COMMUNITY HEALTH

CLASS II

DR. MAHESWARI JAIKUMAR

[email protected]
1. Communicability of measles
declines
1. After onset of fever
2. During prodromal period
3. At time of eruption
4. After appearance of rash
2. Major epidemics or pandemics
are caused by
1. Antigenic shift
2. Antigenic drift
3. Antigenic change of lesser
degree
4. Stable antigens
3. The most common source of
infection for diphtheria is a
1. Case
2. Subclinical case
3. Carrier
4. All of the above
4. Current concept of health
promotion and the related activities
lead to:
1. Better treatment of a problem
2. Critical awareness and life style
changes
3. Adoption of prophylactic services
4. Better health services usage
5. Health promotion is the process to
achieve health by
1. Enabling people to increase
control over their health
2. Improving their health by life
style changes
3. Creating awareness among people
4. All of above
6. Health promotion includes all except:
1. Effective and concrete public
participation
2. Directed towards action on the
determinants of health
3. Does not approach or use
complimentary method against health
hazards
4. Focusing on people at risk for specific
disease
7. Health promotional activities
include
1. Inadequate health system
2. Unhealthy life style
3. Poor environment
4. Information, -education and
communication
8. Health maintenance requires
the measures to achieve
health by:
1. Unsafe environment
2. Health services
3.Increasing stress
4.Increasing conditions
9. Main purpose of sentinel
surveillance is:
1. To find out total number of
cases
2. For intervention of therapeutics
3. To depict natural history of
disease
4. Prevention of sentinel piles
10. The measure used to express
the global burden of disease i.e.,
how a healthy life is affected by
disease, is:
1. Disability-adjusted life year
2. Case fatality rate
3. Life expectancy
4. Age-specific incidence rate
11. Most important epidemiological
tool used for assessing disability in
children is:
1. Activities of daily living (ADL)
scale
2. Wing s handicaps, behavior and
skills (HBS) schedule
3. Binet and Simon IQ tests
4. Physical quality of life index
(PQLI)
• 12. Objectives of the health
services include each of the
following except:
1. Delivery of curative care only
2. Health promotion
3. Prevention control, or
eradication of disease
4. Treatment and rehabilitation
13. PQLI includes all except:
1.Per capita income
2. Life expectancy at age 1 year
3. Literacy
4. Infant mortality
14.Physical quality of life in
India is:
1. 31
2. 43
3. 50
4. 61
• 15. Ability of an infectious
agent to induce clinically
apparent illness is known -as:
1.Infectivity
2.Virulence
3.Pathogenicity
4.Multiplication
16. As a community health nurse,
the best with of promoting
healthy life style in children is
through:
1. Primary prevention
2. Secondary prevention
3. Tertiary prevention
4. Primordial prevention
17. Loss of anatomical structure or
physiological function is known
as:
1. Disease
2. Disability
3. Handicap
4. Impairment
18. Possessing the abilities and
resources to accomplish family
development task is known as:
1. Family health
2. Family development
3. Group function
4. Community health
• 19. The community health nurse should
not make surprise supervisory visits
because:
1. The village health nurse may he on leave
2. The village health nurse may not be
prepared for visit
3. The aim of supervisory visit is to train the
subordinates
4. The village health nurse may be on home
visits
20. In the absence of the doctor,
to facilitate the services,
guidelines used by community
health nurses are called;
1. Policy manual
2. Health guidance
3. Standing order
4. Job description
21. The time interval between
the invasion of agent and
appear cause of first of the
disease is
1. Transmission period
2. Incubation period
3. Termination place
22. Immunobiological
substance which produces
specific protection against a
disease
1.Immunity
2.Vaccine
3.Immune globulin
23. Immunoglobulins are
administers through
1.Intravenously
2.Intramuscularly
3.Hypodermal
24. Passive immunization is
achieved by
1. Vaccines
2. Antisera or antitoxins
3.By birth itself
25. A system which is used to
help the storage and
transportation of vaccine at
low termperature is
1.Cold box
2.Cold chain
3.Refrigerator
26. The most common
neurological complication
associated swine flu influenza
vaccine
1. Increased ICP
2.Guillian Barrie syndrome
3.Epilepsy
27. Corner stone for control of
a communicable disease is
1.Health education
2.Rapid identification
3.Treatment
28. Most powerful and cost
effective weapons of modem
medicine for prevention of
communicable disease
1. Immunoglobulin
2. Active immunization
3. Antitoxin
29. Ultimate objective of
surveillance is
1.Treatment
2.Prevention
3. Detection
30. Number of existing cases of
a disease at specific time is
called as:
1. Incidence
2. Prevalence
3. Point prevalence
4. Period prevalence
31. When there is a cholera outbreak
in a community, as a community
health nurse, you have to carry out
the following except
1. Notification
2. Oral rehydration therapy &
tetracycline
3. Immunization of the at risk
population
4. Chlorination of wells once a week
32. The source of the disease
transmission means:
1. One who disseminates the disease
agent to host
2. Disease agent multiplies and
increases in number on storage
3. Storage of disease producing
organisms
4. Receiver of disease agent
33. The period from disease
initiation to disease detection in
non-communicable diseases is
known as:
1. Communicable period
2. Serial interval
3. Latent period
4. Generation time
34. The occurrence of an epidemic
is regarded as highly unlikely In
the presence of:
1. Active immunity
2. Passive immunity
3. Combined active & passive
immunity
4. Herd immunity
35. Ring immunization means:
1. Given around 100 yards of a
case detected
2. Given around a mile of a case
detected
3. Forms a ring shaped sear
4. Given to produce ring shaped
lesions
36. Which of the following is
Bacteriostatic-?
1. Rifampicin
2. Ethambutol
3. INH
4. Streptomycin
37. The most accurate
technique to measure
prevalence of polio is
• School survey
• House to house
• Lameness survey
• Serological survey
38. The first serological marker
of hepatitis B to appear is,
1. HBsAg
2. HBeAg
3. Anti HB c
4. Anti HBs
39. V. Chlorea produces
diarrhea by
1. Increasing motility
2. Increasing secretion
3.Mucosal damage
4. Mal absorption
40. The most common
helminthic in the world is
1. Ascariasis
2. Ancylostomiasis
3. Enterobiasis
4. Trihuriasis.
41. The quantification of the
following diseases of health is
considered very difficult or
impossible:
1. Physical
2. Social
3. Mental
4. Spiritual
42. Which is the most suitable
method for disposal of night soil,
litter, refuses etc in rural area
1. Biogas plant
2. Composting
3. Dumping
4. Manure pit
43. Sullage is
1. Liquid excreta
2. Waste water from kitchen
3. By product of chemical
industry
4. Waste water from an
industry
44. Solid waste during the
preparation, cooking &
consumption of food is known as
1. Garbage
2. Refuse
3. Rubbish
4. Litter
45. Orthotolidine test is used to
determine
1.Nitrates in water
2. Potassium in water
3. Ammonia in water
4. Free combined chlorine in
water
46. Temporary hardness of
water can be removed by
1. Boiling
2. Filtering
3. Disinfecting
4. Chlorination
47. When chlorine is added to
water what will happen
1. Hydrochloric and hypochlorous
acid forms
2. Carbondioxide is released
3. 02 & C02 is released
4. None of the above
48. The Greatest advancement
in the water purification is
1.Sand bed filtration
2. Disinfection
3.Chlorination
4. All the above
49. House hold purification of
water
1. Boiling
2.Mixing of bleaching powder
3.Double pot method
4. None of the above
50. The tests for the biological
examination of water includes
1. Algae
2. Diatoms
3. Fungi
4.All
51. Which one of the following is
the most effective disinfectant
action after chlorination:
1. Sedimentation
2. Storage
3. Filtration
4. All
52. Which one of the following
does not indicate water
pollution?
1. Sudden decrease in turbidity
2. Sudden decrease in chlorides
3. Sudden increase in chlorides
4. None
53. The sanitary disposal of
excreta the important from the
following points of view expect:
1. Food contamination
2. Water pollution
3. Air pollution
4. Soil pollution
55. What is the most hygienic
method of disposal of solid
wastes?
1. Composting
2. Incineration
3. Burial
4. Manure pits
56. In typhoid, a permanent
carrier is one who excretes bacilli
for more than:
1. 3 months
2. 6 months
3. 1 year
4. 3 years
57. Only human beings are the
reservoirs for:
1. Pox
2. Influenza
3. Salmonella
4. Rabies
58. Vomiting occurs in a group of
children in the night who had a
meal at noon. The causative agent
for food poisoning is most likely to
be:
1. Salmonella
2. Botulism
3. Staphylococcus
4. Viral gastroenteritis
59. The common cause of diarrhea
in children is:
1. Rota virus
2. Norwalk virus
3. Adenovirus
4. Giardiasis
60. Regarding cholera vaccine all
are correct except that:
1. It is given at intervals of 6
months
2. Long-lasting immunity
3. Not useful in epidemics
4. Not given orally
61. As per the latest guidelines
which of the following
dehydration status required ORS
prescription:
1. Mild dehydration
2. Moderate dehydration
3. Some dehydration
4. Any dehydration
62. In a cholera epidemic, the
information is to be given up to
level of:
1. Health ministry
2. DGFAMS
3. Hospital
4. CMO and lMO
63. The drug of choice in cholera
is:
1. Tetracycline
2. Sulphadiazine
3. Ampicillin
4. Streptomycin
64.Citrate is added to
conventional oral rehydration
solution (ORS) in order to:
1. Improve sodium chloride
absorption
2. Correct acidosis
3. Increases its shelf-life
4. Improve glucose absorption
65. Oral rehydration therapy
consists of the following
except
1.Sodium chloride
2.Potassium chloride
3.Magnesium sulphate
4.Glucose
66. Which is not essential in
case of cholera epidemic?
1. Weekly chlorination
2. Notification
3. Vaccination of individuals
4. Treatment with ORS and
tetracycline
67. In a case control study of a suspected
association between breast cancer and the
contraceptive pill, all- of the following are true
statements except:
1. The control should come from a population
that has the same potential for breast cancer
as the cases
2. The control should exclude women known to
be taking the pill at the time of the survey
3. All the control needs to be healthy
4. The attributable risk of breast cancer
resulting from the pill may be directly
measured.
68. Which one of the following is
the longest carrier state found in
the disease of cholera?
1. 2 to 3 weeks
2. 1 to 5 years
3. 5 to 10 years
4. Above 10 years
69. Epidemiology of cholera in
England was classified by:
1. John Snow
2. Winslow
3.Chadwick
4.Howard Hughes
70. True about Eltor epidemiology
are all except:
1. Chronic carrier are common
2. Asymptomatic mild cases
common
3. Long extra intestinal survival
4. High secondary attack rate in
families
71. True in Eltor cholera are :
1. Infections are mild and
symptomatic
2. They are resistant to
polymyxin-b unit disc
3. Chronic carriers are common
4. Secondary attacks rate high
72. About cholera true is:
1. Eltor variety rarer than classical
2. Vaccine is essential during
epidemics
3. Antibiotic therapy
contraindicated
4. Ganglioside receptors in the
intestines
73. Cholera is a vehicle transmitted
disease because:
1. When the vehicle is controlled he
epidemic subsides
2. It is always possible to isolate :he
organism from the vehicle
3. The common source of infection is riot
traceable
4. The organism does not travel great
distances
74. Maximum maternal
mortality is seen in:
1. Hepatitis B
2. Hepatitise E
3. Hepatitis C
4. Hepatitis
75. Best method to protect
newborn from HBsAg +ve,
mother is:
1. Isolation
2. Stopping breastfeeding
3. Hep B immunoglobulin
4. Hep B-vaccine and
immunoglobulin
76. True about viral hepatitis B is:
1. Transmits by oral route
2. More incubation period than
viral A
3. Different histopathologically
from viral A hepatitis
4. Can be cultured
77. All of the following feature is
suggestive of asbestosis except:
1. Occurs within five years of
exposure
2. The disease progress even after
removal of contract
3. Can lead to pleural mesothelioma
4. Sputum contains asbestos bodies
78. In an epidemic of
poliomyelitis best to stop
spread by:
1. Injection of killed vaccine
2. OPV drops to all children
3.Isolation of the cases
4. Chlorination of all the wells
79. False regarding polio
vaccine:
1. Helps in herd immunity
2. Killed vaccine prevents
paralysis
3. Difficult to maintain chain
4. Immunity takes a long time
to develop
80.The following statements are true
for inactivated polio vaccine except:
1. It does not produce intestinal
immunity
2. It prevents paralysis
3. It is contraindicated in immune
deficiency disorders
4. Booster doses with oral polio
vaccine can be given
81. The following is not true of
inactivated polio vaccine:
1. Induces only circulating
antibodies
2. Prevents both paralysis and re
infection by wild polio virus
3. Does not require stringent
epidemics
4. Not useful in controlling
epidemics
82. Least likely to diagnosed Polio is:
1. Fever, malaise for 2 days
2. Fever and signs of neck rigidity
3. Descending symmetrical paralysis
with preservation of reflexes and
sensory system
4. Gradual recovery of muscle
function in 6 months
83. The epidemiological trend
of poliomyelitis are all except:
1. Affects higher age groups
2. Increasing in tropics
3. Also cause upper limb
paralysis
4. Sporadic to epidemic
84. Wrong about polio patient
who had paralysis:
1. Can transmit it by nasal
discharge
2. Sub clinical infection common
3. Can by given vaccine
4. None of the above
85. All true for a polio epidemic
curve in a community except:
1. All cases within 7-14 days
2. Orofaecal mode of transmission
3. Herd immunity present
4. Epidemic curve has a slow
rising slope and decline
86. All are true of BCG
inoculation, except:
1. Papule in 7 days
2.Forms an ulcer
3.Heals spontaneously
4.Size of 4-8mm in 5 weeks
87. A positive Mantoux test
indicates that the child:
1. Is suffering from active TB
2. Has had BCG vaccination
recently
3.Has had tuberculosis infection
4. all of the above
88. BCG is not given to patients
with:
1. Generalised eczema
2. Infective dermatosis
3. Hypogammaglobulin anemia
4. All of the above
89. In the administration of
BCG vaccine, the diluent is:
1. Glycerine
2. Glycerol
3. Normal saline
4. Distilled water
90. The vaccine administered
by subcutaneous route is:
1. BCG
2. OPV
3. Tetanus toxoid
4. Measles
91. BCG vaccine is administered to
children:
1. Intradermally
2. Subcutaneously
3. Intramuscularly
4. Orally
92. All the following are correct
regarding BCG vaccination
reactions except:
1. Ulceration with crust
2. Heals within 6 19 weeks
3. Maximum size of papule is
reached at 5 weeks
4. Suppurative lymphadenitis
93. To prevent emergence of
resistance in TB following are done
except:
1. Multidrug regimen used
2. Drug to which bacteria are
sensitive is used
3. Defaulter action
4. Pre-treatment regular culture
sensitivity
94. True about tuberculin test:
1.Used for diagnosis of TB
2. Measure incidence of
disease
3. More than 10 mm in 72 hr
indicates positive test
4. Measure immunity status
95. Tuberculin test positivity
depends on:
1. Erythema
2. Nodule formation
3. Induration
4. Ulcerative change
96. Annual infection rate in TB is
the percentage of:
1. Persons converted from
tuberculine negative to positive
2. New cases of tuberculosis
3. Sputum positive cases
4. Radiological cases
97. All the features of
lymphatic filariasis except
1. Adult worms live in blood
vessels
2. Microfilaria in blood increase
at night
3. Disease is not some cases
98. Second generation tissue
culture vaccine refers to
rabies vaccine of
1. Human origin
2.Non human origin
3. Synthetic origin
4. None of the above
99. Oral rabies vaccine has
been introduced for
immunoglobulin of
1. Humans
2. Dogs
3. Foxes
4. All of the above
100. In which state in India is
Kyasanur forest disease
prevalent
1. Kerala
2.Tamil Nadu
3.Karnataka
4. Andhra Pradesh
101. is receiving special
attention in the prevention of
chronic disease?
1. Primary prevention
2. Secondary prevention
3.Pre-morbid prevention
4. Tertiary prevention