1. From the list given below, select the correct combination of various indicators which compositely form Human Development Index

a. Life expectancy at age one
b. Per capita GDP
c. Gross enrolment ratio
d. Adult literacy rate
e. Life expectancy at birth
f. Female literacy rate
g. Infant mortality rate

Options:
b,c,d,and e
and d
and g
f and g

2. Strength of the association in Cohort study is given by

odds ratio
relative risk
attributable risk
population attributable risk

3. Probability of having a disease, if a screening test for the disease reports as positive, is given by of the screening test.

sensitivity
specificity
positive predictive value
negative predictive value

4. "Epidemic curve" is plotted during investigation of an epidemic to study the ______distribution of cases.

time, place and person
time
time and place
place

5. First Referral Units (FRUs) are established to provide level of health care.

Primary
Secondary
Tertiary
None of the above


6. Match the following events with respective years of their occurrence Event Year

a. Small pox officially declared I. 1953 as eradicated by WHO
b. RCH programme launched II. 1993
c. National Malaria Control III. 1980 programme launched
d. RNTCP introduced as pilot project IV. 1997
V. 1958
VI. 1982

a b c d

VI IV V II
VI II I IV
III IV I II
III II IV V

7. The term "disease control" means operations aimed at reducing

a. Incidence of disease
b. Duration of disease
c. Transmission of disease
d. Financial burden to the community


and d
a,c and d
a and b
b,c and d

8. As a Deputy Director of health services, you want to compare health status of two cities, A and by comparing their mortality rates. City A is a new city comprising mainly of young working population. City B is known for its retired population. Which of the following mortality rates will you use for the comparison?

Crude Death Rate
Standardized Mortality Rate
Proportional Mortality Rate
Specific Mortality Rate


9. Statement A Strict isolation of cases of Hepatitis A is not a useful control measure in the epidemic. Statement B Faecal shedding of virus by the cases of Hepatitis A is highest during the incubation period and early stage of disease.

Both statements, A and are correct and B is the correct explanation ofA.
Both statements, A and are correct and B is not the correct explanation ofA.
A is true, but B is false.
B is true, but A is false.

10. Following are the vital statistics data for the year 2013 for city with mid-year population of 1,00,000

a. Total live births 2,000
b. Neonatal deaths 30
c. Total infant deaths =50
d. Late neonatal deaths =10 How much will be the post neonatal mortality rate?



0·3 per 1,000 mid-year population
20 per 1,000 live births
10 per 1,000 live births
0·1 per 1,000 mid-year population

11. Which of the following emerging infectious diseases has the highest case fatality rate?

Avian influenza A (H7N9)
Ebola virus disease
Influenza A (HINl)
Middle East Respiratory Syndrome Coronavirus (MERS-CoV)

12. World Hepatitis Day is celebrated on

28th July
24th March
28th August
31st October

13. Most commonly reported disease in the Post Disaster period is

Acute Respiratory Infections
Gastroenteritis
Tetanus
Malaria

14. An area is declared free of epidemic

Till the last secondary case recovers
When no new cases are reported for the Incubation Period of the disease since the last case
When no new cases are reported for twice the Incubation Period of the disease since the last case
When no new cases are reported till half a year

15. By the end of the year 2015, our country aims to eliminate

Malaria
TB
Filariasis
HIV

16. In Radical Neck Dissection, which of the following structures is preserved?

Spinal Accessory Nerve
Sternocleidomastoid Muscle
Internal Jugular Vein
None of the above

17. In Barium study, 'Bird beak' appearance is seen in

Oesophagus Carcinoma
Achalasia Cardia
Hiatus Hernia
Carcinoma Stomach


18. Which of the following eye symptoms are commonly detected in untreated patients of schizophrenia

Retinal pigmentation and Conjunctival pigmentation
Conjunctival pigmentation and Elevated blinking rate
Saccadic movements and Elevated blinking rate
None of the above·

19. Which of the following cognitive functions is tested by giving "the odd man out among the group" task to a person? .

Concentration and Memory
Abstract Reasoning and Fund of Knowledge
Orientation and Concentration
Abstract Reasoning only

20. Commonest mode ofInheritance in G6PD deficiency is

X-linked recessive
Autosomal dominant
Mitochondrial
Autosomal recessive

21. Hydatid disease is caused by the following except

E. Granulosus
E. Multilocularis
Strongyloides stercoralis
E. Vogeli

22. Ewing's Sarcoma is malignancy arising from


Kidney

Bronchus

Bone

Breast

23. When we give the factors predisposing a patient to cause Delirium, which of the following is not a correct answer?


COPD, Polydrug use and Alcohol use

Visual impairment, Hypertension and use of bladder catheter

Abnormal Glucose Test, COPD and Visual impairment

Polydrug use, Visual impairment and Hypertension


24. WHO recommends one of the following for prevention of maternal and neonatal tetanus in pregnant women:


One dose of inj. TT in one month

Two doses of TT at least one month apart

Three doses of TT at least three months apart

Four doses of TT at least four months apart

25. New case of tuberculosis is


A patient who has never taken treatment for TB or taken treatment for less than one month

A patient who has left treatment after one month

A patient returns to DOT centre after default of two months on treatment

A person who is first time exposed to TB bacilli

26. In Lie-detector Test, which one of the following is not included as an arousal indicator?


Heart Rate

Skin Conductance

Pupil Size

Breathing Rate

27. Prevalence of MDRTB in new case as per State level Gujarat, Maharashtra and Andhra Pradesh Drug Resistance surveillance studies is as follows










28. Among the following, which is the first preferred diagnostic tool for MDRTB as per the National Laboratory Committee?


Molecular DST (eg. LPADST)

Liquid Culture isolation and LPADST

Solid Culture isolation and LPADST

Liquid Culture isolation and Liquid DST


29. Annual influenza vaccination is recommended in all except one of the following;


Children 6 to 59 months old

Children 1 to 5 months old

Persons more than 50 years old

Children and Adolescents months -18 years) receiving long term aspirin therapy

30. Pseudoparalysis of lower limbs in infancy is seen in the following condition


Vitamin A deficiency

Vitamin C deficiency

Vitamin D deficiency

Vitamin E deficiency

31. Following statements are true about didactic method of communication except

a. Class-room lecture is an example of didactic method.
b. Knowledge is imposed upon the audience.
c. Learning is authoritative.
d. Audience can participate by adding their own information, ideas and opinions on the subject.



b and d

b and c

b and c

Only d

32. Sputum containers used for sputum collection in RNTCP can be disposed of by

a. Keeping in phenoL
b. Keeping in freshly prepared hypochlorite solution.
c. Autoclaving.
d. Burial.



a or b

a,b or c

c or d

b or d

33. Following properties of drugs are taken into consideration for management of drugs by VED analysis:


Venomous, Essential, Depressant

Very cheap, Expensive, Donated

Vital, Essential, Desirable

Very difficult, Easy, Difficult (to be available)

34. Following are/were the goals to be achieved, as per the National Health Policy, 2002

a. Eradicate Leprosy by 2015
b. Eliminate Lymphatic Filariasis by 2015
c. Reduce IMR to 30 per 1,000 live births by 2010
d. Eradicate Kala-Azar by 2015



b and c

b and d

c and d

band d

35. Most suitable management technique for planning of a complex health programme at National level, without any prior experience of such a programme is


Programme Evaluation and Review Technique

Critical Path Method

Linear Programming

Precedence and Arrow Diagramming

36. Following statements are true about group discussion:

a. It is a didactic method of communication.
b. It is useful to identify and solve problems.
c. Brainstorming is a form of group discussion.
d. Each member is free to suggest any idea, even if it is untenable at face value.



b and c

b,c and d

a and d

band d


37. The process of ensuring that the duties are performed effectively by persons is called as


Supervision

Administration

Management

Monitoring

38. Select the correct combination of essential services to be provided at PHC, as per the Indian Public Health Standards (lPHS) for PHC (Revised 2012).

a. Disinfection of water sources
b. Health education for prevention ofSTIs
c. Assessment of visual acuity
d. Bacterio logical testing of waterqualityusingH2Sstriptest



a and b

and d

c and d

a,b and c

39. Presently which of the following institutes/organisations acts as a think tank and is the apex technical institute for the promotion of· family welfare programmes in India?


National Institute ofFamily Planning

National Institute ofHealth Administration and Education

National Institute ofHealth and Family Welfare

National Institute ofPopulation Sciences

40. SWOT analysis of an organisation is analysis of its


Structure, Wealth, Ongoing activities, Time-series

Strengths, Weaknesses, Opportunities, Threats

Shortfalls, Wealth, Opportunities, Threats

Strengths, Weaknesses, Ongoing activities, Time-series

41. One Disability Adjusted Life Year (DALY) means


One year of healthy life lost

One year of diseased life lost

One year of disabled life lost

One year of partially disabled life lost


42. According to National Family Health Survey (NFHS the proportion of rural population with access to improved sources of drinking water is


83%

85%

87%

90%

43. Which one of the following is not included in the Human Poverty Index?


Underweight for age

Percentage of population surviving upto 40 years

Percentage of population using safe water supply

Occupation

44. The Health Sector Reforms in our country have taken special measures to reduce the impact ofStructural Adjustment Programmes on the poor people. This is known as


Social Safety Net

Social Defence

Economic Safety Plan

Social Subsidy

45. The public expenditure on health as a percent of GDP currently is


1·2%

3·9%



12%

46. All of the following are taken into consideration in the 'Kuppuswamy Scale' for socio-economic status except


Educational status

Occupational status

Per capita income

Type of housing


47. As per the DOTS (Directly Observed Treatment, Short-Course) implementation and surveillance, 2011, the treatment success rate in our country is


80%

88%

90%

98%

48. The current life expectancy at birth in our country is


60 years

65 years

69 years

70 years

49. According to National Family Health' Survey (NFHS the proportion of urban population with access to improved sanitary facilities is


33%

43%

47%

49%

50. Under the MDG, the proportion of population with access to affordable essential drugs on a sustainable basis has been included in the


Goal No.1

Goal No.5

Goal No.8

None of the above

51. The deficiency of which vitamin causes Pellagra?

B1

B2

B3

B6

52. All of the following are seen in Turner's Syndrome except


Streak gonads

Shield chest

Mental retardation

Webbed neck




53. In IMNCI, a 3-year-old child with some pallor is given iron-folate therapy for days.


10

12

14

21

54. All of the following vaccinations are essential prior to splenectomy except


Pneumococcal

Typhoid

Meningococcal

Rib

55. Number of deciduous teeth in a child are


20

15

12

18

56. Liver is attached above posterosuperiorly to the diaphragm by which of the following ligaments?


Falciform ligament

Coronary ligament

Ligament venosum

Ligamentum arteriosum

57. In healthy adult sitting with eyes closed, which of the following EEG rhythms will be seen when electrode is placed in occipital region?


Delta

Theta

Alpha

Fast, irregular, low voltage

58. Citrullinemia is a metabolic defect in urea cycle occurring due to defect in which enzyme?


Arginase

Arginosuccinate synthetase

Arginosuccinase

Carbamoyl phosphate synthetase I





59. In case of Breast Carcinoma, ER-PR receptor status is useful in which of the following?


Predicting prognosis

To predict response to R

Familial predisposition

Recurrence rate of tumour

60. Most diagnostic test for H. Pylori infection is


Urea breath test

Rapid urease assay

Antigen in stool

Histology

61. Which is the most likely side effect seen in slow acetylators on treatment with I.N.H. for pulmonary tuberculosis?


Heptotoxicity

Thrombocytopenia

Peripheral Neuropathy

Nephrotoxicity

62. Most common late post-operative complication of appendisectomy is


Pelvic abscess

Fecal fistula

Bowel perforation

Small bowel obstruction

63. All of the following are included in the expectant management of placenta previa


Blood transfusion

Cervical encirclage

Corticosteroids

Anti-D administration




64. Which of the following is not correct about Hypertensive Encephalopathy?


Absence of focallocalising signs

C.S.F. is normal

MRI shows posterior occipital brain edema

Anterior brain is less severely involved than posterior brain on MRI

65. Gastric aspirate for analysis is stored in


Saturated salt solution

Normal saline

10% formaline

No preservative needed

66. Ring Scotoma is seen in


Chronic Simple Glaucoma

Papillitis

Optic Atrophy

Choroidal Degeneration

67. Legionella Pneumonia is characterised by


Hyponatremia

Hypernatremia

Hypokalemia

Hypocalcemia

68. Which of the following is not true about tubercular salpingitis


Usually unilateral

Tubal occlusion is most commonly at isthmic level

Infection is usually acquired by heterogeneous spread

None of the above

69. Blunting effect is seen in


Schizophrenia

Depression

Mania

Delirium

70. Commonest site of Bunion is








Head of first metatarsal Head of first metacarpal Tibial tuberosity Olecranon process

71. Which clotting factor deficiency is asymptomatic?


II

V

XII

XI

72. The cure rate ofTB by DOTS is


95%

85%

75%

65%

73. Pesticide with prolonged duration of action is


DDT

Malathion

Parathion

Celphos

74. Secondary haemorrhage after tonsillectomy is usually present on


1st day

3rd day

6th day

12th day

75. Secondary Glaucoma due to Uveitis is treated with


Timolol Pilocarpine

Atropine Pilocarpine

Latanoprost Brinzolamide

Atropine Corticosteroids


76. Which of the following indicates severity of an acute illness?


Case fatality rate

Proportional mortality rate

Prevalence rate

Incidence rate

77. "Chernobyl" tragedy is an example of


point source epidemic

propagated epidemic

modern epidemic

continuous epidemic

78. Below mentioned is the list of few Rickettsial diseases and various Rickettsial agents causative for them. Select the option giving correct matched pairs Rickettsial Disease Rickettsial Agent

A. Epidemic typhus I. Rickettsia akari
B. Scrub typhus II. Rickettsia prowazekii
C. Rickettsial pox III. Rickettsia tsutsugamushi
D. Q fever IV. C. burnetii

A B C D


II III N

(2) II III I IV

II III N I

II N III

79. Which of the following is/are modifiable risk factor/s for Coronary Heart Disease?

a. Cigarette smoking
b. Age
c. Obesity
d. High blood pressure



Only d

b and d

a,c and d

and d


80. Which of the following statements are true about live vaccine?

a. More potent than killed vaccine because organism can multiply in host resulting in larger antigenic dose.
b. More potent than killed vaccine because it has all the major and minor antigenic components.
c. Produces durable immunity.
d. Boosters are required to maintain immunity.


a and b only

b and c

c and d

c and d only

81. Secular trends of disease refer to it's


change of pattern over a long period of time

seasonal trend

occurs due to naturally occurring variation in herd immunity

current disease status problem

82. All are advantages of Cohort studies except


Several possible outcomes related to exposure can be studied simultaneously

Does response ratio can be calculated

Bias is minimized

Suitable for study of rare diseases

83. There is no animal reservoir in all except


Hepatitis A

Cholera

Poliomyelitis

Influenza

84. Which of the following are incubatory carriers

a. Measles
b. Polio
c. Influenza
d. KFD
e. Hepatitis B


and d

and e

d and e

and a


85. Which of the following are risk factors for Carcinoma Cervix?

a. High socia-economic status
b. Early age at first sexual intercourse
c. HPV infection
d. Monogamous relationship


a and c

b and d

b and c

a and d

86. Which of the following sentence(s) is/are true?

a. Framingham Study did not include research on Coronary Heart Disease risk factors.
b. Doll and Hill proved relationship between smoking and lung cancer.



Only a

Only b

Both a and b

Neither a nor b

87. Which of the following vaccines IS going to be introduced in the National Immunization Schedule of India?


Japanese Encephalitis

Pneumococcal Pneumonia

Yellow Fever

Injectable Typhoid Vaccine

88. The number of Malaria cases reported during last 10 years in a town are given below: 250, 320, 190, 300, 5000, 260, 350, 320, 400 and 160 The epidemiologist wants to find out the average number of Malaria cases reported in that town. The most appropriate measure of average for this data will be

Arithmetic mean

Mode

Median

Geometric mean


89. Which of the following health goals set by the National Health Policy, 2002 is/are correctly matched

a. Eradicate Polio and Yaws by 2010
b. Achieve zero level growth ofHIV AIDS by 2009
c. Eliminate Kala-Azar by 2010



Only b is correct

a and b are correct

b and c are correct

Only a is correct

90. The correlation between two continuous variables was found to be 2.4. This indicates


very strong correlation

moderately strong correlation

weak correlation

computational mistake in calculating correlation

91. Which of the following are Zoonotic diseases

a. Yellow fever
b. Japanese encephalitis
c. Leptospirosis
d. Cholera



c and d

band c

c and d

a,b and d

92. Interval between onset of primary and secondary case is called


Latent period

Serial interval

Generation time

Incubation period




93. Herd immunity does not protect an individual in

a. Diphtheria b. Poliomyelitis c. Measles d. Tetanus


band c

d only

b and c only

b and a

94. Which of the following is/are precancerous conditions for oral cancer?

a. Leukoplakia
b. Melanoplakia
c. Erythroplakia
d. Oral submucous fibrosis



a and b

Only c

band c

a,c and d

95. In cause association relationship, most essential criteria is


strength of association

consistency

temporal association

duration of relationship

96. The area under normal distribution curve for 2 SD would be around


68%

99%

95%

90%


97. In a group of 100 children, the weight of child is 15 kg. The standard error of mean is 1·5 kg. Which of the following statements is/are true?

a. 95% of all children weigh between 12 and 18 kg.
b. 95% of all children weigh between 13·5 and 16·5 kg.
c. 99% of all children weigh between 12 and 18 kg.
d. 99% of all children weigh between 13·5 and 16·5 kg.



Only a

a and c

b and d

Only c

98. The number of patients required in clinical trial to treat specific disease increases as


incidence of disease decreases

significance level increases

the size of the expected treatment effect increases

the dropout rate increases

99. Sample Registration System is to acquire information on which of the following? a. Morbidity rates of various diseases
b. Migration statistics
c. Death rates from rural areas
d. Birth and Death rates for the State and the Country



Only a

For b and c

Only b

Only d

100. The Model (for Quality, Utilization and Efficiency) focuses on


rate of production

units of care

training

feedback and behavioural modification