SR

No. Question

1) Concept of Health And Disease

1 "A state of complete physical, mental and social wellbeing and not merely the absence of disease or
infirmity". This statement which defines health is given by
2 A list of comments against the World Health Organisation's definition of health is given. Which of them is
not a criticism?

3 Most inportant component of level of living is

4 "Physical quality of life index" consolidates following three indicators except

5 Regarding physical quality of life index (PQLI) which is false ?

6 Infant mortality is low in Kerala beacuse of

7 Prevention of the emergency or development of risk factors in countries which they have not yet appeared
is called as --
10 Which of the following is not an indicator of mortality?

11 All are morbidity indicators except:

13 Secondary health care is provided by

15 State of social dysfunction is known as
16 Course of a disease process without any intervention' is the definition of

17 The 'phase of pathogenesis' in the natural history of disease starts when

18 Epidemiological triad is

19 The 'web of causation' for chronic diseases implies that the disease cannot be controlled unless

20 Course of a disease process without any intervention' is the definition of

21 The 'phase of pathogenesis' in the natural history of disease starts when

22 Which of the following is tertiary level of prevention?

23 Early diagnosis and treatment is

24 Prophylactic administration of vitamin A in a child is

25 All are activities in secondary prevention except
26 Arrange the following in sequence 1.Disability, 2.Handicap, 3. Impairment
27 Silent epidemic of century is

2) Epidemiology And Epidemiologic Methods

28 Epidemiology deals with the study of:

29 Epidemiology involves study of:

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 Correct
Option Option
A B C D

UNESCO WHO UNICEF Red Cross B

Health is considered a No satisfactory definition It sets standards of Idealistic rather than C

'state' of well-being 'positive' health to be realistic goal
attained by all people
Health Education Occupation Housing A
Infant mortality rate Life expectancy at age Maternal mortality rate Literacy rate C
one
It includes IMR, life It is highest in Kerala in It can be used for Input affects PQLI D
expectancy at age one state of India comparsion of national
and literancy and international
standards
Better transport High per capita income High female literacy Better health resources C
Primordial prevention Primary Prevention Secondary Prevention Tertiary Prevention A

Doctor - population ratio Infant - mortality rate Maternal mortality rate Expectation of life A

Incidence Spells of absence from Dependency ratio Attendence rate in OPD C

work
Primary health centre Community health centre Teaching hospitals Apex hospital B
Disease illness Sickness None of the above C
Epidemiology Specturm of disease Natural history of disease Epidemiological trial C

Agent, host & When disease agent When signs and None of the above B
environment interact enters human host symptoms appear
Agent, host, environment Agent, vector,host Vector, carrier, Agent, environment, A
environment treatment
All the multiple causes Chains of causation are A number of multiple None of the above D
are removed conrolled causes are controlled
Epidemiology Spectrum of disease Natural history of disease Epidemiological triad C

Agent, host & When disease agent When signs and None of the above B
environment interact enters human host symptoms appear
Health promotion Chemoprophylaxis Rehabilitation Early diagnosis & C
treatment
Primary prevention Secondary prevention Rehabilitation Early diagnosis & B
treatment
Health promotion Specific protection Treatment Rehabilitation B
Chemoprophylaxis Case finding measures Screening surveys Periodic examination A
1,2,3 2,1,3 2,3,1 3,1,2 D
Coronary heart disease Chronic obstructive lung Alzheimers disease Chronic liver disease C
disease

All health related events Epidemic diseases Communicable diseases Communicable and non- A
and states in population communicable diseases
Distribution of disease Determinants of disease Disease frequency All of the above D

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30 The aspect of epidemiology which deals with distribution of disease is:
31 Incidence is defined as:

32 Study of time,place and person distribution of disease is:

33 Seasonal trend is due to:

34 A disease showing reoccurrence every 2 to 3 years shows:
35 Prevalence of disease is estimated from:
36 Analytical studies are undertaken to:

37 Case Control studies are:

38 Randomization is:

39 Pseudo carrier refers to:

40 The period between the entry of organism in the host and appearance of first signs and symptoms is
called:
41 Active immunity cannot be acquired by:

42 Which of the following is not a live attenuated vaccine

43 All are inactivated vaccines except:
44 Which of the following is not an advantage of attenuated vaccine?

45 Cold chain refers to:

46 Expanded Programme on Immunization(EPI)was launched in India in:

47 Gamma irradiation is used to sterilize all except:
48 Pasteurization of milk is an example of:

3) Screening
49 Tip of ice berg denotes
50 Active search for unrecognised disease among apparently healthy people is ---
51 The screening differs from periodic health examination in which of the following respect?

52 All are features of screening test except:

53 Prospective screening is done for:

54 In a community identification of high risk individuals for coronary artery disease and the prevention of
risk factors is:
55 The best and the most economical method of screening for a disease is
56 A good Screening test should satisfy the following criteria except for:
57 Repeatability of a screening test depends on

58 Sensitivity is ability of a test to detect:

59 True positives as a precentage of all positive is:
60 In communicable disease with high mortality tests must be:

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Descriptive Analytical Experimental Interventional A
Number of cases existing Number of cases existing Number of new cases Number of old cases C
in a given population at a in a given period occuring during a present during a specified
given moment specified period in a period in a given
given population population
Analytical epidemiology Descriptive epidemiology Experimental Observational B
epidemiology epidemiology
Vector variation Environmental factors Change in herd immunity All of the above B
Secular trend Cyclical trend Seasonal trend None of the above B
Case control study Cross sectional study Cohort study Randomized trial B
Determine the occurrence Screening of new cases in Test the etiological None of the above C
and distribution of the community hypothesis
disease
Prospective studies Retrospective studies Cross sectional studies None of the above B
Mixing control with Mixing different types of Statistical procedure of Selecting characteristics C
cases control allocating participants of case group
into study and control
groups
Asymptomatic carrier Carrier who escapes Avirulent organism Healthy carrier C
detection carrier
Period of Latent period Prepatent period Incubation period D
communicability
Exposure to infectious Inoculation with live or Inoculation with toxoids Inoculation with immune D
disease killed vaccine serum
BCG Oral(Sabin)polio vaccine Measles Pertussis D
Rabies Hepatitis B Measles Salk polio C
Low vaccine dose Immunity lasts longer Boosters needed Revaccination is not D
required infrequently possible
Manufacturing vaccine in Epidemic of influenza Storage and transport of Very cold temperature C
hill station vaccine at low
temperature
1974 1978 1985 1989 B
Glass Syringes Bandages and dressings Catgut Surgical instruments A
Concurrent disinfection Terminal disinfection Precurrent disinfection Absolute disinfection C

Carrier Clinical cases Subclinical cases Undiagnosed case B

Screening Surveillance Case finding Notification A
Capable of wide Relatively inexpensive Requires little physician All of the above D
appication time
Based on the one Test resuts are arbitary Very accurate Not a basis of treatment C
criterion and final
Case detection Control of Disease Disability limitation Prevention of disese B
Selective screening Surveillance Tertiary prevention Primary prevention A

High risk Screening Multiphasic Screening Mass Screening Prospective screening A

Acceptablility Repeatability Validity Ingenuity D
Observer variation Biological variation Errors relating to All of the Above D
technical method
True Positives True Negatives False Positives False negatives A
Sensitivity Specificity Predictive value RELATIVE risk C
Highly senstive Highly Specific Easy to perform Economical A

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61 Amount of previously unrecognised disease that is diagnosed as a result of screening effort is:
62 An ideal screening test should have all except :

4) Communicable Diseases
63 Primary infection of polio affects :
64 Mode of transmission of polio myelitis by
65 Poliomyelitis can be prevented by
66 MOPPING - UP IN polio myelitis means

68 Under national immunization programme 1 doseof OPV given at

69 Hepatitis A Virus multiplies in
70 Hepatitis A Virus can be demonstated in
71 Hepatitis A also known as
72 Onset of symptoms in Hepatitis A infection by

73 Diarrhoeal disease can be caused by

74 Oral rehydration therapy prevents
75 MCH Care for diarrhoea include

76 Reservior of cholera is
77 Oral cholera vaccine are given in the doses
78 Incubation period for cholera is
79 Enteric fever means
80 Primarily infection of typhoid acquire through
81 Diagnostic test for typhoid include
82 Complementary approach for specific prevention of typhoid is
83 In chronic carrier typhoid bacillie persist in
84 Immunization of typhoid is recommended for
85 Types of food poisoning are
86 Food poisoning may be mistaken as
87 Intestinal infection include
88 Primary Prevention of amoeabiasis includes

89 All are true of epidemiology of amoebiasis except-

90 Infective form of ascariasis is

91 which of the following is true about ascariasis

92 Adult hookworm mainly lives in which part of intestine

93 Infective form of hookworm is

94 The effects of hookworm infection are due to

95 Most common arthropod viral disease is

96 Dengue epidemics are increasing because of

97 Dengue is endemic in all except

98 Main vector for transmission of dengue fever is
99 All are true of classical dengue fever except

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Predictive Value Yield Prevalence Surveillance B
High sensitivity Low Specificity High yield High specificity B

alimentary tract nervous system respiratory system none of the above A

faeco oral route droplet both none of the above C
killed vaccine live attenuated vaccine both without immmunization C
immunization Door to immunization at PHC immunization at private immunization at govt A
door hospital hospital
6 weeks 4 weeks 3 weeks 1 year A
renal cells hepatocytes lymphnodes serum B
faeces bile blood all of the above D
serum hepatitis contagious liver disease epidemic jaundice none of above C
mild fever , nausea headche , chills , rigor joints pain burning micturation A
vomiting
RNA Virus Rhino virus Rota virus none of the above C
cramps dehydration & mortality infection none of above B
improved maternal improved child nutrition both A & B none of the above C
nutrition
cases carrier none of above both A & B D
3 2 1 4 A
3 to 5 days 4 to 8 days few hours to 5 days few weeks C
typhoid only paratyphoid only Both A & B none of theabove C
infected faeces & urine infected sputum & milk infected blood & serum none of the above A
tuberculine test widal test shick test lepromine test B
control of reservior control of sanitation immunization none of the above C
kidney lungs Gall bladder intestine C
school children hospital staff living in endemic areas all of the above D
bacterial non bacterial both A & B none of the above C
cholera acute dysentry chemical poisoning all of the above D
malaria polio myelitis influenza rabies B
protection of water food hygiene health education all of the above D
Supply
does not affect children no sex diffrence more among low socio incubation period 2-4 A
economic status weeks
Embryonated egg stage 1 larva stage II larva stage III larva A
Transmitted by faeco oral incubation period is 2 clay soil is favourable for all of the above D
route months development of ascariasis
Eggs
Duodenum jejunum Ileum ascending colon and B
caecum
Embryonated egg rhabditiform larva III stage larva II stage larva C
Iron deficiency anaemia vit.B12 deficiency protein energy teratogenic effects A
anaemia malneutrition
rabies dengue yellow fever japanese encephalitis B
growing urban inadequate water erosion of vector control All of above D
population management programme
Indonesia Thailand Myanmar Nepal D
culex fatigans Aedes aegypti Anopheles stephensi Anopheles culicifacies B
also called breakbone can occurr as epidemic or does not occurr in India cause by arbo virus C
fever endemic

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100 Which of the following is clinical feature of classical dengue fever

101 Which of the following is not a feature of dengue heamorrhagic fever

102 The current global strategy for malaria control is called

103 WHO with SAARC has initiated cross border control of

104 Malarial parasite with widest distribution throughout the world is
105 In India Malaria is most commonly caused by
106 Malaria causing organism in India are all except
107 Man is intermediate host for
108 In Malaria sexual phase of plasmodium is passed in
109 The form of malarial parasites which is infective to mosquito is
110 For a mosquito to be infective for malaria which is essential

111 Exflagellation of male gametocyte in mosquito takes place in

112 Complications of P. falciparum Malaria is
113 Transmission of Malaria can be reduced by
114 Causative Organism of small pox is:
115 India was declared Small pox free in:
116 Immunity conferred by an attack of small pox is:
117 A person who had chicken pox can have:
118 Which of the following is true about chicken pox:

119 Which of the following is not a complication of chicken pox:

120 Measles(Rubeola)is caused by:
121 Epidemics of measles are common in India during:

122 During Post Measles state,there may be:

123 Measles vaccine is not given before

124 Incubation period of Rubella is:
125 Vaccine contraindicated during pregnancy is:
126 Mumps virus grows in:

127 The type of Influenza causing pandemics is:

128 Regarding Influenza all are true except:

129 The antiviral used in treatment of Influenza is:

130 All are true about Diphtheria except:

131 Persistent Screaming ' is untoward effect of which of the following vaccines:
132 Statement not true about polio is:

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biphasic fever fleeting pin point eruption retro orbital pain All of the above D
on face
high grade fever enlargement of liver thrombocytopaenia heamo dilution D
malaria eradication malaria control modified plan of Roll back malaria D
programme programme opration
AIDS MALARIA TUBERCULOSIS All of the above D
P. vivax P. falciparum P. malariae P. ovale A
P. Vivax P.falciparum P.malariae mixed infection B
P. Vivax P. falciparum p. malariae P. ovale D
Malaria Tuberculosis Filariasis Relapsing fever A
culex Anopheles Human being water B
Merozoite Trophozoite gametocyte Sporozoite C
oocyst in stomach gametocyte in stomach sporozoite in salivary sporozoite in body cavity C
gland
proboscis stomach body cavity salivary gland B
cerebral malaria black water fever acute renal failure All of the above D
Chemoprophylaxis radical chemotherapy anti mosquito measures none of the above C
Varicella virus Herpes virus Variola virus Arbovirus C
Jul-73 Jan-75 Jul-75 Apr-77 D
10 years 15 years 20 years Lifelong D
Measles Mumps Herpes simplex Herpes zoster D
Secondary attack rate is Chicken pox is Rash effects mucosal All of the above D
90% transmitted by droplet surfaces
infection
Pneumonia Reye's syndrome Encephalitis Pancreatitis D
RNA paramyxovirus Human herpes virus 3 Orthomyxovirus Toga virus A
October to April January to July July to December Can occur throughout the A
year
Weight loss and growth Cancrum oris Reactivation of All of the above D
retardation pulmonary tuberculosis
9 Months 12 Months 15 Months 18 Months A
2 to 3 days 7 to 10 days 2 to 3 weeks 4 to 6 weeks C
OPV Rubella Tetanus Influenza B
Chick embryo Monkey kidney Mouse liver Chorioallantoin A
membranes
A B C Any of the above A
Antigenic drift occurs in Antigenic shift occur due Influenza A is capable of Influenza B is also A
all the three types to genetic reassortment antigenic shift capable of genetic
assortment
Acyclovir Zidovudine Amantadine Vidarabine C
C.Diptheriae is a gram Most important source of Herd immunity of over Infection is mainly D
positive,non motile infection is carrier 70 percent is considered transmitted by formites
organism necessary to prevent
epidemic spread
Diphtheria Pertussis Meningococcal Influenza B
Tripod sign may not be Paralysis progresses to Sensory involment in Respiratory insufficiency C
present maximum in less than 4 severe cases is usually the cause of
days death

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133 According to WHO,a case of TB is defined as:

5) Non Communicable Diseases

134 Which of the following is NOT a characteristic of non-communicable disease ?

135 Which of the following indices of obesity is height independent ?

136 A Patient is called obese if BMI is :-
137 All are true about Rheumatic fever(RF) in India except :-

138 Which of the following is maximally associated with coronary heart disease ?
139 The most common cause of blindness in india are :-
140 Assessment of obesity includes :-

141 Leukaemia is seen most commonly in –

142 Following are the risk factors for lung cancer except :-

143 What will be the BMI of a male whose weight is 89 kg and height is 172 cm ?
144 Following is not a risk factor for development of Diabetes Mellitus ?

145 Diabetes mellitus is best diagnosed by

146 Following are the risk factors of NCDs except :-

147 Smoking is preventive for -
148 Which of the following is the most severe form of diabetes Mellitus(DM)?

149 Modifiable risk factor for hypertension is -

150 DASH Stands for –

151 All of the following are major criteria of jones in Rheumatic fever except –
152 The most comman cancer among females in india is –
153 Best method of Screening for early detection of Carcinoma breast in young women is-
154 Most Common cause of stroke in India is –

155 Coronary Heart disease manifest itself in the following presentation except –

156 Rule of Halves is seen in –

157 Glycated hemoglobin reflects the mean blood glucose level of previous :-
158 Primordial Prevention in myocardial infarction are all except –

159 Ischaemic stroke includes except –

160 Earliest manifestation of stroke is –

161 Warning Signs of Cancer includes –

162 Primordial prevention in DM are all except –

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Tuberculin test positive Sputum positive for AFB X-ray Positive All of the above should C
be present

well defined etiological Multifactorial causation Long latent period Indefinite onset A
agent
Quetelet’s index Brocca’s index Ponderal index Corpulence index D
20-30 >25 >30 >40 C
RF is reported in 1-3% of More commonly seen in 5- Except carditis, other In Revised Jones criteria, D
streptococcal infections 15 years of age. manifestations don’t evidence of preceding
cause permanent damage streptococcal infection is
taken for 21 days
HDL VLDL LDL Chylomicrons C
Cataract Trachoma Refractive errors Vitamin A deficiency A
Body weight Skin fold thickness Waist Circumference and All of the above D
waist:hip ratio
Europeans Mongols Indians Americans B
Air pollution Hormonal factors Smoking Occupational exposure to B
asbestos
27 30 33 36 B
Sedentary life style. Protein energy Excessive intake of High intake of vitamin A. D
malnutrition in infancy alcohol
Fasting blood sugar FBS > 125 mg/de & HbA 1 c = 5.5% FBS > 70 md/dl B
(FBS) > 100 mg/dl & PPBS > 199mg/dl
post prandial blood sugar
(PPBS) > 140
Cigarette Smoking Alcohol abuse Myxovirusparoditis Lifestyle changes. C
Lung Cancer Chronic bronchitis Ulcerativecolitis EHD C
Type – 2 or Non- Insulin Type – 1 or Insulin – Gestational DM Impaired Glucose B
Dependent DM Dependent DM Tolerance
Ethinicity Age Sex Obesity D
Dietary approaches to Domestic approach to Dietary approaches to Domestic approaches to A
stop hypertension. safeguard hepatitis stop hyperlipidemia stop hypertension
Pancarditis Arthritis Chorea Elevated ESR D
Cervical Cancer Breast Cancer Ovarian Cancer Colonic Cancer B
Regular x-ray Self examination Mammography Biopsy B
Cerebral thrombosis Cerebral embolism Cerebral hemorrhage Subarachnoid A
hemorrhage
Angina pectoris Myocardial infarction Cardiac failure Rheumatic Heart Disease D

CHD hypertension Stroke Blindness B

15 day 3 months 1 month 6 months B
Maintenance of normal change in lifestyle Change in nutritional Screening for D
body weight habits hypertension
Lacunar infarct Carotid circulation Sub-arachnoid Veretebro basilar C
obstruction haemorrhage obstruction
Coma Speech disturbances Transient ischemic attack Hemiplegia C

a lump or hard area in unexplained weight loss blood loss from any All of these. D
breast natural orifice
Changes in nutritional Avoidance of Sweet Diet & oral antidiabetic Maintenance of body C
habits foods drugs weight

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163 Causes of domestic accidents are –
164 Most Reliable test for Screening of diabetes mellitus is –
165 Following are major risk factor for non-communicable disease prevalence except:

166 Following are the specific intervention of CHD except

167 Smoking predisposes to CHD by:

168 The threshold level of serum cholesterol beyond which there is definite increase in CHD risk is:
169 Which one of the following is not true about hypertension

170 The characteristic feature of stroke is:

171 Which of the following is mandatory to diagnose rheumatic fever:

172 Which of the following is not true about TIA:

173 Early warning signs (danger signals) of cancer are all except:

174 Which of the following HLA linkage is associated with IDDM?

175 The best investigation for epidemiological studies in Diabetes is:

176 Common cause of blindness in India is:

177 The essential aspect of a weight reducing diet are all except:

178 All of the following sites are used for measuring skin fold thickness to assess obesity except:
179 Single most useful test for identifying individuals at high risk of developing CHD is:
180 A disease is said to be chronic if it has duration of more than:
181 Following are methods for primary prevention of hypertension except:

182 Main somatoneurological disorder in stroke is

183 The infection that initiates rheumatic heart disease is caused by

184 Main risk factor for cerebral thrombosis is

6) Demography and Family Planning

185 Demography includes study of all except:

186 More declining death rate and birth rate tend to fall, the stage is ------
187 In what stage of demographic cycle is India today?
188 Zero population growth has been achieved by all except :
189 Annual growth rate of population is 1.5 to 2.0% then it will double in
190 The year of ' big divide' was
191 Present growth rate of India is:
192 Age and sex composition of population can be demonstrated by:
193 Approximate magnitude of compleleted family size can be obtained from:

194 Fertility rate can be decreased by following method except:

195 According to revised National Health policy NRR of 1 is to be achieved by:
196 Desirable spacing between 2 children is:

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Drowning falls Burn All of the above D
Random blood sugar fasting blood sugar Glucosetolerance Urine Sugar C
Smoking stress factor failure to obtain Immunodeficiency D
preventive health services

Dietary changes smoking physical activity identifying risk D

Promoting atherogenesis adrenergic drive raising Reducing HDL all of the above D
BP & myocardial O2 Lipoprotein levels
demand
150 mg/dl 200 mg/dl 220 mg/dl 300 mg/dl C
Prevalence more in males Rules of Halves apply to No. of death in women Obesity & high alcohol C
hypertension due to hypertension intake are associated with
exceed those in men increased risk of
hypertension
Incidence higher in males It causes both physical & 48% patients die within 1 All of the above D
mental crippling year
Carditis chorea Polyarthritis Positive ASO antibodies D
Caused due to micro Tendency to recurrence Neurological deficit of Long neurological deficit D
emboli sudden onset persist
Change in wart Persistent change of Unexplained fever Persistent cough C
bowel habits
HLA ADR4 HLA B8 HLA DR3 All of the above D
Urine analysis Fasting blood sugar Random blood sugar 2 hr. post prandial blood A
sugar
Cataract Vit A deficiency Trachoma Glaucoma A
Low in fat content Low in protein Low in simple Increase fibre content B
carbohydrate
Mid triceps Biceps Subscapular Anterior abdominal wall D
Blood pressure Serum cholesterol Sedentary life style Age A
1 month 2 months 3 months 6 months C
High calorie Low salt diet Maintain body mass Physical exercise A
carbohydrate diet index Less than 25
Paraplegia Hemiplegia Monoplegia Speech disturbances B
Adenovirus Staphylococcal bacterium Group A beta haemolytic Herpes virus C
streptococci
Elevated blood lipids Diabetes Hypertension Oral contraceptives C

Fertility Mortality Social mobility & Morbidity D

marriage
Late expanding Early expanding High stationary Declining A
Low stationary High stationary Early expanding Late expanding D
Sweden USA UK Denmark B
47-35 years 35-28 years 28-23 years 70-47 years A
1901 1921 1931 1951 B
3% 2.40% 2.10% 1.95% C
Bar chat Age pyramid Pictogram Histogram B
Pregnancy rate General martial fertility Gross reproduction rate Total fertility rate D
rate
Spacing of pregnancies Late marriges Change of MTP act Female literacy C
1996 2001 2006 2010 C
1 year 2-3 years 3-5 years 5-7 years B

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197 All are conventional contraceptive except:
198 The dosage of levonorgestrel present in norplant is
199 Birth control vaccine under research is targated to produce antibodies against
200 The age pyramid of India is typical of

201 Female condom is made up of

202 Following are barrier methods except

7) PREVENTIVE MEDICINE IN OBSTETRICS, PAEDIATRICS AND GERIATRICS

203 In PRENATAL PERIOD, embryois in between:
204 All are adverse effect of MATERNAL MALNUTRITION except:
205 PREMATURE INFANT is one whichis born :

206 MINIMUM NUMBER of antenatal visits during pregnancy is:

207 AVERAGE WEIGHT GAIN by a normalhealthy women during pregnancy is:
208 Tobacco smoking during pregnancy leads to all except :

209 Average birth weight in women who SMOKES during pregnacy is ......lessin term than among
nonsmokers:
210 ALCOHOLISM in pregnancy is associated with:

211 INTRAUTERINE X-RAY EXPOSURE is associated with increased risk of......among children:
212 All are COMPLICATIONS OF ANAEMIA in preganacy except:

213 Under MCH programme, iron and folic acid tablets to be given daily to mother:

214 Major defects associated with CONGENITAL RUBELLA are all except:
215 A child is likely to be infected by HIV virus by:
216 In INDIA,majority of deliveries takes place at:
217 Keeping the baby's crib by the side of mothers bed is called as:
218 Average milk secretion per day in Indian women
219 Most common cause of MATERNAL DEATH is :
220 PERINATAL MORTALITY includes :

221 A JUVENILE is a :

222 INFANT MORTALITY RATE is expressed as :

8) Nutrition
223 Proximate principles are all EXCEPT…
224 All are essential amino acids EXCEPT
225 The REFERENCE protein is
226 Best method to acess the state of protein nutrition is

227 Which of the following is rich in linoleic acid

228 High fat diet increases risk of cancer of
229 All are disaccharides EXCEPT
230 Preformed vitamin A is…….

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Condom Diaphragm IUCD Spermicide Jelly C
5 mg 10mg 15mg 36mg D
LH FSH hcG Progesterone C
Developed countries Developing countries Underdeveloping Fluctuating B
C- Underdeveloping countries
countries
D-Fluctuating
Polyurathane Synthetic rubber Plastic material None of the above A
Condom Diapragm Vaginal sponge Copper -T D

0 to 2 weeks 0 to 9 weeks 2 to 9 weeks 12 to 24 weeks C

Low birthweight Post patrumhaemorrhage Toxaemia of pregnancy Embryopathy D
Before 40 weeks Before 38 weeks Between 28 to 37weeks Between 28 to 40weeks C

Two Three Five Four D

8 kg 10 kg 12 kg 14 kg B
Low birth weight babies Placental insufficiency Cephalopelvic still birth C
dispraportion
170g 500g 670g No effect on birthweight A

Intrauterine growth Developmental Delay Increased risk of All of above D

retardation spontaneous abortion
Leukaemia Microcephaly Deafness Both A and B D
Preamature birth Puerperal sepsis Postpartum haemorrhage Erythroblastosis foetalis D

60mg +500mcg folic 100mg iron +500mcg 60mg iron +100mcg folic 120mg iron +100 mcg B
acid folic acid acid folic acid
Cataract Congenital heart diseaseDeafness Microcephaly D
Transplacental infection Breastfeeding During delivery All of above D
Hospital Primary health centers Home Private clinic C
Domiciliarycare Rooming in Rooming out Baby care B
200-300 ml 400-600ml 800-1000ml None of above B
Infection Anaemia Toxaemia of pregnancy Haemorrhage D
Stillbirths Neonatal deaths Stillbirths and early Stillbirths and neonatal C
neonatal deaths deaths
Child below 21years age Child below 18years age Boy below 16 years and Boy below 13years and C
girl below 18 years girlbelow 16 years
Rate per 100 live births Rate per 1000 live births Rate per 1000 live births Rate per one lack B
weighingover 1000g at population
birth

Proteins Carbohydrates Fats Minerals and vitamins D

Leucine Lysine Phenylalanine Tyrosine D
Egg Milk Fish Meat A
Serum Transferrin Serum Albumin Creatinine height index Arm muscle B
circumferrence
Sunflower oil Soyabean oil Groundnut oil Palm oil A
Stomach Cervix Breast Lung C
Sucrose Lactose Galactose Maltose B
Retinol Beta -carotene Alpha -carotene Caretinoids A

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231 All are fat soluble EXCEPT
232 Earliest clinical sign of vitamin A is
233 Daily requirement of vitamin D in children is
234 Mental deterioration may occur due to the deficiency of :
235 Daily requirment of vitamin A in a lactating mother is
236 In Purdah system ,disease common is:
237 Wernicke's encephalopathy results from deficiency of
238 Foods rich in NIACIN are all except :
239 ALL of the following are trace elements EXCEPT:
240 Absorption of the calcium decreased by
241 Magnesium deficiency is seen in:

242 Amount of IRON present in each gram of the haemoglobin is:

243 Lysine is limitimg amino acid in:
244 Net protein utilization is highest in:
245 Vinegar contains:
246 Sugar present in honey is:
247 Most common cause of nutritional anaemia is:
248 Anaemia in pregnant women leads to:

249 Dental fluorosis develpos when water fluoride content is above:

250 Nalgonda tecnique is for:
251 The recommended level of Iodinization at the consumer level is:
252 Index of current nutritional status/severity of malnutrition is:
253 ALL are features of Kwashiorkar excpet :
254 Which of the following is first indicator of PEM?

255 Daily requirment of PROTEIN in adults is:

256 RBC glutathione reductase activity is useful for detection of deficiency of:
257 Deficiency of which of the following may have a role in pathogenesis of Diabetes Mellitus :
258 Most of the serum cholesterol is present in which of the following lipoprotein:

259 BOAA from Lathyrus sativus can be removed by:

260 Which of the following risk factor has very high statistical significance with the incidence of CHD
261 Calories supplied by FAT(per g) is:
262 Energy required for basal metabolism is:
263 Aflatoxins cause:
264 The toxic agent of 'Epidemic dropsy' is:
265 First and commenest clinical manifestation of the epidemic dropsy is:
266 Target groups in ICDS programme are all EXCEPT:

267 The toxin causing ENDEMIC ASCITES is:

268 Diseases caused by food intoxicant are all EXCEPT:
269 Aflatoxin is produced by :
270 All of the following is NOT food borne infection:
271 Methylene blue reduction test is done for estimating:

272 Protein content in human milk is:

273 Breast milk as compared to cow milk has more:
274 Milk is deficient in:
275 Carbohydrate present in milk is:
276 Fluoridation of water prevents:

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A D B E C
Conjunctival xerosis Corneal xerosis Night blindness Bitot's spots A
100 IU 400 IU 1000IU 5000IU B
Thiamine Vitamin D Pyridoxine Vitamin C A
400 mcg 600 mcg 950 mcg 800 mcg C
Pellagra Osteomalacia Tuberculosis Leprosy B
Vitamin A Thiamine Vitamin K Riboflavin B
Liver Meat Groundnut Milk D
Iron Iodine Magnesium Zinc C
Phylates Oxalates Fatty Acids All of the above D
Chronic alcoholics Toxaemia of pregnancy Protein energy All of the above D
malnutrition
1.2 mg 2.3 mg 3.3 mg 6.5 mg C
Wheat Rice Black gram Ragi A
Egg Meat Milk Fish A
Oleic acid Oxalic acid Acetic acid Tannic acid C
Sucrose Lactose Fructose and Galactose Glucose and Fructose D
Iron deficiency Folate deficiency Vitamin B12 deficiency Pyridoxine deficiency A
Abortions Post partum haemorrhage Premature births All of the above D

1.5 mg/lit 3 mg/lit 4.5 mg/lit 6 mg/lit A

Fluoridation of water Defluoridation of water Iodination of water Chlorination of water B
5 ppm 10 ppm 15 ppm 30 ppm C
Weight for age Height for age Weight for height Skin fold thickness C
Sparse,silky hair Mental alertness Oedema Diffuse pigmented skin B
Under weight for height Under weight for age Under height for age Decreased arm B
circumference
1gm/kg 1.2gm/kg 1.8gm/kg 2.3gm/kg A
Thiamine Riboflavin Niacin Folic acid B
Chromium Copper Zinc All the above D
VLDL LDL HDL Equally distributed above B
all three
Drying Refrigeration Pasterurization Paraboiling D
Plasma Cholesterol Hypertension Cigarette smoking Lack of physical activity A
4 kcal 7 kcal 9kcal 10 kcal C
1kcal/hr/kg body wt 3kcal/hr/kg body wt 5 kcal/hr/kg wt 7 kcal/hr/kg body wt A
Neurolathyrism Hepatoma Cholangiocarcinoma Botulism B
BOAA Sanguinarine Ergot alkaloids Pyrrolizidine alkaloid B
Bilateral swelling of legs Gastrointestinal upset Cardiac failure Glaucoma A
Chidren upto 6 years Pregnant and lactating adolescent girls 11 to 18 School going children D
women years
Fusarium toxin Aflatoxin pyrrolizidine alkaloid Botulism toxin C
Pellagra Lathyrism Endemic ascites Epidemic dropsy A
Aspergillus Flavus Aspergillus Fumigatus Aspergillus niger All of the above A
Oxyuriasis Typhoid fever E.Coli diarrhoea Leptospirosis D
Activity of bacteria in Faecal contamination of Fat content in milk Protein content in milk A
milk milk
1.1 gm% 3.4 gm% 4.3 gm% 6.5 gm% A
Lactose Protein Fats Calcium A
Vitamin D Vitamin C Protein Vitamin A B
Galactose Lactose Fructose Sucrose B
Bacterial growth Dental fluorosis Dental caries All of the above C

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277 Single most sensitive tool for evaluating iron status is:

278 Total daily Iron loss in an adult is:

279 Most heat labile vitamin is:
280 The triad of clinical features of Pallegra consist of all EXCEPT:

281 The clinical feature of folic acid deficiency is:

282 Major source of Fluorine to man is:
283 Iodine deficiency is associated with all except :
284 Molybdenum deficiency is associated with cancer of:
285 Cobalt deficiency is associated with:

9) Environment and Health

286 Which one of the following cities gets its water supply from impounding reservoir?
287 Guinea worm disease is a health problem where there are:
288 Which of the disease is due to snails?
289 All of the following may be true for slow sand filters except :

290 Action of chlorine is maximum when water pH is around

291 Orthotolidine-arsenite test determines :

292 Bacteriological indicators of water contamination by faeces are all except :

293 Excess of nitrate in drinking water can lead to:
294 Permanent hardness of water is due to all expect:
295 Sodium permutit as complex compound is used for :

296 McARDLE'S maximum allowable sweat rate is:

297 Phon is:

298 Permanent loss of hearing occurs with continuous exposure to noise above :
299 Most harmful radiation is :
300 The most fatal complication which can occur to divers(under high atmospheric pressure) is:
301 Trench method of refuse disposal is a type of :
302 A drinking water must be ... feet away from a source of contamination :
303 Strength of sewage is expressed in terms of all except :

304 The 'heart' of the activated sludge process is :

305 The following diseases have insect vector except :

306 Louse is a vector for all except :

10) Occupational health

307 The commonest physical health hazard in most industries is:
308 Conjunctivitis and keratitis ( Welder's flash ) is caused due to the exposure to :
309 Genetic changes may occur due to the exposure to:
310 The international commission of radiological protection has set the maximum permissible level of
occupational expouser at …..per year to the whole body :
311 Occupational hazard related to cold are all except :
312 Which one of the following is not the direct effect of heat exposure in an industry :

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Haemoglobin Serum Iron concentration Serum Ferritin Serum transferrin C
concentration saturation
1 mg 2 mg 5 mg 10 mg A
Vitamin B12 Folic acid Thiamine Vitamin C D
Diarrhoea Dermatitis Dementia Demyelination of spinal D
cord
Megaloblastic anaemia Glossitis Infertility All of the above D
Water Cheese Milk Green leafy vegetables A
High infant mortality rate Stillbirths Mental retardation Deaf mutism A
Lung Liver Oesophagus Testis C
Protein energy Oesophageal cancer Goitre Thalassemia C
malnutrition

Nagpur Delhi Allahabad Pune A

dug wells artesian wells step wells tube wells C
hydatid disease thread worm schistosomiasis fish tape worm C
occupies large areas filters are washed by removal of bacteria is operation is highly D
scraping the sand bed better achieved than rapid skilled
sand filter
3 5 7 10 C
combined chlorine in both free and combined dose of bleaching powder hardness of water B
water chlorine in water required for disinfection
seperately of water
E.coli faecal streptococci Cl.perfringes Staphylococcus D
nephrotoxicity hypothyroidism encephalomalacia methemoglobinemia D
Magnesium sulphate Calcium chloride Magnesium nitrate Calcium.bicarbonate C
disinfection of well water disinfection of large body removal of hardness of testing the residual C
of water water chlorine
1L/12 hour 4L/1 hour 4.5L/4 hours 4.5L/8 hours C
measure of air pollution measure of intensity of psycho-acoustic index of cooling power of air C
sound loudness
60 decibels 80 decibels 100 decibels 120 decibels C
alpha particle beta particles protons gamma rays A
pulmonary oedema air embolism ruputure of spleen myocardial infarction A
composting incineration controlled tipping none of the above C
25 50 75 100 B
biochemical oxygen chemical oxygen demand suspended solids E.coli count D
demand
primary sedimentation sludge digester aeration tank final settling tank C
tank
epidemic typhus west nile brucellosis chagas disease C
epidemic typhus trench fever endemic typhus relapsing fever C

Heat Noise Humidity Ionizing radition A

Heat Vibration Ultravoilet radiation Ionizing radition C
Heat Noise Ionizing radiation Ultraviolet radiation C
5 rem 10 rem 50 rem 100 rem only A

Chillblains Erythrocyanosis Frostbite Caisson's disease D

Heat exhausation Heat stroke Erythrocyanosis Burns C

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313 The Indian factories Act of 1976 was latest amended in :
314 Factories Act applies to whole of India except :
315 The minimum air space per worker prescribed by Indian Factory (Amendement ) Act 1987 , is :
316 Factories Act recommends provision of creche if number of women workers exceeds :
317 Maximum permitted working hours per week per worker under factories Act is :
318 Least toxic lead compound among the following is :
319 Lead poisoning in industries commonly occurs by :
320 Toxic effects of inorganic lead exposure includes all except :
321 Useful Screening test for lead is measurment of :

322 Pneumoconiosis is caused by all excep t :

323 Effective size of dust particles to produce pneumoconiosis is :
324 One of the following pneumoconiotic disease occurs in gold miners :
325 Farmers lung results from exposure to :
326 Micropolyspora faeni is the main cause for :
327 Clinical symptoms are present when blood lead level is more than :
328 The employers contribution to ESIC is :
329 X-ray chest shows ' ground glass appearns ' in lower two thirds of lung in :
330 Of the following exposures , which requires daily examination of workers :
331 Under which benefit , the ESI beneficiary gets the OPD care :
332 Size of respirable dust is below ----
333 All the following are pneumoconiosis except ---
334 Farmer's lung results from exposeur to ----
335 Most common occupational cancer seen is ---
336 The cancer seen in aniline industry workers is ---
337 All the following are bladder carcinogens except --
338 Which of the following is undesirable condition of a lead industry ?
339 Phossy jaw is caused by occupational exposure to
340 Extednded sickness benefit is payable for
341 The ESI Act. Of 1948 was amended in ----
342 Duration of maternity benefit according to ESI Act is
343 All of the following are inorganic dusts except ----
344 Micropolyspora Faeni is the main cause for ---
345 The substances associated with lung cancer include all except --
346 The ESI Act came into being in ----

11) Genetics
347 Basic principles of genetics were laid down by
348 Karyotype of normal male is :
349 Stain used for chromosomal study is
350 Down syndrome is due to
351 Commonest blood group in India is
352 Pernicious anaemia is common in blood group
353 Which of following disease is due to a point mutation
354 Amniocentesis is performed at :
355 Genetic predisposition in cancer of
Or - Mental Health
356 All are charactelistics of a mentally healthy person except:

357 All of the following are major mental illnesses except:

358 Which of the following mineral deficiency is associated with mental ill health

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1984 1975 1987 1989 C
Andhra Pradesh Jammu and kashmir Sikkim Rajasthan B
200 cu ft 300 cu ft 500 cu ft 700 cu ft C
10 30 60 100 B
40 44 48 56 C
Lead arsenate Lead oxide Lead carbonate Lead sulphide D
Inhalation Ingestion Skin absorbation Conjunctival route A
Abdominal colic Blue line on gums Wrist drop Mental confusion D
Coproporphyrin in urine Amino levulinic acid in Lead in blood Lead in urine A
urine
Coal dust Silica Chromium Asbestos C
0.1 to 0.4 microns 0.5 to 3 microns 4 to 8 microns 9 to 12 microns B
Anthracosis Silicosis Bagassosis None of the above B
Sugarcane dust Cotton fibre dust Grain dust Tobacco C
Byssinosis Bagassosis Anthracosis Farmers lung D
25 ug / 100 ml 50 ug / 100 ml 70 ug / 100 ml 100 ug / 100 ml C
15 % of the wages 4.75 % of the wages 8 % of the wages 12 % of wages B
Anthracosis Silicosis Asbestosis Farmers lung C
Lead Arsenic Dichromate Radium C
Medical benefit Sickness benefit Dependants benefit All the above A
0.1 micron 1 micron 5 micron 10 micron C
Siderosis Bagassosis Farmer's lung Psittacosis D
Sugarcane dust Cotton fibre dust Grain dust Tobacco C
Bladder Lung Skin Leukaemia C
Skin cancer Lung cancer Cancer bladder Cancer rectum C
Beta napthylamine Benzidine Auramine Benzol D
Anaemia Peptic ulcer Nephritis All of above D
Asbestos Phosphorus Mercury Lead B
91 days 124 days 309 days One year C
1954 & 1965 1964 7 1975 1974 & 1979 1975, 1984 &1989 D
6 weeks 12 weeks 16 weeks 20 weeks B
Silica Cotton Coal Asbestos B
Byssinosis Bagassosis Anthra Cosisn Farmer's lung D
Asbestos Nickel Coal tar Silica D
1948 1952 1962 1975 A

Mendel Tijo & Levan Dorwin Waston & Crick A

46 xx 47 xxy 46 xy 46 xd C
Aeriflavine Haemeitoxyline Indigo carmine Quinacrine D
Trisome 21 Translocation 22/20 Trisomy 18 None of the above A
O A B AB A
O A B AB B
Diabetec Mellitus Porphyria Sickle cell anaemia Colour blindners C
8-10 weeks 14-16 weeks 20-24 weeks 4-6 weeks B
Prostate Stomach Colon Pancreas C

Has self respect unable to accept his Able to like & trust Able to meet the B
shortcoming others demands of life
Schizophrenia Paranoia Psychoneurosis Manic depressive C
psychosis
Calcium Iron Zinc Iodine D

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359 Withdrawal symptoms of steroid dependency indude :
360 Which of the following is derived from cannabis
361 Which of the following is not a narcotic:
362 All of the following drugs produce physical dependence except:
363 Alcohol is associated with all of the following cancers except:

364 Tobacco is associated with:

365 Withdrawal symptoms of tobacco include :

12) Health Information & Medical Statistics

376 To calculate vital statistics the population used is as
377 The time limit for Registration of birth & that death is --- uniformly in India
378 Birth and death registration Act of India came into force
379 All the following are notifiable disease except:
380 Vital statistics is / are collected from

381 Central value of a series is termed as

382 The percentage is depicted by :
384 Normal curve is :
385 Z is a measure of ------
387 Median is almost equivalent to ---
388 All are measure of dispersion except ---
389 Which of the following is maximally used as measure of dispersion _--
390 Root mean square deviation denotes -----
391 Standard errors is due to ----

392 Standard errors of means is calculated from

13) Communication
393 Most common channel of communication?
394 Which one of the following is socratic method of teaching ?
395 The best method of teaching an urban slum about ORS is ---
396 In health education programme a group of 10 people are speaking on a topic of common interest best is -
397 In wchich of the following there is no two-way communication --
398 For education of general public most potent media is
399 Which of the following method is useful education device for school children?
400 For effective group discussion the group should consist of ---
401 Which of the following is not true about lecture as health education method --

14) Health Programmes in India

402 National Malaria Control Programme was Launched in
403 Under NMCP Rounds of DDT to be sprayed is
404 The revised strategy under nationanl leprosy Eradiction Programme (NLEP) is based on:

405 National Tuberculosis Programme (NTP) was started in:

406 Component of National AIDS Control Programme is :

407 The Organizational structure for National Programme for Control of Blindness in Primary level is.

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Depressed mood Restlessness Insomnia All of above D
Charas Bhang Ganja All of above D
Heroin Codein Methadone Marijuana D
Cocaine Barbiturate Alcohol Heroin A
Cancer of pharynx Cancer of larynx Cancer of oesophagus Cancer of urinary bladder D

Chronic Bronchitis Emphysema Lung cancer All of above D

Irritability Anxiety Tremors All of above D

1-Jan 1-Apr 1-Jul 1-Oct B

10 days 21 days 5 days 30 days B
1940 1950 1960 1970 D
cholera hypertension plague yellow fever B
Previous hospital records Census Epidemiological All of above D
Surveillance
Mean Mode Median All of above D
Bar chart Pie Chart Histogram Pictogram B
Asymmetrical Symmetrical Linear Curvelinear B
Median Mode Regression coefficient Standard normal variate D
100th percentile 75th percentile 50th percentile 95th Percentile C
Range Mode Standard deviation Mean deviation B
Geometric mean Standard deviation Mean Median B
Standard deviation Standard Errors Mean standard deviation All of above A
Sampling errors Normal distribution of the Observer Variation Variability of the A
means readings
Standard deviation of Standard deviation of Mode Geometric mean A
means observation

Face to face Mass Media Dramas Folk dances A

Lecture Films Exhibition Panel discussions D
Flash cards Lectures Demonstration Role Play C
Panel discussion Symposium Group discussion Workshop B
Lectures Symposium Group discussion Panel discussion A
Television Radio News paper Health nmagazines A
Demonstration Role Playing Simulation exercise Group discussion B
4-5 30 - 50 6 -12 60 - 75 C
One way of Gives basic information Group should not be Large number of points D
communication more than 30 can be covered

1950 1953 1957 1962 B

Once a Year Twice a year Thrice a Year All of the above B
Multi drug Early diagnosis Isolation of Leprosy slum improvement A
Chemotherapy Scheme scheme
1954 1958 1962 1976 C
Establishment of Identifiction and screeing Cotrol of STDs. All of the above D
Surveilllance Centres. of high risk groups.
Sub-district level hospital Mobile opthalmic Unit Upgraded PHCs All of the above D

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408 In National Goitre Control Programme Iodine is supplied:

409 Expanded Programme of Immunization (EPI) Includes all of the following vaccines except:
410 In UIP Immunization is to be completed by age of:
411 Under 20- point Programme is :

15) Health Care Of Community

412 In India primary health care service is a ---- level system
413 All of the following are the principles of primary health care except

414 The agenda for Health for all by 2000 AD has been taken united at which place
415 National health policy was formulated in
416 By year 2000 A. D. the net reproduction rate should be ----
417 An assessment of the health status and health problem is ____
Or - International Health
418 When was pan American Sanitary Bureau estabilish
419 The red cross society of India was established by Act of Indian legistature in year?
420 Where is the UNICEF's regional office in India?
421 What is the basic objective of UNDP?

422 International labour Organization was established in

423 What is main objective of world Bank?

424 Which campaign is being promoted by UNICEF for Child health revolution
425 (FAO) food & agriculture organization was formed in ---- year with head quarter in ---?
426 What is SIDA

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In drinking water In salt as iodide In salt as iodized As IM injection of C
iodised oil
BCG Rubella Vaccine DPT Measles Vaccine B
1 year 2 years 3 years 4 years A
Health for all Protection of Clean drinking water All of the above D
Environment

1 2 3 4 C
Social equity Intersectoral coordination Speciality service Community Participant C

New york Alma Ata New Delhi Moscow B

1977 1980 1983 1987 C
1 1.5 2 2.5 A
Epidemiology Community diagnosis Social medicines Social pathology B

1924 1902 1947 1949 B

1920 1922 1902 1947 A
Mumbai New Delhi Kolkatta Kerala B
To help poorer nation to To help under developing To provide vaccination To provide funds A
develop their human countries countries
1921 1991 1912 1919 D
To serve healthy food To conserve resources Give loans for economic None of the above C
growth
UNDP MODI GOBI ILO C
1945, Tokyo 1945, Rome 1954, Rome 1954, Tokyo B
Social international Sweden India Social internation Swedish International D
developemnt Association development Agency Domestic association Development Agency

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