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Chapter 5 (I)

MCQ (PSM) - Curtsey Dr. K. N. Trivedi - Prof and Head (Community Medicine)

 

1 Which of the following is true of chicken pox
  a virus not found in scab
  b virus can be gron on the chick embryo
  c caused by RNA virus
  d does not croos the placental barrier
2 Which of the following vitamins is not needed in excess of normal dialy requiremenmts in pregnancy
  a vit A
  b vit D
  c vit B12
  d vit C
3 Which is not under WHO surveillance
  a malaria
  b polio
  c varicella
  d influenza
4 All true about measles except
  a incubation period is 10-14 days
  b sec.attack rate 30 %
  c more severe in malnourished
  d subclinical can occur
5 Carrir state is seen in all except
  a diphtheria
  b measles
  c typhoid
  d polio
6 Isolation is not needed for measels due to
  a there are healthy carriers
  b carriers are convalascents
  c the infectivity in disease is low
  d there are incubatory carriers
7 All of following are true about measels except
  a maximum incidence in 6 month to 3 year agegroup
  b best age for immunisation is 9 to 12 months
  c secondary attack rate is 30 %
  d IP =7 to 14 days
8 Which of the following is not true for measles vaccine
  a spread of virus from vaccine to contacts
  b single dose gives 95% protection
  c immunity develops after 10 to 12days of vaccination
  d
9 Reconsutituted measles is used with in hours
  a 1
  b 2
  c 8
  d 3
10 Measles vaccine is kept in refrifgeration in
  a chilled tray
  b freezer
  c tray below the freezer
  d shelf in the door
11 Measels vaccine should be use within following time after reconstitution
  a 1 hr
  b 2 hr
  c 3 hr
  d 1/2 hr
12 Measles vaccine given to a contact of a measles case exerts protective effect within ___ days
  a 1
  b 3
  c 7
  d 10
13 Which vaccine need not to be given to boys
  a mumps
  b germanmeasals
  c measals
  d small pox
14 In the national leprosy eradication programme mass surveys are done if prevalence is
  a 1/1000
  b 2/1000
  c 6/1000
  d 10/1000
15 Incubation period for mumps is
  a 18 days
  b 14 days
  c 10 days
  d 5 days
16 Which of the following diseases gives life long immunity after an attack
  a typhoid
  b mumps
  c tetanus
  d diphtheria
17 Which of the following vaccines was introduced most lately
  a mumps measles
  b meassles
  c pertusis
  d rubella
18 The infectivity of a patient with diphtheria is
  a till cough subsides
  b till patient is febrile
  c life long
  d for 15 days after infection
19 All are features of influenza epidemic except
  a large no of subclinical cases
  b long incubation period
  c absence of cross immunity
  d sudden outburst
20 Live vaccine of influenza is given
  a s/c
  b I/m
  c intranasaly
  d oraly
21 Commonest age group for diphtheria is
  a 1 to 2 yrs
  b 2 -5 yrs
  c 2-7 yrs
  d 2-9 yrs
22 The adjuvent used in DPT
  a aluminium
  b manganase
  c silica
  d magnesium
23 Ideal tem. For DPT storage
  a room tem.
  b 4to8 c
  c oto-20 c
  d none
24 Management of non immunised diphtheria contacts include all except
  a prophylactic penicillin
  b single dose of toxoid
  c daily throat examination
  d throat swab culture
25 Management of non immunised diphtheria contacts include all except
  a throat swab culture single dose toxoid
  b sinmgle dose toxoid
  c prophelactic penicillin
  d daily throat examination
26 A herd immunity of over ----% is considered necessary to prevent epidemic spread of diphtheria
  a 50
  b 55
  c 60
  d 70
27 Infective period of whooping cough last for weeks after onset of paroxysmal stage
  a 1
  b 2
  c 3
  d 6
28 If convulsion are present which vaccine should not be given
  a DPT
  b OPV
  c BCG
  d TT
29 Which of the following is true about menningococcal meningitis
  a case fatality is less than 10% in untreated cases
  b cases are the main sources of infection
  c rifampicin is the drug of choice
  d treatment in the first two days can save the life of 95% cases
30 Average incubation period of meningococcal meningitis is
  a 90 days
  b 25 days
  c 10 days
  d 5 days
31 Vaccines are available against------Meningococcus
  a agglutinate chiken and sheep erythrocytes
  b B
  c C
  d A&C
32 Which vaccine is contraindicated in pregnancy
  a cholera
  b typhoid
  c meningococcal
  d polio
33 All are true about salk vaccine except
  a it prevents paralysis
  b oral polio can be given as a booster
  c it is contradicted in immunocompromised patient
  d easily transported
34 Screening for carcinoma cervix is
  a Health promotion
  b specific protection
  c early diagnosis and treatment
  d disability limitation
35 The best method to prevent pulmonary tuberculosis is
  a case isolation
  b treatment of cases
  c BCG vaccination
  d chemoprophylaxis
36 Regarding prevalance of tuberculosis all are correct except
  a death occurs 1 in500000 population
  b 40% of cases occur in children
  c 0.4% children are 10 yrs. Age
  d non specific sensitivity is highly prevalent
37 Surveillance is necessary for all recommended by WHO except
  a relapsing fever
  b malaria
  c plague
  d tuberculosis
38 Prevalance of tuberculous infection is determined by
  a sputum examination
  b mantoux
  c clinical examination
  d MMR
39 Estimated number of sputum positive pulmonary TB in India is
  a 6 million
  b 10 million
  c 2.5 million
  d 5 million
40 The best method of assessing the preventive measure in control of TB
  a presence of carriers
  b presence of diseased person
  c presence of infection
  d presence of suspect cases
41 Diagnosis of pulmonary tuberculosis is best confirmed by
  a sputum examination
  b mass miniature radiograph
  c tuberculin test
  d history alone
42 The most frequently used combination of antituberculous drugs in India is
  a INH +Ethambutol
  b INH +Thiaacetazone
  c INH + PAS
  d Streptomycin
43 Prevalance of tb infection is measure by
  a chest x ray
  b sputum AFB
  c tuberculin test
  d sputum culture
44 Infectious pool of tuberculosis is denoted by
  a prevalance of sputum positive cases
  b prevalance of x ray positive cases
  c clinically positive cases
  d any of the above
45 Tuberculin test is read after
  a 48 hours
  b 72 hours
  c 96 hours
  d 24 hours
46 In tuberculin testing induration of __ is considered positive
  a 5 mm or more
  b 7 mm or more
  c 10 mm or more
  d 15 mm or more
47 Which anti TB drug cause resistant fastest
  a INH
  b SM
  c rifampicin
  d ethambutol
48 For mentox test the standerd dose of tuberculin used in INDIA is ---TU
  a 0.5
  b 1
  c 5
  d 10
49 Main aim of TB treatment is
  a Radiological cure
  b bacteriological cure
  c contact tracing
  d to prevent complications
50 A person with TB on domiciliary treatment is expected to do all except
  a dispose sputum safely
  b use separate vessels
  c collect drugs regularly
  d report to PHC if new symptoms arise
51 A positive mantoux test indicates that the child
  a is suffering from active TB
  b had BCG vaccination recently
  c has had tuberculosis infection
  d all of the above
52 The drug of choice for M.Bovis
  a streptomycine
  b rifampicine
  c ethambutol
  d INH
53 Short term antitubercular therapy is given to minimise
  a resistance
  b toxicity
  c relapse
  d cost
54 BCG is not given to patients with
  a genralised eczema
  b infective dematosis
  c hypogamaglobulinemia
  d all of above
55 Morbidity expriences is taken into consideration whebn finding
  a genral fertility rate
  b total fertility rate
  c net reproduction rate
  d gross reproduction rate
56 In tuberculosis multi drug treatment is used for the following result
  a decreased drug resistant
  b action at different level
  c reduced complication
  d all of the above
57 All the following are correct regarding BCG vaccination reaction except
  a ulceration with crust
  b heals within 6 to 12 wks
  c max. size of papule is reached at 5 wk
  d suppurative lymphadenitis
58 0.1 ml of BCG contain ------ mg moist weight
  a 0.05
  b 0.025
  c 0.075
  d 0.1
59 BCG vaccine is administered to children
  a I/D
  b S/C
  c I/M
  d orally
60 The direct vaccination in India is given up to the age of
  a 10yr
  b 15yr
  c 2oyr
  d 25yr
61 Vaccine which is given at earliest
  a BCG
  b POLIO
  c MMR
  d DPT
62 Effectivity of BCG vaccine is:
  a 0.8
  b 0.6
  c 0.4
  d less than 40%
63 District TbB control programme is mainly concerned with
  a finding out new cases
  b finding put resistant cases
  c detecting cases and treatment
  d all of above

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