COMMUINITY MED 4 Yr.

PAST MCQS KEYS

UHS ANNUAL 2011 COMMUNITY MEDICINE MCQ KEY
1- primary prevention 21- A school girl constantly scratches her
2- Long term variations in process of disease posterior hair line ... , diagnosis? pedicullosis
is categorized: secular trend 22- Tiers of community ..... 3 tierz
3- cohort 23- A 4th year medical student goes to cenima
4- nutritnal for film show, he comes back and checks
5- I think it was patient who walk barefoot whether his door is locked or not then again
and presented wid anemia.... ancyclostma goes and again comes back diagnosis?
6- A boy presented with intestinal obstruction obsessive compulsive disorder
and on laprotomy worms filling 24- disability
intestine .... ascar iasis 25- habit
7- specificity 95% 26- Drug used for prophylaxis of meningococcial
8- vital index one meningitis... Rifampin
9- hypertension 27- caloric requirement during pregnancy..
10- A mother gave birth to a term infant with 400-550
cataract, cyanosis and IUGR.... rubela 28- thromboplastin
11- A child in balochistan having ulcer with 29- 3 vst
ring borders on his forearm , which 30- a woman has BMI of 27 .. which category she
organism is responsible ... phlebotms fly belongs to? ... Pre-obese
12- A person working in sandblasting industry 31- A house has 2 rooms and 5 persons and an
presents with shortness of breath and infant, how many more persons can it
C-XRAY showed egg shell calcification accomodate? 1
silicosis 32- A school health service programme has
13- A mother came to you on 8th month of been introduced which includes personal
gestation, not previously immunized hygiene, sports etc etc... which additional
against tetnaus what should be done .. thing is required for proper services ? Dental
Tetanus toxoid now and then Tetanus health
immune globulin to child at birth 33- Senario was given with contents like
14- In a research study, a scientist is collecting coliform, flouride content etc etc. , ans was
data from AIDS patient regarding theri flourosis
sexual and personal life, which sampling 34- A man is working in shipyard factory with
technique is applied .. . .. Snowball sampling exposure to asbestos. If exposure to this
15- Tuberculin test was performed on a agent is reduced, from which consequence he
forearm of a boy and it showed an can't be spared of? CANCER
induration of 6mm after PPD. what does it 35- if a drug is prepared for chronic disease
indicates ..... Doubtful test which would reduce the mortality without
16- shck tst carier affecting the pathogenesis what would
17- hepatits b immune happen? Incidence remains same but
18- streptomycin prevalence increase
19- measles 36- Malarial parasite in mosquito follows which
20- chid labour 15 yrz of the following biological transmission?
Cyco-propagative (Park 20th edition page:
93)

1
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
37- a person working in hot sun will probably wastes from small groups of houses and
suffer from ? heat stroke institutions which have adequate water
38- evacuation of dead supplies but do not have access to public
39- contraindication of IUCD? Nulliparous sewarage system? SEPTIC TANK (Park 20
woman ed page: 665)
40- bck 49- neonatal
4 1- Disease may be classified as mild, 50- Best indicator to assess degree of
moderate or severe, this is a type of? malnutrition? Weight for age
ordinal data 51- Best effort to decrease the smoking? Own
42- Late expandng effort of smoker
43- governemt has provided handpumps in a 52- A fat lady is inspired to reduce weight by
village to every person, which principle of exercise, which principle is being followed?
primary health is being followed? equity motivation
44- a child has edema and loss of 53- chd
subcutaneous fat and wasting of muscle 54- alcohol
mass, diagnosis? Marasmus/kwashikor 55- roentgen
45- Peron working in storage battery factory 56- shingles
with constipation and shortness of breath, 57- sophistication
blue black line on gums was noted, 58- supportive
diagnosis? Lead poisoning 59- Which of the following is the most effective
46- increases O2 way to control silicosis? Vigirous dust
47- vit k control (Park 20 ed page: 71 1)
48- Which of the following is the satisfactory 60- Population doubling time calculate ....
means of disposing excreta and liquid doubling time 4 7

UHS ANNUAL 2012 COMMUNITY MEDICINE MCQ KEY

1. Which is reference protein ... .. Answer Egg 9. Maximum level tolerated without substantial
2. Which contraceptive measure is not damage to hearing ...... .. Answer 85 dB
recommended for nullipara.... Answer IO. Smokers get together, one leader, everyone
IUCD discusses, form a decision, type of
3. Mean I 80, variance 36, range of values for discussion? ..... . Answer Group discussion
2/3,d of population ..... Answer 174- I 86 11. Type of pneumoconiosis predisposing to
4. Calculate dependency ratio ...... Answer TB ... ..Answer Silicosis
80% 12. Worker in brake lining industry, ground glass
5. Type of study to calculate appearance on CXR .. .... Answer Asbestosis
incidence .. ... Answer Longitudinal 13. 6-month old child with diarrhea, what will you
6. 2x2 table given, calculate percentage of false advise the mother .. . ... Answer 8reast -feeding
negatives .. ... Answer 71.4% and ORS - this is ambiguous, nowhere does
7. Which disease can be transmitted from Park recommend stopping breast-feeding OR
.
mother to fetus in-utero ... .... Answer CMV weaning
8. Surgeon got a needle prick from HBV + 14. Question Children with lice, how will you
patient, one year later he is HBsAg +, what control them ... .. . Answer Malathion
type ofcarrier?...... Answer Healthy Carrier 15. Virus associated with Burkitt lymphoma ..... .
Answer EBY

2
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
16. Person gets symptoms of meningitis 7 days 33. 2 parents, one baby 9 months old, 2 boys over
after attending an urs .... Answer N. 9 years and a girl. How many rooms
meningitides needed? ........ Answer 3 rooms
17. Indicator of number of females/replacement 34. Area per capita in a classroom .. . ..... . Ans\.ver
level Answer ...... ..NRR 10 sq.ft.
18. Which is a topological disaster ......... ... ... . 35. Pulses are deficient in "vhich essential amino
AnswerAvalanche acid ... ... .. . Answer Methionine
19. Child has been examined in school, next 36. Amputee is given a prosthesis ,vhich allows
examination will be after ..... Answer 4 years him to get a job.. . .... Answer Vocational
20. A teacher can help in what type of rehabilitation
assessment.. . .. Answer Anthropometric 37. Both CBR and CDR are low ... . Answer Low
measurements stationary
21. Best parameter for assessing physical 38. HIV is diagnosed in a new military recruit
growth ..... ..Answer Weight for age Which type of case detection is this? ...... .
22. Guinea-worm is no longer present in Answer Mass screening
Pakistan. This is an example of... ... Answer 39. Personal hygiene prevents disease transmission
Elimination by which route..... .. Answer Feco-oral
23. Industrial worker has back pain due to 40. Death of a LBW baby at (roughly) 26 days is
awkward position. Field which will help classified as... . .. .. Answer Late neonatal
him?...... Answer Ergonomics 41 . Duration of protection afforded by
24. Colour of sharps container Answer Yellow meningococcal vaccine ..... . ... Answer 3 years
(Blue/White acc. To Park) 42. Time for which milk is heated in HTST.. . ...
25. Which are most susceptible to nitrates in Answer 15 seconds
water .... .. Answer Infants 43. Dietary fiber gives how many calories when
26. Best sampling method for study among 1/V fully metabolized, ... .... Answer Ocalories
drug users ... .... Answer Snowball sampling 44. Power which drives a person to work for
(this is ambiguous as the sampling method success of the organization (or equivalent) is
will depend upon the situation. known as Answer Motivation
27. Scenario about symptoms characteristic of 45. Blood groups (A, B, Ab and 0) are ,vhich type
sea snake bite. Which class is of variable ... .. . ..... Answer Multichotomous
responsible? .Answer Hydrophidae (this 46. First antenatal visit should always
would be Colubrinae if the question used the include .... .. Answer Blood grouping (this is
word "family" instead of "class") ambiguous as other options were equally
28. Patient with HBs/eAg +; anti-HBs/e correct)
47. patient refuses treatment, comes under which
-.... .. .. ..Answer Active hepatitis
principle of medical ethics...... Answer
29. 20 yr old with cough ending in a crowing
Autonomy
inspiration ........ Answer Pertussis
48. Which is both a cause and vector of
30. Measure of incidence of malaria ...... .. .
disease ..... . ... Answer Tick
Answer Proportional Case Rate
49. 90 (or 95%) bed utilization ratio is an indicator
31. Tins of contaminated food are distributed in
of.. .. . . . . Answer Accessibility (this is
a community .... .. . Answer Common source
ambiguous; the relationship between bed-util,
continuous exposure
ratio and accessibility is indirect)
32. Children have back pain ....... Answer Plus
desk

3
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
50. Mother has epilepsy, which vaccine won't intestinal obstruction, most likely
you give to the child ... ..... Answer Pertussis culprit .. . .... .. ... Answer Ascaris
Question 60. Pollutant in car exhaust Question ... ........ .
51. Which has no carrier state .. . ... Answer Answer CO
Rubella 61. Component of tobacco producing
52. Common in impoverished household .... ...... . dependence .... .. ... Answer Nicotine
AnswerRHD 62. Area where there ,s invisible child
53. Age limit of child labour according to labour.. . ..... . . Answer Domestic
lLO .. . ..... Answer 15 years 63. Veterinarian vaccinated against rabies, titer is
54. Person with osteosarcoma, etiologic factor 0.6 IU/mL, when should he get a
is ..... .. Answer Radiation booster .. . ..... . ... Answer 2 years
55. TB eradication .... Answer 1% 64. Secretary gives specific tasks to underlings and
56. Class interval ...... Answer2 closely supervises, this leadership style is
57. 16-26 data range, divide it in to 5 classes, called ... ...... . Answer Directing
length of each class interval is 65. Method of waste decomposition in a septic
58. Schedule of booster dose for a person who tank .. . ...... Answer Anaerobic digestion
got his second dose of HBV vaccine on 28' 66. Villagers need a clean water supply, request the
February .. . ... Answer 28h February 2012 (1 govt, for XYZ but govt, doesn't have the
year later) money .. .... .... Answer Appropriate technology
59. Child who vomits up a worm and for it, so villagers go for a hand-pump, which
laparotomy reveals a ball of worms causing principle of PHC is in operation

CMED KEY 2014 ANNUAL

1. Vi A related .. . . Exophthalmia 20. Hazardous substance Incinerator
2. In case control. ... odd ratio 21. Quantitative value: Histogram
3. What to screen in new born ... ? 22. Not to check in water: Cone of cadmium
Hypothyroidism 23. Voice damage: 100 db
4. External oxygen 20% 24. Snake Haemorhage Viper
5. Bucillosis which is not related .. .. Cat 25. BMI denominator: Matter square
6. Triage color.. RED 26. Terminal Method: Tubal Ligation
7. Confounding .... Associated with risk & 27. ±2SD
Independent both so A+B 28. Polio specific protection
8. Tetnus neonatorum .. . ... umbilical cord 29. Mot by mosquitoes : Typhus
9. Partiality ..... . not related to medical ethics 30. Statistically lnsignifant
10. Calcium .. . ... not in rice 31 . Minus desk
11. Measles ... . 14 days 32. Hospital infection
12. Sensivity decreased by inc cut off value 33. Frost bite
13. Not a fat soluble: vit B 34. Aedes
14. Life expectancy 35. Snoball
15. Not to take care of bladder in DM 36. Pop at risk
16. Total fertility rate 37. Mode (most occurring)
17. Hep B + immune globulins. A child born 38. Median ( measure of dispersion) except
HBSag PSTV month 39. Less than 5 micron
18. Doctor prick immediate. Hep B immuno 40. Puperal sepsis
19. No mechanical ventilation. Diffusion 41 . Hair Color

4
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
42. Heamophilus period did not tell you about 52. Postnatal visit. Varicose veins : Postnatal visit
end of epidemic 53. No immunoglobulin present :Polio
43. Natural disease epidemiology triad 54. Gomez Classification grade 3
44. Not in school going children commonly 55. Screening test Positive predictive value
bone confirmed 56. Gender non modifiable
45. Not included in descriptive Epidemiology : 57. Lead time Bias
case control 58. Secondary attack rate: Primary not included in
46. Principles : community participation deno and numerator
47. Aerophobia : Rabies 59. BCG left deltoid
48. Stratification: Strength factor of 60. Not in Demographics, Divorce or migration
Experimental study 61 . If low prevalence : Predictive Value decrease
49. Child labour more than 13 years 62. Geritic Disability limitation
50. Selection Bias: Cohort study 63. Casual relationship: Strength of association
51. Not Epidemiology type: Experimental

CMED KEY 2015 ANNUAL

1. Horny, popular eruptions on body : essential 29. Triage Defic iency
fatty acid def 30. 95% of data lies within the range of population
2. Previous abortions : fo late def mean
3. Kid with corneal ulcers : vlt A def 31 . Mean ± mean deviation*
4. RBC stippling»» lead poisoning*
32. Which pollutant Lead*
5. Screening test for cancer : lead time bias*
33. CHD prevention: primordial*
6. Postural abnormality : positive desk*
34. Blindind: trachoma *
7. Postlve desks
35. Increase population » potential mothers
8. Out door duties in school : nurse*
already*
9. Mini space between houses : 25*
36. Dejure type counting*
10. Green belts dilution*
37. Best measurement: anthropometry *
11. Incinerations is bad : atmospheric pollution*
38. Hard tick viral hemorrhagic fever *
12. What to used for Incineration »> scrubber*
39. Dengue: aedes agypti*
13. Farmers lung: byssinosis *
40. Ancylostoma prevention: long boots *
14. Hilar calcification: silicosis*
41 . Rabies cases finding ** case finding
15. Cane fiber: baggasosis *
42. Surveillance def
16. Herd effect in polio 66V
43. Plausibility*
17. Peart index: 10
44. Roundworm
18. Dependency ratio 66V
45. Kid to Hep B mother» give vaccination at
19. General muscle wasting marasumus
birth*
20. Mode of HIV transmission: IV
46. 40. Ml controls: Ml risk factor as case . no
21. HIV protection: condom
disease
22. Addictive in smoke nicotine
47. Cartoons violent behavior relative risk
23. Smoking in pregnancy: less birth weight
48. Scale of pain: qualitative scale *
24. Cocaine in pregnancy: seizure*
49. Primary and tertiary are exclusive
25. Standard error •
50. INH to kid Tb ± VE: Secondary prevention *
26. Clean cord: Tetnus
51. Basic principal in PHC: Equity *
27. Test of significance is: P val ue
52. Power of PMC HIMS*
28. Bad consider: genetic
53. Best way for ORS: Demonstration*

5
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
54. Immunity in gaps summation of Immune* 60. Congenital birth defect rubella
55. Def of secondary attack rate* 61. Not volatile addiction marijuana
56. Viper snake: hemolytic* 62. About addictions "not in" relapse is not
57. Not Indicator of fecal contamination: hep A* common
58. No primary vacc: hep A 63. Lactation mother calories: 550*
59. Post vaccination exposure Rabies: TIG and 64. PID: cant gv IUD
.
vaccine 65. At zero temp: measeles *

CMED KEY 2015

1. Moray, popular eruptions on body: essential 32. Plausibility
fatty acid def 33. Roundworm
2. Previous abortions : folate def 34. Kid to Hep B mother: gv vaccination at birth
3. Kid with corneal ulcers: vit A def 35. 35 MI controls: Ml risk factor as case, no
4. RBC stippling: Lead poisoning disease
5. Screening test for cancer: Lead time bus 36. 36 Cartoons violent behavior
6. Postural abnormality: positive desk 37. Scale of pain Qualitative scale
7. Out door duties in school: nurse 38. Primary and tertiary are exclusive
8. Mini space between houses: 25 39. INH to kid TB: Secondary prevention
9. Green belts: dilution 40. Basic principal in PHC: Equity
10. Incinerations is bad atmospheric pollution 41 . Power of PHC HIMS
11. What to used for Incineration scrubber 42 . Best way for ORS: demonstration
12. Farmers lung: byssinosis 43 . Immunity in gaps: summation of immune
13. Hilar calcification: silicosis 44. Def of secondary attack rate
14. Cane fiber bagososis 45 . 41. Viper snake /\ hemolytic
15. Herd effect polio: 66% 46. 95% of data lies within the range of
16. Pearl index: 10 population mean
17. Dependency ratio: 40% 47. Mean± mean deviation
18. General muscle wasting marasmus 48. Which pollutant: Lead
19. Mode of HIV transmission: sexual 49. CHO prevention: primordial
20. HIV protection: condom 50. Blind: Trachoma
21. Addictive in smoke: nicotine 51. Increase population: Potential mothers already
22. Smoking in pregnancy: less bath weight 52. Dejure type counting
23. Cocaine in pregnancy: seizures 53. Best measurement: Anthropromentry
24. Congenital birth defect: rubella 54. Hard tick: viral hemorrhagic fever
25. Not volatile addition: marijuana 55. Dengue-> ades agypti
26. About additions *not in* relapse is not 56. Ancylostoma prevention long boots
common 57. Triage def
27. 27. lactation mother calories: 550 58. 56. Standard error
28. PIO cant gv IUD
~
59. Clean cord: tetnus
29. At zerotemp measles 60. Test of significance p value
30. Not indicator of fecal contamination hep A 61. Bad consider genetic
31. Post vaccination exposure Rabies: TIG and 62. Rabies cases finding -> case finding
.
vaccine

6
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
CMED KEY 2016 ANNUAL
1. Rubeola Pleomorphism 31 . Birth weight gets triple in one year
2. 1-3 years children most common cause of 32. School health : Nurse
blindness : Vit A def 33. Snake bite: Tourniquet
3. Library recommended level 35-40db 34. Group of Discussion of Gynecologist
4. Distribution Curve: skewed to left 35. Diabetic centers are made for Prevention
5. Equity: urban and rural 36. Measles vaccination: Cross-sectional study
6. Low iron 37. Child labor: income
7. Addictive component in smoking Smoking 38. Ergonomics Workplace laws
8. Causing euphoria and alertness 39. When sensitivity of test is increased : false
Amphetamine positive results increases
9. White paint school 40. Immunoglobulins given in tetnus cases
10. BCG will not be given in Africa 41. Autonomy: According to the Patient'
11. EBY cervical cancer: Nasopharygeal 42 . Steph. Aureus High rate in effective causing
12. MMR: 10 / 10000 diseases
13. Vector and causative agent: Tic bite 43 . Cyclopropagative it develops in the body of the
14. Dietry fiber: 30-40 mg/day mosquito
15. in GIT: Surface agent IgA 44. Horny popular rashes Essential Fatty acid
16. Availability : Budget affordibilty deficiency
17. Farm house food poisoning investigator: 45. Randomized contolled trials Measles
History 46. Tetanus interact: Just wound toilet
18. Plus tables 47. Tetanus igG
19. Worker working in foundery is affected by 48 . Disease: Agent & Host
.
noise 49. Fasting glucose more than 140mg/dl
20. Fluorine deficiency: Flouride water is most 50. Population momentum
effective treatment 51 . Chi test applies
21. Chemical disinfection is applied for blood, 52. At first visit of 22yr married woman:
urine, Hospital waste confirmation of pregnancy is done
22. Profuse bleeding : Vit K is given 53. Granular, Dry skin scernaios phlebotomus
23. Ankylostoma duodanale : causes lofflers 54. Air Pollution S02
syndrome & GIT symptoms 55. Down syndrome Age
24. Chapli kabab: Tenia Solium 56. EDO saying you can do anything :direct
25. Flocculation: alum leadership
26. Trend of events is shown by line diagram 57. Moderate malnutrion in classification
27. Completely agree: strongly disagree ordinal 58. Rashes on face and trunk: Chicken pox
data 59. Fast diarrhea caused by S.Aureus due to
28 . Best measure of fertility: Total ferti lity rate preformed toxins
29. Most effective protection against STDs Is 60. Infectious diseases are transmitted by feacoral
Condom route
30. Humidity in cinema halls 61. igG crosses placenta in rubella

CMED KEY 2017 ANNUAL

1. vitamin def in alcoholic- thiamine 3. snow storm- silicosis
2. type 2 diabetes, waist hip ratio >2 : obesity 4. cotton- bysinosis

7
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
5. card board- bagasosis 30. Scenario of psychic dependance: amphetamine
6. rabies free area- 2 yr 31 . self-care in schizophrenic tertiary
7. post vasestomy- 30 ejaculations 32. 32 Mother not allowing child to eat
8. Chappali kabab- tenia saginata unhealthy and regular exercise: health
9. weight gain in pregnancy-IO? 12? promotion ( his father died due to Ml so this
(According to Park: 9-11) can not be primodrial)
I 0. weight: T test 33. combination of risk factors causing multiple
11. before and after: paired t test effects: web of causation
12. Scenario of measles: Live vaccine 34. soldiers fell in sunlight: syncope
13. GOBI UNICEF 35. itching at night: scabies
14. Screening secondary prevention 36 . gonorrhea prostitute common source
15. Plus desk: postural deformity continuous
16. Health education of school children by going 37. fiber 40mg
home: nurse 38. third tetanus injection : 5 yr immunity
17. dB in hospital: 20-35 39. benzidine: bladder cancer
18. 7 person : 4 rooms 40. addicting component in tobacco: nicotine
19. method of disposal compositing 41 . Scenario of alcohol user alcohol dependance
20. more residual chlorine: organic nitrogen 42. Snake bite, no sign and sypmtoms except
21. betel chewing and oral cancer, relative risk anxiety: reassure
in one study is 3 and other I 0: strength of 43 . Minor problem in chandler index 250-300
association 44. Vaccine at 0°C : measles
22. natural history of disease: cross sectional 45 . maximum risk of failure of cold chain at: BHU
23. curved leg vitamin D 46. trans ovarian and trans stadial mosquito
24. decreased protein intake but increaed carb 47. camparison of vaccine chi square
intake like toast, cereal, salad., deficient 48 . difference in pyramid: 5 year
micronutrient: folate 49. Bulging of tin Clostridium botulism
25. indoor air pollution: still birth 50. relationship between illiteracy and village
26. evaluate essential obs care: maternal females: coorelation
mortality 51 . 1000 subclinical for every case: polio
27. method not used in hyperlipidemia: oral 52. Reason of revisit after Penta vaccine Immune
contraceptive summation
28. fertility measure: TFR 53. ataxia- alcohol
29. different speaker speaking and audience 54. union council- appropriate technology
asking questions in end: symposium

CMED KEY 2018 ANNUAL

1. PPV with increase prevalence 8. Which one is not narcotic: Cocaine
2. Pills can be used by breast feeding mother: 9. Infant Mortality rate: Number of infant
Progesterone only pills death/Total number of live birth x 100
3. Which one snake l s vasculotoxic: Viper 10. UV arc
Snake 11. Baby born to Hepatitis B positive mother, how
4. Herpes: Vesicular lesions on chest will you vaccinate lmmunoglobulin +
5. Grade 3 hepatitis B vaccine
6. Cohort study: example 12. Infant Parasite rate: indicator of recent parasite
7. Antenatal Minimum 4 visits Infection count

8
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
13. 24000 numerical answer from epidemiology 38. Best Anthropometric measurements is school
14. Tuberculosis incidence according to WHO going child: Weight
for control must be: below l % rate 39. Chlorine demand of water should be estimated
15. BIAS and atleast hov., much time is essential as a
16. Nystgmus occurs due to: Excessive contort period of free residual chlorine for
exposure to light minor killing bacteria and viruses One hour
17. Iron+ Blood transfusion 40. Zero growth rate: Numerical
18. 200 IV: Vitamin D requirement 41 . Standard deviation
19. Heart of Sand bed: Vital layer 42. t-Test scenario
20. Convulsion in eclampsia 43. Aedes index is kept below 1 (0.5%)
21. Already vaccinated person agar, 44. Air pollution indicator CO2
vaccination by Human cell culture 45. Apparent
vaccine for rabies 46. Which of the following cause Scolliosis:
22. Mumps: live vaccination Positive desk
23. RHC Obstetric emergency 47. Primordial
24. Scattered diagram 48. Health hazards definition
25. failure rate 49. Vit B l2 -9 Deficiency in megaloblastic
.
26. Reservoir: Definition anemia
27. fetal haemoglobinemia It caused by high 50. Modified risk factor for Coronary heart
level of: Nitrates toxicity (20ppm) disease: Cholesterol
28. Siliosis: Scenario (Snow storm appearance) 51. Different factories give food to house holds:
29. Ascaris: Worm form ball constipation intersectorial approach
30. Which epidemics common source multiple 52. Organism entry to sign and symptoms:
exposure: Contaminated well water incubation period
31. Pertusis vaccine 53. Behavior
32. Take Information from HIV patient: Which 54. 8 per year x-ray radiation exposure limit:
sampling snow ball sampling 0.02-3 rads
33. Hard immunity tetanus 55. Relative risk
34. Congenital dislocation of Hip 56. Pakistan is in which phase of demographic
35. Amount of light in office: 400 lux phase: Late Expanding
36. Tolerable noise by humans: 85-90db 57. Store Iron level: Ferritin
37. Temporary deafness occurs at: 58. Kawashikor: Dyspigmentation
4000-6000Hz 59. Obesity index other name: Quetlet index

SUPPLE 2018 Held in 2019

1. BOD organic matter 8. Saccular trend: yearly

2. Specific protection respiratory masks 9. Husband does not allow unmet
3. Panel discussion group of people discussing l 0. Differentiate between kwashiorkor and
4. Immunization control of countries: multi malnutrition Odema
stage sampling 11. Substitute the essential amino acids pulses+
5. Odds ratio cereals
6. Prevalence 12. Cough investigation for tuberculosis 3 weeks
7. Diarrhea + measles vaccine 13. Congo Tick

9
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
14. rate 39. Longitudinal study hospital study
15. Recommend space 15 sq. ft 40. : definitive host
16. Less likely in school children congenital 41 . Iron deficiency anaemia hookworm
heart disease 42. Serial interval
17. Priority setup rural area 43. Rh negative mother combs test
18. Breast feeding mother: give vaccine+ 44. Numerical: 20
immunoglobulin 45. Oral vaccine induces both Local and humoral
19. Defecto: where ever he is present at the time immunity
of screening 46. Triage better prognosis first
20. Miners ptosis: poor illumination 47. Two person 110 sq.ft
21. Genotoxic: radioactive 48. Radioactive protection screening
22. Mortality+ morbidity smoking 49. Lead time
23. Sexual cycle complete Cross sectional study: 50. Number of new born girls net reproduction
prevalence Malnourished child mid arm circumference
24. Mother with smoking low birth weight 51 . Standard deviation is used for construction of
25. Two year child weight/age frequency distribution
26. Women from back ward area comes to BHU: 52. Vigorous dust control
weight age 53. BCG: on mass level
27. Class room sound 82 db: unacceptable 54. Double blind trial reduces sampling variation
28. Changes of cardiovascular diabetes 31 BMI 55. Mother with BMI 15 malnourished opt for
29. Respiratory cobra delivery
30. Kenya: yellow fever 56. Poliomyelitis case : Ffl case
31. Heat exhaustion: no salt intake 57. Equity: iodine deficiency
32. Type of study in medical students cross 58. Mental retardation: iodine
sectional 59. First case to come into the notice of
33. Community diagnosis know the diseases in investigator index case
community 60. Antibody in colostrum lgG
34. Peer pressure: same age people influence 61. Pentavalent vaccine interval should be 4 weeks
35. Drug misuse 62. GNP 5%
36. Turbidity was more 63. Brucellosis animal husbandary
37. Primary health care 64. Toxoplasmosis antenatal
38. Provision of essential drugs

ANNUAL2019
l .Benzidine .... Urinary Bladder I I .Gray nodule .... Phelbotomus
2.Dietry Fibre ...40 gm 12.pakistan best Fertility measure.... TFR(total
3.pakistan(200 million) type snerio ... Late Fertility)
Expanding phase 13.poisonous component in smoke ... Nicotine???
4.child in school. .. 10 square feet 14.misuse of drug ... Drug Abuse
5. Backache ...plus Desk 15. Give Attention and Self satisfaction... Cns
6.sentinal Surrvalliance .... for missing Cases effect. .. Amphetamine?
7.advise in pregnency.... Take extra 350kcal 16.not true about measle ... Kept 4 to 8 °c ... others
8.Triage ... for severe ... Color.. Red correct like dry fried
9. White spots .... Aedes Agyp ti 17.correct about breast cance ... more chance if
IO.vector and causative agent. .. Tick Bite relatives have genetic prblm

10
 COMMUINITY MED 4 Yr. PAST MCQS KEYS
18.correct about cancer. .. Bronchial cancer overall 34.legislation for Environmeny
nmbr 1 cause control. .. Primodordial preven... not sure???
19.absentism.in occupation .. for health of worker 35.measles in Epidemic ... at 6th month
20.double blininding ... both subject and observer 36.calories in Lactation 550 kcal(park)
21.Cohort study used... snerio 37.Foundry worker. .... Noise
22.measles ... check... go for Cross sectional study 38.not used in this ... Appropriateness(Funds not
23.BMI .... obesity used for proper)
24.Gomez classi .. 70 percnet ... moderate ... 39.decrease risk decrease diseas .... Attributable risk
~
2:,.chron,c. Mal nutr1t1on
. . .... measure use d?????.... . 40.difference in Urban vs Rural ... type
26.neural defects ....Folic Acid snerio ... Equity
27.frst tym child in school then .... every 4 year 41 .which one correct. .Appetite is good in merasmus
28.own Consent for contraceptive..Autonomy 42.Raw food and contaminated water. .. Emtamoabe
29.In class noise... 85 db ... more than hist
acceptable????? 43.injury .. already have tetny immuni ... give toxoid
30.2nd pregency with last TB immune ... Give a only
Booster 44.peer pressure.. intlunence by college
31 .agree .. non agree ... satisfying ...... Ordinal Data 45. Numerical- 24
32.Ecoli is best. .. higher concen in fecal matter 46.46.Under 25 go in reproductive cycle.... hence
33.Earthquake ...Telluric and tectonic Growth rate goes on increase

SUPPLEMENTARY 2019 held in 2020

1. Test for screening - Mammography 19. Rural areas method of disposing waste -
2. Screening test done - High risk Manure pits
individuals 20. Numerical - 1.5
3. Sii icosis prevention 21. 20/1000 multiply by 1000
4. Measurement of health - study called 22. 230 to 250
5. Demography does not include morbidity 23. Low incidence now shows good carrier
6. Association between two variables - state.
Direct indirect temporal 24. OCD
7. Quack give aspirin 25. Behavioral disorder in Pakistan include -
8. Dose in pregnant lady 2500 kcl confirm autism
9. Phenomenon which does not need help 26. Health education definition
from national and international level 27. Arsenic minimum level 1, 0.1, 2, 5
10. Index of physical growth - Chest 28. Community diagnosis
11 . Index for growth - Weight by age 29. Sensitivity formula
12. Vitamin A deficiency earliest sign 30. SAR 9 family members 2 immune 1
13. Quantitative data represented by line primary n 3 secondary cases= 3/6x 100
diagram option was histogram also 31. index of current nutritional status/ severe
14. Passive immunization - Immunoglobins malnutrition = W/H, W/A, H/A, skin fold
from mother to fetus thickness
15. Not method of prevention 32. Single parameter for physical growth =
16. Lead value 70 - Diagnostic power of test W/A
predictive value 33. Aedes vector for= yellow fever
17. Drugs abuse def 34. Amount of light reaching surface =lux
18. Maternal mortality factor - Hemorrhage candela Lambert

11
 th
COMMUINITY MED 4 Yr. PAST MCQS KEYS
35. Smog d/t = less air movement, inc
humidity, Temp inversion
36. Physical dependence of alcohol, heroine,
cannabis
37. Tool of EPI = rate other mean range
mode SD
38. Few weeks child with fever n recent
inject vaccine on thigh = reassurance
paracetamol, test for allergy,
anti-malaria test, test for TB.
39. Iron 60mg folate 0.5mg for mothers
40. Hbv patient prick hbig -
0.06mg/kgbodywt next dose with 3 days
of exposure
41 . Measles vaccine with 2,3,4,5,6 hrs of
exposure 3
42 . PHC component not - suicide
prevention
43 . Longitudinal studies = risk factors
cannot be identified or study natural
history of diseases
44. Cause ofMMR = hemorrhage
45 . Compare health status of two
populations best indicator=IMR
46. Country PDT GR 1.5 to 2%=47 to 35
yrs
47. me in school child= scabies
48 . Not in pneumoconiosis = psaticosis
49. Relation btw 2 variable = scatter
diagram Endemic or hyper endemic
50. Goiter & confounding factor = indirect
association
51 . Tetanus last trimester 1TT now one after
delivery

12
 UHS Fourth Year MBBS supply CM 2020
held in 2021 key
1.school shouldn't be on low level?
2 Pancreas dlsordet due to rnu1nps?
3.Tetanus is not an her imm .• due to doesn't spread from person to pers-on?
4.chlorlne ... 6 h Jn oppropriate?
5.a·.•afanches .. topology?
6.Slow sand filter ·-·· 0.2·0.3mmm dm?
7 .OPV provides immunity both hormonal and intestinal?
8.pregnant lady comes at 91' ' month of pregnancy and she is not immunized against tetanus
what should do? (schedule)
a. she is alte for vaccination.
b. gives lmmuno9loblns
c give ,.,accine. at two weeks inter1al (2 dose)
9. Road traffic accidents of moto1blkes=preve11llon {use helmets)
10. damp proof:? Humidity control-=? Moisture oontrof
li. calculate.SD?
12boiling of •.vater time?
5· 10 minutes
10-20 minutes
5..7 minutes
13. Arthropods bote cause pain and itchfng?
Aaedos E9yp1i
Anopheles
Phlebotonus
14one toilet in school health service 1s for how many students?
aAO b. 10 c.20 d.50
15. chlorination of water for purification=?
6 hrs contact of chlom,e
Kills ail bacteria-and pathogens
Wator lurbldi,Y
16. Examination of pecson working In X ray fab?
4

Urine analysis
Biopsy lymph nodes
Rbc-?
17. person with wound with road accident for tetanus vaccination?
T-0ilet,lmmunoglobulins,antHetanus
18. a class /people divided Into groups for problem sol'ling research=?
Problem base learning
Community based learning
19. \"'/HO functions/
20. clonrlcllum tetanl .spores ente/ the body through o wound/broach in the skin sthg
related to this=-?
(neonalal tetanus = enter In body}
21. fn population pyramid women are on the rigid side of the pyramid mention?
22. tip or lceb~rfl represents?
"-•digonosed an-cf and under treatment pf.subclinical?latent
23.iodine ror11rication- add Ilion of Iodine for qualll>( 1owater
24.temporary hardness of water= ?
Bicarbonates
Calcium carbonates
25 snow s1ron1 appearance=slllcosts
26. protein energy maJnutrit.ion measurement by ?
Height/age
Weight/age
27. 3ro generation co111racep1ives ➔ hormon.M
28. person working in the lead factory test for best confirmation?
S1ipplln9 of RBC's
Coproporphyrlne In cuixe
29.sohool health setvfce.s an except =(ptovislon of minus Desks)
30. fn school health ser..,ioes schools should not be on low le•:el ground
31. a family where brother sister and parents. Cousins and -all live together=?
Joint family
32. modifiable rectors in CHO more sullable =?
Smoking, hyperlipidemia
33. lowest Iron ➔ refined nour
34. scenario related to ➔ net reproduction rate defined
35. population doubling limo 70l2=35yrs
36. domestic/pet dog bite=?
Give antirabie.s
Kill lhe dog and SP.tld head for analysis
Give actl\'e passive
VUlll ror 1 0 days
37. snake bite to person mayi be not sure ➔feeling very anxiety➔reassurance
38. scenario related lo= cohart•study
39. scenario related to = casKontrol study
-10.strength of assoclalfon =odds ratio
42. puerperal sepsis? Prst portion period
42. best Indicator for heallh
World wlde=IMR
'13. hidd&n oases sludy=sentloel surveillance
44. ,,namfn A= Eye
41h Year Maas communjtv Medjcjne Meas Kev Annual 2020
Held in 2021

1. MaJor modl~able factor for M l... Hyperllpidemla

2. snow storm appea'rance ... sillicosis
3. High pregnancy risk factor for a 21 year old .. Height
4. Radiology shows ground glass appearance .. Asbetosis
5. 500 smokers 20 developed cancers 1000 non developed cancers... 2.5
6. Small hairy mosquitoes causing cut ulcers... PHLEBOT0M OUS
7. SCHOOL plan checkup after admission ... 4 years
8. HBVyeastcell vacci ne... Recombinant
9. M ost green house causipg gas .. CO2
10.CFCs source .. Depletion of Upper atmosphere
11.HbsAg- HbcAb+HbaAb... Recovered from natural infection
12. Type of quarantine... Absolute quarantine
13.Muslims 40% Hihdus 10% .. Stratified Random Sampling
14.Which one is a vector and causative agent ...Itch mite
15.Cotton Industry worker.... Ultimately Bronchitis Emphysema
16.Deep wound road side accident .... Wash, TTs and IGs
17.A girl comes wl\h skipp_ed cycle for 2 months... Confirm pregnancy and
Antenata l care
18.Carbs sources of energy choose the best statement. Fibers Lower colon
cancer
19.Dejure in census means... Counting at Residenae
20.lnd1.1strlalizatlon cause changes in demographics•.. first death then decline
21. M ean w eight of a <lhild is 3.3 with 0.5 SD. If a child w eight 4.4 kg what is the
probability of him residing In the given limit ... 50%
22. P<0.05 what is the best statement... Sig 5% probably
23.Multiple punctures snake w ound ... Reassurance
24.Measles killed mother worried about 2 months baby ... Reassurance
ZS.Positive universal i ndicators for socioeconomic and hea lth status... IMR
26.Double blinded Study most appropriate statement... Observer and subject
bias
27. Serles of speeches by qualified persons ... Symposium I

@ 0.1,_
4
th
Year MBBS community Medicine Meas Key Annual 2020
Held In 2021
28. There is no need from isolation from school... cholera
29.Minimum antenatal cheques for women ... 4
30. Choose the most appropriate option .. ROTA 2 DOSES 5 TH AND 10™ WEEK
31.ADDITIONALL calories In 2nd trimester .. 350KCAI
32.SD 5 medical students mean value l,76g give 95% confidence ... 166-188
33.Changes in malarial life ... Cyclopropagative
34.Changes In life stages event in a vector.... Biological transformation
35. Which diseases are most common In dye workers .... Skin/bladder
36. 2nd most common cancer•.. Stomach
37. Bladder cancer causing parasite ... SHISTOSOMSA
38.Polio vaccine which statement Is appropriate .... OPV Local Immunity and
humeral
39.lron .... organ converted to amino acid
40.Antibody used for therapeutic purposes ... Tetanus
41. LBW babies growth retard ... Iodine
42.What is the best measure to control obesity.. Obesity begin at Ctiildhood
43.lndustrlal waste In water fish due to .. LOW 02
44. Provision for basic health education treatment. ... Primary health care
45.Most cost efficient intervention of disease prevention .... Health promotion
46.Major cause of pollution developed and non developed .... Automobile and
Engine
47.Pelvlc inflammatory disease w ith contraceptive indications ... IUD
48.Best indicator of a calculate girl... NRR
49.Scenario in which diseases had occurred and case control study...
Retrospective study
SO.Draw back of dlscriptive study.. Association between causative risk
51. Reverse osmosis used for brackish water desalination statement best
describes....
52.Heroin addiction more crimes low health etc cause ... PSYCHOLOGICAL n
PHYSICAL DEPENDENCE
53.Kyphosis Scoliosis which type of desk causes them ... Plus desk
54.Most addictive substance in Tobacco... Nicotine
55.Chlld labour, low socioeco, low education .....lncrease parents! education

® 0.1,_
41h Year MBBS Community Medicine Meas Keyj\nnual 2020
Held In 2021

56. C:hoose the best option ...replacement level is 2.1

S7.C:hoose most appropriate option for iodine ... Goitre common in northern
58.Most common mental disorder in Pakistan..... Depression
59. Chlld is underweight how w lll you describe on chart.......
60. WHO most imp legislative function ..•
61. Polio test. .. Stool sample at 24: 4.8 hours
62. Which mosquito is a cause of dengue and yellow fever .. ·Aedes Egypti
63.0bstacle for PHC in Pakistan ..........
64. Experimental study quality.... Control over case-and contr.ol groups.
65.
 MCQ KEV COMMUNITY MEDICINE 2021

1. Snow storm a ppearance on Xray SILICOSIS

2. Radiology shows ground glass appearance ASBESTOSIS
3. Most green house causing gas CO2
4. CFCs cause DEPLETION OF UPPER LA YER OF 0101
5. HbsAg - HbcAB + HbsAb + RECOVERED FROM NATURAL INFECT/
6. Major modifieoble factor for Ml HYPERLIPIDEMIA
7. Type of quarantine ABSOLUTE QUARANTINE
8. Muslims 40% hindus 10% etc best choice f or sampling STRATIFIED RANDOM SAMPLING
9. Double blinded study most oppropriote statement OBSERVER AND SUBJECT BIAS
10. Which one is a vector and also a causative agent of disease ITCHMITE
11. Deep wound road side accident dust management WASH , TT AND /Gs
12. Oejure in census means COUNTING AT RESIDENCE
13. 500 smokers 20 d eveloped cancer 1000 non 25 developed
Cancer 1.5
14. Meon weight of o class is 3.3 weight child with 0.5 SD
If a child has 4.4kg what is the probability of him residing
In the given confidence limit 50%
15. Multiple punctures snake wound no sign only anxious REASSURANCE
16. Measles kid mother worried about 2 month old baby sibling REASSURANCE/ NO TREATMENT
17. Series of speeches by qualified person SYMPOSIUM
18. There is no need for isolation f rom school in CHOLERA
19. School health plan checkup after admission every 4 YEAR
20. Minimum antenatal checkuos for woman living in far village 4
21. Industrialization causes changes in demographics FIRST DEA TH THEN BIRTH DECLINE
22. SD 5 medical students mean value 176 give the 95% confidence 166-188
13. Changes in Malar ial life in mosquito and its transmission in human CYCLOPROPAGA TIVE
24. Changes in life stages of agent in vector BIOLOGICAL TRANSMISSION
25. Which diseases are most common in dye worker SKIN/ BLADDAR
26. 2 nd most common cancer that is present in both male and female STOMACH CANCER
27. Bladder cancer causing parasite SHISTOSOMA
28. Smalf hairy mosquito Sindh cutaneous ulcers PHLEBOTOMOUS
29. P <0.05 what is the best statement to describe is SIGNIFICANT 5% probability
30. Vitamin 812 best statement ORGANO CONVERTED TO AMINO AC
31. Additional calories in 2 nd trimester 350KCAL
32. LBW babies growth retard abortion prematurity mental retard IODINE
33. Industrial waste in water fish die due to LOW 02 CONTENT
34. Most cost efficient intervention of disease prevention n good health HEALTH PROMOTION
35. Major cause of pollution in developed ond non developed AUTOMOBILE AND ENGINE
36. Carbs sources of energy etc choose the best statement FIBRES LOWER COLON CANCER
37. Pelvic inflammatory disease which contraceptive contraindicated IUD
38. High risk pregnancyfactor of o 21 year old woman hb 12 135cm HEIGHT
39. Scenario in which disease had occurred and case control study done RETROSPECTIVE STUDY
40. Draw back of discriptive study ASSOCIATION B/W CAUSATION RI!
41. Reverse osmosis which statement best describes
42. Kyphosis scoliosis which type of desk causes them PLUS DESK
43. Best indicator to calculate girl replacement rate NRR
44. Choose the best option replacement level is 2.1
45. Positive universal indicator for socioeconomic and health status LIFE EXPECTANCY
46. Choose the most appropriate option about iodine GOITRE COMMON IN NORTHERN
47. Most common mental disorder in Pakistan DEPRESSION
48. WHO first important legislative function
49. Provison of basic health education tratement etc PRIMARY HEALTH CARE
50. Polio test STOOL SAMPLE AT 24 48 HRS
51. Choose the most appropriate option ROTA 2 DOSES 67" ND 10TH WEEK
52. Antibody alse used for therapeutic purposes TETANUS
53. Polio vaccine which statement is most appropriate OPV IMMUNITY LOCAL AND HUM
54. Heroine addiction more crimes low health e tc cause PSYCHOLOGICAL n PHYSICAL DEPENDl
55. Most addictive substance in Tobacco NICOTINE
56. A girl comes with skipped cycle for 2 months CONFIRM PRAGNANCY ANTENATA.
57. Hepatitis b yeast cell vaccine RECOMBINENT
58. Which mosquito is a cause of dengue and yellow fever AEDES EGYPTI
59. Child is underweight how will u describe on chart
60. Obstacle for PHC in Pakistan
61. What is best measure to control obesity OBESITY CONTROL BEGIN AT CHILD
62. Experimental study quality CONTROL OVER CASE AND CONTRC
GROUPS
63. Cotton indus try worker ULTIMATELY BRONCHITIS EMPHY5
64. Child labour low socioeconomic and low education what to do INCREASE PARENTAL EDUCATION
65.
OCCUPATIONAL HEALTH PEARLS

1 sanitary convenience for every 25 employes separate for male & female ♀ ♂for
first 100 employes after that 1 for 50

Wall paint should be repainted once in 3 years & washed atleast once in 6 month

SPACE for every worker 500 cubic feet & 14 feet above the ground

12 weeks / 90 days leaves for maternity

person of ill health blood disease dont recruit him for Radium & x ray machines

Usually medical examination of worker onece a year

White washed the factory once a year

Ventilation opening for each worker is 5 sq feet

TIME ISOLATION is doing hazardous work in night when workers not there

250 worker there should be a canteen

Creches should be there when 30 wonen working

Under 15 yr cant work in factory

Hours of working 48 hrs a week &

▶not exceeding 9 hours a day

▶ Including overtime work hrs should not exceed 60 hrs a week

▶leave with wages after 12 months continuous services, 1 leave for 20 days

▶Half hour break after Continous 5 hrs work

▶ 1976 it was added person can work for 12 hrs including rest hrs

15-18 years old are adolescents

(▶should be certifie by surgeon for fitness for work

should work onli in between 6:00 am to 7:00 pm

▶ Hours of work 4.5

▶ 1 leave for 15 days

Mother child health care PEARLS

Ideally antenatal visits are 13

1 in first 7 month,

2 in 8 month than every week during 9th month

Minimum antenala visits are 4

If pregnant lady got high BP

Refer to MO

▶if she got 2+ albumin in urine with high bp label eclampsia send her to FRU / first referal unit

Weight gain during pregnancy should be 9-11kg

Foetal heart sound can be heard after 6th month (120-140 beats pM) best heared after
28th week

Pregnancy detection, HB, urine test for sugar & albumin & rapud malaria test must carried
out on 1st visit

Woman ♀ at *RISK Risk approach

- primigravida age < 30

- short ( < 140 cm)

- twins, anemia prolonged pregnancy, previously diseased pregnencies

Sleep during pregnancy 8 hours night+ 2 hours day nap

X ray avoided preceding 2 weeks of last menstrual period

2 dose of tetnus to pregnant lady must 1st (16-20 week) 2nd 20-24 week ideally

Otherwise whenever she comes before delivery give TT both doses 4 week apart
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