Exam Details
Subject | ||
Paper | paper 2 | |
Exam / Course | combined medical services examination | |
Department | ||
Organization | union public service commission | |
Position | ||
Exam Date | 2015 | |
City, State | central government, |
Question Paper
1. A 20 year old female was operated for perforation peritonitis and after closing the rectus sheet her abdominal wound was left open to heal with proliferative granulation tissue which contracted and epithelized to form a scar. This patient had undergone healing by:
Primary intention
Secondary intention
Tertiary Intention
Delayed primary intention
2. A 50 year old patient had a haematoma in his left gluteal region which was large, painful and causing some neural deficit. The next plan of management will be to:
Apply some superficial ointment for it to subside
Get an CECT or MRI done
Incise or aspirate the haematoma
Leave it alone
3. An 18 year old boy had a closed lower limb injury while riding his motorbike. He was brought to hospital where on examination he had severe pain which increased on passive movement of effected limb with distal sensory disturbances. What is the probable diagnosis?
Degloving Injury
High Pressure Injection injury
Compartment syndrome
Deep Vein thrombosis
4. A surgeon told the patient's attendant that his patient has "flesh eating bug" which is the cause of such severe infection in his dirty wound on his lower limb. Which organism was the surgeon referring to?
Staphylococcus aureus
Pseudomonas aeruginosa
Clostridium difficile
Steptococcus pyogenes
5. In Hernia repair, polypropylene suture is used because
It is a synthetic braided dyed absorbable suture with low tissue reaction and high tensile strength
It is synthetic monofilament dyed non absorbable suture with low tissue reaction and high tensile strength
It is a synthetic monofilament undyed absorbable suture with high tissue reaction and low tensile strength
It is a synthetic monofilament undyed non absorbable suture with high tissue reaction and which degrades at 15-20% per year
6. A 60 year old lady had a pyothorax which was treated with an intercostal chest drain. After two days, the meniscus of the fluid in the tube was not swinging during her respiratory process. What could be the likely problem?
Chest drain blockage
No fluid in the chest drain bag
Water seal not proper
High atmospheric pressure
7. The main principle regarding removal of drain after surgery is
Keep drains as long as possible to prevent complications
Drains kept for colo-rectal anastomosis should be removed within 2 days as they can cause complications
Suction drains can be removed early
Drain should be removed as soon as it is no longer required
8. The Chief of laparoscopic surgery asked his assistant to give him a laparoscopic port which has absolutely no chance of "capacitance coupling" during laparoscopic surgery. Which port should the assistant give to the Chief?
Metal laparoscopic port
Metal port with plastic cuff
Partial plastic port
Complete plastic port
9. Southampton wound grading system and ASEPSIS wound score is used for
Severity of wound infections
Surgical site cosmesis
Surgical scar
Severity of granulation tissue
10. A 75 year old diabetic man had surgery for perforated colonic diverculitis. In his post operative period he complained of severe wound pain and had signs of spreading inflammation with crepitus with subdermal spread of gangrene. He is likely to be suffering from
Clostridial infection
Meleney synergistic gangrene
Abdominal wall cellulitis
Intra-peritoneal collection
11. All of the following are congenital sinuses except:
Pre auricular
Urachal sinus
Coccygeal
Pilonidal
12. An obese 45 year lady who is a chronic smoker came with tender subcutaneous nodules with chronic inflammation with scarring under her left axilla. She is likely to be suffering from:
Lipodystrophy
Hidradenitis suppurativa
Xeroderma pigmentosum
Pyoderma gangrenosum
13. The priority in management of supracondylar fracture of humerus in a child is:
Preservation of Brachial artery entanglement
Debridement of wound
Antibiotics
Immobilization
14. All of the following are premalignant lesions except:
Actinic Solar Keratosis
Bowen's Disease
Giant Hairy Naevus
Rhinophymoma
15. A 50 year old man with long history of swelling in his right parotid region had sudden history of occasional pain, nerve weakness along with paresthesia. His fine needle aspiration cytology was inconclusive. What should be the next step?
Superficial Parotidectomy
Trucut Biopsy
MRI
CT Scan
16. A 70 year old man with history of smoking has a 1 cm ulcerative lesion over the vermilion of his upper lip. What is he likely to be suffering from?
Squamous cell carcinoma
Basal cell carcinoma
Spindle cell carcinoma
Adenoid squamous carcinoma
17. A 55 year old male came with history of hoarseness of voice for which direct laryngoscopy was done and the lesion was biopsied to detect squamous cell carcinoma. He now requires investigation to detect extent of cartilage involvement, imaging of pre and paraglottic spaces and any extension to deep neck structures. Most appropriate investigation of choice will be:
CT Scan
Endo Ultrasound
MRI
Repeat direct laryngoscopy under general anaesthesia
18. Breast imaging reporting and data system Final assessment categorized a 45 year old female to have Category 5 disease. What does the report signify?
Incomplete assessment
Negative- Annual screening can be recommended.
Probably benign malignant)
Highly suggestive of malignancy malignant)
19. In a male patient of road traffic accident with blood at the tip of external meatus, the likely injury is:
Injury to urethra
Injury to urinary bladder
Injury to kidney
Injury to all of these
20. A 35 year old female has inflammatory carcinoma of left breast, with clinically palpable two left axillary lymph nodes and no clinically or radiologically detectable metastasis. Her TNM staging will be:
T4 N2 M0
T4b N2 M0
T4d N1 M0
T4d N2 M0
21. Milan trial, NSABP trial and EORTC trial in breast cancer compared:
Chemotherapy vs Radiotherapy in breast cancer
Breast conservative therapy vs Mastectomy
Neo adjuvant chemotherapy vs Adjuvant chemotherapy
Hormonal vs Chemotherapy
22. Regarding breast conservative therapy and issue of post operative local recurrence, all are true except:
Lumpectomy can be considered in any size provided the tumour can be excised with clear margins and acceptable cosmetic results
Margins should be clear for invasive cancer
Margins should be clear for ductal carcinoma in situ (DCIS)
Margins should be clear for lobular carcinoma in situ (LCIS)
23. A 75 year old lady came with an incidentally diagnosed splenic artery aneurysm which after radiological investigation confirmed to be calcified. She should be offered:
Observation
Embolisation
Endovascular stenting
Laparoscopic splenic artery ligation and splenectomy
24. Regarding choledochal cysts following features are true except:
Congenital cysts
60% are diagnosed before 10 years
Older presentations have an acquired variant
Increased risk of cholangiocarcinoma in older presentations
25. A 55 year old gentleman presented with history of right upper quadrant discomfort, jaundice, pruritis, fever, fatigue and weight loss. His serum bilirubin and alkaline phosphatase levels are raised and he also gives history of treatment for inflammatory bowel disease. He is most likely to be suffering from:
Benign bile duct stricture with cholangitis
Biliary worms
Bile duct malignancy
Primary sclerosing cholangitis
26. Regarding carcinoma gall bladder following features are true except:
One can have similar presentation with benign biliary disease
Squamous cell carcinoma is 40% of all cases
Most patients present with advanced disease
Prognosis is poor
27. A 45 year old female presented with a cystic lesion in the lesser sac on CT scan. Endoscopic ultrasound guided aspiration showed amylase to be 500 IU and carcinoembryonic antigen as 500ng/ml. What was she suffering from?
Pseudocyst pancreas with ductal communication
Chronic pseudocyst
Pancreatic adenocarcinoma
Mucinous neoplasm of pancreas
28. During Pylorus preserving pancreatico-duodenectomy (PPPD) the following organs are removed except:
Distal Bile Duct
Stomach
Gall bladder
Head of pancreas
29. In Crohn's disease all are true except:
Can occur anywhere in GIT
Fistula formation is common
Crypt abscess are common
Full thickness bowel involvement
30. Glasgow Coma Score Scale pertains to:
Head injury only
Head and cervical injury
Chest injury
Level of consciousness
31. Muscle relaxant ideal for rapid intubation and short procedures is:
Vecuronium
Atracurium
Rocuronium
Suxamethonium
32. A 22 year old male addicted to alcohol and abused with pan-masala-arecanut comes to the clinic with limited mouth opening and restricted tongue movement. The clinical suspicion will be of:
Chronic hyperplastic candidiasis
Sub-mucous fibrosis
Leukoplakia
Sideropenic dysphagia
33. A 56 year old male comes with history of claudication pain in both buttocks, thighs and calves. He also gives history of impotence. The probable site of arterial occlusion is:
Aortoiliac occlusion
Iliac obstruction
Proximal femoral artery occlusion
Distal femoral artery occlusion
34. The earliest clinical sign of an impending burst abdomen is:
Serous wound discharge
Erythema of the wound
Tachycardia and high grade fever
Pus discharge from the wound
35. Most common neoplasm of thyroid gland is:
Papillary carcinoma
Squamous cell carcinoma
Follicular carcinoma
Hashimoto's disease
36. Which of the following blood components has the shortest shelf life?
Red Blood Cells
Platelets
Fresh frozen plasma
Cryoprecipitate
37. Consider the following features:
1. Visible gastric peristalsis
2. Bilious vomiting
3. Palpable tumour
4. Melena
Which of these is/are feature/features of infantile hypertrophic pyloric stenosis?
2 and 3
1 and 3 only
2 and 4
4 only
38. A 24 year old married lady presents with sudden onset right iliac fossa pain. On examination she has marked pallor and is hypotensive. What is the most likely diagnosis?
Appendicular perforation
Ruptured ectopic pregnancy
Twisted ovarian cyst
Small bowel perforation
39. Which of the following layers is most important in intestinal anastamosis?
Mucosa
Submucosa
Muscularis propria
Serosa
40. The best cure rates for keloids are achieved by:
Surgical excision
Localised irradiation
Intralesional injection of triamcinolone
Intralesional excision followed by radiotherapy
41. A 30 year old G2P1L0 with history of anencephaly in previous pregnancy has a nuchal fold thickness of 2.5 mm with other normal fetal parameters. She may be having:
Trisomy 21
Spina bifida
Normal pregnancy
Trisomy 18
42. A 26 year old primigravida presents with blood pressure of 160/110 mmHg, proteinurea and congestive heart failure. Which drug is not useful in this situation?
Methyl-dopa
Labetalol
Nifedipine
Diuretics
43. A pregnant woman with 30 weeks gestation presents with BP 166/110 mmHg with pulmonary edema with convulsions. The woman is given magnesium sulphate. The following drug should be avoided:
Intravenous Labetalol
Sublingual Nifedipine
Intravenous Frusemide
Intravenous Hydralazine
44. A woman undergoing treatment of infertility presents with triplet pregnancy. The most probable drug given to her for treatment of infertility would have been:
Clomiphene Citrate
Inj HMG
Inj hCG
Inj GnRH analogue
45. A woman presents with abdominal pain and nausea with amenorrhea of 5-6 weeks. Ectopic pregnancy can be diagnosed if:
Serum progesterone 25 ng/ml
Beta hCG .1000 IU/L with endometrial thickness of 14mm
Beta hCG 2000 IU/L with no gestational sac in the uterus on transvaginal sonography
Beta hCG >3000 IU/L with empty uterus on transvaginal sonography
46. A woman suffering from active tuberculosis not on ATT has a full term vaginal delivery. All the following should be done except:
Breastfeed the neonate
BCG should be given to the neonate
Neonate should be given INH
Neonate should be isolated from mother
47. A woman with post-term pregnancy with unripe cervix should not be induced with misoprostol if she has:
Asthma
Diabetes
Hepatitis B antigen positive
Decompensated heart disease
48. An overweight, hirsuit woman of 30 years, with one live issue presented to the family planning clinic for advice for contraception. The best suited oral contraceptive will contain the following:
Norgestrel
Noretisterone
Cyproterone acetate
Medroxyprogesterone acetate
49. Contraceptive options for a 28 year old woman who is breastfeeding a six week old baby, wanting to avoid pregnancy for a longer interval are the following except:
LNG-IUD
IUD- 380A
Implanon
Combined oral contraceptives
50. A woman using combined oral contraceptive has the following non contraceptive benefits except:
Protection against PID
Prevention of colorectal malignancy
Protection against ovarian cancer
Protection against cervical cancer
51. A 40 year old lady is examined and found to have uterovaginal prolapse. What is the appropriate surgery to prevent recurrence?
Abdominal hysterectomy with Moscowitz operation
Vaginal hysterectomy with anterior and posterior colporrhaphy and McCall culdoplasty
Vaginal hysterectomy with McCall culdoplasty
Vaginal hysterectomy with sacrospinocolpopexy
52. Cervical mucus examination of a 22 year old infertile woman is done to look for all the following except:
Cellularity of mucus
Presence of HPV
Ferning
Spinnbarkitt
53. In a 28 year old infertile woman with anovulation ,the following parameters will indicate ovulation except:
Insler score
Vaginal smear
Serum estradiol levels
Urinary LH levels
54. Therapeutic options for a 30 year old woman suffering from severe pain due to endometriosis are the following except:
Mirena
Oral contraceptives
Letrozole
Sildenafil
55. Waste disposal of placenta after delivery is done by
Disposing it in blue bags
Autoclaving
Incineration
Microwaving
56. Features of Janani Suraksha Yojana are the following except:
100% Centrally sponsored scheme
ASHA is a link between woman and Government
Cash assistance is given to mothers for high and low performing states
It promotes institutional deliveries
57. Ideal time to perform post partum sterilization as per Government of India guidelines is:
From 12 hours to 7 days of delivery
From 24 hours to 7 days of delivery
From 48 hours to 7 days of delivery
Within 7 days of delivery
58. Regimen for medical abortion upto 7 weeks of gestation as per Government of India guidelines includes:
200 mg of misfepristone on D1 followed by 800 µg of misoprostol on D3
200 mg of misfepristone on D1 followed by 400 µg of misoprostol on D3
400 mg of misfepristone on D1 followed by 800 µg of misoprostol on D3
400 mg of misfepristone on D1 followed by 400 µg of misoprostol on D3
59. The most common sign of rupture of previous LSCS scar during labour is:
Cessation of uterine contractions
Non-reassuring fetal heart rate pattern
Tenderness in lower abdomen
Haemorrhagic shock
60. Serum CA-125 levels can be raised in all the following except:
Epithelial ovarian cancer
Endometriosis
Tubercular ascitis
Mature cystic teratoma of ovary
61. A 30 year old healthy woman presents with decreased bleeding during menstruation. The cause could be all of the following except:
Endometriosis
Tuberculosis
Intrauterine adhesions
Breastfeeding
62. For the treatment of a woman with frothy vaginal discharge with fishy smell the following are essential except:
Partner treatment
Use of condom by partner
Metronidazole
Washing of private parts with antiseptics /disinfectants
63. During immediate puerperium,
the number of white cells decreases
the number of white cells increases
the number of eosinophils increases
the number of lymphocytes increases
64. Which one of the following is the best contraceptive for a newly married couple who wants to postpone pregnancy for one year?
Intrauterine contraceptive device
Condom with spermicidal cream
Safe period method
Combined oral contraceptives
65. Which one of the following is not a branch of internal iliac artery?
Superior gluteal
Inferior gluteal
Uterine artery
Ovarian artery
66. A 30 year old multiparous woman comes with an ultrasound report of fibroid uterus measuring 3 x 3 cm. Her only complaint is mild pain during menstruation. The best management in this would be:
Hysterectomy
Myomectomy
Gn-RH analogues
Reassurance
67. The most accurate method to diagnose adenomyosis is:
MRI
PET-CT
Transvaginal sonography
Hysterosalpingography
68. On ultrasonography low-lying placenta is labelled when implantation in the lower uterine segment is such that:
Placental edge does not reach the internal os and remains 2 cm wide perimeter around the os
Placental edge does not reach the internal os and remains 3 cm wide perimeter around the os
Placental edge does not reach the internal os and remains 4 cm wide perimeter around the os
Internal os is covered partially or fully by the placenta
69. Which one of the following cardiovascular parameters decreases during pregnancy?
Arterial blood pressure
Cardiac output
Blood volume
Red cell mass
70. A multipara with 8 gm% haemoglobin at 30 weeks' gestation should be treated by:
Oral iron therapy
Parenteral iron
Whole blood transfusion
Packed cell transfusion
71. The progress of labour can be monitored by observing the following except:
The intensity of uterine contractions by abdominal examination
The descent of foetal head by abdominal examination
The formation of caput by vaginal examination
Gradual increase in cervical dilatation by vaginal examination
72. Prophylactic intravenous methergin should not be given in cases of:
Multipara
Hydramnios
Heart disease complicating pregnancy
Anaemia
73. During labour, which one of the foetal heart patterns is ominous?
Variable deceleration
Tachycardia
Early deceleration
Late deceleration
74. A case of ante-partum haemorrhage is seen at a Primary Health Centre. The treatment will consist of:
Assessment of general condition of the patient, intravenous drip and reference to a hospital
Vaginal examination and reference to a hospital only if diagnosed as placenta praevia
Packing the vagina to stop the bleeding and then reference to a hospital
Internal podalic version and delivery
75. A 20 year old full term primigravida is admitted with full dilatation of the cervix and breech presentation. Breech is not engaged. Foetal heart is normal. The proper procedure for the management would be:
Caesarean section
Breech extraction
Oxytocin drip augmentation
To bring down the leg
76. Which one of the following factors is the most significant as a risk factor for post-partum psychosis?
Primiparity
Undesired pregnancy
Unmarried status
History of post-partum psychosis
77. The main cause of perinatal mortality in 'Frank breech presentation' is:
Trauma to foetal viscera
Foetal abnormalities
Intracranial haemorrhage
Prolapse of umbilical cord
78. A 45 year old woman presents with continuous vaginal bleeding for 15 days. Her bleeding should be controlled by:
Conjugated equine oestrogens
Synthetic progestogens
Testosterone propionate
Curettage followed by progestogens
79. The treatment of primary spasmodic dysmenorrhoea in a young girl as a first measure would be:
Presacral neurectomy
Analgesics and antispasmodics
Oral contraceptives
Dilatation and curettage
80. A 44 year old woman presents with polymenorrhoea for one year. Clinical examination reveals bulky uterus with no other abnormality. D C report is simple hyperplasia. What is the treatment of choice?
Progestogen therapy
GnRH analogues
Combined oral pills
Total hysterectomy with bilateral salpingo-oophorectomy
81. Consider the following:
1. Health Education
2. Treatment of hypertension
3. Screening for cervical cancer
4. Changing lifestyles to prevent stress
Which are the examples of primordial prevention?
1 and 4
2 and 3
1 and 3
2 and 4
82. When the prevalence rate is used without any qualification, it is taken to mean as
point prevalence rate
period prevalence rate
annual prevalence rate
mean duration prevalence rate
83. An outbreak of viral hepatitis A was reported from a town between June and August of a particular year. Of total cases, 60% occurred in July. Exposure of the community to infection is from
a common single source for a short period
a common single source for a prolonged period
multiple sources for a short period
multiple sources for a prolonged period
84. Rheumatic Heart Disease can be prevented by:
Screening of school going children
Vaccination against Streptococcus
Treatment of respiratory infections in children
All of these
85. The addition of killed Bordetella pertusis microorganisms to diphtheria toxoid enhances the antibody response of the latter because of
exotoxin of the Bordotella organism
additive action of the two antigens
formation of local granuloma
endotoxin of the Bordotella organism
86. Post exposure prophylaxis against HIV infection should not be delayed beyond:
4 hours
8 hours
24 hours
48 hours
87. With reference to meningococcal meningitis, which one of the following statements is not correct?
Fatality in untreated cases is 60%
Disease spreads mainly by droplet infection
Treatment of cases has no significant effect in epidemiological pattern of disease
Mass chemoprophylaxis causes immediate drop in incidence rate of cases
88. Which of the following vaccines is/are contraindicated in pregnancy?
1. Rubella
2. Hepatitis-B
3. Diphtheria
Select the correct answer using the code given below:
1 only
2 and 3 only
1 and 3 only
2 and 3
89. In a case of paucibacillary leprosy, treatment is considered adequate if the patient has received the six monthly doses of combined therapy within:
6 months
9 months
12 months
15 months
90. Chemoprophylaxis is indicated in the following conditions except:
Cholera
Meningococcal meningitis
Plague
Typhoid
91. Chandler's index is used in the epidemiological studies of
Ascariasis
Hookworm infection
Taenia solium infection
Guineaworm disease
92. Consider the following diseases:
1. Measles
2. Polio
3. Staphylococcal food poisoning
4. Typhoid
Which of the above are the correct examples for incubation period of 10-14 days?
1 and 3
2 and 4
1 and 4
3 and 4
93. Which of the following is the most common malignant tumour in adult males in India?
Lung cancer
Oro-pharyngeal carcinoma
Gastric carcinoma
Colo-rectal carcinoma
94. Eight months old child had history of unusual crying and convulsions following previous vaccination after BCG, DPT OPV first dose), and Hepatitis B. Now parents have brought child for next doses of vaccination. Which vaccine is contraindicated in this situation?
Measles
DPT
Hepatitis B
DT
95. The clinical features of Turner Syndrome in girls include the following except:
Severe mental retardation
Webbing of the neck
Delayed puberty
Short stature
96. Occupational exposure to Benzol may lead to
Lung cancer
Leukaemia
COPD
Neurofibromas
97. Marriage between two heterozygous individuals for the same disorder is prevented by:
Retrospective genetic counselling
Prospective genetic counselling
Legislation
Mass health education
98. The benefits of ESI Act include the following except:
Medical benefit
Rehabilitation allowance
Sickness benefit
Nutritional allowance
99. The following are the group health education approaches except:
Lecture
Demonstration
Role play
Documentary
100. Current WHO recommendations for initiating Antiretroviral treatment in HIV +ve individuals is:
CD4 cells less than 200 cells/mm^3
CD4 cells less than 250 cells/mm^3
CD4 cells less than 300 cells/mm3
CD4 cells less than or equal to 350 cells/mm^3
101. The following are the principles of Primary Health Care except:
Intersectoral coordination
Provision of specialist services at Primary Health Centres
Appropriate technology
Equitable distribution of health care
102. Which one of the following is a quantitative method of health management?
Cost effectiveness analysis
Human Resource Management
Communication management
Supportive supervision and leadership
103. Acute Respiratory Infections are important causes of under-five mortality in India. In remote areas, children develop frequent episodes of ARI. What measures will you take for prevention and control of ARI amongst under-five children in that area?
Case management and Health education to mothers
Vaccination
Controlling malnutrition, Promoting breast feeding and vitamin A supplementation
All of these
104. The following are objectives of Indian Public Health Standards for Primary Health Centres except:
Provision of comprehensive primary health care
Achievement of an acceptable quality of health care
Provision of accident and emergency care
Making services more responsive to the needs of the community
105. A pregnant woman in third trimester having fever was diagnosed as a case of Falciparum malaria. Under the National Health Programme, which drug is recommended?
ACT only
ACT accompanied by single dose of Primaquine on day 2
Only Quinine
Chloroquine
106. Which of the following genetic disorders leads to mental retardation?
Haemophilia
Phenylketonuria
Cystic fibrosis
Sickle cell anaemia
107. Biomedical waste from a yellow plastic bag is disposed by:
Autoclaving
Microwaving
Incineration
Chemical treatment
108. Which of the following is not a feature of heat stress?
Hyperpyrexia
Syncope
Cramps
Numbness
109. The denominator for calculating proportional mortality rate from a specific disease is:
Mid-year population during that year
Population at risk in that particular area
Total deaths in that year
Attributable deaths of a particular disease
110. Which one of the following is not a measure of dispersion?
Mean
Range
Mean deviation
Standard deviation
111. Analytical studies include the following methods of studies except:
Case control studies
Randomised controlled trials
Cohort studies
Cross sectional studies
112. Which of the following statements is false?
Gestational diabetes can lead to Type-II diabetes after delivery.
Gestational diabetes is always transient and cured after delivery.
Gestational diabetes is a risk factor for diabetes in children born to mothers with GDM.
Screening for gestational diabetes should be included in antenatal care.
113. Cu-T-380 A IUCD should be replaced in:
4 years
6 years
8 years
10 years
114. Consider the following:
1. Coconut oil
2. Groundnut oil
3. Mustard oil
Which of the above is/are dietary sources of linoleic acid?
1 and 2 only
2 and 3
3 only
2 and 3 only
115. A 20 year old male is diagnosed as a case of dengue fever at a Primary Health Centre. What are the suitable measures to be taken for the prevention and control of dengue in that area?
Case management for DF and DHF and vaccination
Case management for DF and DHF, isolation and individual protection from mosquitoes
Case management for DF and DHF, isolation and individual protection from mosquitoes and vaccination
Case management for DF and DHF, isolation and individual protection from mosquitoes and environmental measures for elimination of breeding places
116. WHO defines a multi-drug resistant Tuberculosis strain as one that is:
At least resistant to INH
At least resistant to Rifampicin
Resistant to INH and Rifampicin with or without resistant to other anti TB drugs
Resistant to Streptomycin only
117. Which of the following are the characteristic features of screening tests?
1. Done on healthy people
2. Done on unhealthy people
3. More accurate
4. Less accurate
5. Less expensive
6. More expensive
7. Not a basis for treatment
8. Used as a base for treatment
Select the correct answer using the code given below:
5 and 8
5 and 8
6 and 7
5 and 7
118. Which National Programe came into existence during 11th Five Year Plan?
National Cancer control programme
National Cardiovascular diseases Stroke control programme
National Diabetes and Cancer control programme
National Programme for prevention and control of Cancer, Diabetes, Cardiovascular diseases and Stroke
119. Which states are qualified as high prevalence states in the context of HIV/AIDS?
When prevalence in high risk groups is more than and less than in antenatal women
When prevalence in high risk groups is more than and or more in antenatal women
When prevalence in high risk groups is less than and more than in antenatal women
None of these
120. Consider the following diseases:
1. Yellow fever
2. Q fever
3. Chikungunya fever
4. Relapsing fever
5. Japanese encephalitis
6. Sleeping sickness
Which of the above are transmitted by mosquitoes?
and 6
3 and 5
5 and 6
3 and 5
Primary intention
Secondary intention
Tertiary Intention
Delayed primary intention
2. A 50 year old patient had a haematoma in his left gluteal region which was large, painful and causing some neural deficit. The next plan of management will be to:
Apply some superficial ointment for it to subside
Get an CECT or MRI done
Incise or aspirate the haematoma
Leave it alone
3. An 18 year old boy had a closed lower limb injury while riding his motorbike. He was brought to hospital where on examination he had severe pain which increased on passive movement of effected limb with distal sensory disturbances. What is the probable diagnosis?
Degloving Injury
High Pressure Injection injury
Compartment syndrome
Deep Vein thrombosis
4. A surgeon told the patient's attendant that his patient has "flesh eating bug" which is the cause of such severe infection in his dirty wound on his lower limb. Which organism was the surgeon referring to?
Staphylococcus aureus
Pseudomonas aeruginosa
Clostridium difficile
Steptococcus pyogenes
5. In Hernia repair, polypropylene suture is used because
It is a synthetic braided dyed absorbable suture with low tissue reaction and high tensile strength
It is synthetic monofilament dyed non absorbable suture with low tissue reaction and high tensile strength
It is a synthetic monofilament undyed absorbable suture with high tissue reaction and low tensile strength
It is a synthetic monofilament undyed non absorbable suture with high tissue reaction and which degrades at 15-20% per year
6. A 60 year old lady had a pyothorax which was treated with an intercostal chest drain. After two days, the meniscus of the fluid in the tube was not swinging during her respiratory process. What could be the likely problem?
Chest drain blockage
No fluid in the chest drain bag
Water seal not proper
High atmospheric pressure
7. The main principle regarding removal of drain after surgery is
Keep drains as long as possible to prevent complications
Drains kept for colo-rectal anastomosis should be removed within 2 days as they can cause complications
Suction drains can be removed early
Drain should be removed as soon as it is no longer required
8. The Chief of laparoscopic surgery asked his assistant to give him a laparoscopic port which has absolutely no chance of "capacitance coupling" during laparoscopic surgery. Which port should the assistant give to the Chief?
Metal laparoscopic port
Metal port with plastic cuff
Partial plastic port
Complete plastic port
9. Southampton wound grading system and ASEPSIS wound score is used for
Severity of wound infections
Surgical site cosmesis
Surgical scar
Severity of granulation tissue
10. A 75 year old diabetic man had surgery for perforated colonic diverculitis. In his post operative period he complained of severe wound pain and had signs of spreading inflammation with crepitus with subdermal spread of gangrene. He is likely to be suffering from
Clostridial infection
Meleney synergistic gangrene
Abdominal wall cellulitis
Intra-peritoneal collection
11. All of the following are congenital sinuses except:
Pre auricular
Urachal sinus
Coccygeal
Pilonidal
12. An obese 45 year lady who is a chronic smoker came with tender subcutaneous nodules with chronic inflammation with scarring under her left axilla. She is likely to be suffering from:
Lipodystrophy
Hidradenitis suppurativa
Xeroderma pigmentosum
Pyoderma gangrenosum
13. The priority in management of supracondylar fracture of humerus in a child is:
Preservation of Brachial artery entanglement
Debridement of wound
Antibiotics
Immobilization
14. All of the following are premalignant lesions except:
Actinic Solar Keratosis
Bowen's Disease
Giant Hairy Naevus
Rhinophymoma
15. A 50 year old man with long history of swelling in his right parotid region had sudden history of occasional pain, nerve weakness along with paresthesia. His fine needle aspiration cytology was inconclusive. What should be the next step?
Superficial Parotidectomy
Trucut Biopsy
MRI
CT Scan
16. A 70 year old man with history of smoking has a 1 cm ulcerative lesion over the vermilion of his upper lip. What is he likely to be suffering from?
Squamous cell carcinoma
Basal cell carcinoma
Spindle cell carcinoma
Adenoid squamous carcinoma
17. A 55 year old male came with history of hoarseness of voice for which direct laryngoscopy was done and the lesion was biopsied to detect squamous cell carcinoma. He now requires investigation to detect extent of cartilage involvement, imaging of pre and paraglottic spaces and any extension to deep neck structures. Most appropriate investigation of choice will be:
CT Scan
Endo Ultrasound
MRI
Repeat direct laryngoscopy under general anaesthesia
18. Breast imaging reporting and data system Final assessment categorized a 45 year old female to have Category 5 disease. What does the report signify?
Incomplete assessment
Negative- Annual screening can be recommended.
Probably benign malignant)
Highly suggestive of malignancy malignant)
19. In a male patient of road traffic accident with blood at the tip of external meatus, the likely injury is:
Injury to urethra
Injury to urinary bladder
Injury to kidney
Injury to all of these
20. A 35 year old female has inflammatory carcinoma of left breast, with clinically palpable two left axillary lymph nodes and no clinically or radiologically detectable metastasis. Her TNM staging will be:
T4 N2 M0
T4b N2 M0
T4d N1 M0
T4d N2 M0
21. Milan trial, NSABP trial and EORTC trial in breast cancer compared:
Chemotherapy vs Radiotherapy in breast cancer
Breast conservative therapy vs Mastectomy
Neo adjuvant chemotherapy vs Adjuvant chemotherapy
Hormonal vs Chemotherapy
22. Regarding breast conservative therapy and issue of post operative local recurrence, all are true except:
Lumpectomy can be considered in any size provided the tumour can be excised with clear margins and acceptable cosmetic results
Margins should be clear for invasive cancer
Margins should be clear for ductal carcinoma in situ (DCIS)
Margins should be clear for lobular carcinoma in situ (LCIS)
23. A 75 year old lady came with an incidentally diagnosed splenic artery aneurysm which after radiological investigation confirmed to be calcified. She should be offered:
Observation
Embolisation
Endovascular stenting
Laparoscopic splenic artery ligation and splenectomy
24. Regarding choledochal cysts following features are true except:
Congenital cysts
60% are diagnosed before 10 years
Older presentations have an acquired variant
Increased risk of cholangiocarcinoma in older presentations
25. A 55 year old gentleman presented with history of right upper quadrant discomfort, jaundice, pruritis, fever, fatigue and weight loss. His serum bilirubin and alkaline phosphatase levels are raised and he also gives history of treatment for inflammatory bowel disease. He is most likely to be suffering from:
Benign bile duct stricture with cholangitis
Biliary worms
Bile duct malignancy
Primary sclerosing cholangitis
26. Regarding carcinoma gall bladder following features are true except:
One can have similar presentation with benign biliary disease
Squamous cell carcinoma is 40% of all cases
Most patients present with advanced disease
Prognosis is poor
27. A 45 year old female presented with a cystic lesion in the lesser sac on CT scan. Endoscopic ultrasound guided aspiration showed amylase to be 500 IU and carcinoembryonic antigen as 500ng/ml. What was she suffering from?
Pseudocyst pancreas with ductal communication
Chronic pseudocyst
Pancreatic adenocarcinoma
Mucinous neoplasm of pancreas
28. During Pylorus preserving pancreatico-duodenectomy (PPPD) the following organs are removed except:
Distal Bile Duct
Stomach
Gall bladder
Head of pancreas
29. In Crohn's disease all are true except:
Can occur anywhere in GIT
Fistula formation is common
Crypt abscess are common
Full thickness bowel involvement
30. Glasgow Coma Score Scale pertains to:
Head injury only
Head and cervical injury
Chest injury
Level of consciousness
31. Muscle relaxant ideal for rapid intubation and short procedures is:
Vecuronium
Atracurium
Rocuronium
Suxamethonium
32. A 22 year old male addicted to alcohol and abused with pan-masala-arecanut comes to the clinic with limited mouth opening and restricted tongue movement. The clinical suspicion will be of:
Chronic hyperplastic candidiasis
Sub-mucous fibrosis
Leukoplakia
Sideropenic dysphagia
33. A 56 year old male comes with history of claudication pain in both buttocks, thighs and calves. He also gives history of impotence. The probable site of arterial occlusion is:
Aortoiliac occlusion
Iliac obstruction
Proximal femoral artery occlusion
Distal femoral artery occlusion
34. The earliest clinical sign of an impending burst abdomen is:
Serous wound discharge
Erythema of the wound
Tachycardia and high grade fever
Pus discharge from the wound
35. Most common neoplasm of thyroid gland is:
Papillary carcinoma
Squamous cell carcinoma
Follicular carcinoma
Hashimoto's disease
36. Which of the following blood components has the shortest shelf life?
Red Blood Cells
Platelets
Fresh frozen plasma
Cryoprecipitate
37. Consider the following features:
1. Visible gastric peristalsis
2. Bilious vomiting
3. Palpable tumour
4. Melena
Which of these is/are feature/features of infantile hypertrophic pyloric stenosis?
2 and 3
1 and 3 only
2 and 4
4 only
38. A 24 year old married lady presents with sudden onset right iliac fossa pain. On examination she has marked pallor and is hypotensive. What is the most likely diagnosis?
Appendicular perforation
Ruptured ectopic pregnancy
Twisted ovarian cyst
Small bowel perforation
39. Which of the following layers is most important in intestinal anastamosis?
Mucosa
Submucosa
Muscularis propria
Serosa
40. The best cure rates for keloids are achieved by:
Surgical excision
Localised irradiation
Intralesional injection of triamcinolone
Intralesional excision followed by radiotherapy
41. A 30 year old G2P1L0 with history of anencephaly in previous pregnancy has a nuchal fold thickness of 2.5 mm with other normal fetal parameters. She may be having:
Trisomy 21
Spina bifida
Normal pregnancy
Trisomy 18
42. A 26 year old primigravida presents with blood pressure of 160/110 mmHg, proteinurea and congestive heart failure. Which drug is not useful in this situation?
Methyl-dopa
Labetalol
Nifedipine
Diuretics
43. A pregnant woman with 30 weeks gestation presents with BP 166/110 mmHg with pulmonary edema with convulsions. The woman is given magnesium sulphate. The following drug should be avoided:
Intravenous Labetalol
Sublingual Nifedipine
Intravenous Frusemide
Intravenous Hydralazine
44. A woman undergoing treatment of infertility presents with triplet pregnancy. The most probable drug given to her for treatment of infertility would have been:
Clomiphene Citrate
Inj HMG
Inj hCG
Inj GnRH analogue
45. A woman presents with abdominal pain and nausea with amenorrhea of 5-6 weeks. Ectopic pregnancy can be diagnosed if:
Serum progesterone 25 ng/ml
Beta hCG .1000 IU/L with endometrial thickness of 14mm
Beta hCG 2000 IU/L with no gestational sac in the uterus on transvaginal sonography
Beta hCG >3000 IU/L with empty uterus on transvaginal sonography
46. A woman suffering from active tuberculosis not on ATT has a full term vaginal delivery. All the following should be done except:
Breastfeed the neonate
BCG should be given to the neonate
Neonate should be given INH
Neonate should be isolated from mother
47. A woman with post-term pregnancy with unripe cervix should not be induced with misoprostol if she has:
Asthma
Diabetes
Hepatitis B antigen positive
Decompensated heart disease
48. An overweight, hirsuit woman of 30 years, with one live issue presented to the family planning clinic for advice for contraception. The best suited oral contraceptive will contain the following:
Norgestrel
Noretisterone
Cyproterone acetate
Medroxyprogesterone acetate
49. Contraceptive options for a 28 year old woman who is breastfeeding a six week old baby, wanting to avoid pregnancy for a longer interval are the following except:
LNG-IUD
IUD- 380A
Implanon
Combined oral contraceptives
50. A woman using combined oral contraceptive has the following non contraceptive benefits except:
Protection against PID
Prevention of colorectal malignancy
Protection against ovarian cancer
Protection against cervical cancer
51. A 40 year old lady is examined and found to have uterovaginal prolapse. What is the appropriate surgery to prevent recurrence?
Abdominal hysterectomy with Moscowitz operation
Vaginal hysterectomy with anterior and posterior colporrhaphy and McCall culdoplasty
Vaginal hysterectomy with McCall culdoplasty
Vaginal hysterectomy with sacrospinocolpopexy
52. Cervical mucus examination of a 22 year old infertile woman is done to look for all the following except:
Cellularity of mucus
Presence of HPV
Ferning
Spinnbarkitt
53. In a 28 year old infertile woman with anovulation ,the following parameters will indicate ovulation except:
Insler score
Vaginal smear
Serum estradiol levels
Urinary LH levels
54. Therapeutic options for a 30 year old woman suffering from severe pain due to endometriosis are the following except:
Mirena
Oral contraceptives
Letrozole
Sildenafil
55. Waste disposal of placenta after delivery is done by
Disposing it in blue bags
Autoclaving
Incineration
Microwaving
56. Features of Janani Suraksha Yojana are the following except:
100% Centrally sponsored scheme
ASHA is a link between woman and Government
Cash assistance is given to mothers for high and low performing states
It promotes institutional deliveries
57. Ideal time to perform post partum sterilization as per Government of India guidelines is:
From 12 hours to 7 days of delivery
From 24 hours to 7 days of delivery
From 48 hours to 7 days of delivery
Within 7 days of delivery
58. Regimen for medical abortion upto 7 weeks of gestation as per Government of India guidelines includes:
200 mg of misfepristone on D1 followed by 800 µg of misoprostol on D3
200 mg of misfepristone on D1 followed by 400 µg of misoprostol on D3
400 mg of misfepristone on D1 followed by 800 µg of misoprostol on D3
400 mg of misfepristone on D1 followed by 400 µg of misoprostol on D3
59. The most common sign of rupture of previous LSCS scar during labour is:
Cessation of uterine contractions
Non-reassuring fetal heart rate pattern
Tenderness in lower abdomen
Haemorrhagic shock
60. Serum CA-125 levels can be raised in all the following except:
Epithelial ovarian cancer
Endometriosis
Tubercular ascitis
Mature cystic teratoma of ovary
61. A 30 year old healthy woman presents with decreased bleeding during menstruation. The cause could be all of the following except:
Endometriosis
Tuberculosis
Intrauterine adhesions
Breastfeeding
62. For the treatment of a woman with frothy vaginal discharge with fishy smell the following are essential except:
Partner treatment
Use of condom by partner
Metronidazole
Washing of private parts with antiseptics /disinfectants
63. During immediate puerperium,
the number of white cells decreases
the number of white cells increases
the number of eosinophils increases
the number of lymphocytes increases
64. Which one of the following is the best contraceptive for a newly married couple who wants to postpone pregnancy for one year?
Intrauterine contraceptive device
Condom with spermicidal cream
Safe period method
Combined oral contraceptives
65. Which one of the following is not a branch of internal iliac artery?
Superior gluteal
Inferior gluteal
Uterine artery
Ovarian artery
66. A 30 year old multiparous woman comes with an ultrasound report of fibroid uterus measuring 3 x 3 cm. Her only complaint is mild pain during menstruation. The best management in this would be:
Hysterectomy
Myomectomy
Gn-RH analogues
Reassurance
67. The most accurate method to diagnose adenomyosis is:
MRI
PET-CT
Transvaginal sonography
Hysterosalpingography
68. On ultrasonography low-lying placenta is labelled when implantation in the lower uterine segment is such that:
Placental edge does not reach the internal os and remains 2 cm wide perimeter around the os
Placental edge does not reach the internal os and remains 3 cm wide perimeter around the os
Placental edge does not reach the internal os and remains 4 cm wide perimeter around the os
Internal os is covered partially or fully by the placenta
69. Which one of the following cardiovascular parameters decreases during pregnancy?
Arterial blood pressure
Cardiac output
Blood volume
Red cell mass
70. A multipara with 8 gm% haemoglobin at 30 weeks' gestation should be treated by:
Oral iron therapy
Parenteral iron
Whole blood transfusion
Packed cell transfusion
71. The progress of labour can be monitored by observing the following except:
The intensity of uterine contractions by abdominal examination
The descent of foetal head by abdominal examination
The formation of caput by vaginal examination
Gradual increase in cervical dilatation by vaginal examination
72. Prophylactic intravenous methergin should not be given in cases of:
Multipara
Hydramnios
Heart disease complicating pregnancy
Anaemia
73. During labour, which one of the foetal heart patterns is ominous?
Variable deceleration
Tachycardia
Early deceleration
Late deceleration
74. A case of ante-partum haemorrhage is seen at a Primary Health Centre. The treatment will consist of:
Assessment of general condition of the patient, intravenous drip and reference to a hospital
Vaginal examination and reference to a hospital only if diagnosed as placenta praevia
Packing the vagina to stop the bleeding and then reference to a hospital
Internal podalic version and delivery
75. A 20 year old full term primigravida is admitted with full dilatation of the cervix and breech presentation. Breech is not engaged. Foetal heart is normal. The proper procedure for the management would be:
Caesarean section
Breech extraction
Oxytocin drip augmentation
To bring down the leg
76. Which one of the following factors is the most significant as a risk factor for post-partum psychosis?
Primiparity
Undesired pregnancy
Unmarried status
History of post-partum psychosis
77. The main cause of perinatal mortality in 'Frank breech presentation' is:
Trauma to foetal viscera
Foetal abnormalities
Intracranial haemorrhage
Prolapse of umbilical cord
78. A 45 year old woman presents with continuous vaginal bleeding for 15 days. Her bleeding should be controlled by:
Conjugated equine oestrogens
Synthetic progestogens
Testosterone propionate
Curettage followed by progestogens
79. The treatment of primary spasmodic dysmenorrhoea in a young girl as a first measure would be:
Presacral neurectomy
Analgesics and antispasmodics
Oral contraceptives
Dilatation and curettage
80. A 44 year old woman presents with polymenorrhoea for one year. Clinical examination reveals bulky uterus with no other abnormality. D C report is simple hyperplasia. What is the treatment of choice?
Progestogen therapy
GnRH analogues
Combined oral pills
Total hysterectomy with bilateral salpingo-oophorectomy
81. Consider the following:
1. Health Education
2. Treatment of hypertension
3. Screening for cervical cancer
4. Changing lifestyles to prevent stress
Which are the examples of primordial prevention?
1 and 4
2 and 3
1 and 3
2 and 4
82. When the prevalence rate is used without any qualification, it is taken to mean as
point prevalence rate
period prevalence rate
annual prevalence rate
mean duration prevalence rate
83. An outbreak of viral hepatitis A was reported from a town between June and August of a particular year. Of total cases, 60% occurred in July. Exposure of the community to infection is from
a common single source for a short period
a common single source for a prolonged period
multiple sources for a short period
multiple sources for a prolonged period
84. Rheumatic Heart Disease can be prevented by:
Screening of school going children
Vaccination against Streptococcus
Treatment of respiratory infections in children
All of these
85. The addition of killed Bordetella pertusis microorganisms to diphtheria toxoid enhances the antibody response of the latter because of
exotoxin of the Bordotella organism
additive action of the two antigens
formation of local granuloma
endotoxin of the Bordotella organism
86. Post exposure prophylaxis against HIV infection should not be delayed beyond:
4 hours
8 hours
24 hours
48 hours
87. With reference to meningococcal meningitis, which one of the following statements is not correct?
Fatality in untreated cases is 60%
Disease spreads mainly by droplet infection
Treatment of cases has no significant effect in epidemiological pattern of disease
Mass chemoprophylaxis causes immediate drop in incidence rate of cases
88. Which of the following vaccines is/are contraindicated in pregnancy?
1. Rubella
2. Hepatitis-B
3. Diphtheria
Select the correct answer using the code given below:
1 only
2 and 3 only
1 and 3 only
2 and 3
89. In a case of paucibacillary leprosy, treatment is considered adequate if the patient has received the six monthly doses of combined therapy within:
6 months
9 months
12 months
15 months
90. Chemoprophylaxis is indicated in the following conditions except:
Cholera
Meningococcal meningitis
Plague
Typhoid
91. Chandler's index is used in the epidemiological studies of
Ascariasis
Hookworm infection
Taenia solium infection
Guineaworm disease
92. Consider the following diseases:
1. Measles
2. Polio
3. Staphylococcal food poisoning
4. Typhoid
Which of the above are the correct examples for incubation period of 10-14 days?
1 and 3
2 and 4
1 and 4
3 and 4
93. Which of the following is the most common malignant tumour in adult males in India?
Lung cancer
Oro-pharyngeal carcinoma
Gastric carcinoma
Colo-rectal carcinoma
94. Eight months old child had history of unusual crying and convulsions following previous vaccination after BCG, DPT OPV first dose), and Hepatitis B. Now parents have brought child for next doses of vaccination. Which vaccine is contraindicated in this situation?
Measles
DPT
Hepatitis B
DT
95. The clinical features of Turner Syndrome in girls include the following except:
Severe mental retardation
Webbing of the neck
Delayed puberty
Short stature
96. Occupational exposure to Benzol may lead to
Lung cancer
Leukaemia
COPD
Neurofibromas
97. Marriage between two heterozygous individuals for the same disorder is prevented by:
Retrospective genetic counselling
Prospective genetic counselling
Legislation
Mass health education
98. The benefits of ESI Act include the following except:
Medical benefit
Rehabilitation allowance
Sickness benefit
Nutritional allowance
99. The following are the group health education approaches except:
Lecture
Demonstration
Role play
Documentary
100. Current WHO recommendations for initiating Antiretroviral treatment in HIV +ve individuals is:
CD4 cells less than 200 cells/mm^3
CD4 cells less than 250 cells/mm^3
CD4 cells less than 300 cells/mm3
CD4 cells less than or equal to 350 cells/mm^3
101. The following are the principles of Primary Health Care except:
Intersectoral coordination
Provision of specialist services at Primary Health Centres
Appropriate technology
Equitable distribution of health care
102. Which one of the following is a quantitative method of health management?
Cost effectiveness analysis
Human Resource Management
Communication management
Supportive supervision and leadership
103. Acute Respiratory Infections are important causes of under-five mortality in India. In remote areas, children develop frequent episodes of ARI. What measures will you take for prevention and control of ARI amongst under-five children in that area?
Case management and Health education to mothers
Vaccination
Controlling malnutrition, Promoting breast feeding and vitamin A supplementation
All of these
104. The following are objectives of Indian Public Health Standards for Primary Health Centres except:
Provision of comprehensive primary health care
Achievement of an acceptable quality of health care
Provision of accident and emergency care
Making services more responsive to the needs of the community
105. A pregnant woman in third trimester having fever was diagnosed as a case of Falciparum malaria. Under the National Health Programme, which drug is recommended?
ACT only
ACT accompanied by single dose of Primaquine on day 2
Only Quinine
Chloroquine
106. Which of the following genetic disorders leads to mental retardation?
Haemophilia
Phenylketonuria
Cystic fibrosis
Sickle cell anaemia
107. Biomedical waste from a yellow plastic bag is disposed by:
Autoclaving
Microwaving
Incineration
Chemical treatment
108. Which of the following is not a feature of heat stress?
Hyperpyrexia
Syncope
Cramps
Numbness
109. The denominator for calculating proportional mortality rate from a specific disease is:
Mid-year population during that year
Population at risk in that particular area
Total deaths in that year
Attributable deaths of a particular disease
110. Which one of the following is not a measure of dispersion?
Mean
Range
Mean deviation
Standard deviation
111. Analytical studies include the following methods of studies except:
Case control studies
Randomised controlled trials
Cohort studies
Cross sectional studies
112. Which of the following statements is false?
Gestational diabetes can lead to Type-II diabetes after delivery.
Gestational diabetes is always transient and cured after delivery.
Gestational diabetes is a risk factor for diabetes in children born to mothers with GDM.
Screening for gestational diabetes should be included in antenatal care.
113. Cu-T-380 A IUCD should be replaced in:
4 years
6 years
8 years
10 years
114. Consider the following:
1. Coconut oil
2. Groundnut oil
3. Mustard oil
Which of the above is/are dietary sources of linoleic acid?
1 and 2 only
2 and 3
3 only
2 and 3 only
115. A 20 year old male is diagnosed as a case of dengue fever at a Primary Health Centre. What are the suitable measures to be taken for the prevention and control of dengue in that area?
Case management for DF and DHF and vaccination
Case management for DF and DHF, isolation and individual protection from mosquitoes
Case management for DF and DHF, isolation and individual protection from mosquitoes and vaccination
Case management for DF and DHF, isolation and individual protection from mosquitoes and environmental measures for elimination of breeding places
116. WHO defines a multi-drug resistant Tuberculosis strain as one that is:
At least resistant to INH
At least resistant to Rifampicin
Resistant to INH and Rifampicin with or without resistant to other anti TB drugs
Resistant to Streptomycin only
117. Which of the following are the characteristic features of screening tests?
1. Done on healthy people
2. Done on unhealthy people
3. More accurate
4. Less accurate
5. Less expensive
6. More expensive
7. Not a basis for treatment
8. Used as a base for treatment
Select the correct answer using the code given below:
5 and 8
5 and 8
6 and 7
5 and 7
118. Which National Programe came into existence during 11th Five Year Plan?
National Cancer control programme
National Cardiovascular diseases Stroke control programme
National Diabetes and Cancer control programme
National Programme for prevention and control of Cancer, Diabetes, Cardiovascular diseases and Stroke
119. Which states are qualified as high prevalence states in the context of HIV/AIDS?
When prevalence in high risk groups is more than and less than in antenatal women
When prevalence in high risk groups is more than and or more in antenatal women
When prevalence in high risk groups is less than and more than in antenatal women
None of these
120. Consider the following diseases:
1. Yellow fever
2. Q fever
3. Chikungunya fever
4. Relapsing fever
5. Japanese encephalitis
6. Sleeping sickness
Which of the above are transmitted by mosquitoes?
and 6
3 and 5
5 and 6
3 and 5