SPM Dally Test Day 07

All are indicators for the assessment of the nutritional program except
Weight and height of the preschool child
Prevalence of low Birth weight (less than 2.5 kg) in community
Nutritional assessment of the preschool child
Prevalence of pregnant mothers having Hb<11.5 g % in the 3rd semester
A concept directed against prevention of risk factors of coronary artery disease is
Primordial prevention
Secondary prevention
Health education
Primary prevention
In a community, the specificity of ELISA is 99% and sensitivity is 99%. The prevalence of the disease is 5/ 1000. Then, the positive predictive value of the test is
33%
67%
75%
99%
In a village of 1 lakh population, among 20,000 exposed to smoking, 200 developed cancer, and among 40,000 people unexposed, 40 developed cancer. The relative risk of smoking in the development of cancer is
20
10
5
15
A person wants to visit a malaria endemic area of low level chloroquine resistant falciparum malaria. The best chemoprophylaxis is
Chloroquine
Proguanil + Chloroquine ;
Sulfadoxine + Pyrimethamine
Mefloquine
A 35 year old male suffering from sudden onset of high grade fever. On malarial slide examination, all stages of the parasite are seen with schizonts of 20 microns size with 14-20 merozites per cell and yellow brown pigment. The diagnosis is
Plasmodium falciparum
Plasmodium vivax
Plasmodium malariae
Plasmodiumpvale
A child after consuming food in a party complains of vomiting and diarrhoea within 1-5 hours. The diagnosis is
Staphylococcus aureus
Streptococcus
Clostridium Perfringens
Clostridium Botulinum
Culex tritaenorrhyncus transmits
Dengue fever
Yellow fever
KFD
Japanese encephalitis
For the disposal of hospital refuse, the bag made with cadmium is not used because incineration of the bag causes poisonous toxic fumes evolution. The colour of the bag is
Black
Red
Blue
Yellow
Berkesonian bias refers to
Different rates of admission to the hospital
Interviewers bias
Reduces bias
Systematic difference in characteristic cases and controls
A 10 year old boy following a road traffic accident presents to the casualty with contaminated wound over the left leg. He has received his complete primary immunization before preschool age and received a booster of DT at school entry age. All of the following can be done except
Injection of TT
Injection of human antiserum
Broad spectrum antibiotics
Wound debridment and cleaning
A malarial survey is conducted in 50 villages having a population of one lakh. Out of 20000 slides examined, 500 turned out to be malaria positive. The annual parasite incidence is
20%
5%
0.5%
0.4%
For a typhoid endemic country like India, the immunization of choice is:
TAB vaccine
Typhoral 21A oral vaccine
Monovalent vaccine
Any of these
Kallu, a 22 year old male had an outing with his friends and developed fever of 38.5 degree C, diarrhoea and vomiting following eating chicken salad. 24 hours back. Two of his friends developed the same symptoms. The diagnosis is
Salmonella enteritis poisoning
Bacillus cereus
Staphylococcus aureus
Vibrio cholera
True about simple randomization is
Every person has an equal chance of selection
Less number of samples are obtained
Also known as systemic randomisation
Groups are not equally distributed
In a normal distribution curve, the True statement is
Mean
Median
Mean
Mean
On prescription of oral pills to the user, the health worker will ask about the following EXCEPT
Number of live children
Calf tenderness
Headache
Swelling of the feet
A patient of paucibacillary tuberculoid leprosy completed 6 months of multidrug therap;y. The response to therapy is good but the lesion is not healed completely. According to the WHO criteria, which of the following should be done?
Stop the treatment and watch
Continue the treatment for 6 more months
Continue Dapsone for 2 months
Test for drug resistance
General fertility rate is a better measure of fertility than the crude birth rate because the denominator includes
15-45 years of age female
Midyear population
Total woman population
Married woman population
A patient with sputum positive pulmonary tuberculosis is on ATT for the last 5 months but the patient is still positive for AFB in the sputum. This case refers to
New case
Failure case
Relapse case
Drug defaulter
Under the baby friendly hospital initiative program, all of the following can be done EXCEPT
Breast feeding started 1-4 hours after birth
Mother and the child are kept together for 24 hours of the day
Feeding on demand
Exclusive breast feeding without any other food is preferred upto 4 months
22) All are direct causes of maternal mortality EXCEPT
Cardiac disease
Eclampsia
Hemorrhage
Abortion
23. In a group of 100 children, the weight of a child is 15 kg. The standard error is 1.5 kg. Which one of the following is TRUE
95% of all children weigh between 12 and 18 kg
95% of all children weigh between 13.5 and 16.5 kg
99% of all children weigh between 12 and 18 kg
99% of all children weigh between 13.5 and 16.5 kg
24. Malaria incidence in a village in the year 2000 is 30,500,410,160,270,210,300,350,4000,430,480,540. Which of the following is the best indicator for assessment of malaria incidence in that village by the epidemiologist?
Arithmetic mean
Geometric mean
Median
Mode
25. A group tested for a drug shows 60% improvement as against a standard group showing 40% improvement. The best test to test the significance of result is :
Student T test
Chi square test
Paired T test
Test for variance
26. To prevent KFD which of the following is not used:
Self protection against ticks
Vaccination
Deforestation
Control of cattle roaming in the forest
27. A test was done to compare serum cholesterol levels in obese and non-obese women. The test for signigicance of difference is :
Paired T test
Student T test for independent variables
Chi square
Fischer test
28. In crude death rate the population is taken as on
1st March
1st July
1 st April
15th August
29. In a population of pregnant female, Hb is estimated on 100 women with standard deviation of lgm %. The standard error is :
1
0.1
0.01
10
31. The median of values 2,5,7,10,10,13,25 :
10
13
25
5
32. The incidence of malaria in an area is 250,300,320,300,5000,200,350. The best value to give idea of incidence in past 7 years :
Median
Mode
Arithmetic mean
Geometric mean
33. A women is exposed to multiple sex partners has 5 times increased risk for - CaCx The attributable risk is :
20%
50%
80%
100%
34. Systolic BP of a group of person follows normal distribution curve . The mean BP is 120 . The values above 120 are:
25%
75%
50%
100%
35. In ICDS the requirement in pregnant females is :
300 cal, 15 gm protein
300 cal, 25 gm protein
500 cal, 15 gm protein
500 cal, 25 gm protein
36. According to the WHO criteria, anaemia in infants of 6 months age is defined as Hb less than :
100 gm / litre
105 gm / litre
110 gm/litre
115 gm/litre
37. Human development index includes A/E :
Crude death rate
Education
Life expectancy at birth
GDP
38. Burden of disease is best detected by:
DALY
Sullivan's index
IMR
Survival index
40. Post exposure prophylaxis is given in A/E
Rabies
Measles
Pertusis
Hepatitis B
41. Sentinel surveillance done in India for A/E
AFP
Diarrhoea
Hepatitis B
HIV
42. True about case control study A/E
Less expensive
Those with disease and not diseased compared
Attributable risk is estimated
None of these
43. The socioeconomic status of community is best indicated by
IMR
Under 5 mortality rate
Maternal mortality rate
Perinatal mortality rate
44. The death rate of 2 countries can be best demonstrated by
Standardized death rate
Age adjusted death rate
IMR
CDR
5. Calculate IMR if in a population of 100000 there are 3000 live births in a year and 150 infant deaths in the same year:
75
18
5
50
46. Leprosy eradication programme is best evaluated by :
The ratio of disability as compared to new cases.
The ratio of the multibacillary to the paucibacillary cases
Percentage of lepromine positive in the newly detected cases
Detection of new cases.
48. Presumptive treatment of malaria in a chloroquine resistant area:
Chloroquine + pyrimethamine
Sulphalene + pyrimethamine
Chloroquine + primaquine
Sulphalene 1000 mg
49. In a negative skewed deviation, TRUE statement is :
Mean is greater than the median
Mean is equal to the mode
Mean is less than the median
Mode is less than the median
50. A mother is HBs Ag positive at 32 weeks of pregnancy. What should be given to the newborn to prevent neonatal infection.
Hepatitis B vaccine + immunoglobins
Immunoglobins only
Hepatitis B vaccine only
Immunoglobins followed by vaccine 1 month later.
51. InRNTCP what is the schedule for sputum examination after beginning the chemotherapy, in category I patients :
2,4 and 6 months
1,2 and 3 months
3, 5 and 6 months
1,3 and 5 months
52. With the use of DMPA contraceptive, the side effects are all of the following EXCEPT:
Change in quantity and quality of breast milk
Weight gain
Irregular bleeding
Increased reproductive tract inflection
53. The time interval between the primary and secondary case is :
Serial interval
Generation time
Median Incubation period
Secondary attack rate
54. True morbidity in a population can be calculated by :
Sentinel surveillance
Passive surveillance
Active surveillance
Monitoring
55. In a plague epidemic all of the following are done to control it, EXCEPT:
Isolation of contacts
Vaccination of the susceptible
Surveillance
Chemoprophylaxis with tetracycline
56. Best indicator for monitoring of syphilis treatment is I
VDRL
FTA-ABS
TPI
TPHA
57. Case fatality rate indicates :
Severity of disease
Prevalance of disease
Incidence of disease
Morbidity of disease
59. The drug of choice for chemoprophylaxis in contacts of a patient of pneumonic plague is :
Penicillin.
Rifampicin
Erythromycin.
Tetracycline.
60. The National Population Policy 2001 aims to achieve net reproduction rate of 1 by the year.
2005.
2010.
2015.
2050.
61. If a biochemical test gives the same reading for a sample on repeated testing, it is inferred that the measurement is
Precise.
Accurate.
Specific.
Sensitive.
62.The commonest cause of maternal mortality in India is :
Anemia.
Hemorrhage.
Abortion.
Sepsis.
63.All of the following statements about rheumatic fever/ heart disease epidemiology in India are true except:
Its prevalence varies between 2 to 11 per 1000 children aged 5-16 years.
Mitral regurgitation is the commonest cardiac lesion seen.
It occurs equally in females and males.
Rheumatic fever occurs in about 2% of streptococcal sore throats.
64. All of the following statements are true about DPT vaccine except.
It should be stored in deep freezer.
Exposure to direct sunlight, when in use should be avoided.
Store stocks are needed for three months at PHC level.
Half-used vials should not be put back into the cold chain after the session.
65. The preferred public health approach to control non- communicable diseases is:
Shift the population curve of risk factors by a population based approach.
Focus on high risk individuals for reduction of risk.
Early diagnosis and treatment of identified cases.
Individual disease based vertical programmes.
66. All of the following are true for occupational lead poisoning except:
Inhalation is the most common mode of absorption.
Lead in blood and urine provide quantitative indicators of exposure.
Average blood is more important than number of subjects with blood levels above threshold.
Basophilic stippling is a sensitive parameter of hematological response.
67. In Community Needs Assessment approach as part of the Reproductive & Child Health programme, the targets for various health activities are set at the level of:
Community.
Sub-centre.
Primary health-centre.
District.
68. In a case-control study of a suspected association be¬tween breast cancer and the contraceptive pill, all of the following are true statements except:
The control should come from a population that has the same potential for breast cancer as the cases.
The control should exclude women known to be taking the pill at the time of the survey.
All the controls need to be healthy.
The attributable risk of breast cancer resulting from the pill may be directly measured.
69. Prevalence of a disease :
Is the best measure of disease frequency in etiological studies.
Can only be determined by a cohort study.
Is the number of new cases in a defined population.
Describes the balance between incidence, mortality and recovery.
71. A randomized trial comparing the efficacy of two drugs showed a difference between the two with a p value of <0.005. In reality, however the two drugs do not differ. This therefore is an example of:
Type I error (Alpha error).
Type II error (Beta error).
I-Alpha.
I-Beta.
72. The number of patients required in a clinical trial to treat a specific disease increases as:
The incidence of the decreases
The significance level increases
The size of the expected treatment effect increased.
The drop out rate increases.
73. As per the World Health Organisation guidelines, io¬dine deficiency disorders are endemic in a community if the prevalence of goiter in school age children in more than:
1%
5%
10%
15%
74. A 46-year-old female presented at the eye OPD in a hospital. Her vision in the right eye was 6/60 and in left eye 3/60. Under the National Programme for Control of blindness, she will be classified as:
Socially blind.
Low vision.
Economically blind.
Normal vision.
76. When a diagnostic test is used in series mode then :
Sensitivity increases but the specificity decreases
Specificity increases but the sensitivity decreases
Both sensitivity and specificity increase
Both sensitivity and specificity decrease
77. The active immunity offered by tetanus toxoid is effective in nearly:
25% of the patients .
50% of the patients
75% of the patients
100% of the patients
78. Commonest cause of neonatal mortality in India is:
Diarrheal diseases
Birth injuries
Low birth weight
Congenital anomalies
79. In calculating Dependency Ratio, the numerator is expressed as:
Population under 10 years and 60 and above.
Population under 15 years and 60 and above.
Population under 10 years and 65 and above
Population under 15 years and 65 and above
80. An adult male patient presented in the OPD with complaints of cough and fever for 3 months and haemoptysis off and on. His sputum was positive for AFB. On probing it was found that he had already received treatment with RHZE for 3 weeks from a \K, nearby hospital and discontinued. How will you categorize and manage the patient ?
Category III, start 2 (RHZ)3.
Category II, start 2 (RHZE)3.
Category I, start 2 (RHZE)3.
Category II, start 2 (RHZES)3.
81. Residence of three village with three different types of water supply were asked to participate in a study to identify cholera carrier. Because several cholera deaths had occurred in the recent past, virtually everyone present at the time submitted to examination. The proportion of residents in each village who were carriers was computed and compared. This study is a:
Cross- sectional study
Case-control study
Concurrent cohort study
Non-concurrent
82. The following is true about the term 'New Families':
It is a variant of the 3-generation family.
It is applied to all nuclear families of less then 10 years duration.
It is a variant of the joint family.
It is applied to all nuclear families of less then 2 years duration.
83. A drug company is developing a new pregnancy-test kit for use on an outpatient basis. The company used the pregnancy test on 100 women who are known to be pregnant. Out of 100 women, 99 showed positive test. Upon using the same test on 100 non-pregnant women, 90 showed negative result. What is the sensitivity of the test ?
90%
99%
Average of90& 99.
Cannot be calculated from the given data.
84. A man presents with fever and chills 2 weeks after a louse bite. There was a maculo-papular rash on the trunk which spread peripherally. The casue of this infection can be:
Scrub typhus.
Endemic typhus.
Rickettsial pox.
Epidemic typhus.
85. All of following statements are true regarding Q fever except.
It is a zoonotic infection.
Human disease is characterized by an interstitial pneumonia
No rash is seen
Weil Felix reaction is very useful for diagnosis.
86. Reservoir of Indian Kala azar is :
Man.
Rodent.
Canine.
Equine.
87.All of the following features are suggestive of asbestosis except:
Occurs within five years of exposure.
The disease progresses even after removal of contact.
Can lead to pleural mesothelioma.
Sputum contains asbestos bodies
88. A screening test is used in the same way in two similar populations; but the proportion of false positive results among those who test positive in population A is lower than those who test positive in population B. What is the likely explanation?
The specificity of the test is lower in population
The prevalence of the disease is lower in population A.
The prevalence of the disease is higher in & population A.
The specificity of the test is higher in population
89. An investigator wants to study the association K between maternal intake of iron supplements (Yes/ No) and birth weights (in gms) of newborn babies. He G collects relevant data from 100 pregnant women and their newborns. What statistical test of hypothesis would you advise for the investigator in this situation?
Chi-Square test
Unpaired or independent t-test
Analysis of Variance
Paired t-test
90. The usefulness of a screening test depends upon its
Sensitivity
Specificity
Reliability
Predictive value
91. For testing the statistical significance of the difference in heights of school children among three socio-economic groups, the most appropriate statistical test is :
Student's 't' test.
Chi-square test.
Paired 't' test.
One way analysis of variance (one way ANOVA)
92. For the field diagnosis of trachoma, the WHO recommends that follicular and intense trachoma inflammation should be assessed in:
Women aged 15-45 yrs
Population of 10 to 28 years range
Children aged 0-10 years
Population above 25 years of age irrespective of
93. An investigator wants to study the association betweeh maternal intake of iron supplements (Yes or No) and incidence of low birth weight (< 2500 or > - j 2500 gms). He collects relevant data form 100 supplements and the status of low birth weight in 'to their newborns. The appropriate statistical test of hypothesis advised in this situation is :
Paired-t-test
Unpaired or independent t-test
Analysis of variance
Chi-Square test
94. An investigator wants to study the association between maternal intake of iron supplements (Yes/No) and birth weights (in gms) of newborn babies. He collects relevant data from 100 pregnant women and their newborns. What statistical test of hypothesis would you advise for the investigator in this situation?
Chi-Square test
Unpaired or independent t-test
Analysis of Variance
Paired t-test
95. Under the National Programme for Control of Blindness in India, medical colleges are classified as eye care centers of:
Primary level avitoA
Secondary level
Tertiary level
Intermediate level
96. Taking the definition of blindness as visual acuity less than 3/60 in the better eye, the number of blind persons per 100,000 population in India is estimated to be:
500
700
1000
1500
97. If the prevalence is very low as compared to the incidence for a disease, it implies;
Disease is very fatal and/or easily curable
Disease is non-fatal
Calculation of prevalence and incidence is wrong
Nothing can be said, as they are independent
98. The following is true about prevalence and incidence:
Both are rates
Prevalence is a rate but incidence is not
Incidence is a rate but prevalence is not
Both are not rates
99. The rate adjusted to allow for the age distribution of the population is:
Perinatal mortality rate
Crude mortality rate
Fertility rate
Age-standardized mortality rate
100. The fasting blood levels of glucose for a group of diabetics is found to be normally distributed with a mean of 105 mg per 100 ml of blood and a standard deviation of 10 mg per 100 ml of blood. From this data is can be inferred that approximately 95% of diabetics will have their fasting blood glucose levels within the limits of:
75 and 135 mgs
85 and 125 mgs
95 and 115 mgs
65 and 145 mgs
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