {"question": "ORS should be discarded", "exp": "After 24 hours", "cop": 3, "opa": "After 6 hours 13.", "opb": "After 12 hours", "opc": "After 24 hours", "opd": "After 36 hours", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "9b47b6d9-d8fc-475e-b6c2-a013a65d9d6b", "choice_type": "single"} {"question": "JNC 8 guidelines related to", "exp": "The Eighth Joint National Committee (JNC 8) recently released evidence-based recommendations on treatment thresholds, goals, and medications in the management of hypeension in adults.In the general population of adults 60 years and older, pharmacologic treatment should be initiated when the systolic pressure is 150 mm Hg or higher, or when the diastolic pressure is 90 mm Hg or higher. Patients should be treated to a target systolic pressure of less than 150 mm Hg and a target diastolic pressure of less than 90 mm Hg.In the general population younger than 60 years, pharmacologic treatment should be initiated when the systolic pressure is 140 mm Hg or higher, or when the diastolic pressure is 90 mm Hg or higher. The target systolic pressure in this population is less than 140 mm Hg, and the target diastolic pressure is less than 90 mm Hg.", "cop": 3, "opa": "Diabetes", "opb": "Stroke", "opc": "Hypeension", "opd": "Angina", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "78474af0-0080-4842-a3f7-ea37f4a7abe3", "choice_type": "single"} {"question": "Headquaers of FAO is located in", "exp": "Food and Agriculture Organization (FAO) established in October 1945 with the objective of eliminating hunger and improving nutrition and standards of living by increasing agricultural productivity. The FAO coordinates the effos of governments and technical agencies in programs for developing agriculture, forestry, fisheries, and land and water resources. Headquaered in Rome, Italy, the FAO maintains offices throughout the world. The organization, which has more than 180 members, is governed by the biennial FAO conference, in which each member country, as well as the European Union, is represented. The conference elects a 49-member Council. Ref: 25th edition Park&;s Textbook of Preventive and Social Medicine, Page no. 986", "cop": 2, "opa": "New York", "opb": "Rome", "opc": "Geneva", "opd": "New Delhi", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "cf96c892-a6fe-45be-a303-c92b6ec03312", "choice_type": "single"} {"question": "In interview, first stage is to", "exp": null, "cop": 1, "opa": "Establish contact", "opb": "Starting interview", "opc": "Establishing rapport", "opd": "Probe questions", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "949513bf-02b8-44b4-91c7-fc49304827c8", "choice_type": "single"} {"question": "Not a component of DOTS", "exp": "Components of DOTS\n\nAccountability\nPolitical commitment\nUninterrupted drug supply\nGood quality sputum microscopy\nDirectly observed treatment.", "cop": 4, "opa": "Accountability", "opb": "Political commitment", "opc": "Uninterrupted drug supply", "opd": "Medicines given for 30 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "f05d81e5-2a93-4b24-acb7-c97bd55c0640", "choice_type": "single"} {"question": "Normal voice heard from 1 meter, intensity of sound reaching ear is", "exp": "Ans. is 'c' i.e. 60dB Intensity is the strength of sound which determines its loudness. It is usually measured in deeibeis (dB). o Following are intensities when a person is at a distance of one meter from sound source. Whisper 30dB Normal conversation 60dB Shout 90 dB Discomfo of ear 120dB Fain in ear 130 dB", "cop": 3, "opa": "20 dB", "opb": "40 dB", "opc": "60 dB", "opd": "80 dB", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e3d8e380-cc66-4ff0-a6fa-6b01a3311d1f", "choice_type": "single"} {"question": "PUFA consumption is associated with", "exp": "Ans. is 'b' i.e. lowering of serum cholesterol, lowering of LDL cholesterol \"Diets rich in essential fatty acids have been reported to reduce serum cholesterol and low-density lipoproteins\" - ParkEssential fatty are those fatty acids which cannot be synthesized by human body. They are essential because they can be derived only from food. These are 3 PUFALinoleic acidLinolenic acidArachidonic acid", "cop": 2, "opa": "Lowering of serum cholesterol, rise in LDL cholesterol", "opb": "Lowering of serum cholesterol, lowering of LDL cholesterol", "opc": "Rise in serum cholesterol, rise in LDL cholesterol", "opd": "Rise in serum cholesterol, lowering of LDL cholesterol", "subject_name": "Social & Preventive Medicine", "topic_name": "Nutrition and Health", "id": "5165858f-0915-459a-8956-cee399794532", "choice_type": "single"} {"question": "Multifactorial causation of disease theory was proposed by", "exp": "Traits and conditions that are caused by more than one gene occurring together are multifactorial, and diseases that are caused by more than one factor interacting (for example, heredity and diet in diabetes) are multifactorial. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 40", "cop": 2, "opa": "Louis Pasteur", "opb": "Pettenkofer", "opc": "Robe Koch", "opd": "Aristotle", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "6b342cec-65ae-41ac-9d3f-6a6f651bcf02", "choice_type": "single"} {"question": "In X and Y the coefficient correlation is 'r' find out coefficient correlation in 4x&4y", "exp": "(r): (795 Park 22nd/edition)Correlation coefficient may refer to:* Pearson product-moment correlation coefficient, also known as r, R, or Pearson's r, a measure of the strength and direction of the linear relationship between two variables that is defined as the (sample) covariance of the variables divided by the product of their (sample) standard deviations.* Intraclass correlation, a descriptive statistic that can be used when quantitative measurements are made on units that are organized into groups; describes how strongly units in the same group resemble each other.* Rank correlation, the study of relationships between rankings of different variables or different rankings of the same variable* Spearman's rank correlation coefficient, a measure of how well the relationship between two variables can be described by a monotonic function* Kendall tau rank correlation coefficient, a measure of the portion of ranks that match between two data sets.* Goodman and Kruskal's gamma, a measure of the strength of association of the cross tabulated data when both variables are measured at the ordinal level.In statistics, the Pearson product-moment correlation coefficient (sometimes referred to as the PPMCC or PCC, or Pearson's r) is a measure of the linear correlation (dependence) between two variables X and Y, giving a value between +1 and -1 inclusive, where 1 is total positive correlation, 0 is no correlation, and -1 is negative correlation. It is widely used in the sciences as a measure of the degree of linear dependence between two variables. It was developed by Karl Pearson from a related idea introduced by FrancisGalton in the 1880s The correlation coefficient ranges from -1 to 1. A value of 1 implies that a linear equation describes the relationship between X and Y perfectly, with all data points lying on a line for which Tincreases as X increases. A value of-1 implies that all data points lie on a line for which Y decreases as X increases. A value of 0 implies that there is no linear correlation between the variables. More generally, note that (Xi - X)(Yi - Y) is positive if and only if Xi and Yi lie on the same side of their respective means. Thus the correlation coefficient is positive if Xi and Yi tend to be simultaneously greater than, or simultaneously less than, their respective means. The correlation coefficient is negative if Xi and Ti tend to lie on opposite sides of their respective means.Correlation Coefficient is given by the formulaTends to lie between - 1 and + 1.0* 'r' value near + 1 - Signals a strong positive association * 'r' value near - 1 - Signals a strong negative association * 'r' = 0 - signals no association between x and y", "cop": 4, "opa": "4r", "opb": "3r", "opc": "2r", "opd": "r", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "e3db9fb9-ead2-4858-8e7d-15ea20ecec3d", "choice_type": "single"} {"question": "No. Of Sustainable development goals", "exp": "On 25 September 2015, UN General Assembly adopted the 2030 Development Agenda titled \"Transforming our world: the 2030 Agenda for Sustainable Development\".This has 17 Sustainable Development Goals and the associated 169 targets.", "cop": 3, "opa": "19", "opb": "20", "opc": "17", "opd": "13", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "bbd12069-16bb-4166-904f-8fda61b74a0d", "choice_type": "single"} {"question": "Niacin deficiency cause", "exp": "Niacin \n\nThis vitamin differs from the other vitamins of the B-complex group in that an essential amino acids tryptophan serves as its precursor.\nAnother characterstic of niacin is that it is not excreted in urine as such, but is metabolised to two major methylated derivatives.\n\n\nN-methyl-nicotinamide\nN-methyl pyridones\n\n\nNiacin deficiency results in *Pellagra ’\nPellagra is identified by the presence of three 'D's → Diarrhea, Dementia, Dermatitis.", "cop": 1, "opa": "Pellagra", "opb": "Scurvy", "opc": "Rickets", "opd": "Lathyrism", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "605cdaf0-d20d-49eb-b99d-d1204b02fdac", "choice_type": "single"} {"question": "Old men with BP 210/120mmHg are classified as severe hypeension", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 1, "opa": "Categorical", "opb": "Numerical", "opc": "Quantiitave", "opd": "Continuous", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "c4aec8bd-9bce-4a2b-8027-deaa1eb98f4e", "choice_type": "single"} {"question": "In malarial eradication programme, the basis of using insecticide is to reduce lifespan of mosquito by less than", "exp": "VECTOR CONTROL STRATEGIES Vector control is still one of the primary weapons to control malaria in endemic areas. (a) Anti-adult measures (i) Residual spraying : The discovery of DDT in 1940s and followed by other insecticides revolutionized malaria control. The spraying of the indoor surfaces of houses with residual insecticides (e.g., DDT, malathion, fenitrothion) is still the most effective measure to kill the adult mosquito. It has been observed that discontinuation of spraying has very often led to the resurgence of malaria. This implies that spraying once applied may need to be continued for an indefinite period. If indoor spraying is to have any effect, then exhaustive coverage is needed. Indoor house spraying Reduces the longevity of the vector. Malathion and fenitrothion are organophosphate insecticides which are being used with increasing frequency For malaria control following the development of vector resistance to DDT (ii) Space application : This is a major anti-epidemic measure in mosquito-borne diseases. It involves the application of pesticides in the form of fog or mist using special equipment. The ultra-low-volume method of pesticide dispersion by air or by ground equipment has proved to be effective and economical. Outdoor space sprays reduce vector population quickly. {iii) Individual protection : Man-vector contact can be reduced by other preventive measures such as the use of repellents, protective clothing, bed-nets* (preferably impregnated with safe, long-acting repellent insecticides), mosquito coils, screening of houses etc. The methods of personal protection are of great value when properly employed. However, they have rarely been used on a large scale because of cost Ref : Park 25th edition Pgno : 318", "cop": 4, "opa": "1 day", "opb": "3 days", "opc": "6 days", "opd": "10 days", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "0f665569-79dc-418b-8633-1ec585ae38ba", "choice_type": "single"} {"question": "The protein quality indicator adopted by ICMR in recommending dietary protein requirement is", "exp": null, "cop": 3, "opa": "Amino acid score", "opb": "Biological value", "opc": "Net protein utilization", "opd": "Protein efficiency ratio", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e9681911-c05a-40e9-b256-2fdffd418433", "choice_type": "single"} {"question": "Saddleback fever is known as", "exp": "• Saddleback fever: Two peaks of fever separated by an afebrile period in-between\n• Seen in: Dengue, Trench fever, Bartonellosis, Chikungunya, Colaradotick fever\n• Saddleback fever: Two peaks of fever separated by an afebrile period in-between\n• Seen in: Dengue, Trench fever, Bartonellosis, Chikungunya, Colaradotick fever", "cop": 1, "opa": "Dengue fever", "opb": "Brucellosis", "opc": "Malaria fever", "opd": "Typhoid fever", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "81e0c337-6204-46d6-aa75-4820cb6cdf09", "choice_type": "single"} {"question": "In Acute Flaccid paralysis, examination for residual paralysis should be done after", "exp": null, "cop": 4, "opa": "30 days", "opb": "120 days", "opc": "90 days", "opd": "60 days", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "2751dfeb-4c48-44e1-b80c-dae5633ffa1e", "choice_type": "single"} {"question": "Problem of bias is maximum with", "exp": "Bias is any systemic error in the determination of the association between exposure and disease. The relative risk may increase or decrease as a result of the bias it reflects some type of no compatibility between the study and control groups. The possibility of bias must be considered when evaluating a possible cause and effect relationship. (refer pgno 73, park 23rd edition)", "cop": 3, "opa": "Coho study", "opb": "Case study", "opc": "Case control study", "opd": "Experimental study", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "24399ef2-5f07-46ec-a4e7-a40fdc7f9a65", "choice_type": "single"} {"question": "Pregnancy requirement of folic acid per day", "exp": "Ref:Park's Text book of Preventive and Social Medicine 25th ed", "cop": 4, "opa": "100 micrograms", "opb": "500 milligrams", "opc": "300 micrograms", "opd": "500 micrograms", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "046b4d5b-dec3-43b7-8f84-b1ffdd03544e", "choice_type": "single"} {"question": "Minimum and Maximum Values established for calculation of Life Expectancy index in HDI are", "exp": null, "cop": 4, "opa": "0 years and 65 years", "opb": "0 years and 85 years", "opc": "0 years and 100 years", "opd": "25 years and 85 years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "7969e10e-37ca-4e59-996f-92ca0a2a0a38", "choice_type": "single"} {"question": "Residual chlorine level after swimming pool sanitation", "exp": null, "cop": 3, "opa": ">0.5 mg/l", "opb": ">0.7 mg/l", "opc": ">1 mg/l", "opd": ">0.7 ppm", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b29eaa51-0d34-4884-9662-2efede7367b3", "choice_type": "single"} {"question": "Index measuring deprivation in basic dimensions of human development", "exp": "The Human Povey Index (HPI) was considered to better reflect the extent of deprivation to the HDI. In 2010 it was supplanted by the UN&;s Multidimensional Povey Index.", "cop": 1, "opa": "Human povey index", "opb": "Human development index", "opc": "Physical quality of life index", "opd": "Development deprivation index", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "53a8828b-8190-441f-8114-4204bfc98680", "choice_type": "single"} {"question": "Nova T has", "exp": null, "cop": 1, "opa": "Silver core", "opb": "Platinum core", "opc": "Copper core", "opd": "Iron core", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "ccf97fb2-3d2e-4206-a2d5-cfa5bf095f56", "choice_type": "single"} {"question": "Burning test syndrome is seen due to deficiency of", "exp": null, "cop": 2, "opa": "Vitamin B3", "opb": "Vitamin B5", "opc": "Vitamin B6", "opd": "Vitamin B7", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b3032cec-4e09-457e-a22f-9ab5fccece25", "choice_type": "single"} {"question": "Rash is absent in", "exp": null, "cop": 1, "opa": "Q-fever", "opb": "Endemic typhus", "opc": "Scrub typhus", "opd": "Epidemic types", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e1740cc9-2631-4986-b7e6-1a66ced62e6e", "choice_type": "single"} {"question": "Function of kasturba memorial fund is", "exp": "Created in 1944, the fund was raised with the main objective of improving a lot of women, especially in the villages, through gram-sevikasPark 23e pg: 916", "cop": 4, "opa": "Relief work", "opb": "Lepra work", "opc": "Tuberculosis work", "opd": "Women development", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "741d93a2-43ba-4799-8a08-ac6c4e3f4654", "choice_type": "single"} {"question": "MTP act does not protect act of termination of pregnancy beyond", "exp": "Medical Termination of Pregnancy Wilful termination of pregnancy prior to the age of fetal bility has been controversial at all times. However, many governments the world over have liberalized 'Aboion Laws' in keeping with changing times, accepting the recognition of the right of the individual to bear a child at her chosen time and helping to curb the malpractices accompanying illegal aboions. In India, the MTP Act was adopted as a health measure way back in 1972 to avoid death due to criminal aboions. Definition The Indian Act permits the wilful termination of pregnancy before the age of fetal bility (20-weeks' gestation) for well-defined indications. It has to be performed by recognized medical practitioners in a recognized place approved by the competent authority under the Act. Methods of MTP Methods of MTP can be broadly classified as follows: Methods of first-trimester MTP Menstrual regulation Dilatation and suction evacuation Cervical softening prior to dilatation and suction evacu- ation Medical methods Methods of second-trimester MTP Surgical evacuation Extraovular instillation of drugs Extrauterine methods Ref: Park 25th edition Pgno: 287", "cop": 1, "opa": "20weeks", "opb": "24weeks", "opc": "28weeks", "opd": "30weeks", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "5890c663-94d4-4c8c-a6fa-4f7c17556722", "choice_type": "single"} {"question": "The concept of social medicine was first introduced by", "exp": "The seeds that medicine is a social science were sown in 19th century by pioneers such as Neumann and Virchow Ref : Park's Textbook of Preventive and Social Medicine; 23rd edition", "cop": 1, "opa": "Neumann and Virchow", "opb": "Robe Grotjahn", "opc": "John Ryle", "opd": "Rene Sand", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "dbbfd1a7-008e-4ee6-9b32-7507ac0ee231", "choice_type": "single"} {"question": "Mineral toxicity of Manganese produces", "exp": "(D) Neurologic symptoms resembling those of parkinsonism TRACE MINERALSNutrientFunctionsEffects of DeficiencyToxicity* ChromiumPromotion of glucose tolerancePossibly impaired glucose tolerance * CopperEnzyme component, hematopoiesis, bone formationAnemia in undernourished children, Menkes (kinky-hair) syndromeWilson disease, copper poisoning* FluorineBone and tooth formationPredisposition to dental caries, possibly osteoporosisFluorosis, mottling and pitting of permanent teeth, exostoses of spine* IodineThyroxine (T4) and triiodothyronine (T3) synthesis, development of fetusSimple (colloid, endemic) goiter, cretinism, deaf-mutism, impaired fetal growth and brain developmentHyperthyroidism or hypothyroicism* IronHemoglobin & myoglobin formation, cytochrome enzymes, iron-sulfur proteinsAnemia, pica, glossitis, angular cheilosisHemochromatosis, cirrhosis, diabetes mellitus, skin pigmentation* ManganeseHealthy bone structureComponent of manganese-specific enzymes: glycosyltransferases, phosphoenolpyruvate carboxykinase, manganese-superoxide dismutaseQuestionableNeurologic symptoms resembling those of parkinsonism or Wilson disease* MolybdenumComponent of coenzyme for sulfite oxidase, xanthine dehydrogenase, and one aldehyde oxidaseTachycardia, headache, nausea, obtundation (sulfite toxicity) * SeleniumComponent of glutathione peroxidase and thyroid hormone iodinaseKeshan disease (viral cardiomyopathy), muscle weaknessHair loss, abnormal nails, nausea, dermatitis, peripheral neuropathy* ZincEnzyme component, skin integrity, wound healing, growthImpaired growth and delayed sexual maturation, hypogonadism, hypogeusiaRBC microcytosis, neutropenia, impaired immunity", "cop": 4, "opa": "Menkes syndrome", "opb": "Impaired immunity", "opc": "Cardiomyopathy", "opd": "Neurologic symptoms resembling those of parkinsonism", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "25f75c61-f201-42eb-aef4-718423a0edf7", "choice_type": "single"} {"question": "Phenol coefficient indicates", "exp": "On exposure to air, the colorless crystals of phenol become pinkish and on longer exposure, the color deepens to dark blue. Pure phenol is not an effective disinfectant. It is used as an effective disinfectant. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 140", "cop": 1, "opa": "Efficacy of a disinfectant", "opb": "Dilution of a disinfectant", "opc": "Quantity of a disinfectant", "opd": "Purity of a disinfectant", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "a3c20c04-2144-4363-ab04-047bdf3614b1", "choice_type": "single"} {"question": "The theory of \"epidemiological web of causation\" was forwarded by", "exp": "For explaining the causation of such non-communicable diseases, in paicular, McMahon and Colleagues (McMahon and Pugh T. Epidemiology: Principle and methods 1st Ed, 1970) forwarded the theory of \"epidemiological web of causation\" Ref: McMahon and Colleagues. Text book on Public Health and Community Medicine pg: 19.", "cop": 2, "opa": "Robe Koch and Louis Pasteur", "opb": "McMahon and Colleagues", "opc": "Henle-Koch", "opd": "John Stua Mill", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "c598384f-985a-4de5-971d-cf6ba7cb9df9", "choice_type": "single"} {"question": "Low air velocity is measured by", "exp": null, "cop": 3, "opa": "Dry bulb thermometric", "opb": "Bilvered thermometer", "opc": "Kata thermometer", "opd": "Globe thermometer", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "23723762-f8da-4cfb-8152-94dde04733af", "choice_type": "single"} {"question": "Under NPCB, screening of school children is firstdone by", "exp": "School teachers Under the National Programme for Control of Blindness, all children aged 10-14 years will be screened for refractive errors by trained teachers. Children who cannot read the 6/9 line with any eye are then sent to the ophthalmic assistant of the CHC for refraction test. Children needing spectacles are then provided free spectacles by opticians who have been contracted by the NPCB.", "cop": 1, "opa": "School teachers", "opb": "Village health guide", "opc": "Ophthalmologic assistant", "opd": "Medical officer", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a40db48f-f1c7-4755-aa07-c1be5f58cfac", "choice_type": "single"} {"question": "Pearl index is", "exp": "Failure rate/100 women years", "cop": 3, "opa": "Failure rate / 1 women years", "opb": "Failure rate/10 women years", "opc": "Failure rate/100 women years", "opd": "Failure rate/1000 women years", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4021dec9-952b-4480-a2ff-832d2d386c93", "choice_type": "single"} {"question": "The Toxin responsible for Lathyrism is", "exp": "(A) BOAA # LATHYRISM or NEUROLATHYRISM is a neurological disease of humans and domestic animals, caused by eating certain legumes of the genus Lathyrus. This problem is mainly associated with Lathyrus sativus.> The lathyrism resulting from the ingestion of Lathyrus odoratus seeds (Sweet peas) is often referred to as odoratism, which is caused by a different toxin (Beta-amino-propionitrile) and affects the linking of collagen, a protein of connective tissues.> Symptoms> The consumption of large quantities of Lathyrus grain containing high concentrates of the neurotoxin beta-oxalyl-L-aipha,beta- diaminopropionic acid (or ODAP) causes paralysis, characterized by lack of strength in or inability to move the lower limbs.> Poison responsible in the peas is the glutamate analogue beta-(N)-oxalylamino-L-alanine acid (BOAA), aka beta-N-oxalyl-diamino- propionic acid (beta-ODAP).", "cop": 1, "opa": "BOAA", "opb": "Sanguinarine", "opc": "Pyrazolidine alkaloid", "opd": "Calotoxin", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "c51c8902-97c8-44c6-8d27-55047ee8711c", "choice_type": "single"} {"question": "Best method to remove confounding is", "exp": "Method Utility to control confounding Randomization 2nd best method Restriction Limiting study to people who have paicular characteristics Matching Mostly useful in case control studies, MC used method Stratification Useful for larger studies Statistical modeling When many confounding variables exist simultaneously Stratified randomization Best method", "cop": 3, "opa": "Randomization", "opb": "Restriction", "opc": "Stratified randomization", "opd": "Multivariate analysis", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "5b2d1bda-0768-4c72-b54b-b6aaa4738de9", "choice_type": "single"} {"question": "In 4 split skin smears of a patient, 2 samples had 10 bacilli out of 100hpf and 2 samples with > 1000 bacilli. Average bacteriological index would be", "exp": "RIDLEY'S LOGARITHMIC SCALE FOR BACTERIAL INDEX Bacterial/ Bacteriological Index (BI) : Density of bacilli in smears, including both living and dead bacilli. Ridley's logarithmic scale : Based on the number of bacilli seen in an average High power microscopic field, using an oil-immersion objective (1/12 in or 2 mm) When several smears are taken: Mean index is calculated. Score Description 6+ Many clumps of bacilli in an average field (over 1000) 5+ 100-1000 bacilli in an average field 4+ 10-100 bacilli in an average field 3+ 10-100 bacilli in 10 fields 2+ 1-10 bacilli in 10 fields 1+ 1-10 bacilli in 100 fields In the given question, Two samples have 10 bacilli in 100hpf (each1+score), and Tw samples with >1000 bacilli in Average filed (each 6+ score) BI = 1+1+6+6/ 4 = 3.5 Ref: Park 25th edition Pgno : 341-342", "cop": 1, "opa": "3.5", "opb": "4.5", "opc": "5.5", "opd": "6.5", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "f0b2bef9-bbd1-47a7-8198-a9804a19f7c6", "choice_type": "single"} {"question": "Tetracycline is used in the prophylaxis of", "exp": null, "cop": 2, "opa": "Brucellosis", "opb": "Cholera", "opc": "Leptospirosis", "opd": "Meningitis", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "72bf77f0-e97a-41ee-9c02-4c247d2dbd87", "choice_type": "single"} {"question": "Variables in the form of mild,moderate,severe is given.Method used to analyse is", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 2, "opa": "Nominal", "opb": "Ordinal", "opc": "Interval", "opd": "Variance", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "4162244d-e1fd-469c-8974-a0dc76ef5fa1", "choice_type": "single"} {"question": "Most frequently occurring value in a group of data", "exp": null, "cop": 4, "opa": "Mean", "opb": "Standard deviation", "opc": "Median", "opd": "Mode", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "66e3c01d-18d1-46d5-8c1f-8a4d8dd56cfb", "choice_type": "single"} {"question": "National AIDS Control Programme was staed on", "exp": "National AIDS control programme was launched in India in the year 1987. Ref: PARK&;S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE 23rd edition pg 431", "cop": 3, "opa": "1977", "opb": "1980", "opc": "1987", "opd": "1990", "subject_name": "Social & Preventive Medicine", "topic_name": "Health programmes in India", "id": "d5e25478-0ea6-427e-8b27-c4350f98fd46", "choice_type": "single"} {"question": "Best contraceptive for 22 year old married nulliparous women", "exp": null, "cop": 2, "opa": "Condom", "opb": "OCPs", "opc": "Tubectomy", "opd": "Rhythm method", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "8cb4869c-ab53-421d-bcc5-028d3186aec6", "choice_type": "single"} {"question": "Not a barrier method", "exp": null, "cop": 3, "opa": "Condom", "opb": "Today", "opc": "Centchroman", "opd": "Diaphragm", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "129d7542-ad1b-4e67-8438-3e76bac09ca4", "choice_type": "single"} {"question": "Confirmatory Test for coliform count", "exp": null, "cop": 1, "opa": "Eijkman test", "opb": "Casoni’s test", "opc": "Nitrate test", "opd": "Urease test", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "91392a98-ba41-44e0-903f-de74fd1c54fe", "choice_type": "single"} {"question": "PNDT Act 1994 deals with", "exp": "(A) Prohibition of sex selection# PRE-NATAL DIAGNOSTIC TECHNIQUES (Regulation and Prevention of Misuse) Act, 1994 (PNDT), was amended in 2003 to Pre-Conception and Pre-Natal Diagnostic Techniques (Prohibition Of Sex Selection) Act (PCPNDT Act) to improve the regulation of the technology used in sex selection.> Implications of the amendment are: Amendment of the act mainly covered bringing the technique of pre conception sex selection within the ambit of the act Bringing ultrasound within its ambit Empowering the central supervisory board, constitution of state level supervisory board Provision for more stringent punishments Empowering appropriate authorities with the power of civil court for search, seizure and sealing the machines and equipments of the violators Regulating the sale of the ultrasound machines only to registered bodies", "cop": 1, "opa": "Prohibition of sex selection", "opb": "Age determination", "opc": "Fetal viability", "opd": "Congenital abnormalities", "subject_name": "Social & Preventive Medicine", "topic_name": "Miscellaneous", "id": "83c0dec0-51d8-47c1-b0f1-58ac09621418", "choice_type": "single"} {"question": "The hardness of Hard water (in mg/L) is", "exp": "(PARK TB 25rd edition pg 787) Hardness is the soap destroying power of water. Level of hardness is expressed in terms of milliequivalents per litre where one milliequivalent is equal to 50mg calcium carbonate in one litre of water. The level of hardness of hard water is equal to 3-6mEq/L or 150-300 mg/L. CLASSIFICATION LEVEL OF HARDNESS (mEq./L) LEVEL OF HARDNESS (mg/L) soft water <1 <50 moderately hard 1-3 50-150 hard water 3-6 150-300 very hard >6 >300", "cop": 3, "opa": "<50", "opb": "50-100", "opc": "150-300", "opd": ">300", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "6651e367-4492-47f4-a437-5c18c3ed6f63", "choice_type": "single"} {"question": "Ixodid tick transmits", "exp": "Description: Vector Diseases transmitted Soft tick Relapsing fever, Q fever, KFD (outside India) Hard tick Tularemia, Babesiosis, KFD (India), Tick paralysis, Tick encephalitis, Indian tick typhus, Tick hemorrhagic fever, Rocky Mountain spotted fever, Lymes disease REF: PARK'S TEXTBOOK OF PREVENTIVE AND SOCIAL MEDICINE, 25TH EDITION, PG NO. 841", "cop": 3, "opa": "Listerosis", "opb": "Leishmaniasis", "opc": "Lyme disease", "opd": "Malaria", "subject_name": "Social & Preventive Medicine", "topic_name": "Environment and health", "id": "a1ffaae4-1410-4225-9a2e-c83364b3408a", "choice_type": "single"} {"question": "World Anti Tobacco Day is observed on", "exp": "Ref: 25th Ed K.Park's Textbook Of Preventive and Social Medicine", "cop": 1, "opa": "31st May", "opb": "5th June", "opc": "12th July", "opd": "24th November", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "dca1fcdb-3164-4e93-a4b2-eb55da3eb2de", "choice_type": "single"} {"question": "A 12 kg child with diarrhoea, fluid to be replaced in first 4 hours", "exp": null, "cop": 2, "opa": "0-400 ml", "opb": "800-1200 ml", "opc": "400-800 ml", "opd": "1200-1600 ml", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "a0cef2a1-5e4b-42c5-8001-835f859ccfaf", "choice_type": "single"} {"question": "Workshop is", "exp": "Symphosium : Series op speeches on a selected topic.\nRole - playing : Situation dramatized by a group.\nPanel - discussion : 4 - 8 persons discuss about a topic in front of audience.", "cop": 3, "opa": "Discussion between 6 members", "opb": "Series of speeches on the topic", "opc": "Series of four or more meetings", "opd": "Situation dramatized by a group", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "992817fa-7869-470e-9ebb-409109df273f", "choice_type": "single"} {"question": "Chemoprophylaxis is not required in", "exp": "Cholera: Tetracycline or furazolidone for household contacts Bacterial conjunctivitis: Erythromycin ophthalmic ointment Diphtheria: Erythromycin Influenza: Oseltamivir Meningitis, meningococcal: Ciprofloxacin, and minocycline Plague: Tetracycline for contacts of pneumonic plague Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 137", "cop": 1, "opa": "Typhoid", "opb": "Meningococcal meningitis", "opc": "Bacterial conjunctivitis", "opd": "Malaria", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "9315311e-c081-4313-8a5d-92b1a12c9197", "choice_type": "single"} {"question": "Not transmitted by soft Tick", "exp": null, "cop": 2, "opa": "Relapsing fever", "opb": "KFD in India", "opc": "KFD outside india", "opd": "Q fever", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "01322516-144a-435e-b09a-081866b3a840", "choice_type": "single"} {"question": "Obstetric care will mostly affet", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 3, "opa": "Early neonatal moality", "opb": "Late neonatal moality", "opc": "Perinatal moality", "opd": "Infant moality", "subject_name": "Social & Preventive Medicine", "topic_name": "obstetrics,pediatrics and geriatrics", "id": "f77dadcc-8a0d-4e18-9a7a-ceb52380dc21", "choice_type": "single"} {"question": "Failure rate of contraceptive method is determined by", "exp": "Two methods have been used to measure contraceptive efficacy: 1. Pearl index and 2. Life table analysis Pearl index is defined as the number of failure rates per 100 woman years of exposure Reference : Park&;s textbook of preventive and social medicine, 23rd edition, Page no: 510", "cop": 1, "opa": "Pearl index", "opb": "Half life", "opc": "Number of accidental pregnancies", "opd": "Period of contraceptive practice continued", "subject_name": "Social & Preventive Medicine", "topic_name": "Demography and family planning", "id": "a8cbb3d5-d2a7-4b43-be65-17cf1d6d4a91", "choice_type": "single"} {"question": "Most powerful example of social cohesion is", "exp": "Family: Is a group of biologically related individuals living together and eating from a common kitchen Family is the primary unit of all societies Family is the &;most powerful example of social cohesion&; Crowd: A group of people coming together temporarily for a sho period, motivated by a common interest or curiosity Crowd lacks internal organisation and leadership Mob: A group of people coming together temporarily for a sho period, having a leader who forces members into action Mob is more emotional than crowd Like crowd, mob is unstable and lacks internal organisation Herd: Is a crowd with a leader, where members of the group have to follow the orders of the leader without question Ref: Park 25th edition Pgno: 719", "cop": 3, "opa": "Mob", "opb": "Hospital", "opc": "Family", "opd": "Herd", "subject_name": "Social & Preventive Medicine", "topic_name": "Social science, Mental health & Genetics", "id": "97058ecd-a472-4353-8b20-a96d50e1e036", "choice_type": "single"} {"question": "Iron and folic acid supplementation to children is a form of", "exp": "Specific protection is a pa of primary prevention. Primary prevention - interventions are health promotion and specific protection. Specific protection includes protection of health by personal and community effos - immunization, nutrient supplementation(iron-folic acid supplementation, Vitamin A drops),chemoprophylaxis, protection against occupational hazards and accidents,control of consumer product quality and safety of foods,drugs,cosmetics,etc. Ref: Park's Textbook of Preventive and Social Medicine; 24th edition - Page no. 47", "cop": 2, "opa": "Health promotion", "opb": "Specific protection", "opc": "Primodial prevention", "opd": "Secondary prevention", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "fde7d7eb-2d3f-4ade-a328-247247f84aab", "choice_type": "single"} {"question": "The lung disease caused by inhalation of sugarcane dust is known as(MH' 2001; 2005)", "exp": "Ans. b (Bagasosis) (Ref Text book of PSM by Park 22nd/ 751)Pneumoconiosis is a respiratory illness caused by inhalation of (respirabale dust) dust particles of 0.5 to 3 micron.0ByssinosisBy inhalation of cotton fibres - Monday morning fever is presentBagassosisBy inhalation of sugar cane dust - organism - Thermoactinomyces sacchariAsbestosisBy inhalation of asbestos - X-ray - ground glass appearanceSilicosisBy inhalation of silica particles- X-ray - snow storm appearanceFarmer's lungBy inhalation of hay or grain dust - organism - micropolyspora faeniFew more:Immune complex disease (type III = Arthus reaction)Responsible Specific antigensFarmer's lung from moldy hayThermoactinomyces vulgaris or Micropolyspora faeniHypersensitivity pneumonitis from forced-air equipment = Pandora's pneumonitis with heating/humidifying/ air conditioning systemsThermophilic actinomycetesBird-fancier's lung, pigeon breeder's lung from protein in bird serum/excrements/feathers--Mushroom worker's lung from mushroom compostThermoactinomyces vulgaris or Micropolyspora faeniBagassosis from moldy sugar cane in sugar mill contaminationThermoactinomyces sacchari/vulgaris and Micropolyspora faeniMalt worker's lung from malt dustAspergillus clavatusMaple bark disease from moldy maple bark in saw millCryptostroma corticaleSuberosis from moldy cork dustPenicillium frequentansSequoiosis from redwood dustGraphium species", "cop": 2, "opa": "Byssinosis", "opb": "Bagassosis", "opc": "Pneumoconiosis", "opd": "Asbestosis", "subject_name": "Social & Preventive Medicine", "topic_name": "Occupational Health", "id": "e1949ff2-20fe-43a3-903c-c52680f74938", "choice_type": "single"} {"question": "The time interval between reception of infection and maximum infectivity of the host is know as", "exp": "Ans. is 'a' i.e. Generation time", "cop": 1, "opa": "Generation time", "opb": "Serial interval", "opc": "Latent period", "opd": "Median incubation period", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "fd9e5665-6e0a-44ce-8357-0195252ddcc1", "choice_type": "single"} {"question": "Advantage of case control over coho study", "exp": "Case-control study yields only estimate of relative risk Coho study yields incidence rates, relative risks as well as attributable risk (refer pgno:79 park 23 rd edition)", "cop": 2, "opa": "Attributable risk can be calculated", "opb": "Odds ratio can be calculated", "opc": "For rare disease", "opd": "Bias is minimum", "subject_name": "Social & Preventive Medicine", "topic_name": "Epidemiology", "id": "f5c17c42-1bb5-405a-8721-cad392e0488f", "choice_type": "single"} {"question": "Cytotoxic drugs are disposed in", "exp": null, "cop": 1, "opa": "Yellow bag", "opb": "Blue bag", "opc": "Red bag", "opd": "Black bag", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "5c2dac27-4aba-4f7d-bae6-a9a83cdb9297", "choice_type": "single"} {"question": "Acrodermatitis enteropathica is due to deficiency of", "exp": null, "cop": 1, "opa": "Zinc", "opb": "Vitamin B3", "opc": "Calcium", "opd": "Vitamin B6", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "1ddadcd5-6381-4657-b768-c0a9b89649f7", "choice_type": "single"} {"question": "Best Biological indicator of air pollution is", "exp": null, "cop": 3, "opa": "Gambusia fish", "opb": "Poecilia", "opc": "Lichens", "opd": "Algae", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "44328a30-a913-4a71-844c-5d13043f1884", "choice_type": "single"} {"question": "Every TB sputum positive patient can infect up to", "exp": "- Every TB sputum positive patient can infect up to 10-15 persons per year EPIDEMIOLOGY OF T.B: Country with highest TB burden India ARI 1.5% Infected with T.B 40% Developing T.B per day 5000/day SS +ve per year 0.8 million Deaths per year 0.37 million Index of infection 1-2% Prevalence of infection 40% Incidence / prevalence of disease Sputum smear examination", "cop": 3, "opa": "1-2 persons per year", "opb": "5-6 persons per year", "opc": "10-15 persons per year", "opd": "100-200 persons per year", "subject_name": "Social & Preventive Medicine", "topic_name": "Respiratory Infections", "id": "3715c888-63bd-40df-8008-15944a352ef7", "choice_type": "single"} {"question": "In set of data with highly variable values,the best measure of central tendency is", "exp": "Ref:Park's Textbook of Preventive and Social Medicine 25th Ed", "cop": 2, "opa": "Mean", "opb": "Median", "opc": "Mode", "opd": "Standard Detion", "subject_name": "Social & Preventive Medicine", "topic_name": "Biostatistics", "id": "18e6d531-99b4-4615-b5a3-f765f524e482", "choice_type": "single"} {"question": "Eligible couple means", "exp": "The eligible couple are currently married couple wherein the wife is in the reproductive age (i.e. 5 -49 yr. of age) Don't confuse with target couple: Eligible couples who have 2 - 3 living children Ref : Park 23rd edition Pgno : 492-493", "cop": 3, "opa": "A couple having 2 living children", "opb": "A couple having given bih to 2 children, irrespective of their survival status", "opc": "A couple with wife aged 15-45 yrs", "opd": "A couple who is ready for sterilization", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "13833881-fe60-46fe-afc9-368aed6991c8", "choice_type": "single"} {"question": "100 women, followed up for 20 months, with OCPs, 5 became pregnant. Calculate the Pearl Index", "exp": null, "cop": 3, "opa": "1", "opb": "2", "opc": "3", "opd": "4", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "b3c388d3-1229-4d96-9abb-4544f8926317", "choice_type": "single"} {"question": "Active search for disease in an apparently healthyindividual is k/a", "exp": "screening Screening is defined as 'the search for unrecognized disease or defect by means of rapidly applied tests, examination or other procedures in apparently healthy individuals.\" Other terms Case finding : is the use of clinical and/or laboratory tests to detect disease in individuals seeking health care for other reasons for example ELISA for HIV in pregnant women. Monitoring : is performing and analysing routine measurements to detect changes in the health status of population or changes in the environment for eg. monitoring of air pollution, water quality, growth and nutritional status etc. Sentinel surveillance : As no routine notification system can detect all cases of infection or disease, sentinel surveillance is a method to identify the missing cases.", "cop": 3, "opa": "Monitoring", "opb": "Case finding", "opc": "Screening", "opd": "Sentinel surveillance", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "4e891e50-65b4-4bcc-be2d-52689b91e435", "choice_type": "single"} {"question": "Site not used for measurement of skin fold thickness", "exp": "Skin fold thickness (SFT) is measured at 4 sites Mid-triceps region Biceps region Subcapsular region Supra iliac region Ref : Park 25th edition Pgno : 418", "cop": 3, "opa": "Mid-triceps area", "opb": "Supra-iliac region", "opc": "Gluteal region", "opd": "Biceps area", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "879aa8c6-4f8e-49c8-94b0-d41a118ac2d7", "choice_type": "single"} {"question": "The first country in the South East Asian Region (SEAR) to report AIDS was", "exp": "First case of HIV reported:\n\nUSA: 1981\nThailand: 1984\nIndia: 1986\nSri Lanka: 1987\nBangladesh: 1989", "cop": 4, "opa": "Sri Lanka", "opb": "India", "opc": "Bangladesh", "opd": "Thailand", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "3632ebd2-1b09-47d8-be24-96fe47cf84f3", "choice_type": "single"} {"question": "ORS required during 4 hours in a 20 kg child", "exp": "ORSThe aim of oral rehydration therapy is to prevent dehydration and reduce moality.Oral fluid therapy is based on the observation that glucose given orally enhances the intestinal absorption of salt and water and is capable of correcting electrolyte and water deficit.At first the composition of oral rehydration salt recommended by WHO was sodium bicarbonate based. The inclusion of trisodium citrate in place of sodium bicarbonate made the product more stable and it resulted in less stool output especially in high output diarrhoea, probably because of the direct effect of trisodium citrate in increasing intestinal absorption of sodium and water.More recently an improved ORS formulation has been developed which is safe and effective as the original in preventing and treating diarrhoeal dehydration. It is focussed on reducing the osmolarity of ORS solution to avoid adverse effects of hypeonicity on net fluid absorption by reducing the concentration of glucose and sodium chloride in the solution.A freshly prepared ORS should be used before 24hrs.Decreasing the sodium concentration of ORS solution to 75 mOsm/l improved the efficacy of ORS regimen for children with acute non-cholera diarrhoea.Reduced osmolarity ORS:-(g/L)Sodium chloride- 2.6Glucose,anhydrous- 13.5Potassium chloride- 1.5Trisodium citrate,dihydrate-2.9Total =20.5 g/LReduced osmolarity ORS:-(mmol/L)Sodium-75Chloride-65Glucose,anhydrous-75Potassium-20Citrate-10Total = 245 mmol/LGuidelines for oral rehydration therapy in first four hours(as per weight)1. Under 5 kg:200-400 ml2. 5-7.9 kg: 400-600 ml3. 8-10.9 kg : 600-800 ml4. 11-15.9 kg: 800-1200 ml5. 16-29.9 kg: 1200-2200 ml6. 30/ above: 2200-4000 ml{Reference: park&;s textbook of preventive and social medicine, 23rd edition, pg no.224}", "cop": 4, "opa": "200-400 ml", "opb": "400-600 ml", "opc": "600-800 ml", "opd": "1200-2200 ml", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable diseases", "id": "765c9649-915e-43f4-84dc-fa2ab63dfa33", "choice_type": "single"} {"question": "Morbid obesity means BMI of", "exp": "Ref: Park&;s Textbook of Preventive and Social Medicine 25 th Ed Pgno : 417-418", "cop": 2, "opa": ">30", "opb": ">40", "opc": ">35", "opd": ">29", "subject_name": "Social & Preventive Medicine", "topic_name": "Non communicable diseases", "id": "8de51243-bf2b-47e4-88b2-3e4775497398", "choice_type": "single"} {"question": "Maximum tolerable sound level to human cass", "exp": null, "cop": 2, "opa": "100 dB", "opb": "85 dB", "opc": "120 dB", "opd": "40 dB", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "e5bb9119-bfa2-4182-971c-d89996b13f46", "choice_type": "single"} {"question": "Theory of web of causation was given by", "exp": "Theory of web of causation was proposed by MacMahon and Pugh in their book: \"Epidemiological Principles and Methods\". Web of causation considers all the predisposing factors of any type and their complex inter-relationship with each other. Ref : Park&;s Textbook of Preventive and Social Medicine; 23rd edition; Page 34", "cop": 1, "opa": "Mc Mohan and Pugh", "opb": "Petfenkoffer", "opc": "John snow", "opd": "Louis Pasteur", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "05aa40a1-c0ac-4f36-a899-88bcdcf0fb53", "choice_type": "single"} {"question": "Biomedical concept of health is based on", "exp": "The biomedical model of health focuses on purely biological factors and excludes psychological, environmental, and social influences. Ref: 25th edition, Park's Textbook of Preventive and Social Medicine, Page no. 13", "cop": 1, "opa": "Germ theory of disease", "opb": "Absence of pain", "opc": "Social and psychological factors", "opd": "Equilibrium between man and environment", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of health and disease", "id": "7f15db97-0a9b-4e3f-9590-f47170477ee8", "choice_type": "single"} {"question": "Vertical transmission is seen in", "exp": "(Herpes simplex) (91 - Park 19fh) (92-Park 20th)* Transplacental (Vertical transmission - Mother to child* Direct transmission, TORCH agents (Toxoplasma, gondii, rubella, CMV, herpes virus) Varicella virus, syphilis* Hepatitis B, COxsackie B and AIDS* Some of the non - living agents (e.g. - thalidomide, DES) produces malformations of the embryo by disturbing its development", "cop": 1, "opa": "Herpes simplex", "opb": "Leprosy", "opc": "Tetanus", "opd": "Whooping cough", "subject_name": "Social & Preventive Medicine", "topic_name": "Communicable Diseases", "id": "770df629-0607-452a-ac11-cadf93e1d36e", "choice_type": "single"} {"question": "In iceberg phenomenon, the submerged part represents", "exp": "Ans. (a) Undiagnosed cases in communityRef : K. Park 23rd ed. /39, 135; K. Park 21s,ed. /37", "cop": 1, "opa": "Undiagnosed cases in community", "opb": "Diagnosed cases in community", "opc": "Clinial cases that physician sees", "opd": "Clinical cases that investigator sees", "subject_name": "Social & Preventive Medicine", "topic_name": "Concept of disease causation", "id": "b0d53eb8-b0e9-4dbc-ae02-aacf4cb73063", "choice_type": "single"} {"question": "FFHC stands for", "exp": "The most impoant aspect of FAO's (Food and Agriculture organization) work is towards ensuring that the food is consumed by the people who need it, in sufficient quantities and in right propoions, to develop and maintain a better state of nutrition throughout the world.In this context, the FAO has organized a world freedom from Hunger Campaign (FFHC) in 1960.The main object of the campaign is to combat malnutrition and to disseminate information and education. Park 23e pg: 923", "cop": 2, "opa": "Fund for human capacity", "opb": "Freedom from hunger campaign", "opc": "Fund for health corporation", "opd": "Freedom from health corporation", "subject_name": "Social & Preventive Medicine", "topic_name": "Health care of community & international health", "id": "75cdffaa-bf84-478b-bbd4-588fe279078c", "choice_type": "single"} {"question": "Flipchas are used in", "exp": "The lecture method can be made more effective by combining with suitable audio-visual aids such as - Flipchas, Flannelgraph, Exhibits, Films and chas.Flipchas are series of chas or posters, flashed or displayed before a group as talk is being given.Park 23e pg: 864", "cop": 2, "opa": "Demonstrations", "opb": "Lectures", "opc": "Symposium", "opd": "Workshops", "subject_name": "Social & Preventive Medicine", "topic_name": "Health education & planning", "id": "2a461642-c8d1-44bc-81a8-e999523b294b", "choice_type": "single"} {"question": "Adjuvant used in DPT is", "exp": null, "cop": 1, "opa": "Aluminium", "opb": "Magnesium", "opc": "Manganese", "opd": "Silica", "subject_name": "Social & Preventive Medicine", "topic_name": null, "id": "c9274b4a-2ee4-47a6-984c-ec333eeb20f5", "choice_type": "single"} {"question": "Lysine is deficient in", "exp": "Ans. a (Cereals). (Ref. Park, PSM, 17th/pg.426)# Cereals are deficient in lysine and have poor nutritive value.# Cereal and pulse proteins complement each other and provide a more balance and \"complete\" protein.# Germinating pulses, however, contain higher concentration of vitamins, especially vitamin C and B; pulses are called \"poor man's meat\".FOOD MATERIALRICH INDEFICIENT INCEREALS MaizeFat, excess leucine (Pellagra)Lysine and tryptophan.RiceLysine and Vitamin BVitamins A, D and C, Ca++, IronWheatProtein, Vitamin BLysine and threonineMilled rice (Polished rice)-Thiamine, riboflavin, niacin, proteinsMILLETS JowarExcess Leucine (Pellagra)Lysine and threonine,RagiCalc<