Date post: | 28-Nov-2014 |
Category: |
Documents |
Upload: | drkrishan-kumar |
View: | 147 times |
Download: | 28 times |
PSM
1. Caused by Mite A. epidemic typhusB. endemic typhusC. scrub typhusD. Q Fever
Explanation:-{Refer. Park 18/e, p 574; 19/e, p 622;20/e,p 672}
Agent
Epidemic Typhus Rickettsia
prowazekii
Louse borne
Endemic Typhus Rickettsia typhi Fleas borne
Scrub Typhus Rickettsia
tsutsugamushi
Mite Borne
Q Fever No Vector
Answer:- C. Scrub Typhus
Page 1
PSM
2. PHC population in tribal area A. 10000B. 20000C. 30000D. 40000
Explanation:-{Refer:- Park 18/e, p 693-695;19/e,p 734; 20/e, p 784}
Health Center Population In General
Population in Hilly Area
Subcentre 5000 3000
PHC 30,000 20,000
CHC 1,20000 80,000
Answer: B. 20,000
Page 2
PSM
3. Obesity defines above percentile?A. 80B. 85C. 90D. 95
Explanation:- {Refer:-http://www.cdc.gov/obesity/childhood/defining.html}
The definition of obesity in children involves BMIs greater than the
85th (commonly used to define overweight) or the 95th (commonly
used to define obesity) percentile, respectively, for age-matched
and sex-matched control subjects.
For children and adolescents (aged 2–19 years), the BMI value is plotted
on the CDC growth charts to determine the corresponding BMI-for-age
percentile.
Overweight is defined as a BMI at or above the 85th percentile and
lower than the 95th percentile.
Obesity is defined as a BMI at or above the 95th percentile for
children of the same age and sex.
Answer:- D. 95
Page 3
PSM
4. Hardness of WATER define as ppm or mg/L A. 75B. 100C. 125D. 150
Explanation:- {Refer:- http://www.fcwa.org/water/hardness.htm }
Water Hardness Scale
Grains Per GallonMilligrams Per Liter
(mg/L)or Parts Per Million (ppm)
Classification
less than 1.0 less than 17.1 Soft
1.0 - 3.5 17.1 – 60 Slightly Hard
3.5 - 7.0 60 – 120 Moderately Hard
7.0 - 10.5 120 – 180 Hard
over 10.5 over 180 Very Hard
Answer:- D. 150
Page 4
PSM
5. Essential component of RCH programme in India include all of the following except:-
A. Prevention and management of unwanted pregnancies B. Maternal care including antenatal delivery and postnatal
services C. Reduce the under fiver mortality to half D. Management of reproductive tract infections and sexually
transmitted infections
Explanation:-{Refer:- Park 18th/e, p343; 19th/e, p367}
RCH Programme
There are 4 essential Components:-
Family Planning (Prevention and management of unwanted
pregnancy)
CSSM (include maternal care including antenatal check up
delivery and postnatal service.
Client approach of health care.
Prevention or management of STD, RTI and AIDS.
Answer:- C. Reduce the under five mortality to half
Page 5
PSM
6. SENSITIVE FOR IODINE DEFICIENCY IN COMMUNITY-A. Prevalence of goiter among school children B. Urinary iodine levels among pregnant women C. Neonatal hypothyroidism D. Iodine level in soil
Explanation:- {Refer:- Park 18th/e, p451,467; 19th/e, p494}
Epidemiological assessment of iodine deficiency is necessary before initiating an iodization programme and for surveillance of goiter control programmes.
The Indicator’s are:-
Prevalence of cretinism Prevalence of goiter Prevalence of Neonatal Hypothyroidism Urinary iodine excretion Measurement of thyroid function
Note:- Neonatal Hypothyroidism is the sensitive indicator of environmental iodine deficiency.
Answer:- C. Neonatal Hypothyroidism
Page 6
PSM
7. Which of the following is correct for Case Fatality Rate:-
A.Total Noof death X 1000Total Noof Cases
B.Total Noof death X 1000
Total Population
C.Total Noof death X 1000MidYear population
D.Total Noof death X 100Total Noof Cases
Explanation:-{Refer:Park 18th/e, p50,52; 19th/e, p51,53}
Case Fatality Ratio Total Noof death X 100Total Noof Cases
Crude Death Rate Total Noof deathduring a year X1000MidYear Population
Page 7
PSM
Answer:-D. Total Noof death X 100Total Noof Cases
8. Functions of PHC are all except A. Family planning and referral services B. Referral services C. Specialist services D. Collection and reporting of vital statistics
Explanations: - {Refer:- Park 18/e, p696; 19/e, p 752; 20/e , p 804}
Functions of PHC
Education concerning health problems and their control
Collection and reporting of vital statistics
Family planning (including maternal and child health care)
Essential drugs
Referral services
Safe water supply and basic sanitation prevention used control
of locally endemic diseases.
Training of health guides, health worker, local disease health
assistants etc.
Immunization against vaccine preventable diseases
Nutrition and promoting proper food supply
Treatment of common diseases and injuries
Page 8
PSM
Answer: C. Specialist services
9. Primary Health Centre {PHC} is supposed to provide all except:- A. Treatment of common ailments B. Surgeries for acute emergency conditions C. Vaccination D. Health education
Explanations: - [Ref. Park 18/e, p696; 19/e, p 752; 20/e , p 804]
Functions of PHC
Education concerning health problems and their control
Collection and reporting of vital statistics
Family planning (including maternal and child health care)
Essential drugs
Referral services
Safe water supply and basic sanitation prevention used control of
locally endemic diseases.
Training of health guides, health worker, local disease health
assistants etc.
Immunization against vaccine preventable diseases
Nutrition and promoting proper food supply
Treatment of common diseases and injuries
Page 9
PSM
Answer: B. Surgeries for acute emergency conditions
10. Black color in triage is used for A. Minor illness B. Possible resuscitation C. Immediate resuscitation D. Dead and moribund patients
Explanation:- {Ref:- park 20/e, page 701}
Triage
Based on likelihood of their survival
Not Based on severity of their injuries
Four color code
Color
Red Immediate life saving
surgery
Yellow Possible life saving surgery
Green Minor illness
Black Dead or moribund patients
Page 10
PSM
Answer:- D. Dead and Moribund patients
11. In a normal distribution curve, the True statement is:- A. Mean = SD B. Median = SD C. Mean = 2 Median D. Mean = Mode
Explanation:- {Refer:- Park 18th/e, p647; 19th/e, p702}
Normal Distribution
Bell Shaped smooth curve
It is symmetrical
Variance = 1
Variance = (Standard Deviation)2
Standard Deviation = Area under curve
Mean = Mode = Median = 0
Page 11
PSM
Answer:- D. Mean = Mode
12. In nalgonda tecqnique for defluridation of water agent used is A. Soda +lime B. Lime + Soda C. Alum + LimeD. Lime + Alum
Explanation:- {Refer:- Park 18th/e, p451, 467; 19th/e, p512}
Fluoride content in drinking water ~ 0.5mg/l
Recommended level of fluoride in drinking water = 0.5 to 0.8 mg/l
Nalgonda technique is used for deflurination of water
It removes fluoride ion by chemical treatment.
This technique involve the addition of two chemical Lime and
Alum in sequence followed by flocullation sedimentation and
filtration.
Page 12
PSM
Answer:- D. Lime + Alum
13. R.O.M.E. defines by:- A. Bhore committee B. Kartar Singh CommitteeC. Shrivastava Committee D. Chadah Committee
Explanation:- {Refer:- ………………………….}
Committee Important Points Bhore committee Health Survey and
Development committee Prepare ‘Social
Physicians’Kartar Singh Committee Given MPW (Multi
Purpose Workers) Shrivastava Committee Medical education and
Support Manpower ROME (Reorientation Of
Medical Education) Scheme
Village health Guide Scheme
Development of Referral services complex.
Chadah Committee For Maintenance phase of National Malaria Eradication Programme (NMEP)
Answer:- C. Shrivastava Committee
Page 13
PSM
14. In a chi square test degree of freedom for a table 3x6 will be A. 8B. 10C. 12D. 18
Explanation:- {Refer:- park 20/e, p 755}
Chi-Square Test (Χ2 – Test)
It is a Non-parametric test of significance
It is used for Non-Normal distribution
It is used to test significance of association between 2 or
more Qualitative characteristics
Degree of Freedom – is the no. of observation in a dataset
that can freely vary once the parameters have been
estimated
DOF = (c-1) (r-1)
c=no. of columns
r= no. of rows
Table Degree Of Freedom
2X2 Table 1
3X3 Table 4
4X4 Table 9
3X6 Table (given in Q) 10
5X5 Table 16
Answer:- B. 10
Page 14
PSM
15. Incubation period of HIV is A. 5 years B. 6 years C. 8 years D. 10 years
Important Incubation Periods
Diseasae Incubation Period (IP)
Rubella (German
Measles)
14-21 days
Mumps 14-21 days
Chicken Pox 14-16 days
Small Pox 7-17 days
Measles 10-14 days
Diphtheria 2-6 days
Yellow Fever 2-6 days
Tetanus 6-10 days
Rabies 3-8 weeks
HIV/AIDS Months – 10 years
Answer:- D. 10 years
Page 15
PSM
16. Primordial level of prevention is:- A. Life style modification B. Vaccination C. Screening for disease D. Rehabilitation
Explanation:- {Refer:- park 20/e, p 39}
Level of Prevention Mode of Intervention
Primordial Level Prevention of the development
of risk factors
life style modification
Individual Education
Primary Level Prior to onset of disease
Health promotion
Specific protection
Secondary Level Disease is possible
Early diagnosis and
treatment
Tertiary Disease has developed
Disability Limitation
Rehabilitation
Answer:- A. Life Style modification
Page 16
PSM
17. All of the following are duties of female multipurpose worker except:-
A. Registration of an pregnant women in her area B. Distribution of conventional contraceptive C. Active surveillance for malaria D. Maintain birth and death registers
Explanation:- {Refer:- Park 18th/e, p697; 19th/e, p754-55}
A. Answer:- C. Active surveillance for malaria
Page 17
PSM
18. Rideal Walker coefficient or carbolic acid coefficient is used for:-
A. Expressing efficiency of carbolic acid B. Estimating the amount of carbolic acid required for disinfecting
faeces C. Estimating amount of pure cresol in a crude phenol sample D. Expressing efficacy of carbolic acid
Explanation:-{Refer:- Ananthnarayan 6th/e, p31}
Rideal Walker Coefficient (RWC):- A measure of the efficiency of a disinfectant compared with that of
phenol
Also known as Carbolic Acid Coefficient
Is used to represent germicidal power of a disinfectant
Standard used for comparison is Phenol, because of RWC=1 for
Phenol
Organism used for testing – S. typhi
Answer:- A. Expressing efficiency of carbolic acid
Page 18
PSM
19. Height of child become 100 cm at A. 2 years B. 3 years C. 4 years D. 5 years
Explanation:- {Refer:- nelson 18/e, p 72}
Age Of Child Growth of Height (In cm/mth)0-3 mth 3.53-6 mth 26-9 mth 1.5
9-12 mth 1.21-3 yr 1 cm/mth4-6yr 3 cm/ur
Answer:- 4 years
Page 19
PSM
20. sentinal survillance is done for? A. Missed cases B. Subclinical cases C. Index cases D. Prodromal infection cases
{Deepak PSM page 458, Q-123}
Explanation:- {Refer:- Park 19th/e, p37}
Page 20
PSM
21. BOARD DEVELOPMENT-THAT OPTION WITH 500000 FOR 500.[MY SUGGESTION]
Page 21
PSM
22. mothers milk deficient in all except :fats, proteins, vitamin C and D, vitamin k
A. fatsB. proteinsC. vitamin CD. vitamin K
{……..Deepak PSM page199, Q-17} {arora’s peads page 27, Q=42} {Refer:- nelson 18/e, p 2079}
“Late” Haemorrrhagic disease of newborn is associated with Breast Fed Infants, is a consequence of vit K deficiency.
Page 22
PSM
23. Carbohydrate in mid day meal programme is :A. 100B. 125C. 150D. 175
Explanation:-{Refer:-Park’s 20/e, p575}
Mid-Day Meal Scheme Also known as – National programme of Nutrional Support to primary
education Launched on 15th Aug. 1995 Revised in 2004 Minimum 300 Cal energy
8-12gm protein
Page 23
PSM
Page 24