‘Veer Chandra Singh Garhwali Govt. Institute of Medical Science & Research Department of Community Medicine MBBS 3" Prof. Part I Pre-University Exam (Batch 2021) Date: 23/12/2024 Paper I Max Marks = 100 Note: Attempt all questions, No negative marking, Kindly encircle the single correct option. Section - A - MCQ’s (20 marks) 1, The incidence rate of'a disease is 5 times greater in ‘women than in men, but the prevalence rates show no sex difference. Best explanation is that: a) Case fatality rate for this disease is lower in ~ women eo) Case fatality rate for this disease is higher for women ©) The duration of disease is shorter in men d) Cure of disease is difficult in women 2. All of following legislations are repealed & simplified by “Code on Social Security 2020” a) The ESI Act, 1948 % ‘The Factories Act, 1948 ) The Maternity Benefit Act, 1961 d) The Cine-Workers Welfare Fund Act, 1981 3. Inan investigation to study the effect of smoking con renal cell cancer, itis observed that 30 of the $0, patients were smokers as compared to 10 out of 50 ‘control subjects. The odd ratio of renal cancer associated with smoking will be: a) 3.0 0.33 6.0 0.16 4, Allof following are true about Dolutegravir except: a) Dose is 50 mg once daily b)_Repid viral suppression Ore effective against HIV-2 Weight gain 5. Which of following is false about CERVAVAC vaccine: a) Recombinant Vaccine b) Quadrivalent ©) Dose is 0.5 ml, administered according to 2 or 3 dose schedules & Route of administration is intradermal 6, Neonatal tetanus (NT) elimination is defined as if every district of country has: a) <1 NT case per 10,000 live births in a year <1 NT case per 1,000 live births in a year ©) <1ONT cases per 1,000 live births in a year 4) <1ONT case per 100,000 live births in a year 7. Which of following is used to represent a continuous variable: ‘Simple bar istogram @ Pie diagram 4) Multiple bar 8. A 2-year-old female child was brought to a PHC ‘with a history of cough & fever for 4 days with inability to drink for last 12 hours. On examination, child was having weight of 5 kg and respiratory rate of 45/minute with fever. The child ll be classified as suffering from: (a) Very severe disease b) Severe Pneumonia ©) Pneumonia 4) No Pneumonia % splacental transmission is not seen in Hepatitis A b) Hepatitis B © HIV 4) Varicella 10. A drug company is developing a new pregnancy- test kit for use on an outpatient basis. The company used the pregnancy test on 100 women who are known to be pregnant. Out of 100 women, 99 showed positive test. Upon using the same test on 100 non-pregnant women, 90 showed negative result, What is the sensitivity of the test? a) 90% 99% e) Average of 90 & 99 4) Can't be calculated from the data 11, Stanford-three-community study, The North Kerelia project and Lipid Research Clinics study are types of: a) Cohort studies b) Nested case control studies ©), Case series report studies (@ BRisk factor intervention trials 12, Bacterial indicator of recent contamination of water is? a) Clostridium perftingens b) E.coli ¢), Clostridium welchii Faecal streptococci13, A known HIV positive patient is admitted in an isolation ward after an abdominal surgery following an accident. The resident doctor who changed his dressing the next day found it to be soaked in blood. Which of the following would be right method of choice of discarding the dressing? a) Pour 5% hypochlorite on the dressing material and send it for incineration in an appropriate bag Pour 1% hypochlorite on the dressing material and send it for incineration in an appropriate bag ©) Put the dressing material directly in an appropriate bag and send for incineration 4) Pour 2% Lysol on the dressing material and send it for incineration in an appropriate bag, 14, On examination of a leprosy patient, itis found that there is loss of sensation of both feet and clawing of the left hand, there is no disability of right hand and no eye problems due to leprosy; no evidence of visual loss. What is the WHO Grading of Disability? a) Grade 0 b) Grade 1 Grade 2 Grade 3 15. Which of the following statements regarding live vaccines is false? (@ two live vaccines cannot be administered simultaneously b) Booster doses are not required when live vaccines are administered ©) Single dose gives lifelong immunity 4) Live vaccine contains both major and minor antigens 16, Most predominant subtype of HIV in India HIV-1 M subtype C 5) HIV-2 M subtype C ©) HIV-1N subtype A 4d) HIV-2N subtype A 17. A pharmaceutical company develops a new antihypertensive drug. Samples of 24 hypertensive patients, randomly selected from a large population of hypertensive people, are randomly divided into 2 groups of 12. One group is given the new drug over a period of 1 month; the other group is given a placebo according to same schedule. Neither patients nor treating physicians are aware of which patients are in which group. At end of the month, patient's blood pressure measurements are made. This study: (a)) Is a randomized controlled clinical trial B)_ Uses a crossover design c) Isa single blind experiment d) Isa prospective study 18, Principles of bioethics include all except: a) Beneficence a Equitable distribution c) Respect for autonomy 4d) Justice 19. A23 years old woman presented to a doctor with complaints of vaginal itching. On speculum examination it revealed white cheesy discharge adherent to walls of vagina with vaginal = inflammation. Most likely causative organism is: @) Candida albicans 'b) Trichomonas vaginalis ¢) Gonococcus d) Treponema pallidum 20. Which of the following Biomedical wastes can be incinerated? a) Pressurized gas containers b)_ Radiographic wastes Human anatomical wastes d) PVCs Veer Chandra Singh Garhwali Govt, Institute of Medical Science & Research Department of Community Medicine MBBS 3rd Prof. Part I Pre-University Exam (Batch 2021) Date: 24/12/2024 Paper II Max Marks =100 Note: Attempt all questions, No negative marking. Kindly encircle the single correct option, Section - A - MCQ'’s (20 marks) Ifa good manager ensures low wastage of 7. Which of following is true about Sustainable resources he is: Development Goals target for NCDs: a) Effective Target 3.4 calls for a one third reduction Efficient in premature mortality from NCDs by ©) A monitor year 2030 d) A decision maker b) SDGs do not include a specific target for All of following programs/schemes have NCDs been phased out except: ©) Target 1.4 calls for a one third reduction a) SABLA in premature mortality from NCDs by b) National Nutritional Anemia Control year 2030 Program 4d) Target 3.4 calls for a one third reduction ©), Kishori Shakti Yojana in incidence of NCDs by year 2020 @ueaat Hygiene Scheme 8. All are true about Net protein utilization WHO has established 6 regional (NPU) except: : organizations. Which of following is not the a) NPU is defined as Nitrogen retained by defined WHO Region: Nitrogen consumed X 100 : a) The Americas GD) cram proteisenuialest tan, @® Australia Ac cer ; ©) Good for estimating protein quality ©) Africa 4) Egg has the highest NPU value 4) Europe 9. The correct order of the disaster cycle is ASHA demonstrates to the mothers to a) Response > Mitigation > Preparedness > prepere an ORS sol it is an example of? Recovery a) Equitable distribution ® Response > Recovery > Mili Appropriate technology Preparedness ©) Community participation ©) Response > Mitigation > Recovery > 4) Inter-sectoral coordination Preparedness The mechanism of action of IUCD does not 4) Mitigation > Recovery > Response > include: Preparedness a) Inducing mild inflammatory changes & 10. Which of the following provides free of cost foreign body reaction in the antenatal care to pregnant women on the 9! endometrium of every month? increasing heVEE RATAN ach uterus : ¢) Incapacitating the sperms & ovum, c) JSY Preventing sperm from fertilizing the 4) ICDS ' ovum 11. GOBI~A campaign promoted by UNICEF d) Making the uterine environment inhospitable for the blastocyst to be implanted The mental habits acquired from social experiences that predispose people to react to specific situations in a specific manner are known as: a) Knowledge Practices S d) Beliefs includes all the following strategies except? a) G- growth charts to better monitor child development, b) O- oral rehydration to treat all mild and moderate dehydration, HSH eon TERRC Raia 4) I-immunization against vaccine Preventable diseases,12. Objectives should have which of the following characteristics? a) Smart, Mindful, Active, Repeatable, Target free b) Sensitive, Meetable, Accurate, Recurrent, Timely Specific, Measurable, Achiévable) Relevant, Time bound 4) Showy, Mature, Allowable, Reusable, Target bound 13. The correct sequence of various components of the ‘communication’: a) Receiver, Message, Channel, Feedback, Sender Sender, Message) ChaineRECeWven Feedback c) Message, Sender, Channel, Feedback, Receiver d) Sender, Feedback, Message, Channel, Receiver 14, PFA Act 1954 has laid down standard for level of Iodization of salt: a) 90ppm at production level & 60ppm at consumer level b) 15pm at production level & 10pm at consumer level a 30pm at produgtiSHevel @ Tsppiiat consumer level 4) 60ppm at production level & 30ppm at consumer level 15. Kuppuswamy scale for socioeconomic status is based on: a) Monthly family income, No. of members ©) Per capita monthly income, Occupation of head of family, Education of head of family 9) Per capita monthly income, No. of members in family, Education of head of 16. ppt . Eridemic ropsy is caused by the following 2) Bein Stiy{ amni 5 ») ASlatoxin amino alanine (BOAA) @) Fusarium toxin 17. According to Hardy Weiberg law, following are the factors which influence the human gene pool. a) Mutation b) Population movement Public Health measures 18, Identify the correct statement among the following: a) Didactic method is a two-way method of communication b) Socratic method is a one-way method of communication 4) Inpanel discussion, group of people interact with each other 19. No. of daughters a newborn girl will bear during her life time assuming fixed age specific fertility and mortality rate, refers to which one of the following? a). Gross Reproduction Rate INGERESLoaUCTION IRATE ©) Total Fertility Rate d) Crude Birth Rate 20. Which of the following statements refers to propaganda? a) Develops individuality b)_Itis behaviour centered d) Makes people think for themselves