Qa Q2 Q.3 Qa Qs MBBS THIRD PROFESSIONAL MODEL QUESTIONS FOR ANNUAL 2009 Community Medicine (Multiple Choice Questions) There was a tableau held at a hospital on the world children’s day to demonstrate the importance of ORS in dehydration with a back drop of ORS, breast feeding and MCH service. This method is known as: a) Poster competition b) Role playing c) Symposium d) Lectures e) Learning by doing A person aged 40, who had been working as a labourer in grain market for the last 25 years presented with history of repeated attacks of respiratory infections in the last 1 year. X-ray showed pulmonary fibrosis. The likely diagnosis was: a) Tuberculosis b) Silicosis ¢) Silicotuberculosis d) Farmer's lung e) Baggassosis Cement industry worker reported to you with complaints of cough, dyspnoea on exertion and chest pain. His X-ray chest showed ‘snow storm’ appearance. The diagnosis would be: a) Asbestosis b) Siderosis C) Silicosis d) Aspergillosis e) Byssinossis A worker who had been in the battery manufacturing unit for the last 20 years, reported to you with complaints of lost appetite and abdominal colic of 2 weeks duration. You would prefer to investigate him for: a) Cholecystitis b) Lead poisoning c) Appendicitis d) Ameobiasis e) Stomach cancer (5 year old child comes to the immunization centre without BCG scar on his arm. It is advisable to give: a) BCG vaccine b) BCG if Montoux test is positive c) No BCG vaccine d) Chemoprophylaxis e) BCG if Montoux test is negativeQ6 Q7 Q9 Q.10 A 6 weeks old boy came for DPT, polio & HBV vaccination. He was given initial doses of all and was called after 4 weeks to have the next doses. The likely reason for calling him again was: a) Loss of immune memory b) Stimulation of macrophages c) Summation of immune responses d) Replication of lymphocytes e) Immune tolerance If a child has been drinking water contai condition likely to occur is: a) Infantile Methemoglobinemia b) E-coli enteritis c) Botulism d) Dental caries e) Enterobiasis 19 50 mg/L of nitrates, the ‘Awoman working in an industry during of light. She is most probably at risk of: a) Keratomalacia b) Breast cancer c) Dermatitis d) Conjunctival xerosis ) Night blindness exposed to 750 lux While investigating a point source epidemic it was found that 120 students ate five different foods (meat burgers, fried fish, steak, fruit salad and rice). The relative risk was calculated for all those five foods. It was concluded that fish was not responsible for this epidemic. The relative risk of fish is: a)0.7 b)1.2 c)17 d)3.0 e)7.0 Among 10 women with cervical cancer, medical records confirm a past history of Herpes Simplex type II (HSV) infection in eight. What is the relative risk of developing cervical cancer in women with a history of HSV type II infection: a) 8/10 b) 10/8 c) 9/2 d) 2/10 e) 2/8MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici Model Paper Total No. of MCQs 65 Marks 65 Time 1 hour 5 minutes CONCEPTS OF HEALTH AND DISEASE.. 1. Restriction of activities of a contact, who has been exposed to a case of communicable disease for maximum incubation period, is termed as: Elimination Quarantine Surveillance Controt Isolation Key: b Weighting: = 1 Mark Reference: Park’s Text Book Row 1 of table of specification 2. The required temperature for sterilization against spores in Hot-air oven is: 120-140°C for one hour 140-160°C for one hour 160-180°C for one hour 180-200°C for one hour 200-240°C for one hour Key: ¢ Weighting: = 1 Mark Reference: Park's Text Book Row 1 of table of specification 3. “Dettol” is a commonly used antiseptic agent in the community. Its chemical name is: Hexachlorophane Chioroxylenol Chlorhexidine Cetrimide Cresol Key: b Weighting: 1 Mark Reference: Park's Text Book Row 1 of table of specification Page 1 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper INTRODUCTION TO PUBLIC HEALTH AND HEALTH SYSTEMS..... 4. Our rural masses are facing multiple health problems. The best approach to deal with their problems is to provide: Basic health services Health education Safe water supply and sanitation Free medical care Primary health care. Key: e Weighting: 1 Mark Reference: Park's Text Book Row 2 of table of specification 5. Which one of the following is not included in the elements of Primary Health Care? Immunization services Family planning services Specialized services Health education regarding water and sanitation Provision of essential drugs Key: ¢ Weighting: 1 Mark Reference: Park's Text Book Row 2 of table of specification 6. The main headquarters of WHO are present in which one of the following countries? a. Switzerland b. France c. America d. England e. Egypt 1 Mark Park’s Text Book Row 2 of table of specification Page 2 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 Model Paper GENERAL EPIDEMIOLOGY When a new treatment is developed that delays death but does not produce recovery from a chronic disease, which of the following will occur? Prevalence of the disease will decrease Incidence of the disease will increase Prevalence of the disease will increase Incidence of the disease will decrease Incidence & prevalence of the disease will decrease a b. c a. e. 1 Mark Reference: _ Park's Text Book Row 3(a) of table of specification Which one of the following gives the strength of association between the cause and the disease? Prevalence rate. Case fatality rate. Adjusted rate. Incidence rate, Disease index. panos Key: d Weighting: 1 Mark Reference:Park’s Text Book Row 3(c) of table of specification Which one of the following is not included in analytical epidemiological studies? a. Historical cohort studies b. Cohort studies ¢. Case control d. Case report e. Experimental studies Key: d Weighting: = 1 Mark Reference: Park's Text Book Row 3(a) of table of specification Page 3 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper 10. Ki ing power of a disease is best expressed by: a. Attack Rate. b. Secondary Attack rate. c. Case fatality rate. d. Survival index. e. Proportionate mortality rate. Key: ¢ Weighting: 1 Mark Reference:Park’s Text Book Row 3(a) of table of specification 11. Difference in incidence rate of disease between exposed group and non exposed group is: a. Attributable fraction b. Relative risk . Attributable risk d. Prevalence rate e. Odds ratio Key: ¢ Weighting: 1 Mark Reference: Park’s Text Book Row 3(a) of table of specification CONTROL AND PREVENTION OF COMMUNICABLE DISEASES 12. Koplik's spots are the diagnostic sign of one of the following diseases: a. Rubella b. Whooping cough c. Measles d. Meningitis e. Mumps Key: ¢ Weighting: 1 Mark Reference: _Park’s Text Book Row 3(b) of table of specification Page 4 of 2213. 14, 15. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper The best strategy recommended by WHO for the control of pulmonary Tuberculosis is: a. BCG vaccination at mass level b. Chemoprophylaxis with INH c. Early case detection and prompt treatment 4. Proper disposal of sputum e. . Awareness Key: ¢ Weighting: = 1 Mark Reference: _Park’s Text Book Row 3(b) of table of specification Which one of the following diseases does not spread by infected droplets? Chicken pox Measles Poliomyelitis Mumps Rubella Key: ¢ Weighting: = 1 Mark Reference: _ Park's Text Book Row 3(b) of table of specification Which one of the following diseases will not have a human healthy carrier? Cholera Diphtheria Salmonellosis Hydatidosis HIV pansy 1 Mark Park’s Text Book Row 3(b) of table of specification Page $ of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici MCQs) Model Paper CONTROL AND PREVENTION OF NON COMMUNICABLE DISEASES 16. 17. Which one of the following factors will lead to hypertension? a. High Protein diet b. High sodium intake ¢. Body mass Index of 25 d. Hypervitaminosis A e. High HDL Key: b Weighting: 1 Mark Reference: Park's Text Book Row 3(c) of table of specification Which one of the following is not a risk factor for coronary heart disease? Oral contraceptives . Alcohol abuse High fibre diet |. Type A personality . Diabetes. Key: ¢ Weighting: 1 Mark Reference: Park’s Text Book Row 3(c) of table of specification IMMUNOLOGY 18. The number of Tetanus Toxoid doses for a woman of childbearing age is? One . Two Three |. Four . Five Key: e Weighting: 1 Mark Reference: PARKS TEXT BOOK Row 3(d) of table of specification Page 6 of 2219, 20. 21. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper Which one of the following is a cell derived vaccine? a. Measles b. BCG c. OPV d. Hepatitis B e. Mumps Key: d Weighting: = 1 Mark Reference: PARK’S TEXT BOOK Row 3(d) of table of specification Which one of the following types of immunization is available against Rabies? Live attenuated vaccine Killed vaccines Cell derived vaccine Cell walll vaccine Toxoids. Key: b Weighting: = 1 Mark Reference: _ PARK’S TEXT BOOK Row 3(d) of table of specification Both active and specific passive types of immunization are available for which one of the following? Tetanus Meningitis Measles Mumps Tuberculosis a. b. a a. e. 1 Mark PARK’S TEXT BOOK Row 3(d) of table of specification Page 7 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper A student has come to Pakistan from Kenya, he must have a valid certificate of vaccination against: TB. Poliomyelitis Mumps Yellow fever Hepatitis B. Key: d Weighting: 1 Mark Reference: PARK'S TEXT BOOK Row 3(d) of table of specification Biostatistics 23. 24. Which of the following data is not measurable? Nominal Ordinal Interval Continuous Discrete a. b. c a. e. 1 Mark Park’s Text Book Row 4 of table of specification Which of the following diagram represents a homogeneous data? Multi modal curve Normal distribution curve ight skewed curve Left skewed curve Bimodal curve Key: b Weighting: 1 Mark Reference: Park's Text Book Row 4 of table of specification Page 8 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper 25. Which one of the following is not a measure of central tendency? a. Mean b. Median c. Mean deviation d. Geometric mean e. Mode Key: ¢ Weighting: 1 Mark Reference: Park's Text Book Row 4 of table of specification 26. Shape of normal distribution curve is based mainly on: a. Mean and sample size b. Mean and standard deviation c. Range and sample size d. Range and standard deviation e. Mean and Range Key: b Weighting: 2 Mark Reference: Park's Text Book Row 4 of table of specification DEMOGRAPHY 27. The number of deaths in people above 65 years expressed as percentage of total deaths of all age groups is known . Expectancy of life at 65 years, . Proportional mortality rate Crude death rate. . Specific death rate. Adjusted death rate. Key: b Weighting: = 1 Mark Reference: _Park’s Text Book Row 5 of table of specification Page 9 of 2229. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper Which one of the following is the most reliable indicator of fertility in a country? Growth rate Crude birth rate Natural increase rate Total fertility rate General fertility rate Key: d Weighting: 1 Mark Reference: _ Park's Text Book Row 5 of table of specification The number of daughters a new born girl will bear during her life time assuming fixed age specific fertility and mortality rate, refers to which one of the following? Crude birth rate Gross reproduction rate Net reproduction rate Total fertility rate General fertility rate Key: ¢ 1 Mark Park’s Text Book Row 5 of table of specification NUTRITION Vitamin A deficiency state followin: . Bitot’s spots Anemia. Diarrhea, Bone deformities. Dermatitis. characterized by one of the Key: a Weighting: = 1 Mark Reference: PARK’S TEXT BOOK Row 6 of table of specification Page 10 of 2231. 32. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici MCQs) Model Paper Which one of the following is a meat borne disease? Bacillus Cereus infection . Taeniasis. Ascariasis. |. Shigellosis. . Clostridium Botulinum infection. b, «. 4. e. Key: b Weighting: = 1 Mark Reference: PARK’S TEXT BOOK Row 6 of table of specification One important clinical sign of Kwashiorkor type of malnutrition is: a. Monkey face b. Oedema Obvious muscle wasting 4d. Obvious loss of subcutaneous fat e. Usually good appetite Key: b Weighting: = 1 Mark Reference: PARK’S TEXT BOOK Row 6 of table of specification Which one of the following is not a feature of Marasmus? Muscle wasting, Low weight for height Hypo pigmented hair Severe subcutaneous fat loss Irritability a. b. a a. e. 1 Mark PARK’S TEXT BOOK Row 6 of table of specification Page 11 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper Which one of the following az a. b. © 4. e. not true regarding Vitamin It is a water soluble Vitamin Its deficiency causes xeropthal Animals foods are sources of preformed Vitamin A (Retinol) Liver stores Vitamin A in the form of retinol palmitate Its deficiency also causes follicular hyperkeratosis. 1 Mark PARK’S TEXT BOOK Row 6 of table of specification MCH & FAMILY PLANNING 35. Which one of the following is not included in the four pillars of safe mother hood? . Family planning Antenatal care Clean delivery Essential obstetric care Female literacy Key: e Weighting: 1 Mark Reference: Park’s Text Book Row 7 of table of specification The average weight gain for a pregnant woman with BMI 20 - 25 should be: 4 to 8kg 8 to 12kg 12 to 16kg 16 to 20 kg 20 to 24kg Key: b Weighting: 1 Mark Reference: Park's Text Book Row 7 of table of specification Page 12 of 2237. 39. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici Model Paper Regarding breast feeding w true? a. Feeding of newborn should commence on the second day after birth b. Colostrum contains antibodies c. 5 breast feeds one after every 4 hrs should be given to early neonates: d. Breast feeding is contraindicated in women with tuberculosis e. If infant cannot suck, feeding should be discontinued Key: b Weighting: 1 Mark Reference: Park's Text Book Row 7 of table of specification Which one of the following gestational infections will result in congenital anomaly? Chicken Pox Candidiasis Typhoid Pneumonia Cholera Key: a Weighting: 1 Mark Reference: Park's Text Book Row 7 of table of specification Which one of the following is not a mechanical_method of contraception? Insertion of Copper T Insertion of Lippes Loop Use of diaphragm Contraceptive implants Condoms PS b. ©. a. e. 1 Mark Park’s Text Book Row 7 of table of specification Page 13 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici MCQs) Model Paper A Post coltal contraception is recommended within: 06 hours of unprotected- intercourse. 48 hours of unprotected- intercourse. 72 hours of unprotected- intercourse. Two days of missed period. Two weeks of missed period. Key: b Weighting: 1 Mark Reference: Park's Text Book Row 7 of table of specification SCHOOL HEALTH 41. 42. Which of the following statements is true for schoo! Health team? a.It consists of one male doctor & one female doctor and two nurses. b, It serves up to 5000 school children, cc. Every school, small or large, should have its own school health team linked with BHUs. d. It is responsible for curative health care. . School health records are a reliable source of data in Pakistan. Key: b Weighting: 1 Mark Reference:Park’s Text Book Row 8 of table of specification Which of the following arrangements _ regarding desks & chairs is recommended for school children? a. Minus type b. Plus type ¢. Benches to accommodate a large number of children in a small space d. Desks with revolving seats e. Desks with recliner chairs Key: a Weighting: = 1 Mark Reference: Park’s Text Book Row 8 of table of specification Page 14 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici MCQs) Model Paper The Routine Medical Inspection of school ct school career should at least be: Once every year Four times in the total schooling period On the request of teachers In the disease out-breaks. Once in the total schooling period poogce Key: b Weighting: 1 Mark Reference:Park's Text Book Row 8 of table of specificat ENVIRONMENT ‘The presence of nitrates Temporary hardness of water Permanent hardness of water Fresh faecal pollution Past faecal pollution Parasitic contamination of water Key: d Weighting: = 1 Mark Reference: Park’s Text Book Row 9 of table of specification Mottling of teeth is a nutrition related condition which results from: Deficiency of Fluorine in drinking water Deficiency of Chlorides in water Excess of Fluorine in drinking water Excess of Nitrites in water. Malabsorption. a b. c a. e. 1 Mark Park’s Text Book Row 9 of table of specification Page 15 of 2247. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper The sloughed off layer in the trickling filter during the treatment of sewage in modern plants is known as: a. Humus b. Wet manure ©. Scum 4. Sullage e. Sludge Key: a Weighting: = 1 Mark Reference: Park’s Text Book Row 9 of table of specification House waste-water which does not contain human excreta is known as: Humus. Sewage Sludge Sullage Scum Key: d Weighting: = 1 Mark Reference: Park's Text Book Row 9 of table of specification Which one of the following does not refer to vitiation of air? a. Decrease in air movements b. Increased concentration of carbon dioxide c. Decrease in relative humidity d. Increase in temperature e. Increase in bacterial count 1 Mark Park’s Text Book Row 9 of table of specification Page 16 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper 49. Which one of the following is correct regarding daily upper limit of noise without substantial damage to hearing? a. 50 db b. 70 db . 75 db 4. 85 db e. 100 db Key: d Weighting: 1 Mark Reference: Park's Text Book Row 9 of table of specification OCCUPATIONAL HEALTH 50, Which one of the following is included in pneumoconiosis? a. Anthracosis b. Sarcoidosis c. Psittacosis d. Aspergillosis e. Salmonellosis Key: a Weighting: 1 Mark Reference: PARK'S TEXT BOOK Row 10 of table of specification 51. Which one of the following is not an example of organic dust? a. Cane fiber b. Tobacco . Cotton dust d. Grain dust e. Asbestos Key: e Weighting: = 1 Mark Reference: PARK’S TEXT BOOK Row 10 of table of specification Page 17 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper 52. Foundry workers may suffer from one of the following diseases as a result of occupational exposure: a. Silicosis b. Asbestosis ¢. Stomach cancer d. Lung cancer e. Anthracosis Key: a Weighting: 1 Mark Reference: PARK’S TEXT BOOK Row 10 of table of specifica’ 53. Which one of the following is not true regarding Pneumoconiosis? a. Byssinosis is due to inhalation of cotton dust b. Anthracosis is due to inhalation of anthrax spores c. Baggassosis is an occupational hazard of workers in paper mills d. Asbestosis predisposes to pleural mesothelioma. €. Pneumoceniosis is irreversible Key: b Weighting: 1 Mark Reference: PARK’S TEXT BOOK Row 10 of table of sp: ENTOMOLOGY 54. Which one of the following statements is not true regarding Lice? a. Lice belong to phylum arthropoda. b. It undergoes incomplete metamorphosis. c. Pediculosis is a viral disease transmitted by the bite of a body louse. d. Relapsing fever occurs when an infected louse is crushed on the skin, e. Dusting powder containing 10% DDT Js effective for Pediculosis. Key: ¢ Weighting: 1 Mark Reference: _Park’s Text Book Row 11 of table of specification Page 18 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper Which one of the following insecticides is the least toxic organo-chlorine compound for human beings? a. DDT b. HCH ©. Dieldrin ¢. Aldrin e. Chlordane Key: a Weighting: 1 Mark Reference: Park's Text Book Row 11 of table of sp PARASITOLOGY 56. 57. Asexual cycle of malarial parasite ends with the production of which one of the following to propagate the disease? Sporozoties Merozoites Schizonts Gametocytes Oocytes Key: d Weighting: 1 Mark Reference: Park’s Text Book Row 12 of table of specification ‘The best method recommended by WHO for malaria control in endemic areas is: The use of Pyrethrum impregnated bed nets Regular use of Chloroquine Genetic Control of Mosquitoes Vaccination Passive immunity by anti-sera a. b. c a. e. 1 Mark Park’s Text Book Row 12 of table of specification Page 19 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medicine (MCQs) Model Paper SNAKE BITE 58. Assnakebite victim was brought to a health facility after 6 hours of bite. There was a bloody discharge at the site of bite. There were ecchymosis & serum filled blebs. The most likely snake involved Viper Cobra Krait Sea snake Non poisonous snake Key: a Weighting: 1 Mark Reference: _Ilyas Ansari Text Book Row 13 of table of sp: MENTAL HEALTH Mental retardation is seen in which of the following childhood conditions? a. Trisomy 21 b. Marasmus. c. Kwashiorkor . Congenital HBV infection e. Juvenile Diabetes. Key: a Weighting: 1 Mark Reference: _Illyas Ansari Text Book Row 14 of table of specificat DRUG ADDICTION 60. Weighting: The most important factor which makes the smoking cessation program successful is: ‘The desire of the smoker to quit Availability of replacement therapy ‘Awell planned program The advice by a competent doctor Follow up program Key: a 1 Mark Reference: Park's Text Book Row 15 of table of specification Page 20 of 2261. 62. MBBS THIRD PROFESSIONAL EXAMINATION 2007 ‘Community Medici MCQs) Model Paper Which one is incorrect about tobacco smoking? a. The babies born smoking to mothers, who smoke, weigh on average 200, less at birth than those of non smokers. b. It is responsible for about 3 million deaths/year in the world ¢. In developed world per capita consumption of tabacco is, increasing 4. Dose-response relationship is seen in cigarette smoking and lung cancer e. Withdrawal symptoms include irritability, sleep problems and tremors. Key: ¢ Weighting: 1 Mark Reference: Park's Text Book Row 15 of table of specification Self administration of a drug for non medical reasons in frequencies which may impair an ity to function effectively and which may a. Drug dependence b. Drug tolerance ¢. Drug abuse d. Self medication. e. Drug therapy 1 Mark plants? Cannabis Morning Glory Coca bush Mushrooms Cactus Key: a Weighting: 1 Mark Reference: Park's Text Book Row 15 of table of specification Page 21 of 22MBBS THIRD PROFESSIONAL EXAMINATION 2007 64. a group of 10 people terest, it is called a: a. Workshop b. Panel discussion ©. Group discussion d. Symposium e. Demonstrations Key: ¢ Weighting: 1 Mark Reference: Park's Text Book Row 16 of table of specification DISASTERS 65. In which of the following disasters, injuries usually exceed death? Earth quakes Landslide Avalanches Floods Explosions Key: a Weighting: 1 Mark Reference: Park's Text Book Row 17 of table of specificati Page 22 of 22