Exam Details
Subject | ||
Paper | paper 2 | |
Exam / Course | combined medical services examination | |
Department | ||
Organization | union public service commission | |
Position | ||
Exam Date | 2014 | |
City, State | central government, |
Question Paper
1. A 40 year old man presented with a flat 1x1cm. scaly, itchy black mole on the front of thigh. Examination did not reveal any inguinal lymphodenopathy. The best course of management would be:
FNAC of lesion
Incision biopsy
Excision biopsy
Wide excision with inguinal lymphadenectomy.
2. Indications of TURP for Benign Hyperplasia Prostate include
1. Urinary flow rate of less than 10cc/second
2. Residual volume of urine >100cc
3. Serum level of prostatic specific antigen>10nmol/L
4. Trabeculated Urinary bladder Select the correct answer using the code given below:
2 and 3
3 and 4
2 and 4
3 and 4
3. Ankyloglossia in a patient with carcinoma tongue is staged as
T1
T2
T3
T4
4. Which is the most commonly used chemotherapy regimen in the adjuvant treatment following modified radical mastectomy in the estrogen receptor negative 35 year old female with breast cancer?
Cyclophosphamide 5 Fluro-uracil
Cyclophosphamide Methotrexate 5-Fluoro-uracil
Cyclophosphamide Adriamycin 5-Fluro-uracil
Adriamycin 5-Fluro-uracil
5. Consider the following statements: The clinical features of tension pneumothorax include 1. tracheal shift to contralateral side 2. absent breath sounds on the affected side 3. low output circulatory failure 4. peripheral cyanosis Which of the statements given above is/are correct?
2 and 3
1 and 3 only
2 and 4
1 and 4
6. The following procedures are recommended for palliation in a patient with obstructive jaundice due to unresectable carcinoma of head of pancreas except:
Choledochoduodenostomy with gasterojejunostomy
Choledochoduodenostomy, gastrojejunostomy with pancreaticojejunostomy
Hepaticojejunostomy with gastrojejunostomy
Cholecystojejunostyomy with jejunojejunostomy with gastrojejunostomy
7. Which of the following are contraindications to salvaging accidentally injured spleen during operation?
1. Labile blood pressure
2. Presence of intraperitoneal infection
3. Pre-existing splenic disease
4. Age below 50 years
Select the correct answer using the code given below:
2 and 3
2 and 4
3 and 4
3 and 4
8. Match List 1 (Condition) with List II (Presentation) and select the correct answer using the code given below the lists
List I (Condition) List II (Presentation)
A. Caroli's disease 1. Abdominal pain, Biliary sepsis
B. Budd-Chiari Syndrome 2. Hepatomegaly, Pain
C. Polycystic Liver Disease 3. Ascites
D. Primary sclerosing cholangitis 4. Abdominal Liver Function Test or jaundice
Code: A B C D
A/1 B/3 C/2 D/4
A/3 B/2 C/4 D/1
A/4 B/3 C/2 D/1
A/1 B/2 C/3 D/4
9. Treatment of choice for annular pancreas is
Resection
Duodenoduodenostomy
Gastrojejunostomy
Pyloromyotomy
10. In a patient of gastric outlet obstruction nutritional support is best delivered by:
Enteral nutrition by Ryles tube
Gastrostomy
Jejunostomy
Parenteral nutrition
11. The following nerves are blocked for repairing inguinal hernia by local anaesthetic except:
Ilio-inguinal
Ilio-hypogastric
Genito femoral
Femoral
12. Consider the following statements: Venacaval opening of the diaphragm, situated at the level of T8 transmits
1. inferior vena cava
2. vagus nerve
3. branches of the right phrenic nerve
4. thoracic duct
Which of the statements given above are correct?
1 and 2
2 and 3
1 and 3
1 and 4
13. Traumatic haemothorax is best managed by:
Intercostal tube drainage
Open drainage
Aspiration of blood from pleural cavity
Use of streptokinase
14. Which of the following statements about mesh skin grafts is not correct?
They permit coverage of large areas.
They allow egress of fluid collections under the graft.
They contract to the same degree as a grafted sheet of skin.
They "take" satisfactorily on granulating bed.
15. An 8 year old girl sustained a fall on the outstretched right hand 6 hours ago and was treated with egg albumen bandages by a village bone setter. She presented with gross swelling of the right elbow and forearm. The first essential intervention in this case would be to
order urgent radiographs of both elbows.
immerse the hand in warm water to increase the circulation.
elevate the right hand.
completely remove all encircling bandages.
16. Sprain of the ankle joint results from an injury to:
Deltoid ligament
Spring Ligament
Posterior talofibular ligament
Anterior talofibular ligament
17. Which of the following are the most common forms of cardiac tumors seen in clinical practice
Rhabdomyosarcoma
Angiosarcoma
Myxoma
Lymphoma
18. The following operative procedure can result in neurogenic voiding dysfunction except:
Radical hysterectomy
Ureterolithotomy
Abdominoperineal resection
Retroperitoneal lymph node dissection
19. In diabetes mellitus the following findings are seen in ophthalmoscopy except:
Dot haemorrhage
Flame shaped haemorrhage
Wet sponge haemorrhage
Microaneurysm
20. Consider the following structures in the femoral triangle:
1. Femoral canal
2. Femoral Nerve
3. Femoral artery
4. Femoral vein What is the correct sequence of the above from medial to lateral
4
2
2
4. 1
21. A female patient aged 30 years with bilateral conductive deafness is wearing a hearing aid. What is the probable diagnosis?
Presbycusis
Chronic suppurative otitis media
Meniere's disease
Otosclerosis
22. Match List I with List II and select the correct answer using the code given below the lists:
List I (Operative procedure) List II (Complication)
A. Highly selective vagotomy 1. Metabolic bone disease
B. Vagotomy with 2. Post Prandial gas bloat Gastrojejunostomy
C. Subtotal Gastrectomy 3. Lesser curve necrosis
D. Nissen's Fundoplication 4. Diarrhea
Code: A B C D
A/2 B/1 C/4 D/3
A/3 B/4 C/1 D/2
A/2 B/4 C/1 D/3
A/3 B/1 C/4 D/2
23. Which of the following pairs is not correctly matched?
Krukenberg tumour ……… Peritoneal seeding involving ovaries
Blumer's shelf ……… Secondary deposits in pelvic cul-de-sac
Virchow's node ……… Palpable node in left supraclavicular space
Sister Joseph's nodule ……… Solitary secondary deposit in the liver
24. Optimum age for surgery for a child with cleft lip is:
4 weeks
4 6 weeks
3 6 months
6 -18 months
25. An electrical contact burn is considered to be:
Superficial partial thickness burn
Full thickness burn
Deep partial thickness burn
Superficial scalding with blisters
26. In a fracture of shaft of longbone, the component which contributes least in fracture healing is:
Blood vessels
Periosteum
Matrix
Endosteum
27. A 52 year old male patient comes with history of rectal bleeding, alteration in bowel habits and tenesmus. The ideal investigation would be:
Motion for occult blood
Contrast enhance CT scan
Colonoscopy
Ultrasonogram
28. What is the treatment of choice in a patient with Crohn's case, where inflamed appendix was found on exploration?
Appendecectomy
Ileo-colic resection and anastomosis
Closing the abdomen and starting medical treatment
None of the above
29. In an unconscious patient with multiple injuries, what is the best and reliable modality for assessment of cervical spine injury?
Full AP and lateral radiographs of spine
MRI scan
While doing CT scan of brain take extra cuts at the cervical spine region
Rely only on clinical examination
30. The following are features of hypovolemic shock except:
Oliguria
Bradycardia
Low Blood Pressure
Acidosis
31. A 45 year old man sustains trauma in a road traffic accident and develops engorgement of neck veins, pallor, rapid pulse rate, and chest pain. What is the most likely diagnosis?
Pulmonary laceration
Cardiac tamponade
Haemothorax
Rupture of spleen
32. Which one of the following statements is not correct regarding trichobezoar hair balls)?
It is more common in females.
It is associated usually with psychiatric illness.
It is more common in young.
It is usually associated with pyloric stenosis.
33. Consider the following conditions:
1. Otitis media
2. Speech problems
3. Dentition abnormalities Which of the above is/are associated with cleft palate?
1 only
2 and 3 only
1and 3 only
2 and 3
34. On second day following femoral embolectomy, the leg is found to be tender, tense and dusky with feeble dorsalis pedis. The most appropriate management would be:
Doing re-embolectomy
Fasciotomy
Dye studies
Anticoagulant therapy
35. An air fluid level with dilated oesophagus and "bird beak" appearance in a barium swallow is diagnostic of:
Achalasia cardia
Carcinoma oesophagus
Hiatus hernia
Barrett's oesophagus
36. A colonic carcinoma involving muscularis propria, with one or two nodes involved with a solitary metastasis in the liver, the TNM stage would be:
N1 M1
N2 M1
N2 M1
N1 M1
37. After undergoing surgery, for carcinoma of colon, a patient developed single liver metastasis of 2 cm. What would be the next treatment?
Resection
Chemo-radiation
Acetic acid injection
Radio frequency ablation
38. Which one of the following is given a score of two in Alvarado score?
Rebound tenderness
Anorexia
Pyrexia
Leukocytosis
39. Which one of the following parts of intussception is susceptible for ischaemia and perforation?
Intussucepiens
Intussuceptum
Apex
Neck
40. A 30 year old lady comes with history of bloody discharge from her right nipple while taking bath. On examination, there is a cystic swelling in the subareolar region. The clinical diagnosis would be:
Duct ectasia
Intraductal papilloma
Fibrocystic disease
Intraductal carcinoma
41. Match List I (sign) with List II (description) and select the correct answer using the code given below the lists:
List I (sign) List II (description)
A. Palmer's sign 1. Bluish coloration of vagina in pregnancy
B. Braxton Hicks sign 2. Rhythmic painless uterine contractions felt per abdomen in second trimester
C. Goodell's sign 3. Softening of cervix in pregnancy
D. Chadwick sign 4. Rhythmic uterine contractions felt in first trimester
Code: A B C D
A/1 B/2 C/3 D/4
A/4 B/2 C/3 D/1
A/2 B/3 C/1 D/4
A/3 B/2 C/1 D/4
42. HELLP syndrome includes the following except:
Hemolysis
Elevated liver enzymes
Leucocytosis
Low platelet count
43. Predisposing factors of puerperial sepsis are following except:
Multiparity
Repeated internal examinations specially in the case of premature rupture of membrane
Cases of manual removal of placenta
Placenta previa
44. Consider the following:
1. Fetal pulmonary hypoplasia
2. Fetal chromosomal anomalies
3. Prostaglandin synthetase inhibitors
4. Amniotic fluid index of 15 cm Which of the above are associated with oligohydramnios?
2 and 4
3 and 4
3 and 4
2 and 3
45. Surgical treatment of choice for a 20 year old woman with nulliparous uterine prolapsed is:
Vaginal hysterectomy with pelvic floor repair
Abdominal hysterectomy with pelvic floor repair
Sling surgery
Le Forte's repair
46. A 32 years old woman with two live children was brought to emergency with history of missed period for 15 days, spotting since 7 days and pain abdomen since 6 hours. Her pulse was 120 per minute, pallor systolic B.P. 80 mm Hg. There was fullness and tenderness on per abdomen examination. Copper T thread was seen through external os on per speculum examination. On v examination, cervical movements were tender, uterus was anteverted, bulky and soft. There was fullness in pouch of Douglas. Most likely, she is suffering from:
Pelvic inflammatory disease
Missed abortion with infection
Ruptured ectopic pregnancy
Threatened abortion
47. A 20 year old primigravida is admitted with full term pregnancy and labour pains. At 4 A.M. she goes into active phase of labour with 4 cm cervical dilatation. Membranes rupture during p/v examination showing clear liquor. A repeat p/v after 4 hours of good uterine contractions reveals a cervical dilatation of 5 cm. What should be the next step in management?
Reassess after 4 hours
Immediate caesarean section
Oxytocin drip
Reassess for occipitoposterior position and cephalopelvic disproportion
48. Immediately after third stage of labour in a case of full term delivery, the fundus of the uterus is:
At the level of xiphisternum
At the level of umbilicus
Below the level of umbilicus
Just above the symphysis pubis
49. Which one of the following is not a complication of shoulder dystocia?
Laceration of the birth canal
Postpartum haemorrhage
Facial palsy
Brachial plexus palsy
50. Which of the following methods for induction of labour should not be used in the patient with previous lower segment caesarean section?
Vaginal prostaglandin gel
Oral prostaglandin tablet
Stripping of the membrane
Oxytocin drip
51. The causes for subinvolution of uterus are the following except:
Multiple pregnancy
Pelvic infection
Established breast feeding
Retained placental fragments
52. Oxytocin is not responsible for:
Milk production
Uterine involution
After pains
Milk ejection
53. Treatment of choice in 28 year old nulli para one with third degree cervical descent is:
Vaginal hysterectomy with PFR
Abdominal cervicopexy
Fothergill's repair
Anterior and posterior colporrhaphy
54. A G 2 P 1 A o presents with full term pregnancy with transverse lie in the first stage of labour. On examination, cervix is 5 cm dilated, membranes are intact and foetal heart sounds are regular. The appropriate management would be:
Wait for spontaneous ovulation and expulsion
External cephalic version
Internal podalic version
Caesarean section
55. Absolute contraindication for the use of OCPs is:
Thromboembolism
Hypertension
Diabetes
Epilepsy
56. Cephalhematomas are most commonly found over:
Frontal bone
Temporal bone
Parietal bone
Occipital bone
57. Rokintansky Kuster Hauser syndrome is associated with:
Primary amenorrhoea with mullerian agenesis
Renal abnormalities
Normal hormone profile
All of the above
58. Neo-natal infection in a Hepatitis positive pregnant woman can be prevented by administering:
Hepatitis vaccine
Immunoglobulin
Vaccine and Immunoglobulin
Corticosteroids
59. The level of external cervical os in a second degree utero-vaginal prolapse is:
At the level of ischial spines
Between ischial spines and introitus
Introitus
3 cm outside introitus
60. Which one of the following is not an epithelial tumour of the ovary?
Serous cystadenoma
Brenner's tumour
Clear cell tumour
Endodermal sinus tumour
61. In which of the following is the term low and high grade squamous intraepithelial neoplasia used?
FIGO staging
Papanicalou method
Bethesda classification
Shaw's classification.
62. Carcinoma of endometrium is associated with the following risk factors except:
Obesity
Diabetes
Hypertension
Multiparity
63. Female sterilization is contraindicated in:
Heart disease
Diabetes mellitus
Hypertension
None of the above
64. Laparoscopic sterilization is not recommended during the period of:
Immediate post partum
Interval
Post menstrual
Post first trimester M.T.P
65. The highest incidence of ectopic pregnancy amongst contraceptive users is observed with:
Combined contraceptive pills
Copper T intrauterine contraceptive device
Progestasert intrauterine device
Levonorgestrel intrauterine system
66. Which one of the following is the most suitable situation for prescribing progestin only pill?
Young patients
Emergency contraception
Lactating mother
Woman with unexplained vaginal bleeding
67. During Pomeroy's method of female sterilization, which portion of tube is ligated?
Isthmus
Ampullary
Isthmo-ampullary
Cornual
68. Which of the following is not true regarding scalpel' vasectomy?
Special instruments are used to deliver the vas instead of cutting the skin.
Scrotal skin is cut with LASER to expose the vas.
The failure rate is same as that of conventional vasectomy.
It is a very popular method in China.
69. A G6 P5 L5 with 4 1/2 MA comes to you requesting a medical termination of pregnancy after sex determination. Then,
you will do the termination because continuation of pregnancy will affect the mental health of the patient and it is a clause in the M.T.P. Act.
you will consult another medical practitioner because it is a mid-trimester pregnancy.
you will do both and above.
you will not do it, as it is against the law.
70. Which one of the following is the safest gas for creating pneumoperitoneum in operative laparoscopy?
Oxygen
Carbon monoxide
Carbon dioxide
Nitrous oxide
71. Which one of the following causes the greatest risk of ectopic pregnancy?
Previous normal delivery
Intrauterine contraceptive devices use
Previous ectopic pregnancy
Previous medical termination of pregnancy
72. Face to pubes delivery occurs in which of the foetal position?
Mentoanterior
Mentoposterior
Occipito-sacral
Brow presentation
73. The peak level of human chorionic gonadotropin in normal pregnancy occurs between:
10 to 12 days after pregnancy
30 to 40 days after pregnancy
60 to 70 days after pregnancy
100 to 120 days after pregnancy
74. The second most common site for endometriosis after ovary is the:
Outer surface of uterus
Peritonium of the pouch of Douglas
Round ligaments
Fallopian tubes
75. A patient who just delivered at home presents with a third degree perineal tear. You will do the repair:
immediately
after 24 hours.
after 6 weeks
after 3 months
76. The gestational sac is first visible on transvaginal USG by:
30 days
35 days
42 days
49 days
77. A 30 years old housewife reports with 6 months amenorrhea. Her serum LH and FSH are high with low estradiol levels. What is the most likely cause of amenorrhea in this context?
Pituitary tumour
Polycystic ovarian disease
Exercise induced
Premature menopause
78. Branches of anterior division of internal iliac artery include the following except:
Uterine artery
Inferior vesical
Inferior gluteal
Superior gluteal
79. The pearl index of contraceptive failure is expressed as a rate per
1 woman-year
10 women-years
100 women-years
1000 women-years
80. Match List I with List II and select the correct answer using the code given below the lists:
List I (Condition) List II (Procedure)
A. Hand prolapse 1. Lovset technique
B. Placental delivery 2. Decapitation
C. Extended arms of breech at delivery 3. Brandt Andrew's procedure
D. Deep transverse arrest 4. Vacuum extraction
Code: A B C D
A/2 B/3 C/1 D/4
A/2 B/1 C/3 D/4
A/4 B/3 C/1 D/2
A/4 B/1 C/3 D/2
81. The example of de-professionalization of medicine is widely seen in India in the form of:
Rural internship by doctors
Providing Primary Health Care
Irrational use of antibiotics by doctors
Medical malpractice by doctors
82. Consider the following:
1. Literacy rate
2. Life expectancy at birth
3. Life expectancy at the age of one year
4. Infant mortality Which of the above are the components of Physical Quality of Life Index (P.Q.L.I.)?
1 and 2
3 and 4
2 and 4
1 and 4 only
83. Which one of the following is included in Indian Public Health Standards for a Primary Health Centre?
Manual removal of placenta
Blood storage facility
Surgery for hydrocele
Safe abortion services
84. Which one of the following substances induces no dependence?
Barbiturates
Cannabis
Heroin
LSD
85. The pattern of disease in a community described in terms of the important factors which influence its occurrence is known as:
Experimental epidemiology.
Confounding
Iceberg phenomenon
Community diagnosis
86. The term "disease control" describes the ongoing operations aimed at reducing all of the following, except:
The incidence of disease
The financial burden to the community
Virulence of the disease agent
Prevention of complications
87. The relationship between birth rate and maternal hemoglobin is best studied by:
Standard error of difference between two means.
Standard error of difference between two proportions.
Correlation and regression.
Sensitivity and specificity.
88. Beta oxalyl amino alanine (BOAA) is found in:
Argemone mexicana
Lathyrus sativus
Aspergilus flavus
Crotolaria medicagenia
89. Due to which of the following does seasonal trend of a disease occur?
1. Vector variation
2. Environmental factors
3. Change in herd community Select the correct answer using the code given below:
1 only
2 and 3 only
1 and 3 only
2 and 3
90. Excessive nitrates in drinking water can produce:
Hypochromic microcytic anemia.
Methaenoglobinaemia.
Polycythemia vera.
Hemophilia.
91. Calcium content of milk is lowest in the milk of:
Human
Goat
Cow
Buffalo
92. What is the time limit for registration of a birth?
7 days
14 days
21 days
3 days
93. The following statements are correct for healthful school environment except:
In the classroom, desks should be of minus type.
Per capita space for each student should be 6 sq. feet.
Combined window and door area should be 25% of the floor space.
One urinal should be provided for 60 students.
94. The following are the indicators for assessing the sensitivity of surveillance of polio except:
A minimum of one case of AFP per 100,000 children under 15 years of age detected per year
A minimum of one case of AFP per 100,000 children under 5 years of age detected per year
At least 80% of the reporting sites should report each month even in the absence of cases
Percentage of AFP cases with 2 stools taken within 2 weeks after paralysis onset 80%
95. Tuberculosis in HIV positive individuals is characterized by which of the following?
1. More frequent negative sputum smears.
2. More false-negative tuberculin test results.
3. More extra-pulmonary tuberculosis.
4. More cavitating lesions in lungs as shown by chest X-ray.
Select the correct answer using the code given below:
1 and 2 only
3 and 4 only
2 and 3 only
3 and 4
96. Consider the following features of cholera:
1. Onset with purging.
2. No nausea or retching.
3. No tenesmus.
4. Leukocytosis.
Which of the above features of cholera differentiate it from food poisoning?
2 and 3
3 and 4
2 and 4
3 and 4
97. What is the most important test to assess the prevalence of tuberculosis infection in a community?
Mass miniature radiography
Tuberculin test
Sputum examination of AFB
Clinical examination
98. With which one of the following respiratory lesions is smoking not associated?
Chronic bronchitis
Emphysema
Sarcoidosis
Lung carcinoma
99. In a normal curve, the area between one standard deviation on either side of the mean will include:
Less than 50% of the values
Approximately 68% of the values
70 85% of the values
95% of the values
100. Match List I with List II and select the correct answer using the code given below the lists:
List I (Health education methods) List II (Characteristics)
A. Symposium 1. Situation is dramatized
B. Panel discussion 2. Arriving at a plan of action to solve the problem
C. Work-shop. 3. Series of speeches on a selected subject
D. Role-play. 4. Discussion among the speakers
Code: A B C D
A/3 B/4 C/2 D/1
A/3 B/2 C/4 D/1
A/1 B/2 C/4 D/3
A/1 B/4 C/2 D/3
101. Which of the following insecticides is not used as a larvicide?
Abate
Paris green
Fenthion
Dichlorvos
102. An outbreak of Viral Hepatitis was reported from a town between June and August of a particular year. 60% of cases occurred in July. Exposure of the community to infection is from:
A single source for a short period.
A common single source for prolonged periods
Multiple sources for a short period
Multiple sources over prolonged periods
103. A rapid mass screening method that can be used by a paramedical worker for detecting malnutrition in pre-school 1 to 5 years) children is:
Weight for age
Height for age
Mid-arm circumference
Weight for height
104. Among the following which one is the most important determinant of infant mortality?
Birth weight
Age of the mother
Order of birth
Interval between births
105. Which one of the following indicators is not included in Millennium Development Goals?
Maternal mortality ratio
Under five mortality rate
Malaria death rate per 100,000 children 4 years of age)
T.B. death rate per 100,000 children 4 years of age)
106. Severity of a disease is measured by:
Relative risk
Attributable risk
Incidence rate
Case fatality rate
107. 'Spot map' in epidemiological studies refer to variation in the distribution of a disease at:
International level
National level
Rural urban level
Local level
108. Which of the following is an example of 'live attenuated vaccine'?
D.P.T.
B.C.G.
Hepatitis
Typhoid
109. Specificity of a test is
(True positives X 100) (True positives False negatives)
(True negatives X 100) (True negatives False positives)
(True negatives X 100) (True positives True negatives)
(True positives X 100) (True negatives False positives)
110. With reference to historical cohort study, which of the following statements is not correct?
Outcomes have occurred before the start of the investigation.
Experience of cohort is assessed from existing records.
Duration of study is shorter as compared to current cohort study.
Control subjects are selected from the current population without exposure.
111. Which of the following are the features of Rubella?
1. Rashes appear within 24 hours of onset of symptoms
2. Incubation period is 2 3 weeks
3. False membrane is formed in throat
4. Post auricular lymph nodes enlarge Select the correct answer using the code given below:
2 and 4
2 and 3 only
2 and 3
2 and 4 only
112. Iodine can be used for the disinfection of which of the following?
1. Water
2. Faeces
3. Urine
4. Skin
Select the correct answer using the code given below:
1 only
1 and 4 only
3 and 4
2 and 3
113. Consider the following:
1. Standard deviation
2. Range
3. Mode
4. Median Among the above, which is/are the measure/measures of dispersion?
3 and 4
1 only
1 and 2 only
3 and 4 only
114. Which of the following diseases has man as an incidental host with Mosquito-> Pig' as the basic cycle of transmission?
Japanese encephalitis
Chikungunya
Handigodu syndrome
Kyasanur forest disease
115. A screening programme for school children was undertaken with the following results:
1. 30% boys and 60% girls were found to be anemic
2. 50% children had history of passing worms in stool
3. 10% children had poor vision
4. children had enlarged tonsils In this context, which of the following is not an appropriate follow up activity?
Providing iron supplementation to all children
Administering mass deworming medication to all children
Referring those children with enlarged tonsils for surgery
Prescribing corrective spectacles to children with poor vision
116. Sullivan's index is an indicator of:
Mortality
Morbidity
Disability
Health care delivery
117. Which one of the following mosquitoes is responsible for transmitting Japanese encephalitis?
Culex tritaeniorhynchus
Anopheles stephensi
Aedes egypti
Mansonoides
118. The primary route of administration of measles vaccination is:
Subcutaneous
Intradermal
Intravenous
Intranasal
119. Which of the following statements is not true regarding HIV infection?
HIV does not transmit through fomites.
Every HIV infected person would require antiretroviral treatment during lifetime.
All HIV positive mothers transmit infection to their newborn children.
Infected blood transfusion leads to 100% transmission among recipients.
120. Which one of the following statements is correct regarding diabetes epidemiology?
Its prevalence is not affected by age.
Females are 2.5 times more at risk.
Maternal diabetes increases the risk of subsequent diabetes.
Central obesity is not linked with diabetes.
FNAC of lesion
Incision biopsy
Excision biopsy
Wide excision with inguinal lymphadenectomy.
2. Indications of TURP for Benign Hyperplasia Prostate include
1. Urinary flow rate of less than 10cc/second
2. Residual volume of urine >100cc
3. Serum level of prostatic specific antigen>10nmol/L
4. Trabeculated Urinary bladder Select the correct answer using the code given below:
2 and 3
3 and 4
2 and 4
3 and 4
3. Ankyloglossia in a patient with carcinoma tongue is staged as
T1
T2
T3
T4
4. Which is the most commonly used chemotherapy regimen in the adjuvant treatment following modified radical mastectomy in the estrogen receptor negative 35 year old female with breast cancer?
Cyclophosphamide 5 Fluro-uracil
Cyclophosphamide Methotrexate 5-Fluoro-uracil
Cyclophosphamide Adriamycin 5-Fluro-uracil
Adriamycin 5-Fluro-uracil
5. Consider the following statements: The clinical features of tension pneumothorax include 1. tracheal shift to contralateral side 2. absent breath sounds on the affected side 3. low output circulatory failure 4. peripheral cyanosis Which of the statements given above is/are correct?
2 and 3
1 and 3 only
2 and 4
1 and 4
6. The following procedures are recommended for palliation in a patient with obstructive jaundice due to unresectable carcinoma of head of pancreas except:
Choledochoduodenostomy with gasterojejunostomy
Choledochoduodenostomy, gastrojejunostomy with pancreaticojejunostomy
Hepaticojejunostomy with gastrojejunostomy
Cholecystojejunostyomy with jejunojejunostomy with gastrojejunostomy
7. Which of the following are contraindications to salvaging accidentally injured spleen during operation?
1. Labile blood pressure
2. Presence of intraperitoneal infection
3. Pre-existing splenic disease
4. Age below 50 years
Select the correct answer using the code given below:
2 and 3
2 and 4
3 and 4
3 and 4
8. Match List 1 (Condition) with List II (Presentation) and select the correct answer using the code given below the lists
List I (Condition) List II (Presentation)
A. Caroli's disease 1. Abdominal pain, Biliary sepsis
B. Budd-Chiari Syndrome 2. Hepatomegaly, Pain
C. Polycystic Liver Disease 3. Ascites
D. Primary sclerosing cholangitis 4. Abdominal Liver Function Test or jaundice
Code: A B C D
A/1 B/3 C/2 D/4
A/3 B/2 C/4 D/1
A/4 B/3 C/2 D/1
A/1 B/2 C/3 D/4
9. Treatment of choice for annular pancreas is
Resection
Duodenoduodenostomy
Gastrojejunostomy
Pyloromyotomy
10. In a patient of gastric outlet obstruction nutritional support is best delivered by:
Enteral nutrition by Ryles tube
Gastrostomy
Jejunostomy
Parenteral nutrition
11. The following nerves are blocked for repairing inguinal hernia by local anaesthetic except:
Ilio-inguinal
Ilio-hypogastric
Genito femoral
Femoral
12. Consider the following statements: Venacaval opening of the diaphragm, situated at the level of T8 transmits
1. inferior vena cava
2. vagus nerve
3. branches of the right phrenic nerve
4. thoracic duct
Which of the statements given above are correct?
1 and 2
2 and 3
1 and 3
1 and 4
13. Traumatic haemothorax is best managed by:
Intercostal tube drainage
Open drainage
Aspiration of blood from pleural cavity
Use of streptokinase
14. Which of the following statements about mesh skin grafts is not correct?
They permit coverage of large areas.
They allow egress of fluid collections under the graft.
They contract to the same degree as a grafted sheet of skin.
They "take" satisfactorily on granulating bed.
15. An 8 year old girl sustained a fall on the outstretched right hand 6 hours ago and was treated with egg albumen bandages by a village bone setter. She presented with gross swelling of the right elbow and forearm. The first essential intervention in this case would be to
order urgent radiographs of both elbows.
immerse the hand in warm water to increase the circulation.
elevate the right hand.
completely remove all encircling bandages.
16. Sprain of the ankle joint results from an injury to:
Deltoid ligament
Spring Ligament
Posterior talofibular ligament
Anterior talofibular ligament
17. Which of the following are the most common forms of cardiac tumors seen in clinical practice
Rhabdomyosarcoma
Angiosarcoma
Myxoma
Lymphoma
18. The following operative procedure can result in neurogenic voiding dysfunction except:
Radical hysterectomy
Ureterolithotomy
Abdominoperineal resection
Retroperitoneal lymph node dissection
19. In diabetes mellitus the following findings are seen in ophthalmoscopy except:
Dot haemorrhage
Flame shaped haemorrhage
Wet sponge haemorrhage
Microaneurysm
20. Consider the following structures in the femoral triangle:
1. Femoral canal
2. Femoral Nerve
3. Femoral artery
4. Femoral vein What is the correct sequence of the above from medial to lateral
4
2
2
4. 1
21. A female patient aged 30 years with bilateral conductive deafness is wearing a hearing aid. What is the probable diagnosis?
Presbycusis
Chronic suppurative otitis media
Meniere's disease
Otosclerosis
22. Match List I with List II and select the correct answer using the code given below the lists:
List I (Operative procedure) List II (Complication)
A. Highly selective vagotomy 1. Metabolic bone disease
B. Vagotomy with 2. Post Prandial gas bloat Gastrojejunostomy
C. Subtotal Gastrectomy 3. Lesser curve necrosis
D. Nissen's Fundoplication 4. Diarrhea
Code: A B C D
A/2 B/1 C/4 D/3
A/3 B/4 C/1 D/2
A/2 B/4 C/1 D/3
A/3 B/1 C/4 D/2
23. Which of the following pairs is not correctly matched?
Krukenberg tumour ……… Peritoneal seeding involving ovaries
Blumer's shelf ……… Secondary deposits in pelvic cul-de-sac
Virchow's node ……… Palpable node in left supraclavicular space
Sister Joseph's nodule ……… Solitary secondary deposit in the liver
24. Optimum age for surgery for a child with cleft lip is:
4 weeks
4 6 weeks
3 6 months
6 -18 months
25. An electrical contact burn is considered to be:
Superficial partial thickness burn
Full thickness burn
Deep partial thickness burn
Superficial scalding with blisters
26. In a fracture of shaft of longbone, the component which contributes least in fracture healing is:
Blood vessels
Periosteum
Matrix
Endosteum
27. A 52 year old male patient comes with history of rectal bleeding, alteration in bowel habits and tenesmus. The ideal investigation would be:
Motion for occult blood
Contrast enhance CT scan
Colonoscopy
Ultrasonogram
28. What is the treatment of choice in a patient with Crohn's case, where inflamed appendix was found on exploration?
Appendecectomy
Ileo-colic resection and anastomosis
Closing the abdomen and starting medical treatment
None of the above
29. In an unconscious patient with multiple injuries, what is the best and reliable modality for assessment of cervical spine injury?
Full AP and lateral radiographs of spine
MRI scan
While doing CT scan of brain take extra cuts at the cervical spine region
Rely only on clinical examination
30. The following are features of hypovolemic shock except:
Oliguria
Bradycardia
Low Blood Pressure
Acidosis
31. A 45 year old man sustains trauma in a road traffic accident and develops engorgement of neck veins, pallor, rapid pulse rate, and chest pain. What is the most likely diagnosis?
Pulmonary laceration
Cardiac tamponade
Haemothorax
Rupture of spleen
32. Which one of the following statements is not correct regarding trichobezoar hair balls)?
It is more common in females.
It is associated usually with psychiatric illness.
It is more common in young.
It is usually associated with pyloric stenosis.
33. Consider the following conditions:
1. Otitis media
2. Speech problems
3. Dentition abnormalities Which of the above is/are associated with cleft palate?
1 only
2 and 3 only
1and 3 only
2 and 3
34. On second day following femoral embolectomy, the leg is found to be tender, tense and dusky with feeble dorsalis pedis. The most appropriate management would be:
Doing re-embolectomy
Fasciotomy
Dye studies
Anticoagulant therapy
35. An air fluid level with dilated oesophagus and "bird beak" appearance in a barium swallow is diagnostic of:
Achalasia cardia
Carcinoma oesophagus
Hiatus hernia
Barrett's oesophagus
36. A colonic carcinoma involving muscularis propria, with one or two nodes involved with a solitary metastasis in the liver, the TNM stage would be:
N1 M1
N2 M1
N2 M1
N1 M1
37. After undergoing surgery, for carcinoma of colon, a patient developed single liver metastasis of 2 cm. What would be the next treatment?
Resection
Chemo-radiation
Acetic acid injection
Radio frequency ablation
38. Which one of the following is given a score of two in Alvarado score?
Rebound tenderness
Anorexia
Pyrexia
Leukocytosis
39. Which one of the following parts of intussception is susceptible for ischaemia and perforation?
Intussucepiens
Intussuceptum
Apex
Neck
40. A 30 year old lady comes with history of bloody discharge from her right nipple while taking bath. On examination, there is a cystic swelling in the subareolar region. The clinical diagnosis would be:
Duct ectasia
Intraductal papilloma
Fibrocystic disease
Intraductal carcinoma
41. Match List I (sign) with List II (description) and select the correct answer using the code given below the lists:
List I (sign) List II (description)
A. Palmer's sign 1. Bluish coloration of vagina in pregnancy
B. Braxton Hicks sign 2. Rhythmic painless uterine contractions felt per abdomen in second trimester
C. Goodell's sign 3. Softening of cervix in pregnancy
D. Chadwick sign 4. Rhythmic uterine contractions felt in first trimester
Code: A B C D
A/1 B/2 C/3 D/4
A/4 B/2 C/3 D/1
A/2 B/3 C/1 D/4
A/3 B/2 C/1 D/4
42. HELLP syndrome includes the following except:
Hemolysis
Elevated liver enzymes
Leucocytosis
Low platelet count
43. Predisposing factors of puerperial sepsis are following except:
Multiparity
Repeated internal examinations specially in the case of premature rupture of membrane
Cases of manual removal of placenta
Placenta previa
44. Consider the following:
1. Fetal pulmonary hypoplasia
2. Fetal chromosomal anomalies
3. Prostaglandin synthetase inhibitors
4. Amniotic fluid index of 15 cm Which of the above are associated with oligohydramnios?
2 and 4
3 and 4
3 and 4
2 and 3
45. Surgical treatment of choice for a 20 year old woman with nulliparous uterine prolapsed is:
Vaginal hysterectomy with pelvic floor repair
Abdominal hysterectomy with pelvic floor repair
Sling surgery
Le Forte's repair
46. A 32 years old woman with two live children was brought to emergency with history of missed period for 15 days, spotting since 7 days and pain abdomen since 6 hours. Her pulse was 120 per minute, pallor systolic B.P. 80 mm Hg. There was fullness and tenderness on per abdomen examination. Copper T thread was seen through external os on per speculum examination. On v examination, cervical movements were tender, uterus was anteverted, bulky and soft. There was fullness in pouch of Douglas. Most likely, she is suffering from:
Pelvic inflammatory disease
Missed abortion with infection
Ruptured ectopic pregnancy
Threatened abortion
47. A 20 year old primigravida is admitted with full term pregnancy and labour pains. At 4 A.M. she goes into active phase of labour with 4 cm cervical dilatation. Membranes rupture during p/v examination showing clear liquor. A repeat p/v after 4 hours of good uterine contractions reveals a cervical dilatation of 5 cm. What should be the next step in management?
Reassess after 4 hours
Immediate caesarean section
Oxytocin drip
Reassess for occipitoposterior position and cephalopelvic disproportion
48. Immediately after third stage of labour in a case of full term delivery, the fundus of the uterus is:
At the level of xiphisternum
At the level of umbilicus
Below the level of umbilicus
Just above the symphysis pubis
49. Which one of the following is not a complication of shoulder dystocia?
Laceration of the birth canal
Postpartum haemorrhage
Facial palsy
Brachial plexus palsy
50. Which of the following methods for induction of labour should not be used in the patient with previous lower segment caesarean section?
Vaginal prostaglandin gel
Oral prostaglandin tablet
Stripping of the membrane
Oxytocin drip
51. The causes for subinvolution of uterus are the following except:
Multiple pregnancy
Pelvic infection
Established breast feeding
Retained placental fragments
52. Oxytocin is not responsible for:
Milk production
Uterine involution
After pains
Milk ejection
53. Treatment of choice in 28 year old nulli para one with third degree cervical descent is:
Vaginal hysterectomy with PFR
Abdominal cervicopexy
Fothergill's repair
Anterior and posterior colporrhaphy
54. A G 2 P 1 A o presents with full term pregnancy with transverse lie in the first stage of labour. On examination, cervix is 5 cm dilated, membranes are intact and foetal heart sounds are regular. The appropriate management would be:
Wait for spontaneous ovulation and expulsion
External cephalic version
Internal podalic version
Caesarean section
55. Absolute contraindication for the use of OCPs is:
Thromboembolism
Hypertension
Diabetes
Epilepsy
56. Cephalhematomas are most commonly found over:
Frontal bone
Temporal bone
Parietal bone
Occipital bone
57. Rokintansky Kuster Hauser syndrome is associated with:
Primary amenorrhoea with mullerian agenesis
Renal abnormalities
Normal hormone profile
All of the above
58. Neo-natal infection in a Hepatitis positive pregnant woman can be prevented by administering:
Hepatitis vaccine
Immunoglobulin
Vaccine and Immunoglobulin
Corticosteroids
59. The level of external cervical os in a second degree utero-vaginal prolapse is:
At the level of ischial spines
Between ischial spines and introitus
Introitus
3 cm outside introitus
60. Which one of the following is not an epithelial tumour of the ovary?
Serous cystadenoma
Brenner's tumour
Clear cell tumour
Endodermal sinus tumour
61. In which of the following is the term low and high grade squamous intraepithelial neoplasia used?
FIGO staging
Papanicalou method
Bethesda classification
Shaw's classification.
62. Carcinoma of endometrium is associated with the following risk factors except:
Obesity
Diabetes
Hypertension
Multiparity
63. Female sterilization is contraindicated in:
Heart disease
Diabetes mellitus
Hypertension
None of the above
64. Laparoscopic sterilization is not recommended during the period of:
Immediate post partum
Interval
Post menstrual
Post first trimester M.T.P
65. The highest incidence of ectopic pregnancy amongst contraceptive users is observed with:
Combined contraceptive pills
Copper T intrauterine contraceptive device
Progestasert intrauterine device
Levonorgestrel intrauterine system
66. Which one of the following is the most suitable situation for prescribing progestin only pill?
Young patients
Emergency contraception
Lactating mother
Woman with unexplained vaginal bleeding
67. During Pomeroy's method of female sterilization, which portion of tube is ligated?
Isthmus
Ampullary
Isthmo-ampullary
Cornual
68. Which of the following is not true regarding scalpel' vasectomy?
Special instruments are used to deliver the vas instead of cutting the skin.
Scrotal skin is cut with LASER to expose the vas.
The failure rate is same as that of conventional vasectomy.
It is a very popular method in China.
69. A G6 P5 L5 with 4 1/2 MA comes to you requesting a medical termination of pregnancy after sex determination. Then,
you will do the termination because continuation of pregnancy will affect the mental health of the patient and it is a clause in the M.T.P. Act.
you will consult another medical practitioner because it is a mid-trimester pregnancy.
you will do both and above.
you will not do it, as it is against the law.
70. Which one of the following is the safest gas for creating pneumoperitoneum in operative laparoscopy?
Oxygen
Carbon monoxide
Carbon dioxide
Nitrous oxide
71. Which one of the following causes the greatest risk of ectopic pregnancy?
Previous normal delivery
Intrauterine contraceptive devices use
Previous ectopic pregnancy
Previous medical termination of pregnancy
72. Face to pubes delivery occurs in which of the foetal position?
Mentoanterior
Mentoposterior
Occipito-sacral
Brow presentation
73. The peak level of human chorionic gonadotropin in normal pregnancy occurs between:
10 to 12 days after pregnancy
30 to 40 days after pregnancy
60 to 70 days after pregnancy
100 to 120 days after pregnancy
74. The second most common site for endometriosis after ovary is the:
Outer surface of uterus
Peritonium of the pouch of Douglas
Round ligaments
Fallopian tubes
75. A patient who just delivered at home presents with a third degree perineal tear. You will do the repair:
immediately
after 24 hours.
after 6 weeks
after 3 months
76. The gestational sac is first visible on transvaginal USG by:
30 days
35 days
42 days
49 days
77. A 30 years old housewife reports with 6 months amenorrhea. Her serum LH and FSH are high with low estradiol levels. What is the most likely cause of amenorrhea in this context?
Pituitary tumour
Polycystic ovarian disease
Exercise induced
Premature menopause
78. Branches of anterior division of internal iliac artery include the following except:
Uterine artery
Inferior vesical
Inferior gluteal
Superior gluteal
79. The pearl index of contraceptive failure is expressed as a rate per
1 woman-year
10 women-years
100 women-years
1000 women-years
80. Match List I with List II and select the correct answer using the code given below the lists:
List I (Condition) List II (Procedure)
A. Hand prolapse 1. Lovset technique
B. Placental delivery 2. Decapitation
C. Extended arms of breech at delivery 3. Brandt Andrew's procedure
D. Deep transverse arrest 4. Vacuum extraction
Code: A B C D
A/2 B/3 C/1 D/4
A/2 B/1 C/3 D/4
A/4 B/3 C/1 D/2
A/4 B/1 C/3 D/2
81. The example of de-professionalization of medicine is widely seen in India in the form of:
Rural internship by doctors
Providing Primary Health Care
Irrational use of antibiotics by doctors
Medical malpractice by doctors
82. Consider the following:
1. Literacy rate
2. Life expectancy at birth
3. Life expectancy at the age of one year
4. Infant mortality Which of the above are the components of Physical Quality of Life Index (P.Q.L.I.)?
1 and 2
3 and 4
2 and 4
1 and 4 only
83. Which one of the following is included in Indian Public Health Standards for a Primary Health Centre?
Manual removal of placenta
Blood storage facility
Surgery for hydrocele
Safe abortion services
84. Which one of the following substances induces no dependence?
Barbiturates
Cannabis
Heroin
LSD
85. The pattern of disease in a community described in terms of the important factors which influence its occurrence is known as:
Experimental epidemiology.
Confounding
Iceberg phenomenon
Community diagnosis
86. The term "disease control" describes the ongoing operations aimed at reducing all of the following, except:
The incidence of disease
The financial burden to the community
Virulence of the disease agent
Prevention of complications
87. The relationship between birth rate and maternal hemoglobin is best studied by:
Standard error of difference between two means.
Standard error of difference between two proportions.
Correlation and regression.
Sensitivity and specificity.
88. Beta oxalyl amino alanine (BOAA) is found in:
Argemone mexicana
Lathyrus sativus
Aspergilus flavus
Crotolaria medicagenia
89. Due to which of the following does seasonal trend of a disease occur?
1. Vector variation
2. Environmental factors
3. Change in herd community Select the correct answer using the code given below:
1 only
2 and 3 only
1 and 3 only
2 and 3
90. Excessive nitrates in drinking water can produce:
Hypochromic microcytic anemia.
Methaenoglobinaemia.
Polycythemia vera.
Hemophilia.
91. Calcium content of milk is lowest in the milk of:
Human
Goat
Cow
Buffalo
92. What is the time limit for registration of a birth?
7 days
14 days
21 days
3 days
93. The following statements are correct for healthful school environment except:
In the classroom, desks should be of minus type.
Per capita space for each student should be 6 sq. feet.
Combined window and door area should be 25% of the floor space.
One urinal should be provided for 60 students.
94. The following are the indicators for assessing the sensitivity of surveillance of polio except:
A minimum of one case of AFP per 100,000 children under 15 years of age detected per year
A minimum of one case of AFP per 100,000 children under 5 years of age detected per year
At least 80% of the reporting sites should report each month even in the absence of cases
Percentage of AFP cases with 2 stools taken within 2 weeks after paralysis onset 80%
95. Tuberculosis in HIV positive individuals is characterized by which of the following?
1. More frequent negative sputum smears.
2. More false-negative tuberculin test results.
3. More extra-pulmonary tuberculosis.
4. More cavitating lesions in lungs as shown by chest X-ray.
Select the correct answer using the code given below:
1 and 2 only
3 and 4 only
2 and 3 only
3 and 4
96. Consider the following features of cholera:
1. Onset with purging.
2. No nausea or retching.
3. No tenesmus.
4. Leukocytosis.
Which of the above features of cholera differentiate it from food poisoning?
2 and 3
3 and 4
2 and 4
3 and 4
97. What is the most important test to assess the prevalence of tuberculosis infection in a community?
Mass miniature radiography
Tuberculin test
Sputum examination of AFB
Clinical examination
98. With which one of the following respiratory lesions is smoking not associated?
Chronic bronchitis
Emphysema
Sarcoidosis
Lung carcinoma
99. In a normal curve, the area between one standard deviation on either side of the mean will include:
Less than 50% of the values
Approximately 68% of the values
70 85% of the values
95% of the values
100. Match List I with List II and select the correct answer using the code given below the lists:
List I (Health education methods) List II (Characteristics)
A. Symposium 1. Situation is dramatized
B. Panel discussion 2. Arriving at a plan of action to solve the problem
C. Work-shop. 3. Series of speeches on a selected subject
D. Role-play. 4. Discussion among the speakers
Code: A B C D
A/3 B/4 C/2 D/1
A/3 B/2 C/4 D/1
A/1 B/2 C/4 D/3
A/1 B/4 C/2 D/3
101. Which of the following insecticides is not used as a larvicide?
Abate
Paris green
Fenthion
Dichlorvos
102. An outbreak of Viral Hepatitis was reported from a town between June and August of a particular year. 60% of cases occurred in July. Exposure of the community to infection is from:
A single source for a short period.
A common single source for prolonged periods
Multiple sources for a short period
Multiple sources over prolonged periods
103. A rapid mass screening method that can be used by a paramedical worker for detecting malnutrition in pre-school 1 to 5 years) children is:
Weight for age
Height for age
Mid-arm circumference
Weight for height
104. Among the following which one is the most important determinant of infant mortality?
Birth weight
Age of the mother
Order of birth
Interval between births
105. Which one of the following indicators is not included in Millennium Development Goals?
Maternal mortality ratio
Under five mortality rate
Malaria death rate per 100,000 children 4 years of age)
T.B. death rate per 100,000 children 4 years of age)
106. Severity of a disease is measured by:
Relative risk
Attributable risk
Incidence rate
Case fatality rate
107. 'Spot map' in epidemiological studies refer to variation in the distribution of a disease at:
International level
National level
Rural urban level
Local level
108. Which of the following is an example of 'live attenuated vaccine'?
D.P.T.
B.C.G.
Hepatitis
Typhoid
109. Specificity of a test is
(True positives X 100) (True positives False negatives)
(True negatives X 100) (True negatives False positives)
(True negatives X 100) (True positives True negatives)
(True positives X 100) (True negatives False positives)
110. With reference to historical cohort study, which of the following statements is not correct?
Outcomes have occurred before the start of the investigation.
Experience of cohort is assessed from existing records.
Duration of study is shorter as compared to current cohort study.
Control subjects are selected from the current population without exposure.
111. Which of the following are the features of Rubella?
1. Rashes appear within 24 hours of onset of symptoms
2. Incubation period is 2 3 weeks
3. False membrane is formed in throat
4. Post auricular lymph nodes enlarge Select the correct answer using the code given below:
2 and 4
2 and 3 only
2 and 3
2 and 4 only
112. Iodine can be used for the disinfection of which of the following?
1. Water
2. Faeces
3. Urine
4. Skin
Select the correct answer using the code given below:
1 only
1 and 4 only
3 and 4
2 and 3
113. Consider the following:
1. Standard deviation
2. Range
3. Mode
4. Median Among the above, which is/are the measure/measures of dispersion?
3 and 4
1 only
1 and 2 only
3 and 4 only
114. Which of the following diseases has man as an incidental host with Mosquito-> Pig' as the basic cycle of transmission?
Japanese encephalitis
Chikungunya
Handigodu syndrome
Kyasanur forest disease
115. A screening programme for school children was undertaken with the following results:
1. 30% boys and 60% girls were found to be anemic
2. 50% children had history of passing worms in stool
3. 10% children had poor vision
4. children had enlarged tonsils In this context, which of the following is not an appropriate follow up activity?
Providing iron supplementation to all children
Administering mass deworming medication to all children
Referring those children with enlarged tonsils for surgery
Prescribing corrective spectacles to children with poor vision
116. Sullivan's index is an indicator of:
Mortality
Morbidity
Disability
Health care delivery
117. Which one of the following mosquitoes is responsible for transmitting Japanese encephalitis?
Culex tritaeniorhynchus
Anopheles stephensi
Aedes egypti
Mansonoides
118. The primary route of administration of measles vaccination is:
Subcutaneous
Intradermal
Intravenous
Intranasal
119. Which of the following statements is not true regarding HIV infection?
HIV does not transmit through fomites.
Every HIV infected person would require antiretroviral treatment during lifetime.
All HIV positive mothers transmit infection to their newborn children.
Infected blood transfusion leads to 100% transmission among recipients.
120. Which one of the following statements is correct regarding diabetes epidemiology?
Its prevalence is not affected by age.
Females are 2.5 times more at risk.
Maternal diabetes increases the risk of subsequent diabetes.
Central obesity is not linked with diabetes.