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Review of Preventive and Social Medicine

85. Infant mortality does not include: [DNB 2007] (a) Diarrhea
(a) Early neonatal mortality (b) ARI
(b) Perinatal mortality (c) Malnutrition

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

(b) 28 weeks to 1st week after birth deaths of infants under age one per:
(c) 20 weeks to 1st week after birth (a) 1000 births [MP 2006]
(d) Before preterm labour (b) 1000 live birth
89. Denominator in, under 5 proportionate mortality rate
(c) 1000 mid year population

is: [UP 2002]
(d) 1000 women of reproductive age group
(a) Mid year population
98. In India, approximately 50% of maternal deaths are
(b) Mid year population in 5 years age caused by: [MP 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 2004]
(d) Sepsis and hemorrhage
(b) 100 live births
99. In India, Neonatal Mortality Rate per 1000 live births
(c) 10,000 live births is: [MP 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
(d) 80
(a) Infant mortality rate
(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:
92. The Infant mortality rate goal set for the year 2000 for
(a) 500 [MHPGMCET 2008] [MH 2006]
India is: [TN 2003]
(b) 1000
(c) 1500
(a) 10 per 1000 live births
(d) 2000
(b) 40 per 1000 live births
(c) 50 per 1000 live births
101. According to international standards, STILL BIRTH is
(d) 60 per 1000 live births defined as per fetal weight ABOVE?
93. Denominator in MMR: [MP 2000]
(a) 500 grams
(b) 800 grams
[MH 2008]
(a) Total no. of live births in the same area and same
(c) 1000 grams
year
(d) 2000 grams
(b) No. of maternal deaths of reproductive age group

(c) Total no. of deaths of reproductive age group in the 102. Denominator of maternal mortality rate is:
same area and same year (a) 1000 live birth [RJ 2001]
(d) Mid year population (b) 1000 pregnant woman
94. All are the important causes of post neonatal mortality (c) 1000 population
except: [MP 2001] (d) None

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103. Commonest cause of perinatal mortality in India: (c) More iron

(a) Prematurity [RJ 2001] (d) Less of Vitamins
(b) Birth injury 111. Mean output of breast milk per day is maximum during
(c) Metabolic the following months of lactation: [AIIMS Nov 2008]
(d) Congenital (a) 0-2 months
104. Infant mortality rate is no. of infant death per: (b) 3-4 months
(a) 1000 total birth [RJ 2005] (c) 5-6 months
(b) 1000 live birth (d) 7-8 months
(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 2005] (b) Fat
(c) Lactose
(a) Per 1000 live births
(b) Per 1000 births (d) Proteins
(c)
(d)
Per 1000 pregnancy
Per 100 live births
113. Not true about breast milk is: [AIIMS May 2011]
(a) Maximum output is at 12 months of lactation
106. All are true about DOTS excepts: [RJ 2006] (b)
(c)
Coefficient of iron absorption is 70%
Calcium utilization more than cows milk
(a) Alternate day treatment
(b) Improve compliance (d) Breast milk contains high amounts of lactose

Preventive Obstetrics, Paediatrics and Geriatrics

(c) Continuation phase drugs are given in a multiblister 114.
combipack
Human breast milk has more of: [PGI May 2011]
(a) Lipids
(d) Medication is to be taken in presence of a health (b) Carbohydrates
worker (c) Proteins
107. In population of 1 lac, with 4000 live birth per annum (d)
(e)
Iron
Calcium
and under S population is 15000 with infant death per
annum is 1\28. So the less than 5 mortality rate is:
 115. Compared with unprocessed cow’s milk, human breast
(a) 40% [RJ 2006] milk contains more of: [Karnataka 2011]
(b) 100% (a) Lipids [Recent Question 2012]
(c) 26.5% (b) Proteins
(d) 69% (c) Minerals
(d) Carbohydrates
BREAST FEEDING 116. In normal delivery, breast feeding should be started
within: [Recent Question 2012]
108. The following statements about breast milk are true (a) ½ hour of delivery
except: [AIPGME 2004] (b) 1 hour of delivery
(a) The maximum milk output is seen at 12 months (c) 4 hour of delivery
(b) The coefficient of uptake of iron in breast milk is 70% (d) 6 hour of deliver
(c) Calcium absorption of human milk is better than that
of cow’s milk Review Questions
(d) It provides about 70 K cals per 100 ml
109. The current recommendation for breast- feeding is 117. Amount of calcium in human milk in 100ml:
that: [AIPGME 1999, 2004] (a) 28 mg [Bihar 2003]
(a) Exclusive breast-feeding should be continued till 6 (b) 48 mg
months of age followed by supplementation with (c) 34 mg
additional foods (d) 60 mg
(b) Exclusive breast-feeding should be continued till 4 118.
months of age followed by supplementation with
Why casein ratio in breast milk is: [TN 2000]
(a) 1:1
additional foods (b) 2:1
(c) Colostrum is the most suitable food for a new born (c) 3:8
baby but it is best avoided in first 2 days (d) 7:3
(d) The baby should be allowed to breast- feed till one
year of age 119. World breast feeding week is celebrated in month of:
110. As compared to Cow’s milk, human milk has: (a) January  [MP 2003]
(b) August
(a) More proteins [AIIMS May 07, Nov 07] (c) October
(b) Less carbohydrates (d) April
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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 1998] percentile
(a) 80% for boys 129. Which of the following does not indicate poor nutrition
(b) 50% for girls in children? [AIPGME 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
(c) Concomitant acute and chronic malnutrition
[Recent Question 2013]
(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 (ICDS) for growth monitoring [AIIMS May 2013]
Preventive Obstetrics, Paediatrics and Geriatrics

(c) Holds head erect: 6 months (a) NCHS

(d) Transfers objects hand to hand: 6 – 8 months (b) IAP
(c) MRGS
123. If the birth weight is 3 kg. by the end of one year of age (d) CDC
it should become: [AIIMS May 2001]
(a) 6 kg 132. Age independent anthropometric measure of malnutri-
(b) 9 kg tion is [DNB June 2009]
(c) 12 kg (a) Weight/height
(d) 15 kg (b) Mid arm circumference
(c) Head circumference
124. At birth head circumference is about: (d) Mid arm circumference/height
(a) 32 cms [AIIMS May 1994]
(b) 34 cms 133. The best parameter for assessment of chronic malnutri-
(c) 36 cms tion is [DNB 2007]
(d) 38 cms (a) Weight for age
(b) Weight for height
125. WHO Growth Chart has got information for all except: (c) Height for age
[AIIMS Nov 1992] (d) Any of the above
(a) Immunisation procedures
(b) Child spacing 134. In WHO “Road to Health” chart, upper and lower limit
(c) History of sibling health of represents [AIIMS May 2012]
(d) History of maternal health (a) 30 percentile for boys and 3 percentile for girls
(b) 50 percentile for boys and 3 percentile for girls
126. Around whole symbol for Under-five’s clinic there is a (c) 30 percentile for boys and 5 percentile for girls
border touching all other areas. This border represents: (d) 50 percentile for boys and 5 percentile for girls
(a) Preventive Care [AIPGME 1994]
(b) Care in Illness 135. According to NFHS 3, percentage of wasting in India is
(a) 23% [DNB June 2010]
(c) Growth Monitoring
(b) 35%
(d) Health education
(c) 40%
127. In WHO growth chart ‘Lower reference curve’ repre­ (d) 50%
sents: [Karnataka 2006]
(a) 3rd percentile Review Questions
(b) 50th percentile
(c) 80lh percentile 136. The upper line in the road to health card corresponds
(d) 95th percentile to: [DNB 2001]
128. All are true about growth chart except: (a)
(b)
95th percentile
50th percentile
(a) It is a tool for educating mothers
(b) The position of dots is more important than (c) 3rd percentile
direction [AIIMS Nov 09] (d) 90th percentile
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137. Upper reference curve in growth chart of WHO is: (b) Has 3 lines
(a) 50th percentile [DNB 2001] (c) Highest line corresponds to 80th percentile and
(b) 60th percentile above
(c) 70th percentile (d) Lowest line corresponds to 50th percentile and above
(d) 80th percentile
138. The upper line in the road to health card corresponds 147. Inreference
Who’ Road to health card’ (growth chart) the upper
line corresponds to:
to: [DNB 2005] (a) 3rd percentile for girls [DNB 2001] [MH 2006]
(a) 95th percentile (b) 50th percentile for boys
(b) 50th percentile (c) 80th percentile for girls
(c) 3rd percentile (d) 97th percentile for boys
(d) 90th percentile
139. The best parameter for assessment of chronic
148. Growth chart used in India has curves: [RJ 2003]
(a) Two
malnutrition is: [DNB 2006] (b) Three
(a) Weight for age
(c) Four
(b) Weight for height
(d) Five
(c) Height for age
(d) Any of the above
140. The best parameter for assessment of Acute malnutrition SCHOOL HEALTH

Preventive Obstetrics, Paediatrics and Geriatrics

is: [DNB 2007]
(a) Weight for age
149. The commonest morbidity in schools is:
(b) Weight for height (a) dental ailments [AIIMS Jan 1998]
(c) Height for age (b) worm infestations
(d) Any of the above (c) malnutrition
(d) skin diseases
141. Mid-arm Circumference is constant during:
(a) 0-6 months [Bihar 2004] 150. All of the following are minimum standards for
(b) 1-5 years sanitation of schools and its environs in India except:
(c) 5-10 years [AIPGME 2003]
(d) 10 years (a) Desks to be of ‘Minus type’
(b) Combined doors + windows area = 25 % of floor
142. WHO growth chart is: [UP 2005]
space area
(a) International based
(c) Maximum 40 students per classroom
(b) National Based
(d) One urinal for 10 students and one latrine for 25
(c) Home based
students
(d) Community based
143. Bad prognosis in PEM is indicated by all except: 151. With reference to school health, which one of the
(a) Keratomalacia [AP 2008] following statements is NOT correct? [AIPGME 2004]
(b) Hypothermia (a) Per capita space for students in classroom should not
(c) Hepatomegaly be less than 10 sq ft.
(d) Hypoalbuminemia (b) Desks should be of plus type
(c) Classroom should have sufficient natural light
144. Road to health card or the growth chart was first desig ­ preferably from the left
ned by: [Recent Question 2013] [MP 2003] (d) There should be one urinal for 60 students and one
(a) Edwin Chadwick
latrine for 100 students
(b) David Morley
(c) C. Gopalan
152. Desk for student is [DNB June 2009]
(d) C.E. Winslow (a) Minus desk

145. The lower limit of the normal range in a growth chart
(b) Plus desk
curve is: [MP 2007]
(c) Zero desk
(d) All the desks
(a) 80% median weight
(b) 70% median weight 153. Maximum recommended number of students in a
(c) 60% median weight
(d) 85% median weight
school class room: [Recent Question 2014]
(a) 30
146. True about who growth chart is: (b) 35
(c) 40
(a) Used for monitoring growth and development of
child [MH 2000] (d) 50

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Review of Preventive and Social Medicine

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

(c) 1/2 1/2 (b) 500 cals, 15 gm protein

(d) 1/2 1/3 (c) 300 cals, 25 gm protein
(d) 500 cals, 25 gm protein
157. Student desk is of which type: [UP 2001]
165. Which of the following is known as ‘Heart of ICDS
(a) Positive
(b) Negative system’? [AIIMS Feb 1997]
(c) Both (a) Mother and Children
(d) None (b) CDPO
158. Ideal desk recommended for a school child is: (c) Primary Health Centre
(d) Anganwadi
(a) ‘Plus’ desk [UP 2001] [UP 2007]
(b) ‘Minus’ desk 166. Administrative unit of the ICDS project in rural areas
(c) Lysine and Leucine is: [Recent Question 2013] [Karnataka 2007]
(d) Zero desk (a) PHC
(b) Community development block
159. According to Healthful school environmental criteria, (c) Zilla parishad
per cent of doors and windows to floor area should be: (d) Gram panchayat
(a) 15%  [MP 2009]
167. Population covered by Anganwadi in tribal area is:
(b) 20%
(c) 25% (a) 1000 [DNB June 2009]
(d) 30% (b) 700
(c) 400
(d) 100
ICDS, IMNCI, BFHI
168. Mother friendly childbirth initiative was launched in:
160. The guidelines according to Baby Friendly Hospital (a) India [Recent Question 2014]
Initiative includes all except: [AIPGME 2009] (b) Britain
(a) Mothers and infant to be together for 24 hours (c) Australia
a day (d) USA
(b) Mother to initiate breast feeding within 4
169. Diet given to a pregnant lady under ICDS is:
hours of normal delivery
(c) Giving newborn infants no food or drink other

[AIIMS November 2014]
(a) 200 Kcal + 10 grams proteins
than breast milk (b) 250 Kcal + 12 grams proteins
(d) Encouraging breast feeding on demand (c) 300 Kcal + 15 grams proteins

161. Which of the following is the nodal ministry for (d) 350 Kcal + 15 grams proteins
Integrated Child Development Services (ICDS)?
(a) Ministry for Human Resource Development

170. ICDS include children upto age of years:
(a) 3 [Recent Question 2014]
(b) Ministry for Rural Development 
[AIIMS May 04] (b) 5
(c) Ministry for Health and Family Welfare (c) 6
(d) Ministry for Social Justice (d) 14
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eview Questions
R
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
person except:
(c) Supply nutrition, educate to caccination
[AIIMS May 08]
(d) Under controls ICDS
(a) Sperm count >20 million
172. In ICDS all of the following are included except: (b) Volume >1 ml
(a) Immunization [TN 2003] (c) Normal morphology in >15% (strict criteria)
(b) Health Education (d) Aggressive forward motility in >25%
(c) Prevention of iodine deficiency disorders
(d) Supplementary nutrition
181. Kishori Shakti Yojana (KSY) is:
[AIIMS Nov 2006]
(a) Empowerment of females under Maternity Benefit

173. ICDS does not cover: [Kolkata 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 2009]
­

Preventive Obstetrics, Paediatrics and Geriatrics

182. Which of the following is known as ‘the medical dis
(a) tetanus
(b) acute respiratory tract infection
covery of 20th century’? [AIIMS Jan 2000]
(c) m
easles (a) Zidovudine
m
(d) alaria (b) Smallpox vaccine
(c) ORS

175. In plains, generally how much population is allocated (d) Penicillin
to an AW Centre? [MP 2006]

183. At PHC level, a women who complains of spotting
(a) 500
(b) 1000 following IUCD insertion should be advised:
(c) 5000 (a) Analgesic and observation [AIPGME 2006]
(d) 25000 (b) Antibiotic and observation
(c) Iron supplements and observation

176. According to ICDS programme, children should be
supplemented with which of the following? [MH 2002] (d) Removal of IUCD
(a) 200 cal + 20 g proteins
(b) 300 cal + 15 g proteins

184. Hb of less than what value is the cut off used by WHO
guidelines to label an infant under 6 months of age as
(c) 500 cal + 25 g proteins
(d) 300 cal + 10 g proteins
being anemic? [AIIMS Nov 01]
(a) 100 g/L

177. According to IMNCI Programme the term “YOUNG (b) 105 g/L
(c) 110 g/L
INFANTS” includes children below the what age?
(a) Seven days  [MH 2008] (d) 115 g/L
(b) 28 days
(c) Two months

185. In which one of the following situations is Amnio ­
centesis NOT called for?
(d) Six months
(a) Mother’s age is 35 year or more
(b) Parents who are known to have chromosomal
NEONATAL SCREENING translocation [AIIMS Nov 1999]
(c) Raised alpha fetoprotein in amniotic fluid

178. ‘Guthrie Test’ is done in neonates for mass screening during earlier pregnancy
of:  [AIPGME 1999] (d) A Rh –ve multipara mother aged 30 years with two
(a) Neonatal Hypothyroidism live healthy boys
(b) Phenylketonuria
(c) Hemoglobinopathies
186. When an abandoned child is legally accepted by a
(d) Congenital Dislocation of Hip couple, it is called as: [AIIMS Nov 2000]

179. Most common neonatal disorder screened is:
(a) Neonatal Hypothyroidism [AIPGME 1998]
(b) Phenylketonuria
(c) Hemoglobinopathies
(d) Congenital Dislocation of Hip
(a) Remand home placement and Foster home place ­
ment
(b) Remand home placement and Borstal placement
(c) Adoption and Foster home placement
(d) Adoption and Remand home placement
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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 1993] (b) Child trafficking
(a) Orphanage (c) Child labour
(b) Foster Home (d) Child marriage
(c) Borstal
(d) Remand Home

192. A place where children are kept in care of doctor and

psychiatrist is: [Recent Question 2012]

188. Birth defects in Indian newborns are seen in: (a) Borstal
(a) 2-3 % of newborns [AIPGME 2003] (b) Foster home
(b) 5 % of newborns (c) Remand home
(c) 8 % of newborns (d) Orphangae
(d) 12-14 % of newborns

193. All are included in Kangaroo Mother Care except:
189. Boys over 16 years who are too difficult to be handled in (a) Skin to skin contact [AIIMS May 2014]
a certified school or have misbehaved are sent to: (b) Early discharge and follow up
(a) Remand home  [DPG 2005] (c) Free nutritional supplements
(b) Borstal (d) Exclusive Breast feeding
(c) Foster home
(d) Prison
Review Questions
Preventive Obstetrics, Paediatrics and Geriatrics

190. Child rights are guaranteed in which article of the

constitution: [PGI Dec 01]

194. Under 1971, MTP act, MTP is allowed up to:
(a) Article 24
(a) 12 weeks [RJ 2002]
(b) Article 28
(b) 16 weeks
(c) Article 35
(c) 20 weeks
(d) Article 42
(d) 24 weeks
(e) Article 45

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