PSM DIAMS Sep.

09

c. Single skin lesion is treated by

1. ASHA (Accredited Social Health Activist), what Rifampicin + Dapsone for 6 months
is true d. Thalidomide is DOC for Lepra
a. One ASHA per 100,000 population reactions
b. Is preferably a female worker 9. Which of the following is incorrect about
c. Is 10-19 years age malaria:
d. Is key health functionary of a. DOC in severe and complicated
National Rural Health Mission malaria: Quinine i/v
2005-12 b. Rural malaria is more common in India
2. Which is incorrect according to Census 2001 c. Blood before transfusion is not
for India screened for malaria
a. Population count was taken as on 01 d. Plasmodium falciparum is ONLY cause
March 2001 of complications & mortality
b. Growth rate of population is 1.93% 10. Sentinel surveillance includes:
c. Literacy rate is 65% a. Identifying missing/hidden cases in
d. Sex ratio is 927 notification of diseases
3. Which of the following is incorrect b. Tip of the iceberg
a. Paul Ehrlich – Germ theory of c. Is primary level of prevention
disease d. Is largest contributor in Malaria cases
b. Robert Koch – TB bacillus in India
c. Louis Pasteur – Rabies vaccine 11. The Human Development Index considers
d. Edward Jenner – Small pox vaccine I. Expectancy of life at birth
4. Incorrect about Dengue II. Expectancy of life at age one
a. Airports must be kept free for a III. Infant mortality rate
distance of 200 meters IV. Literacy rate
b. May provide cross-protection against V. Income per capita
Yellow fever
c. Vector is Aedes aegypti Of these,
d. Torniquet test is positive if no. of a. 1 II, IV and V are correct
petechial spots per square inch (in b. 2 I, IV and V are correct
cubital fossa) is >20 c. I, III and IV are correct
5. False regarding MTCT of HIV is d. II, III and IV are correct.
a. Post Nevirapine prophylaxis, MTCT in 12. In a prospective study comprising 10000
India will become 15% subjects, 6000 subjects were put on beta
b. MTCT through breast feeding is 12 – carotene and 4000 were not. 3 out of the first
16% 6000 developed lung cancer and 2 out of the
c. Nevirapine for prevention of MTCT is second 4000 developed lung cancer. What is
given to newborn born of HIV+ mother the interpretation of the above?
within 72 hours of birth a. Beta carotene is protective in lung
d. Elective caesarean section has no cancer
role in prevention of MTCT b. Beta carotene is not protective in
6. Which pair of disease and vector is not lung cancer
correctly matched c. The study design is not sufficient to
a. Malaria – Female Anopheles draw any meaningful conclusions
b. Yellow fever – Aedes aegypti d. Beta carotene is carcinogenic
c. Pneumonic Plague – Xenopsylla 13. Good Clinical Practices are not required in
cheopsis a. Phase I Clinical trials
d. Trench fever – Louse b. Phase II Clinical trials
7. Which of the following is correct about c. Phase IV Clinical trials
contraceptives in India d. Pre-clinical trials
a. Female condoms are available at PHCs 14. Identify the incorrect match for health
b. CuT 380 A has a shelf life of 15 years communication methods:
c. Mala – D is available free of cost a. Cancer prognosis communication –
through RCH programme SPIKES Technique
d. Norplant contains Levonorgestrel b. Series of lectures on a selected health
8. Incorrect about Treatment under Leprosy topic - Symposium
programme is c. 4-8 experts discuss in front of an
a. Multibacillary leprosy treatment is audience with no order – Panel
Rifampicin + Dapsone + Clofazimine Discussion
for 12 months d. Best method for imparting training
b. Followup duration in PBL is 2 years – Role play

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15. In WHO recommended Death Certificate, Main c. Pneumonia.

Underlying Cause of Death is recorded on d. No Pneumonia.
a. Line Ia 24. The following statements about diphtheria is
b. Line Ib true
c. Line Ic a. The source of infection is mainly
d. Line II clinical cases.
16. Which of the statements is incorrect? b. The Pseudo-membrane is
a. Cohort study may be retrospective pathognomic clinical feature
b. There is minimal ethical problems c. Schick test is not used now-a-
in cohort study days
c. Relative risk can be calculated from d. DOC for carriers is Penicillin
Cohort Study 25. Leprosy is considered a public health problem
d. Cohort study usually has loss to follow- if the prevalence of leprosy is more than:
up a. 1 per 10,000
17. Chandler’s Index is used for evaluation of b. 2 per 10,000
problem of c. 5 per 10,000
a. Dracunculiasis d. 10 per 10,000
b. Ascariasis 26. All of the following statements about rheumatic
c. Ancylostomiasis fever/heart disease epidemiology in India are
d. Taeniasis true except:
18. No plant source is available for a. Its prevalence varies between 2 to 11
a. Vitamin A per 1000 children aged 5-16 years.
b. Vitamin B12 only b. Mitral regurgiration is the
c. Vitamin B4 and Vitamin B12 commonest cardiac lesion seen
d. Vitamin B12 and Vitamin D in children.
19. Minimum recommended amount of residual c. It is a Non-communicable disease.
chlorine in drinking water to kill cyclops d. Rheumatic fever occurs in about 2%
a. 0.5 mg/litre for contact period 1 hour of streptococcal sore throats.
b. 1.0 mg/litre for contact period 1 hour 27. WHO SAFE strategy has been designed for
c. 1.5 mg/litre for contact period 1 hour a. Safe delivery (Neonatal tetanus)
d. 2.0 mg/litre for contact period 1 b. Polio
hour c. Measles
20. Incorrect about National Immunization d. Trachoma
Schedule (NIS - India) 28. ANKARA starin has shown potential for the
a. Two vaccines are given at birth protection against
b. Two vitamins are included in NIS a. Dengue/ DHF
c. Five doses of OPV are given b. Japanese encephalitis
d. It includes TT for pregnant females also c. Falciparum Malaria
21. In ”Iceberg Phenomenon " the tip represents d. HIV
what the physician sees in clinical practice & 29. Vaccine which is of highest priority to be given
submerged portion of the iceberg represents in post disaster phase;
sub clinical cases, carriers, undiagnosed cases. a. Cholera
Essential purpose of screening test for a b. Tetanus
chronic disease is to identify c. Typhoid
a. Tip of the iceberg d. Measles
b. Hidden portion of the iceberg 30. MMR (maternal mortality rate) is a
c. Both 1 + 2 a. Rate
d. Waterline demarcation b. Ratio
22. Antibiotic treatment of choice for treating c. Proportion
cholera in pregnancy is: d. Percentile
a. Tetracycline. 31. A male 42 years old has Weight 100 kg and
b. Co-trimoxazole. height 160 cms. He has
c. Doxycycline. [Link] BMI
d. Furazolidone. [Link] Grade I
23. A 2-year-old female child was brought to a PHC c. Obesity Grade II
with a history of cough and fever for 4 days [Link] Grade III
with inability to eat/drink for last 12 hours. On 32. Pre-exposure prophylaxis for Rabies is given on
examination, the child was having weight of 5 a. Days 0, 3, 7, 14, 28, 90
kg and respiratory rate of 22/minute with fever. b. Days 0, 3, 7, 28, 90
The child will be classified as suffering from: c. Days 0, 3
a. Very severe Pnemonia. d. Days 0, 7, 28
b. Severe Pneumonia.

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33. World Health Day (7 April) theme for year 2010 d. The number of children aged 0-4
will be per 1000 women of childbearing
a. Health facilities in emergencies age (15-49).
b. Working together for health 42. Learned behaviour which is socially acquired is:
c. Protecting health from climate a. Emporiatrics.
change b. Socialisation.
d. Urbanization and Health c. Acculturation.
34. True about Yaws is d. Culture.
a. Is a treponemal disease transmitted 43. Most important epidemiological tool used for
through sexual route assessing disability in children is:
b. Streptomycin is DOC
c. Cause is Treponema pallidum a. Activities of Daily living (ADL) scale.
d. Does not affect facial bones b. Wing's Handicaps, Behavior and
35. Match the disease and their causative agents Skills (HBS) Schedule.
A-Yellow fever I-T. pertenue c. Binet and Simon IQ tests.
B- River blindness II-Flavivirus fibricus
C-Yaws III-Onchocerca
d. Physical Quality of Life Index (PQLI)
44. A daily water supply considered adequate to
meet the need for all rural domestic purposes
a. A-I, B-II, C-III
is
b. A-II, B-I, C-III
a. 20 litres per capita
c. A-II, B-III, C-I
b. 40 litres per capita
d. A-I, B-III, C-II
c. 60 litres per capita
36. Under National Programme for Control of
d. 150 litres per capita
Blindnesss, BLINDNESS id defined as
45. For a 60 kg Indian male, the minimum daily
a. Visual acuity of <3/60 in better eye
protein requirement has been calculated to be
b. Visual acuity of <6/60 in worse eye
a. 0.1 g/ kg/ day
c. Visual acuity of <3/60 in worse eye
b. 1.0 g/ kg/ day
d. Visual acuity of <6/60 in better
c. 10 g/ kg/ day
eye
d. 100 g/ kg/ day
37. Which is a true statement
46. LBW babies are weight
a. A PHC is for 25,000 population
a. < 2.8 kgs
b. A subcentre is for 10,000 population
b. < 2.5 kgs
c. A CHC is for 60,000 population
c. < 2.0 kgs
d. None of the above
d. < 1.5 kgs
38. Multipurpose worker concept was given by
47. Growth chart is drawn between which two
a. Bhore Committee
parameters
b. Chadah Committee
a. Weight and Height
c. Kartar Singh Committee
b. Weight and Age
d. Srivastava Committee
c. Height and Age
39. In Indian Health system, AYUSH represents
d. MAC and Age
a. Male health worker in National Rural
48. Mid Arm circumference incorrect
Health Mission
a. Useful for 0-5 years children
b. Low osmolarity ORS
b. Normal cut-off is > 13.5 cms
c. Indigenous systems of medicine
c. Indicates Nourishment in children
d. Exclusive breast feeding
d. Field instrument is Shakir’s Tape
40. Community X has 40% below 15 yrs of age and
49. Which of the following Categories of Biomedical
10% over 65 years of age. Dependency ratio
wastes in India do not require containers/ bags
for community X is
for disposal
a. 0.20
a. Category 1 (Human anatomical
b. 0.40
waste)
c. 0.66
b. Category 4 (Waste sharps)
d. 1.00
c. Category 5 (Discarded drugs &
41. Child women ratio is
Cytotoxic medications)
a. The number of children aged 0-14 d. Category 8 (Liquid waste)
per 1000 married women. 50. The standard normal distribution:
b. The number of children aged 0-4 per a. Is skewed to the left.
1000 women. b. Has mean = 1.0
c. The number of children aged 0-4 per c. Has standard deviation =
1000 married women. 0.0
d. Has variance = 1.0.
51. The PEFR of a group of 11 year old girls follow
a normal distribution with mean 300 1/min and

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standard deviation 20 l/min. c. 1/2

a. About 95% of the girls have d. 2
PEFR between 260 and 340 l/min. 60. Which of the following research methods
b. The girls have healthy lungs. studies only people who are initially free of the
c. About 5% of girls have PEFR disease of interest?
below 260 l/min. a. A case – control study
d. All the PEFR must be less than b. A prevalence survey
340 l/min. c. A cohort study
52. In a right (positive skew) curve d. A clinical trial
a. Mean = Median 61. The usefulness of a screening test is:
b. Mean > Median a. Sensitivity
c. Mean < Median b. Specificity
d. Mean is TWICE Median c. Positive predictivity
53. In an outbreak of cholera in a village of 2000 d. Negative predictivity
population 20 cases have occurred and 5 have 62. Screening test for Diabetes in India
died. Case fatality rate is: a. Glycosylated hemoglobin (Hb1Ac)
a. 1.0% b. Glucose tolerance test
b. 0.25% c. Post-prandial Blood sugar
c. 20.0% d. Fasting blood sugar
d. 25.0% 63. The following is true about prevalence and
54. Best way to study relationship between two incidence
variables (correlation) is a. Both are rates
a. Bar chart b. Prevalence is a rate but incidence is
b. Scatter diagram not
c. Histogram c. Incidence is a rate but prevalence
d. Pie chart is not
55. Kuppu swami scale include all criteria for d. Both are not rates
socioeconomic scale except: 64. Hardy Weinberg law is
a. Income / capita a. Each individual has two factors for
b. Living space / capita each trait, one from each parent
c. Occupation of head b. An organism can pass on
d. Education of Head characteristics that it acquired during
56. In a study begun in 1965, a group of 3000 its lifetime to its offspring
adults in Baltimore were asked about alcohol c. Frequency of genes remain
consumption. The occurrence of cancer was constant from generation to
studied in the group between 1981 and 1995. generation
This is an example of: d. None of the above
a. Cross sectional study 65. The drug preferred for cases of meningococcal
b. Cohort study meningitis:
c. Clinical trial a. rifampicin
d. Case control study b. penicillin
57. Continuous scrutiny of factors that determine c. tetracycline
the occurrence and distribution of disease and d. streptomycin
other condition of ill health is: 66. Recommended frequency of school health
a. Monitoring examination (School Health Committee, India
b. Surveillance 1961)
c. Disease control a. Once every year
d. System analysis b. Once every 2 years
58. Centile divides data into c. Once every 3 years
a. 100 equal parts d. Once every 4 years
b. 4 equal parts 67. Not a true combination of Most common
c. 10 equal parts complication
d. 20 equal parts a. Koplik spots - Measles
59. In a study of 200 smokers & 300 non-smokers b. Aseptic meningitis - Mumps
were followed up over a period of 10 yrs to find c. Pneumonia – Chicken pox
out incidence of hypertension. Out of 200 d. All are true
smokers, 60 developed hypertension as 68. Incubation period, false is
compared to 600 non-smokers, of which 30 a. Poliomyelitis: 04 – 33 days
developed hypertension. The risk ratio of the b. Measles: 10 – 14 days
study c. Hepatitis B: 30 – 180 days
a. 1/6 d. Yellow fever: 2 – 6 hours
b. 6 69. Antenatal care in PHCs, false is

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a. Minimum 3 visits at 20, 32 and 36 b. Plague

weeks POG c. HIV
b. Adequate rest and diet d. Cholera
c. Two doses of TT in first trimester 80. Mean + 2 SD contains
d. +550 Kcal/day in lactation a. 68% values
70. Following is true under the Indian Factory Act, b. 91% values
1976, except: c. 95% values
a. silicosis is a notifiable disease d. 99% values
b. legal cut-off age for employment is 14 81. Eligible Couple Register is maintained at
years in India a. Subcenter
c. One safety officer per 1000 workers b. PHC
d. Per capita space for a worker is c. CHC
100 sq. ft. d. District headquarters
71. Cluster testing is useful in detecting cases of: 82. “INERTIZATION” deals with
a. measles a. Mixing biomedical waste with
b. sexually transmitted infections cement& other substance before
c. unimmunized children disposal
d. cancer b. Incineration of biomedical waste with
72. RDA requirement, false is cement & other substance before
a. Iron: 28 mg disposal
b. Iodine: 150 mcg c. Dumping of Biomedical waste in
c. Fluorine: 0.2 – 0.5 ppm sanitary landfills
d. Vitamin A: 650 mcg Retinol d. Screw feed technology to disinfect
73. Vaccination is sharps
a. Primary level of prevention 83. IMR (Infant mortality rate) is expressed per
b. Secondary level of prevention a. 1000 pregnancies
c. Tertiary level of prevention b. 1000 Live births
d. Primordial level of prevention c. 100,000 Live births
74. False match d. 1000 abortions
a. Maize non-eaters: Pellagra 84. Elemental iron and folic acid contents of
b. Polished rice eaters: Beri Beri pediatric iron-folic acid tablets supplied under
c. Egg eaters: Proteins sufficient RCH program are
d. Water consumers: Fluoride sufficient a. 20 mg iron and 100 microgms of
75. Essential drug at a PHC is folic acid
a. adrenaline b. 40 mg iron and 100 microgms of folic
b. miltefosine acid
c. oseltamivir c. 100 mg iron and 500 microgms of folic
d. paracetamol acid
76. Under the national population policy 2000, it is d. 60 mg iron and 500 microgms of folic
aimed to reduce the maternal mortality ratio to acid
below: 85. In a village having population of 1000, we
a. 50 per 100,000 live births found patients with certain disease. The results
b. 100 per 100,000 live births of as new diagnostic test on that disease are as
c. 150 per 100,000 live births follows.
d. 200 per 100,000 live births
77. Which is the right number of doses of ATT for a Test result Disease
category II patient under DOTS Present Absent
a. IP – 24, CP - 54 + 125 500
b. IP – 36 CP - 66 - 125 250
c. IP – 24 CP - 48
d. IP – 36 CP – 54
What is the percent prevalence of disease?
78. True for AIDS in India
1. 2.5
a. Sexual route is most efficient route for
2. 12.5
transmission
3. 25
b. Blood/ blood-products is most common
4. 50
route of transmission
86. All of the following statements are true about
c. MC Opportunistic infection is
Yellow fever vaccine expect:
Tuberculosis
a. It should be stored in -30 to +5 degree Celsius
d. Known as Slim’s Disease
b. Reconstituted with cold saline
79. International Health regulations include all
c. Vaccine certificate validity is from 10 days to
except
10 years
a. Yellow fever

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d. Is not required and thus not available in c. Total no. of female children born by a
India female, taking into account mortality
87. Rideal-Walker Coefficient is employed for the d. Completed family size
assessment of 97. Enteric fever is caused by
a. Effect of autoclaving a. Mycobacterium tuberculosis
b. Sufficiency of Pasteurisation b. Salmonella typhi
c. Effect of Incineration c. Enterovirus
d. Germicidal Power of a disinfectant d. Rota virus
88. Which one of the following is the best indicator 98. Golden Rice is rich in
of protein quality for recommending the dietary a. Vitamin A
protein requirement b. Vitamin B1
a. Protein efficiency ratio c. Vitamin C
b. Biological value d. Vitamin D
c. Digestibility coefficient 99. Revised Jones Criteria are used for diagnosis of
d. Net protein utilization a. CHD
89. At PHC level a woman who complains of pain b. RF
following ICUD insertion should be advised c. Blindness
a. Removal of IUCD d. Hookworm
b. Iron supplements and observation 100. Spot the wrongly matched pair
c. Antibiotics and observation a. ESI Act – 1948
d. Analgesics and observation b. MTP Act – 1971
90. Best protection from STD & Syphilis is given by c. RNTCP – 1992
a. Sterilisation d. BCG Vaccination Programme –
b. IUCD 1982
c. Mala N
d. Condom
91. Test which detects TRUE NEGATIVE
a. Specificity
b. Specificity
c. Positive predictive value
d. Negative predictive value
92. To achieve NRR=1, Couple protection rate
should be
a. 50%
b. 60%
c. 99%
d. 100%
93. Incorrect match
a. Psychrometer – Air humidity
b. Kata Thermometer – Cooling power of
air
c. Anemometer – Air velocity
d. Dial thermometer – Air ambient
temperature
94. Hydatid cyst is commonly found in
a. Brain
b. Lungs
c. kidney
d. Liver
95. Vitamin A false is
a. Is stored at room temperatures
b. Contains 100,000 Lac International
Units per ml
c. Started at 9 months age
d. Earliest manifestation is
conjunctival xerosis (Dry eye)
96. Total fertility rate is
a. Total no. of male children born by a
female
b. Total no. of female children born by a
female

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