PSM SURE SHOT

MISCELLANEOUS- Health Education &

Communication, Health Planning &
Management, Disaster Management,
International Health,Occupational Health,
Biomedical Waste Management
Dr Neha Taneja
PSM SURESHOT SERIES
Q. Arrange the steps of disaster (2018)

a. Disaster impact – Response – Rehabilitation – Mitigation

b. Response – Rehabilitation – Mitigation – Impact
c. Rehabilitation – Mitigation – Impact – Response
d. Mitigation – Impact – Response – Rehabilitation
Q. Assertion: WHO recommends typhoid vaccine for disaster
management in endemic areas.
Reason: Vaccination is a cost-effective way of disaster control.
(2019)

a. Assertion and Reason are true, and Reason is the correct

explanation of Assertion.
b. Assertion and Reason are true, but Reason is not the correct
explanation of Assertion.
c. Assertion is true, Reason is false.
d. Both are false
Q. Patients requiring immediate life-threatening care are
categorised under which of the following triage? (2024)

a. Red
b. Yellow
c. Green
d. Black
Q. In Kerala, after flood, people are complaining of fever. Doxycycline is
distributed prophylactically distributed. Which insecticide is preferred
alongside? (2021)

a. Malathion
b. Lindane
c. Paris green
d. Zinc Phosphide
Q. What does recovery phase consist of? (2024)
1. Prevention
2. Mitigation
3. Response
4. Rehabilitation

a. 1,2,3,4
b. 2,3,4
c. 1,3,4
d. 3,4
Q. Phase(s) of Disaster cycle before disaster impact include? (2018)

a. Disaster response
b. Medial relief and rehabilitation
c. Mitigation and preparedness
d. Rehabilitation
Q. True about triage is: (2019)

a. Least priority is given to ambulatory patients

b. Least priority is given to moribund patients
c. First come first treated basis
d. Three color coding system is used
Q. A handwashing awareness session was conducted in a community. The
correct sequence of events here is: (2022)

a. Awareness > interest > adoption > evaluation

b. Awareness > interest > evaluation > adoption
c. Evaluation > adoption > awareness > interest
d. Adoption > awareness > interest > evaluation
Q. India is a diverse country with a wealth of different cultures
and languages. Correct statement among the following? (2022)

a) Physician should not emphasize much on the

communication
b) Treat the patient regardless of patient perception
c) Due emphasis should be given to patients cultural
background
d) Leave communication to the interpreter.
Q. All of the following statements are true about health education except

a. It appeals to reason
b. It is behavior-centered
c. It aids in developing a reflexive behavior
d. It disciplines primitive desires
Q. Internalization occurs in which model of Health Education

a. Service model
b. Medical model
c. Motivation model
d. All of the above
Q. A discussion was conducted among women residing in an urban slum
to discuss the issue of increasing domestic violence in the slum. All of the
statements are true regarding this type of health communication technique
(FGD) except

a. It usually consists of 6-12 members

b. A moderator guides the conversation
c. High possibility of diverging from the concerned topic
d. Provides opportunity to discuss other topics as well
Q. Giving class in a village for wound care after a dog bite by enacting it is
which mode of health communications? (2018)

a. Lecture
b. Group discussion
c. Flash cards
d. Demonstration
Q. Workshop is

a. Discussion of 4-8 experts in front of audience

b. Discussion between 6-12 members
c. Series of 4 or more meetings
d. Series of speeches on given subject
Q. All are true about Panel discussion except:

a. Panel of 4-8 experts discuss a health topic

b. Audience is present
c. Specific order, Set speeches
d. Audience can take part
Q. Arrange the following steps of Planning Cycle In correct chronological sequence
1. Evaluation
2. Assessment of resources
3. Establishment of goals and objectives
4. Analysis of health situation
5. Programming and implementation

a. 4à3à2à5à1
b. 1à4à2à3à5
c. 4à3à2à1à5
d. 3à4à1à2à5
e. 3à2à4à5à1
Q. In health management, “Goal” refers to:

a. Planned end point of all activity

b. Discrete activity

c. Ultimate desired state towards which objectives and resources are directed
d. Analysis of health situation
Q. “3-Million Planˮ was proposed by?

a. Kartar Singh committee

b. Mudaliar committee
c. Srivastava committee
d. Bhore committee
Q. Rural health scheme introduced by?

a. Bhore committee
b. Mukherjee committee
c. Shrivastava committee
d. Mudaliar committee
Q. All of the following are included in methods based on behavioural
sciences except:

a. Personal management
b. System analysis
c. Management by objectives
d. Communication
Q. A method which compares benefits of a program without taking into account
for the cost of the program is called?

a. Cost benefit analysis

b. Cost effective analysis
c. Cost accounting
d. Input output analysis
Cost benefit analysis Cost Monetary terms
Cost effectiveness analysis Cost Results ex lives saved

Cost utility analysis Cost QALY gained(widely used)

Cost accounting Cost structure of a program

System Analysis Finding cost effectiveness of available alternatives

Work Sampling Observation of activities at predetermined random

levels
e.g. MO observing antenatal sessions at random
intervals
Network Analysis A graphic plan of all activities to reach an objective
e.g. PERT & CPM
Q. In a hospital, the management unit wants to know how much time
each doctor is spending with a patient on an average. In order to
improve the quality of care they want to increase or decrease the
number of doctors, as per the requirement. What management
technique should be used?
(FMGE JUN
2021)

a. Decision making

b. Work sampling

c. Personnel management

d. Cost effective analysis

Q. As per the sustainable development goals, The target for MMR is to
achieve maternal deaths of

a. < 70 / Lac live births

b. < 100 / lac live births

c. < 7 / 1000 live births

d. < 10 / 1000 live births

Q. Which of the following agency provide seed and manure in Applied
Nutrition Program?
(2022)
a. CARE
b. UNICEF
c. WHO
d. UNDP
Q. Cobalt therapy units are set up in? (2023)
a. Rockfeller
b. DANIDA
c. SIDA
d. Colombo Plan
Q. All are true about the Rockefeller Foundation, except?
a. The headquarters is in Geneva
b. Established in 1913
c. Work in India began in 1920 with a scheme for control of hookworm
disease in Madras
presidency
d. Established All India Institute of Hygiene and Public Health at Kolkata
Q. Which organization offers disaster management services?
a. Ford foundation
b. CARE
c. International Red Cross
d. The Rockefeller Foundation
International organization Function
United Nations Framed SDG
UNDP Framed SDG, HDI
UNICEF GOBI-FFF, ICDS, Child Health
ILO Labour
FAO Food, forest, fisheries, Nutrition
USAID Family planning, TB and HIV
program
World Bank Assist financially
International Red Cross War victims, Disaster, First aid
Rural Health, construction
toilets and sanitation, Family
Ford Foundation Planning, Drainage system
(Calcutta), NIHAE: National
Institute of Health Administration
 All India Institute of Hygiene and
Rock fellar Foundation Public Health- Kolkata, Rural
Health, toilets, sanitation
SIDA(Swedish International
Assisting TB Program
Development Agent)
DANIDA(Danish International
Blindness program
Development Agency)
Colombo Plan AIIMS, Cobalt Radiotherapy Units
CARE
Q. According to biomedical waste management, how is a
broken vaccine vial disposed?

(2022)

a. Yellow bag

b. Red bag

c. Puncture proof blue bin

d. White container.
Yellow bag • Anatomical waste: Human and animal
Soiled: contaminated with blood and body
fluids(linen,swab)
Cytotoxic drugs : Expired/Discarded Medicines
Chemical liquid; Silver Xray films
Blood bags, culture
Used mask, head cover, shoe cover,
Red bag • Recyclables, Plastic, Tubes, IV Tubes, Catheters,
urine Bags, syringes without needles, hazmat
suits, Vacutainers, goggles, face shields, splash
proof aprons, nitrile gloves
White puncture proof • Needles, syringes with fixed needles, blades,
containers
scalpels
Blue cardboard box • Glass: Broken glass- medicine vials and
ampules(except contaminated with cytotoxic
waste)
Metals: Metallic Implants, Artificial Pacemaker
Q. A child presented to the OPD with pharyngitis. A
throat swab was obtained and sent for culture. In
which out of the following is the used swab
discarded?

(NEETPG 2021)

a. Red

b. Yellow

c. Blue

d. White
Q. Following admission of road traffic accident, there is
spillage of blood all over the hospital floor. Which
disinfectant is used to clean the floor?

(2020)

a. Formaldehyde

b. Chlorhexidine

c. Ethyl alcohol

d. Sodium hypochlorite
Q. What is the maximum work hours per week including overtime
according to Factory Act 1948?
(NEET PG 2020)

a. 48 hours

b. 72 hours

c. 60 hours

d. 70 hours
Factory Act (1948)
• No child< 14 years employment: Article 24
• Appropriate work for children of tender age (15-19 years): Article 39
• > 500 [Link]. space per worker
• >30 workers:
• >250 workers:
• > 500 workers:
• > 1000 workers:
Q. For an employee diagnosed with Tuberculosis, extended sickness
benefit is given unto what duration
(2020)

a. 1 year

b. 2 year

c. 3 year

d. 4 year
Ans: Extended sickness benefit given for a period of 2 years. Given at 80% of
daily wage for 2 years . Covers 34 specified diseases including TB,
LEPROSY, diabetes, glaucoma, CAD, Parkinson's
ESI ACT
• The Employees state insurance(ESI) act, 1948
• ESI Act Is an important measure of social security and health insurance in
India
• Scope of ESI Act: The act covers all the factories in India ‘excluding’
• Act in the first instance applies to: All non - seasonal factories, employing 10
or more persons, for wages on any day in implemented areas
• ESI day: 24 February, under Ministry of Labor
• It also covers shops, hotels and restaurants, cinemas and theatres, road -
motor transport establishments and newspaper establishments
• Now it covers medical institutions in few states & UT
Q. Patient presents to an ESI hospital for treatment. Under the ESI Act,
under which benefit he/she is treated?
(FMGE DEC 2021)

a. Sickness benefit

b. Medical benefit

c. Maternity benefit

d. Dependent’s benefit
Sickness 70% of daily wage is payable for 91 days
(In order to qualify for sickness benefit worker is required to contribute for
78 days on a contribution period of 6 months)
Extended Sickness 80% Of daily wages payable for 2 years(730 days) for 34 diseases
Enhanced Sickness Full wage unto 7 days for vasectomy and 14 days for tubectomy
Maternity Full daily wages
• Up to 26 weeks for confinement can be availed 8 weeks prior to
delivery
• Up to 6 weeks for miscarriage or MTP
• Up to 4 weeks for sickness arising out of pregnancy, confinement,
premature birth

Temporary 90% of daily wage till recovery

disablement
Permanent 90% of daily wage
Disablement
Dependent Pension at 90% wages
Funeral Expenses Rs 15000
Ans B: Medical benefit is a cashless benefit providing full medical care in the
form of consultations, investigations and treatment by means of ESI hospitals
or ESI dispensaries(Direct Medical Care) & ESI empaneled hospitals (Indirect
Medical Care)
Q. A 55-year-old male who was working in the dye industry with
exposure to aniline dyes presented with bladder problems. What is
the most probable diagnosis?

a. Squamous cell carcinoma

b. Basal cell carcinoma

c. Transitional cell carcinoma

d. Adenocarcinoma
Ans: Exposure to aniline dyes puts person at risk of bladder cancer of which transitional cell
carcinoma is the most common type.
HYP: Exposure to aniline dyes: benzidine, b-naphthylamines, auramine, magenta.
TCC: Cigarette smoking main etiological factor.
Investigation of choice : Urine examination
Risk factors for CA bladder
[Link] cell carcinoma
• Cigarette Smoking
• Aniline dye exposure
• Petroleum, rubber, leather and printing industry workers
• Schistosoma hematobium
• Drugs: Cyclophosphamise, phenacetin
• Pelvic irradiation.
2. SCC:
• Schistosoma hematobium
• Bladder diverticular
• Chronic irritation: Chronic UTI, Long Term Indwelling Catheters, Urinary Calculi
 Benzene, Ethylene oxide Leukemia
Asbestos Mesothelioma
Arsenic Skin, lung, liver
Benzidine Bladder
Beryllium Lung
Cadmium Lung
Chromium Lung
PAH Skin, scrotum and lung
Vinyl chloride Liver
Wood dust, nickel, chromium Nasal sinus
RISK OF PNEUMOCONIOSIS
• Sand stone industry, granite industry, pottery industry, ceramic industry, gold, mica
and steel industry, glass factory, building and construction work,, rock mining
• Cement factory, fireproof industry, construction, airplanes
• Coal mines
• Photography, printing, barium diagnostic works
• Textile industry
• Cane sugar factories, paper and cardboard factories
• Agricultural industry
• Iron mines, iron and steel industry
Silicosis • Most common
Risk factor for TB
Upper part of lung fields affected
Snow storm appearance
Nodular fibrosis
Asbestosis • Most dangerous
Most common presentation: Adenocarcinoma of lung
Most specific: Mesothelioma
Basal part of lung fields affected
Ground Glass Appearance
Diffuse fibrosis
Anthracosis • Coal miners
Progressive massive fibrosis
Simple coal workers pneumoconiosis reversible
Byssinosis • Seen in textile mills
Cotton spinners are more affected
Bagassosis • Sugar cane waste
Seen in cardboard/paper industry
Agent: Thermoactinomyces
Not notifiable under factory act
Preservative : 2% propionic acid
Moisture content of waste> 20%
Farmers lung • Grain dust/Moldy Hay
Organism: Micropolyspora Faeni
Q. A 50-year-old male presents to medicine OPD complaining of
shortness of breath, He gave a history of working in sand blasting
industry. Serial chest X rays of the man revealed PMF. Which out of
the following pneumoconiosis is associated with it

a. Bagassosis

b. Byssinosis

c. Asbestosis

d. Silicosia
Formation: Marriage to birth of first child
Extension: Birth of first child - Birth of last child
Complete extension: Birth of last child- 1st child leaves home
Contraction- 1st child leaves home- Last child leaves home
Complete contraction: Last child leaves home- 1st spouse dies
Dissolution: 1st spouse dies- death of survivo
• Study of human relationships & human behavior:

• A group of individuals leading a certain way of life sharing common

values & interests:

• • Society within a geographical boundary

• • Pattern of interrelationships among members in a society
• Process by which individuals adopt culture and become part of
society
• Study of social causes leading to disease occurrance

• Exchange of cultures:

• Learned pattern of behavior:

• Established pattern of behavior:

•
Temporary, subjective in nature:

• Permanent, subjective in nature:

• More or less permanent, objective in nature:

• Types of learning

• Most common emotion

• Physiological: difficulties in hearing, expressions

• Psychological: Emotional disturbances, levels of intelligence, neurosis, language or

comprehension difficulty

• Environmental: Noise, invisibility, congestion

• Cultural: Illiteracy, levels of knowledge/understanding, customs, beliefs, religion