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]
(a) Total no. of live births in the same area and same (d) 2000 grams
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]
 Preventive Obstetrics, Paediatrics and Geriatrics

103. Commonest cause of perinatal mortality in India: (d) A

(c) More iron
(a) Prematurity [RJ p
(d) Less of Vitamins
2001] ri
(b) Birth injury 111. Mean output of breast milk per day is maximum l
(c) Metabolic during the following months of lactation: [AIIMS
(d) Congenital Nov 2008]
(a) 0-2 months
104. Infant mortality rate is no. of infant death per: (b) 3-4 months
(a) 1000 total birth [RJ (c) 5-6 months
2005] (d) 7-8 months
(b) 1000 live birth
(c) 1000 pregnancy 112. As compared to cow milk, breast milk contains more:
(d) None (a) Energy [DPG
2005]
105. MMR should be expressed in terms of: [RJ (b) Fat
2005] (c) Lactose
(a) Per 1000 live births (d) Proteins
(b) Per 1000 births
(c) Per 1000 pregnancy 113. Not true about breast milk is: [AIIMS May
(d) Per 100 live births 2011]
(a) Maximum output is at 12 months of lactation
106. All are true about DOTS excepts: [RJ 2006] (b) Coefficient of iron absorption is 70%
(a) Alternate day treatment (c) Calcium utilization more than cows milk
(b) Improve compliance (d) Breast milk contains high amounts of lactose
(c) Continuation phase drugs are given in a
multiblister combipack 114. Human breast milk has more of: [PGI May
(d) Medication is to be taken in presence of a health 2011]
worker (a) Lipids
(b) Carbohydrates
107. In population of 1 lac, with 4000 live birth per annum (c) Proteins
and under S population is 15000 with infant death per (d) Iron
annum is 1\28. So the less than 5 mortality rate is: (e) Calcium
(a) 40% [RJ
2006] 115. Compared with unprocessed cow’s milk, human breast
(b) 100% milk contains more of: [Karnataka
(c) 26.5% 2011]
(d) 69% (a) Lipids [Recent Question
2012]
(b) Proteins
BREAST FEEDING (c) Minerals
(d) Carbohydrates
108. The following statements about breast milk are true
except: [AIPGME 2004] 116. In normal delivery, breast feeding should be started
within: [Recent Question 2012]
(a) The maximum milk output is seen at 12 months
(a) ½ hour of delivery
(b) The coefficient of uptake of iron in breast milk is
(b) 1 hour of delivery
70%
(c) 4 hour of delivery
(c) Calcium absorption of human milk is better than
that of cow’s milk (d) 6 hour of deliver
(d) It provides about 70 K cals per 100 ml
Review Questions
109. The current recommendation for breast- feeding is
that: [AIPGME 1999, 2004]
117. Amount of calcium in human milk in 100ml:
(a) Exclusive breast-feeding should be continued till 6
months of age followed by supplementation with (a) 28 mg [Bihar 2003]
additional foods (b) 48 mg
(b) Exclusive breast-feeding should be continued till 4 (c) 34 mg
months of age followed by supplementation with (d) 60 mg
additional foods 118. Why casein ratio in breast milk is: [TN 2000]
(c) Colostrum is the most suitable food for a new born (a) 1:1
baby but it is best avoided in first 2 days (b) 2:1
(d) The baby should be allowed to breast- feed till one (c) 3:8
year of age (d) 7:3
110. As compared to Cow’s milk, human milk has: 119. World breast feeding week is celebrated in month of:
(a) More proteins [AIIMS May 07, Nov (a) January [MP
07] 2003]
(b) Less carbohydrates (b) August
(c) October
 581

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 Review of Preventive and Social Medicine

GROWTH AND DEVELOPMENT

(c) Between top 2 lines, it shows ‘Road-to-Health’ or
‘zone of normality’
120. The uppermost line of the ‘road to health card’ is (d) Lowermost line corresponds to children below 3
equivalent to: [AIIMS Jan percentile
1998]
129. Which of the following does not indicate poor
(a) 80% for boys
nutrition in children? [AIPGME
(b) 50% for girls
2010]
(c) 50th percentile for boys
(a) Low birth weight [Recent Question 2012]
(d) 3rd percentile for girls
(b) Infection
121. Deficit in weight for height in a 3-year-old child (c) Hemoglobin > 11 gm%
indicates: [AIIMS Nov 2005] (d) Malnutrition
(a) Acute malnutrition
130. Best indicator for growth measurement is:
(b) Chronic malnutrition
[Recent Question 2013]
(c) Concomitant acute and chronic malnutrition
(a) Height
(d) Under weight
(b) Weight
122. The milestone of development not matched correctly (c) Arm circumference
with age: [AIPGME 2006] (d) None
(a) Sits without support: 6 – 8 months 131. Type of Growth Charts used by Anganwadi workers
(b) Looks at mother and smiles: 6 – 8 weeks
Preventive Obstetrics, Paediatrics and Geriatrics

(ICDS) for growth monitoring [AIIMS May

(c) Holds head erect: 6 months 2013]
(d) Transfers objects hand to hand: 6 – 8 months (a) NCHS
123. If the birth weight is 3 kg. by the end of one year of (b) IAP
age it should become: [AIIMS May 2001] (c) MRGS
(a) 6 kg (d) CDC
(b) 9 kg 132. Age independent anthropometric measure of malnutri-
(c) 12 kg tion is [DNB June
(d) 15 kg 2009]
124. At birth head circumference is about: (a) Weight/height
(a) 32 cms [AIIMS May 1994] (b) Mid arm circumference
(b) 34 cms (c) Head circumference
(c) 36 cms (d) Mid arm circumference/height
(d) 38 cms 133. The best parameter for assessment of chronic malnutri-
125. WHO Growth Chart has got information for all except: tion is [DNB
[AIIMS Nov 1992] 2007]
(a) Immunisation procedures (a) Weight for age
(b) Child spacing (b) Weight for height
(c) History of sibling health (c) Height for age
(d) History of maternal health (d) Any of the above
134. In WHO “Road to Health” chart, upper and lower limit
126. Around whole symbol for Under-five’s clinic there is a
of represents [AIIMS May
border touching all other areas. This border represents:
2012]
(a) Preventive Care [AIPGME
(a) 30 percentile for boys and 3 percentile for girls
1994]
(b) 50 percentile for boys and 3 percentile for girls
(b) Care in Illness
(c) 30 percentile for boys and 5 percentile for girls
(c) Growth Monitoring
(d) 50 percentile for boys and 5 percentile for girls
(d) Health education
135. According to NFHS 3, percentage of wasting in India is
127. In WHO growth chart ‘Lower reference curve’ repre-
(a) 23% [DNB June 2010]
sents: [Karnataka 2006]
(b) 35%
(a) 3rd percentile (c) 40%
(b) 50th percentile (d) 50%
(c) 80lh percentile
(d) 95th percentile
Review Questions

136. The upper line in the road to health card corresponds

to: [DNB
2001]
582
128. All (a) 95th percentile
are true (b) 50th percentile
about (c) 3rd percentile
growth (d) 90th percentile
chart
except:
(a) It
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 Preventive Obstetrics, Paediatrics and Geriatrics

137. Upper reference curve in growth chart of WHO is:

(b) Has 3 lines
(a) 50th percentile [DNB (c) Highest line corresponds to 80th percentile and
2001] above
(b) 60th percentile (d) Lowest line corresponds to 50th percentile and
(c) 70th percentile above
(d) 80th percentile
147. In WHO’ Road to health card’ (growth chart) the upper
138. The upper line in the road to health card corresponds
reference line corresponds to:
to: [DNB 2005]
(a) 3rd percentile for girls [DNB 2001] [MH
(a) 95th percentile
2006]
(b) 50th percentile
(b) 50th percentile for boys
(c) 3rd percentile
(c) 80th percentile for girls
(d) 90th percentile
(d) 97th percentile for boys
139. The best parameter for assessment of chronic
148. Growth chart used in India has curves: [RJ
malnutrition is: [DNB 2006]
2003]
(a) Weight for age
(a) Two
(b) Weight for height
(b) Three
(c) Height for age
(c) Four
(d) Any of the above
(d) Five
140. The best parameter for assessment of Acute Pr
malnutrition is: [DNB 2007] ev
SCHOOL HEALTH en
(a) Weight for age
(b) Weight for height tiv
(c) Height for age 149. The commonest morbidity in schools is: e
(d) Any of the above (a) dental ailments [AIIMS Jan O
1998]
141. Mid-arm Circumference is constant during: bs
(b) worm infestations
(a) 0-6 months [Bihar 2004] te
(c) malnutrition
(b) 1-5 years (d) skin diseases
tri
(c) 5-10 years cs
(d) 10 years 150. All of the following are minimum standards for ,
sanitation of schools and its environs in India except: P
142. WHO growth chart is: [UP [AIPGME 2003]
2005]
ae
(a) Desks to be of ‘Minus type’ di
(a) International based (b) Combined doors + windows area = 25 % of floor
(b) National Based at
space area
(c) Home based ri
(c) Maximum 40 students per classroom
(d) Community based cs
(d) One urinal for 10 students and one latrine for 25
students
an
143. Bad prognosis in PEM is indicated by all except:
d
(a) Keratomalacia [AP 2008] 151. With reference to school health, which one of the
G
(b) Hypothermia following statements is NOT correct? [AIPGME 2004]
(c) Hepatomegaly er
(a) Per capita space for students in classroom should
(d) Hypoalbuminemia not be less than 10 sq ft.
144. Road to health card or the growth chart was first desig- (b) Desks should be of plus type
ned by: [Recent Question 2013] [MP 2003] (c) Classroom should have sufficient natural light
(a) Edwin Chadwick preferably from the left
(b) David Morley (d) There should be one urinal for 60 students and one
(c) C. Gopalan latrine for 100 students
(d) C.E. Winslow 152. Desk for student is [DNB June
145. The lower limit of the normal range in a growth chart 2009]
curve is: [MP 2007] (a) Minus desk
(a) 80% median weight (b) Plus desk
(b) 70% median weight (c) Zero desk
(c) 60% median weight (d) All the desks
(d) 85% median weight
153. Maximum recommended number of students in a
146. True about WHO growth chart is: school class room: [Recent Question
(a) Used for monitoring growth and development of 583
2014]
child [MH (a) 30
2000] (b) 35
(c) 40
(d) 50
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 Review of Preventive and Social Medicine

Review Questions
162. Integrated Management of Childhood Illness (IMCI)
was taken to prevent morbidity and mortality from all
154. A – Sex education should not be given in school R – It except: [AIPGME
will lead to increased incidence of sexual promiscuity: 2008]
(a) A and R correct and R explains A [DNB (a) Malaria
2000] (b) Malnutrition
(b) A and R correct and R does not explain A (c) Otitis media
(c) A is correct, R is incorrect (d) Neonatal tetanus
(d) A is incorrect, R is correct
163. Under ICDS, supplementary nutrition for children
155. A – Sex education should not be given in school R – It below 1 yr age is aimed at providing:
will lead to increased incidence of sexual promiscuity: [AIIMS Nov 01, June 2000]
(a) A and R correct and R explains A [DNB (a) 200 cal and 8-10 gms protein
2000] (b) 300 cal and 15 gms protein
(b) A and R correct and R does not explain A (c) 500 cal and 25 gms protein
(c) A is correct, R is incorrect (d) There is no provision for this age group
(d) A is incorrect, R is correct
164. What are the amounts of calories and proteins received
156. True about Mid-day meal given in school is: by a pregnant woman from the anganwadi worker?
Calories Proteins [DNB 2006]
[AIIMS May 01]
(a) 1/3 1/2
(d) Ministry for Social Justice
(b) 1/3 1/3
Preventive Obstetrics, Paediatrics and Geriatrics

(c) 1/2 1/2

(d) 1/2 1/3
157. Student desk is of which type: [UP
2001]
(a) Positive
(b) Negative
(c) Both
(d) None
158. Ideal desk recommended for a school child is:
(a) ‘Plus’ desk [UP 2001] [UP
2007]
(b) ‘Minus’ desk
(c) Lysine and Leucine
(d) Zero desk
159. According to Healthful school environmental criteria,
per cent of doors and windows to floor area should be:
(a) 15% [MP
2009]
(b) 20%
(c) 25%
(d) 30%

ICDS, IMNCI, BFHI

160. The guidelines according to Baby Friendly Hospital

Initiative includes all except: [AIPGME
2009]
(a) Mothers and infant to be together for 24 hours
a day
(b) Mother to initiate breast feeding within 4
hours of normal delivery
(c) Giving newborn infants no food or drink other
than breast milk
(d) Encouraging breast feeding on demand
161. Which of the following is the nodal ministry for
Integrated Child Development Services (ICDS)?
(a) Ministry for Human Resource Development
584 (b) Ministry for Rural Development [AIIMS May
04]
(c) Ministry for Health and Family Welfare
 (a) 3 ch of the following is known as ‘Heart of
0 ICDS system’?
0 [AIIMS Feb 1997]
c (a) Mother and Children
al (b) CDPO
s, (c) Primary Health Centre
1 (d) Anganwadi
5
166. Administrative unit of the ICDS project
g
in rural areas is: [Recent Question
m
2013] [Karnataka 2007]
p (a) PHC
r (b) Community development block
o (c) Zilla parishad
te (d) Gram panchayat
i 167. Population covered by Anganwadi in tribal area is:
n (a) 1000 [DNB June
(b) 5 2009]
0 (b) 700
0 (c) 400
c (d) 100
al
s, 168. Mother friendly childbirth initiative was launched in:
1 (a) India[Recent Question 2014]
5 (b) Britain
g (c) Australia
m (d) USA
169. Diet given to a pregnant lady under ICDS is:
p [AIIMS November
r 2014]
o (a) 200 Kcal + 10 grams proteins
te (b) 250 Kcal + 12 grams proteins
i (c) 300 Kcal + 15 grams proteins
n (d) 350 Kcal + 15 grams proteins
(c) 3
170. ICDS include children upto age of years:
0
(a) 3 [Recent Question 2014]
0
(b) 5
c
(c) 6
al
(d) 14
s,
2
5
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 Preventive Obstetrics, Paediatrics and Geriatrics

Review Questions
GERIATRICS
171. All are true about Anganwadi workers Except: MISCELLANEOUS
(a) Covers population of 5000 [UP 2002]
(b) Time part workers 180. According to WHO criteria, all are true in a normal
(c) Supply nutrition, educate to caccination
person except: [AIIMS May
(d) Under controls ICDS
08]
172. In ICDS all of the following are included except: (a) Sperm count >20 million
(a) Immunization [TN 2003] (b) Volume >1 ml
(b) Health Education (c) Normal morphology in >15% (strict criteria)
(c) Prevention of iodine deficiency disorders (d) Aggressive forward motility in >25%
(d) Supplementary nutrition
181. Kishori Shakti Yojana (KSY) is: [AIIMS Nov 2006]
173. ICDS does not cover: [Kolkata (a) Empowerment of females under Maternity Benefit
2005] Scheme
(a) Nutritional supplementation (b) Adolescent girl’s scheme under ICDS
(b) Formal education (c) Free and compulsory education for girl child
(c) Health education (d) Child care home scheme for female juvenile
(d) Immunization delinquents
174. IMNCI includes all except: [Kolkata 182. Which of the following is known as ‘the medical dis- Pr
2009] covery of 20th century’? [AIIMS Jan ev
(a) tetanus 2000] en
(b) acute respiratory tract infection
(a) Zidovudine tiv
(c) Measles
(b) Smallpox vaccine e
(d) Malaria
(c) ORS O
175. In plains, generally how much population is allocated (d) Penicillin bs
to an AW Centre? [MP te
2006] 183. At PHC level, a women who complains of spotting
following IUCD insertion should be advised: tri
(a) 500
(b) 1000 (a) Analgesic and observation [AIPGME 2006] cs
(c) 5000 (b) Antibiotic and observation ,
(d) 25000 (c) Iron supplements and observation P
(d) Removal of IUCD ae
176. According to ICDS programme, children should be
supplemented with which of the following? [MH 2002] 184. Hb of less than what value is the cut off used by WHO di
(a) 200 cal + 20 g proteins guidelines to label an infant under 6 months of age as at
(b) 300 cal + 15 g proteins being anemic? [AIIMS Nov ri
(c) 500 cal + 25 g proteins 01] cs
(d) 300 cal + 10 g proteins (a) 100 g/L an
(b) 105 g/L d
177. According to IMNCI Programme the term “YOUNG
INFANTS” includes children below the what age? (c) 110 g/L G
(a) Seven days [MH (d) 115 g/L er
2008] 185. In which one of the following situations is Amnio-
(b) 28 days centesis NOT called for?
(c) Two months
(a) Mother’s age is 35 year or more
(d) Six months
(b) Parents who are known to have chromosomal
translocation [AIIMS Nov 1999]
NEONATAL SCREENING (c) Raised alpha fetoprotein in amniotic fluid
during earlier pregnancy
178. ‘Guthrie Test’ is done in neonates for mass screening (d) A Rh –ve multipara mother aged 30 years with two
of: [AIPGME live healthy boys
1999]
186. When an abandoned child is legally accepted by a
(a) Neonatal Hypothyroidism
couple, it is called as: [AIIMS Nov
(b) Phenylketonuria
(c) Hemoglobinopathies 2000]
(d) Congenital Dislocation of Hip
(a) Remand home placement and Foster home place-
179. Most common neonatal disorder screened is: ment
(a) Neonatal Hypothyroidism [AIPGME (b) Remand home placement and Borstal placement
1998] (c) Adoption and Foster home placement
(b) Phenylketonuria (d) Adoption and Remand home placement
(c) Hemoglobinopathies
(d) Congenital Dislocation of Hip 585
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 Review of Preventive and Social Medicine

187. Boys over 16 years who are difficult to be handled in a

191. Ujjwala scheme is for prevention of:
certified school are sent for training and reformation,
(a) Child abuse [Recent Question 2013]
for 3 yrs, to a: [AIIMS Nov
(b) Child trafficking
1993]
(c) Child labour
(a) Orphanage
(d) Child marriage
(b) Foster Home
(c) Borstal 192. A place where children are kept in care of doctor and
(d) Remand Home psychiatrist is: [Recent Question 2012]
(a) Borstal
188. Birth defects in Indian newborns are seen in:
(b) Foster home
(a) 2-3 % of newborns [AIPGME 2003]
(c) Remand home
(b) 5 % of newborns
(d) Orphangae
(c) 8 % of newborns
(d) 12-14 % of newborns 193. All are included in Kangaroo Mother Care except:
(a) Skin to skin contact [AIIMS May 2014]
189. Boys over 16 years who are too difficult to be handled
(b) Early discharge and follow up
in a certified school or have misbehaved are sent to:
(c) Free nutritional supplements
(a) Remand home [DPG
(d) Exclusive Breast feeding
2005]
(b) Borstal
(c) Foster home Review Questions
(d) Prison
Preventive Obstetrics, Paediatrics and Geriatrics

190. Child rights are guaranteed in which article of the 194. Under 1971, MTP act, MTP is allowed up to:
constitution: [PGI Dec (a) 12 weeks [RJ 2002]
01] (b) 16 weeks
(a) Article 24 (c) 20 weeks
(b) Article 28 (d) 24 weeks
(c) Article 35
(d) Article 42
(e) Article 45

586