Preventive Obstetrics, Paediatrics and Geriatrics

Multiple ChoiCe Questions

MCH
7. All are criteria for identifying ‘at risk’ infants except:
(a) Birth weight less than 2.8 kgs [AIPGME 1996]
1. The extra energy allowances needed per day during (b) Birth order 5 or more
pregnancy is: [AIPGME (c) PEM, diarrhoea
2006] (d) Working mother
(a) 150 KCals
(b) 200 KCals 8. Over and above metabolic requirements, a pregnancy
(c) 300 KCals in total duration consumes about: [AIIMS Dec 1994]
(d) 550 KCals (a) 10000 kcal
(b) 20000 kcal
2. Additional daily energy requirement during the first six
(c) 40000 kcal
months for a lactating woman is: [AIIMS Nov 03]
(d) 60000 kcal
(a) 350 K calories Pr
(b) 450 K calories 9. Average weight gain during pregnancy in poor Indian ev
(c) 550 K calories women is about: [AIIMS Dec en
(d) 650 K calories 1994] tiv
3. Under MCH programme, iron and folic acid tablets to (a) 12 kgs e
be given daily to mother has: (b) 10 kgs
O
[AIPGME 2003, AIIMS May 04] (c) 6.5 kgs
bs
(a) 60 mg iron + 500 mcg folic acid (d) 2.5 kgs
te
(b) 100 mg iron + 500 mcg folic acid 10. All are true regarding Congenital Syphilis except: tri
(c) 60 mg iron + 100 mcg folic acid [AIIMS Dec 1995] cs
(d) 100 mg iron + 100 mcg folic acid (a) Procaine Penicillin can prevent it satisfactorily ,
4. Which of the following is not included in ‘5 cleans’ in (b) Infection of the fetus most commonly occurs in 1st P
conduct of delivery? trimester ae
(a) Clean hands [AIIMS Dec (c) Neurological damage with mental retardation can di
1994] be a serious consequence
at
(b) Clean perineum (d) If mother has Late syphilis, chances of transmission
ri
(c) Clean cutting and care of cord decreases
cs
(d) Clean surface for delivery 11. A 24 year old primigravida wt 57 kg, Hb 11.0 gm% an
5. “Five clean practices” under strategies for elimination visits an antenatal clinic during 2nd trimester of d
of neonatal tetanus include all except: [AIIMS May 94] pregnancy seeking advice on dietary intake. She G
(a) Clean surface for delivery should be advised: [DPG er
(b) Clean hand of the attendant 2011]
(c) New blade for cutting the cord (a) Additional intake of 300 Kcal
(d) Clean airway (b) Additional intake of 500 Kcal
(c) Additional intake of 650 Kcal
6. A 37 weeks pregnant woman attends an antenatal
(d) No extra Kcal
clinic at a Primary Health Centre. She has not had any
antenatal care till now. The best approach regarding 12. MCH care is assessed by [Recent Question 2012]
tetanus immunization in this case would be to: (a) Death rate
[AIPGME 04] (b) Birth rate
(a) Give a dose of Tetanus Toxoid (TT) and explain to (c) Maternal mortality rate
her that it will not protect the new born and she (d) Anemia in pregnancy
should take the second dose after four weeks even if
she delivers in the meantime 13. Under ICDS, caloric supplement for pregnant women
(b) Do not waste the TT vaccine as it would anyhow be [Recent Question 2012]
of no use in this pregnancy (a) 300 Kcal, 8-10 grams of proteins
(c) Given one dose of TT and explain that it will not be (b) 200 Kcal, 6-8 grams proteins
useful for this pregnancy (c) 600 Kcal, 16-20 grams proteins
(d) Give her anti-Tetanus Immunoglobulin along with (d) 500 Kcal, 20-25 grams proteins
the TT vaccine
575
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 Review of Preventive and Social Medicine

14. Late pregnancy calorie requirement is (b) 2

(a) 2800 [DNB December 2011]
(b) 3000
(c) 1500
(d) 2300
15. The daily extra calorie requirement in first trimester of
pregnancy is [DNB 2007]
(a) 50
(b) 150
(c) 350
(d) 450

LBW

16. For a given population, minimum no. of newborns to

be examined for calculating percentage of LBW babies
is: [AIIMS Nov
2005]
(a) 100 babies
Preventive Obstetrics, Paediatrics and Geriatrics

(b) 500 babies

(c) 1000 babies
(d) 10,000 babies
17. Mean Birth weight of Indian babies is
(a) 2.5 kgs [AIPGME 2001]
(b) 2.8 kgs [Recent Question 2013]
(c) 3.1 kgs
(d) 3.5 kgs
18. By international agreement, low birth weight has been
defined as a birth weight when measured within the
first hour of life is: [Karnataka
2004]
(a) Less than 2000 grams [Recent Question
2012]
(b) Less than 2500 grams
(c) Less than 2800 grams
(d) Less than 3000 grams
19. As per WHO low birth weight is defined as:
(a) Birth weight less than 2.5 kg [PGI Dec
03]
(b) Birth weight < 10th percentile [Recent Question
2013]
(c) Gestational age < 34 weeks
(d) Gestational age < 28 weeks
20. Which of the following advise should be given for an
infant suffering from mild diarrhea? [DPG
2007]
(a) Continue breast feeding
(b) Antibiotics
(c) Stop all breast feed and start ORS
(d) Intravenous fluid administration
21. The term used for babies born as a result of retarded
intrauterine fetal growth is: [Karnataka
2005]
(a) Pre-term babies
(b) Low birth weight babies
(c) Small for date babies
(d) Retarded babies
22. Minimum antenatal visit as per MCH is: [PGI Dec 03]
(a) 1
 (c) 3 26. A boy age 6 years, weight 13 kg. PEM grading:
(d) 4 (a) Grade II [Bihar 2006]
(e) 5 (b) Grade I
23. Prevalence of low birth weight in India is: (c) Grade III
[Recent Question 2012] (d) Grade IV
(a) 26% 27. After birth, care of eye of newborn is by:
(b) 28% (a) Crede’s method [UP 2002]
(c) 30% (b) Antibiotics
(d) 32% (c) Normal saline
(d) AgNO3 eye drop
Review Questions
28. Essential criteria for K washiorkor is: [UP 2002]
(a) Body weight is less than 60%
24. The outer line of under-5 clinic which touches all (b) Thin dry brittle hair
others is: [DNB (c) Vocarious appetite
2002] (d) Edema in dependent part
(a) Preventive care
29. The energy requirement of women are increased in first
(b) Growth monitoring
6 months of lactationis: [UP 2005]
(c) Health education to mother
(a) 300 Kcal
(d) Immunisation
(b) 400 Kcal
25. The best parameter for assessment of chronic (c) 550 Kcal
malnutrition is: [DNB (d) 450 Kcal
2005] 30. Preterm babies: [UP 2006]
(a) Weight for age (a) Born before 37 weeks
(b) Weight for height (b) Born before 40 weeks
(c) Height for age (c) Born before 42 weeks
(d) Any of the above (d) Born before 47 weeks

576
 Preventive Obstetrics, Paediatrics and Geriatrics

31. Folic acid supplementation during lactation period is:

(b) 15%
(a) 100 mg/d [UP (c) 20%
2007] (d) 30%
(b) 150 mg/d
(c) 400 mg/d 41. For low birth weight of Indian babies the weight
(d) 450 mg/d criteria is birth weight less than: [MH
2007]
32. Elemental iron supplementation in Iron deficiency
(a) 2.2 kg
anemia is: [UP
(b) 2.0 kg
2008]
(c) 2.5 kg
(a) 300 – 400 mg
(d) 2.7 kg
(b) 150 – 200 mg
(c) 100 – 150 mg 42. Most common cause of low birth wt baby is: [RJ 2004]
(d) < 100 mg (a) Prematurity
(b) Infection
33. WHO in which year concelved the idea of Safe
(c) Anemia
Motherhood initiative at a conference in Nairobi,
(d) Diabetes
Kenya:
(a) 1987 [AP
2007] MCH INDICATORS
(b) 1980 Pr
(c) 1990 43. All of the following are common cause of post ev
(d) 1997 neonatal infant mortality in India, except: [AIPGME en
02] tiv
34. Protective shield is made up of: [MP 2003]
(a) Tetanus e
(a) Copper
(b) Malnutrition O
(b) Lead
(c) Diarrhoeal diseases bs
(c) Iron
(d) Acute respiratory infection te
(d) Platinum
35. Which of the following is age independent indicator of
44. Maternal Mortality Rate is calculated by: tri
malnutrition? [MP 2006] [Recent Question cs
2014] ,
(a) Underweight
(a) Maternal deaths/live birth [AIIMS May P
(b) Stunting
08] ae
(c) Wasting
(b) Maternal deaths/1000 live births di
(d) MAC
(c) Maternal deaths/100000 live births at
36. Osteomalacia in pregnancy and lactation is best treated (d) Maternal deaths/100000 population
by: [MH 2000]
ri
(a) Vitamin D 45. Which one of the following is the leading cause cs
(b) Vitamin D and calcium of mortality in under five children in developing an
(c) Calcium countries? [AIPGME 2004] d
(d) Vitamin D-calcium and phosphorous (a) Malaria G
(b) Acute lower respiratory tract infections er
37. Minimum ANC visits during pregnancy should be: (c) Hepatitis
(a) 3 [MH (d) Pre-maturity
2000]
(b) 5 46. All of the following deaths are included in as causes of
(c) 9 maternal death except: [AIIMS June
(d) 12 1997]
(a) Following abortion
38. Daily need of calories in pregnancy is: [MH 2003]
(b) During lactation 1st month
(a) 1500 kCals
(b) 2000 kCals (c) During lactation 8th month
(c) 2500 kCals (d) During the last trimester due to APH
(d) 3500 kCals 47. All of the following statements are true about the
39. The average weight of newborn in South India is: childhood mortality rates in India except:
(a) 2.2 kg [TN 2000] (a) Almost half of infant mortality rate (IMR) occurs in
(b) 2.5 kg neonatal period. [AIIMS Nov
(c) 3.0 kg 2005]
(d) 3.5 kg (b) Almost 3/4th of the under-five mortality occurs in 577
the first year of life.
40. The target of ‘Health for All by 2000’ for reduction in (c) About one in thirteen children die before they reach
the incidence of low birth weight was: [MP 2009] the age of five years.
(a) Less than 10% (d) Neonatal mortality is higher among female children
as compared to males.
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 Review of Preventive and Social Medicine

48. Among the following the best indicator of health in a

(b) Perinatal mortality rate
community is: [AIIMS Dec
(c) Still birth rate
1994]
(d) Post neonatal mortality rate
(a) Maternal mortality rate
(b) Infant mortality rate 58. The highest rate of infant mortality in India is reported
(c) Life expectancy from: [Karnataka 2008]
(d) Neonatal mortality rate (a) Madhya Pradesh
(b) Bihar
49. Leading Cause of maternal deaths in India is:
(c) Uttar Pradesh
(a) Anemia [AIIMS May Nov 02- 04,
(d) Orissa
05,
(b) Hemorrhage May 08, Nov 02 AIPGME 59. Mainly included in child survival index: [PGI June 01]
08] (a) MMR
(c) Sepsis (b) IMR
(d) Obstructed labour (c) Mortality between 1 to 4 yr. age
(d) Under 5 mortality
50. Of total deaths in India per year, infant deaths
contribute about: [AIIMS Dec 60. Current indicators of MCH: [PGI Dec 2005]
1994] (a) MMR 3 - 4/1,00,000
(a) 6 % (b) IMR 39/10,000
(b) 13 % (c) Delivery by trained personal 42%
(c) 19 % 61. MMR Expressed as: [PGI Dec 2006]
(d) 44 % (a) Per/1000 live births
51. Infant mortality does not include: (b) Per/1,00,000 live births
Preventive Obstetrics, Paediatrics and Geriatrics

[AIPGME 2005] (c) Per /10,000

(a) Early neonatal mortality [AIIMS November 2014] (d) Per/100
(b) Perinatal mortality (e) Per/10 lacs
(c) Post neonatal mortality 62. Perinatal mortality rate includes: [Recent Question 2013]
(d) Late neonatal mortality (a) Deaths within first week of life
52. Sensitivity parameter of combined pediatric and [Recent Question 2012]
obstetric care in our country is: [AIPGME (b) Abortions, Stillbirths, deaths within first week of
2006] life [AIPGME
(a) IMR 2010]
(b) PNMR (c) Deaths from 28 weeks to with first week of life
(c) NNMR (d) Deaths within one month of life
(d) NMR
63. In a given population, total births in a year are 4050.
53. Commonest cause of neonatal mortality in India is: There are 50 still births. 50 neonates die within first 7
(a) Diarrheal diseases [AIIMS May days of life whereas the number of deaths within 8-28
2003] days of life is 150. What is the Neonatal mortality rate
(b) Birth injuries in the population? [AIIMS Nov
(c) Low birth weight 2010] (a) 12.5
(d) Congenital anomalies (b) 50
54. Maternal mortality rate (MMR) is expressed as: (c) 49.4
(a) Per 100,000 live births [DPG 2007] (d) 62.5
(b) Per 1000 live births [Recent Question 2014] 64. Which of the following is the least likely cause of
(c) Per 100,000 births Neonatal mortality in India? [AIIMS Nov
(d) Per 1000 births 2010]
55. The postnatal period extends for: [Karnataka 2005] (a) Severe infections [Recent Question 2013]
(a) 2 weeks (b) Congenital malformations
(b) 4 weeks (c) Prematurity
(c) 6 weeks (d) Birth asphyxia
(d) 8 weeks 65. Which of the following is the denominator of Maternal
56. Maternal mortality rate-MMR is defined as number of Mortality Rate? [AIPGME
maternal deaths per: [Karnataka 2006] 2011]
(a) 1000 live births (a) Total number of births
(b) 1,00,000 live births
(c) 10,000 live births
(d) 100 live births
578 57. Late foetal deaths and early neonatal deaths are (b) Total number of married women
considered in which of the following indices? (c) Total number of live births
(a) Infant mortality rate [Karnataka 2007] (d) Total mid-year population
 Preventive Obstetrics, Paediatrics and Geriatrics

66. In India maximum maternal mortality is due to:

75. Most common cause of infant mortality in India is:
(a) Hemorrhage [AIIMS May 2011]
(a) LBW [Recent Question 2012, 2013]
(b) Anemia
(b) Injury
(c) Abortion
(c) ARI
(d) Sepsis
(d) Tetanus
67. Annual Under-five deaths globally reported are:
76. Maternal mortality is maximum in...............period:
(a) 6 million [AIIMS November
(a) Antepartum [Recent Question 2012, 2013]
2013]
(b) Peripartum
(b) 8 million
(c) Postpartum
(c) 10 million
(d) None
(d) 12 million
77. Infant mortality does not include: [DNB 2007]
68. In a certain population, there were 4050 births in the
(a) Early neonatal mortality [AIIMS May 2014]
last one year. There were 50 still births. 50 infants died
(b) Perinatal mortality
within 7 days whereas 150 died within the first 28
(c) Post neonatal mortality
days. What is the neonatal mortality rate?
(d) Late neonatal mortality
(a) 50 [AIIMS May 2012,
2014] 78. Perinatal mortality includes deaths: [DNB June 2010]
(b) 62.5 (a) After 28 weeks of gestation
(c) 12.5 (b) First 7 days after birth
Pr
(d) 49.4 (c) Both
ev
(d) From period of viability
69. Leading cause of neonatal mortality in India is: en
(a) Infections [AIIMS November 79. Maternal mortality rate definition include all except: tiv
2012] (a) Death in pregnancy [NIMHANS 2014] e
(b) Birth asphyxia/trauma (b) Death during delivery O
(c) Diarrhoea (c) Death within 6 weeks post delivery bs
(d) Prematurity and Congenital malformations (d) Death within 6 months post delivery te
70. Extended definition of perinatal mortality includes 80. Infant mortality rate does not include tri
crown heel length of [DNB June 2010] (a) Early neonatal mortality cs
(a) >15 cm at birth (b) Late neonatal mortality ,
(b) >25 cm at birth (c) Post neonatal mortality P
(c) >35 cm at birth (d) Still births [AIIMS May 2014; November 2014] ae
(d) >45 cm at birth di
Review Questions
71. 4050 births in a year in a city out of which 50 were still at
births. 50 died in first 7 days while another 150 died in 81. In India, the goal is to reduce maternal mortality per
ri
first 28 days. What is the Neonatal mortality rate of the 100,000 lives births by 2000 A.D. to: [DNB 2000] cs
city? [AIIMS November (a) 500 an
2012] (b) 400 d
(a) 0.5 (c) 200 G
(b) 0.625 er
(d) 100
(c) 0.125
(d) 0.05 82. Perinatal death induces: [DNB 2001]
(a) After 28 weeks of pregnancy
72. Most common cause of infant mortality in India is?
(b) 7 days after birth
(a) Low birth weight [Recent Question
(c) Both
2013]
(d) None
(b) Respiratory disease
(c) Diarrhoeal diseases 83. Maternal mortality includes: [DNB 2001]
(d) Congenital anomalies (a) Pregnancy
(b) 42 days of termination of pregnancy
73. Child survival index is calculated by?
(c) Both
(a) 1000-IMR/10 [Recent Question
(d) None
2013]
(b) IMR-1000/10
(c) 1000-U5MR/10
(d) U5MR-1000/10
74. The current neonatal mortality is:
[Recent Question 2013] 84. Perinatal death induces: [DNB 2005]
(a) 28
(a) After 28 weeks of pregnancy
(b) 30
(b) 7 days after birth
(c) 33
(c) Both
(d) None
(d) None www.
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 Review of Preventive and Social Medicine

85. Infant mortality does not include: [DNB

(a) Diarrhea
2007]
(b) ARI
(a) Early neonatal mortality
(c) Malnutrition
(b) Perinatal mortality
(d) Tetanus
(c) Post neonatal mortality
(d) Late neonatal mortality 95. Most common cause of maternal death in India:
(a) Unsafe abortion [MP 2005]
86. What is the denominator of perinatal mortality rate?:
(b) Obstructed labour
(a) Total live births + still births [Bihar 2003]
(c) Perpueral sepsis
(b) Live births is the same year
(d) Obstetric hemorrhage
(c) Total live births weighing over 1000 grams at
birth 96. In a population of 5000, with birth rate of 30/1000
(d) Late fetal deaths + early neonatal deaths population, 15 children died during first year life in
one year: of these 9 died during first month of life.
87. Numerator in infant mortality rate is: [UP 2000]
What is the infant mortality rate in this population?
(a) Less than 1 year
[MP 2006]
(b) 28 days
(a) 100
(c) 1 months
(b) 60
(d) Equal to 1 year
(c) 150
88. Perinatal mortality rate includes: [UP (d) 45
2002]
97. Infant mortality rate (IMR) is defined as number or
(a) 37 weeks to 1st week after birth
Preventive Obstetrics, Paediatrics and Geriatrics

deaths of infants under age one per:

(b) 28 weeks to 1st week after birth
(a) 1000 births [MP 2006]
(c) 20 weeks to 1st week after birth
(b) 1000 live birth
(d) Before preterm labour
(c) 1000 mid year population
89. Denominator in, under 5 proportionate mortality rate (d) 1000 women of reproductive age group
is: [UP 2002]
98. In India, approximately 50% of maternal deaths are
(a) Mid year population
caused by: [MP
(b) Mid year population in 5 years age
2009]
(c) Number of live birth in same year
(a) Sepsis and abortion
(d) Total death in same year
(b) Sepsis and obstructed labour
90. The denominator in maternal mortality rate: (c) Sepsis and Hypertension
(a) 1,000 live births [UP (d) Sepsis and hemorrhage
2004]
99. In India, Neonatal Mortality Rate per 1000 live births
(b) 100 live births
is: [MP
(c) 10,000 live births
2009]
(d) 1,00,000 live births
(a) 20
91. The following does not suggest Under Five Care in the (b) 40
community: [AP 2005] (c) 60
(a) Infant mortality rate (d) 80
(b) 1-4 year mortality
100. For international comparison, the WHO expert
(c) Neonatal tetanus
committee defines ‘still birth’ as birth of dead and
(d) Deaths due to diarrhoeal disease between 1-5 years under weight of fetus more than grams:
(a) 500 [MHPGMCET 2008] [MH 2006]
92. The Infant mortality rate goal set for the year 2000 for
(b) 1000
India is: [TN
(c) 1500
2003]
(d) 2000
(a) 10 per 1000 live births
(b) 40 per 1000 live births 101. According to international standards, STILL BIRTH is
(c) 50 per 1000 live births defined as per fetal weight ABOVE?
(d) 60 per 1000 live births (a) 500 grams [MH 2008]
(b) 800 grams
93. Denominator in MMR: [MP
(c) 1000 grams
2000]
(d) 2000 grams
(a) Total no. of live births in the same area and same
year 102. Denominator of maternal mortality rate is:
(b) No. of maternal deaths of reproductive age group (a) 1000 live birth [RJ 2001]
(c) Total no. of deaths of reproductive age group in the (b) 1000 pregnant woman
same area and same year (c) 1000 population
(d) Mid year population (d) None
94. All are the important causes of post neonatal mortality
580 except: [MP 2001]