SZABMU

Department of Community Medicine (IMDC)

MCQs Key Paper – I

1 B 25 C 49 B
2 E 26 B 50 A
3 D 27 A 51 D
4 D 28 A 52 E
5 E 29 B 53 C
6 D 30 B 54 D
7 D 31 C 55 E
8 C 32 A 56 B
9 D 33 B 57 A
10 C 34 A 58 A
11 D 35 C 59 B
12 B 36 B 60 A
13 C 37 B 61 E
14 D 38 A 62 C
15 E 39 A 63 A
16 C 40 E 64 A
17 D 41 B 65 A
18 D 42 B
19 A 43 A
20 E 44 C
21 E 45 C
22 C 46 C
23 D 47 B
24 C 48 C
 SZABMU
Department of Community Medicine (IMDC)
MCQs Paper – I

1. Alpha error is:

a. Probability of rejecting false null hypothesis
b. Probability of rejecting true null hypothesis **
c. Probability of not rejecting false null hypothesis
d. Probability of accepting true null hypothesis
e. Probability of rejecting null and alternate hypothesis
2. In a statistical analysis, dispersion of data is measured by:
a. Mode
b. Mean
c. Median
d. Geometric mean
e. Mean deviation**
3. In a standard normal curve, the area between 2SD on either side of mean will be:
a. 45%
b. 52%
c. 68%
d. 95%**
e. 100%
4. A researcher wanted to compare two data sets, one measured in inches and other in
centimeters. The best measure of dispersion for comparison is:
a. Range
b. Percentile
c. Quartile
d. Coefficient of variation**
e. Standard deviation
5. In comparison to cohort study, case control study is:
a. Inappropriate for rare diseases
b. Expensive
c. Yields incidence rates
d. Prospective
e. Yields quick results**
6. An outbreak of measles occurred in a small village of Punjab with the population of 40,000.A
total of 150 cases of measles occurred out of which only 10 survived. The appropriate rate to
comment on killing power of disease is:
a. Incidence
b. Prevalence
c. Attack
d. Case fatality**
e. Crude death
7. The main function of BHU is:
a. 10 % preventive and 90 % curative
b. 30 % preventive and 70 % curative
c. 50 % preventive and 50 % curative
d. 80 % preventive and 20 % curative**
e. 100 % preventive and no curative
8. Effect of malnutrition with measles on mortality risk is an example of:
a. Spurious association
b. Temporal association
c. Effect modifier**
d. Gradient of infection
e. Halo effect
9. The government claims that it has devolved the system through constitution. The term
devolution means:
a. Span of control
b. Unity of command
c. Motivation of manpower
d. Delegation of authority**
e. Homogenous assignment
10. In smaller and remote health care facilities where incineration and land filling is not possible,
hospital waste management can be done by:
a. Inertization
b. Encapsulation
c. Safe burying**
d. Microwave irradiation
e. Wet thermal treatment
11. The best parameter to evaluate the quality of protein for body needs is:
a. Protein-efficiency ratio
b. Biological value
c. Digestibility coefficient
d. Net protein utilization**
e. Amount of proteins consumed daily.
12. A 3 years old boy presented with mild muscle wasting, edema, moon like face, pot belly,
diffuse pigmentation and thin sparse hair .The most probable diagnosis is:
a. Marasmus
b. Kwashiorkor**
c. Beriberi
d. Rickets
e. Osteomalasia
13. Out of all essential amino acids, histidine is especially required for :
a. Adults
b. Pregnant ladies
c. Children**
d. lactating mothers
e. Old age people
14. An inverse relationship is found between reduced incidence of cancer of colon and stomach
with increase intake of:
a. Pulses
b. Cereals
c. Starch
d. dietary fiber**
e. beans and nuts
15. During purification, storing water for 5-7 days decreases the bacterial count by:
a. 10%
b. 20%
c. 30%
d. 50%
e. 90%**
16. The most appropriate technique used to purify highly polluted water is:
a. Simple chlorination
b. Chloramination
c. Super chlorination**
d. High test hypochlorite
e. Break point chlorination
17. Winchester Quartz bottle is used to:
a. Store bleaching powder
b. Measure the amount of chlorine for disinfection of well
c. Perform orthotoulidne test for free residual chorine
d. Collect sample of water for physical and chemical examination**
e. Double pot method
18. The arthropod given the name of tiger mosquito due to presence of white stripes on the legs
and body is:
a. Anopheles mosquito
b. Aedes Aegypti
c. Sand fly
d. Lice
e. Flea
19. Damage to crops, houses and marine life occurs due to acid rain as water combines with:
a. Sulphur dioxide and Nitrogen dioxide
b. Carbon mono oxide and oxygen
c. Hydrogen disulphide and water
d. Nitrogen dioxide and carbon dioxide
e. phosphorus
20. Cone of filtration is an imaginary cone built around a well. The importance of this cone is:
a. To determine the level of water in well
b. To determine the depth of well
c. To calculate the amount of bleaching powder for disinfecting well
d. To calculate volume of water in well
e. To trace the origin of pollution in the area of cone around well**
21. A 50- year old obese man, smoker for 30 years presented to his family Physician. He was
concerned about heart disease because his mother recently had myocardial infarction and his
father passed away due to heart disease. The doctor advised him to have regular exercise
and to quit smoking. The strategy is :
a. Specific protection
b. Primordial prevention
c. Tertiary prevention
d. Secondary prevention
e. Primary prevention**
22. The branch of sociology which deals with the relationship between organisms and
environment:
a. Ergonomics
b. Social physiology
c. Ecology **
d. Social pathology
e. Social therapy
23. The principles of primary health care are:
a. Equity + community participation + control of endemic diseases
b. Equity + multi sectoral approach + community participation + appropriate technology
c. Equity + appropriate treatment of common diseases + multi sectoral approach +
community participation
d. Equality + multi sectoral approach + community participation + appropriate
technology**
e. Equity + multi-purpose approach + community participation + appropriate technology
24. The person who is unable to get a job as a result of defective vision is an example of:
a. Impairment
b. Disability
c. Handicap**
d. Rehabilitation
e. Specific protection
25. The indicator of provision of health care is:
a. Prevalence of disease
b. Literacy rate
c. Utilization of health services**
d. Income distribution
e. Incidence of disease
26. Comprehensive health care is the system of delivery of personal and impersonal health
services to the community. Impersonal health service include:
a. Maternal and child health care
b. Vector control measures**
c. Regular checkup of workers in industries
d. Provision of medication to school children
e. Immunization of children
27. The most cost effective family planning method for a person who has completed his family
is:
a. Vasectomy**
b. Oral contraceptive pills
c. IUCDS
d. Condoms
e. Abstinence
28. Consanguinity means:
a. Marriage between first cousins**
b. To have two wives
c. To remain unmarried
d. To have more than two wives
e. Marriage outside the family
29. Pelvic inflammatory disease is an absolute contraindication for:
a. Tubal ligation
b. Insertion of IUCD**
c. Oral contraceptive pills
d. Use of condoms
e. Sub dermal implants
30. The correct statement regarding breast feeding is:
a. Feeding of the new born should commence two days after birth
b. Colostrum contains antibodies**
c. Breast feeding is contra indicated in mothers with Tuberculosis
d. Bottle fed babies have higher immunity then breast fed babies
e. Feeding should be discontinued, if the infant cannot suck
31. The most recommended desk for school students is:
a. Plus and minus desk.
b. Zero desk
c. Minus desk**
d. Plus and zero desk
e. Plus desk
32. The maximum number of deciduous teeth (milk teeth) a school child can have are:
a. 20**
b. 24
c. 28
d. 32
e. 40
33. High stationary stage of demographic transition has:
a. birth rate lower than death rate
b. high birth rate and high death rate**
c. low birth rate and high death rate
d. low death rate and high birth rate
e. low birth rate and low death rate
34. With annual growth rate of 2.0%, population doubling time will be:
a. 35 years **
b. 28 years
c. 23 years
d. 47 years
e. 20 years
35. Pakistan lies in demographic transition phase of:
a. High stationary
b. Early expanding
c. Late expanding**
d. Low stationary
e. Declining phase
36. Total number of live births expressed against the total population at a given place during a
given time period is:
a. General fertility rate
b. Crude birth rate**
c. Total fertility rate
d. Specific birth rate
e. Gross reproductive rate
37. In disaster relief plan, the term “TRIAGE” mean giving priority to:
a. Those casualties most likely to benefit from urgent medical treatment
b. Those casualties who are in critical condition**
c. Fracture cases
d. Those who have lost their relatives
e. Those with minor injuries
38. The topological disasters include:
a. Floods and landslides**
b. Hurricanes and storms
c. Earthquakes and droughts
d. Avalanches and cyclones
e. Atomic explosions and volcanic eruptions
39. In comparison to floods; earthquakes have:
a. More injuries than deaths**
b. More deaths than injuries
c. Equal deaths and injuries
d. Less structural loss
e. Less damage to civic facilities
40. In comparison to inactivated polio vaccine; oral polio vaccine:
a. Difficult to manufacture
b. Costly
c. Longer shelf life
d. Prevents paralysis but not re infection by wild polio virus
e. Can be effectively used in controlling epidemics**
41. In developing countries measles occurs most commonly at the age of:
a. Below 6 months
b. 6 months to 3 years**
C. Above 3 years
d. Above 5 years
e. Above 10 years
42. The most common complication of influenza is:
a. Myocarditis
b. Pneumonia**
c. Encephalitis
d. Pancreatitis
e. Conjunctivitis
43. The time interval between invasion by an infectious agent and appearance of the first sign
or system of the disease is:
a. Incubation period**
b. Median incubation period
c. Latent period
d. Infective period0
e. Quarantine
44. According to EPI schedule, DPT vaccine is given at:
a. Birth,6 weeks.10 weeks
b. 6 weeks,12 weeks,14 weeks
c. 6 weeks,10 weeks,14 weeks**
d. 6 months,10 months,14 months
e. 6 months,12 months,14 months
45. The commonest side effect of BCG vaccination is:
a. Miliary tuberculosis
b. Lupus vulgaris
c. Suppurative lymphadenitis**
d. Erythema nodosum
e. Generalized edema
46. The live attenuated vaccines are:
a. Measles/Typhoid/Hepatitis B
b. Measles/Mumps/Plague
c. Mumps/Chickenpox/BCG**
d. Diphtheria/Tetanus/Chickenpox
e. Measles/Rubella/Cholera
47. The virus associated with hepatocellular carcinoma is:
a. Hepatitis A
b. Hepatitis B**
c. Hepatitis D
d. Hepatitis E
e. Cytomegalovirus
48. A disease is said to be chronic if it has duration of more than:
a. 1 month
b. 2 months
c. 3 months**
d. 6 months
e. 1 year
49. Most common site of malignancy worldwide in both sexes is:
a. Stomach
b. Lung**
c. Colon
d. Oral cavity
e. Brain
50. Oral cancer is most commonly associated with:
a. Chewable tobacco**
b. Alcohol
c. Radiation exposure
d. Shisha
e. Chocolates
51. Obesity in males can be defined as body mass index of more than:
a. 2
b. 10
c. 15
d. 30**
e. 45
52. Tertiary prevention in case of Coronary heart disease is:
a. Cessation of smoking
b. Dietary modification
c. Drug trials
d. Identifying high risk people
e. Coronary artery bypass grafting**
53. A worker of an industry dealing with spare parts such as gas kit and brakes came to hospital
with complain of exertional dyspnoea. He also had history of smoking. His Chest X-Ray
showed ground-glass appearance in lower two third of the lung fields. He may likely be
suffering from:
a. Anthracosis
b. Siderosis.
c. Asbestosis**
d. Aspergillosis
e. Byssinosis
54. Pottery industry worker developed Tuberculosis. The likely condition which made him prone
to tuberculosis was:
a. Anthracosis
b. Asbestosis
c. Bagassosis
d. Silicosis **
e. Byssinosis
55. In order to prevent silicosis among workers of a glass factory, most important control
measure recommended is:
a. Adequate nutrition
b. personal hygiene
c. Replacement
d. Mental health
e. Rigorous dust control**
56. A worker who had been in the battery manufacturing unit for the last 20 years, reported to
you with complaints of loss of appetite and abdominal colic of 2 weeks duration. You will
prefer to investigate him for:
a. Cholecystitis
b. Lead poisoning **
c. Appendicitis
d. Ameobiasis
e. Carcinoma stomach
57. The zoological name of Cobra is:
a. Naja Naja**
b. EchisCarinatus
c. RanaTigrena
d. BungusCaeruleus
e. Viper Russelli
58. Planning is defined as:
a. Setting an organization’s objectives and the means of achieving it.**
b. The core activity of planners and planning departments.
c. Getting work done through others.
d. Specific activity for achieving objective
e. ultimate desire of the program
59. For rural population in Pakistan health department has introduced a home made fluid for oral
rehydration. This is described as:
a. Community participation
b. Appropriate technology**
c. Feasibility
d. Suitability
e. Equity
60. A woman travelled a long way from a remote village to a population welfare
centre/family planning centre. She had enough money. When she went inside, she found a
male doctor dealing with the clients. She decided to go back. The most likely reason for this
decision is lack of:
a. Acceptability**
b. Affordability
c. Efficiency
d. Efficacy
e. Effectiveness
61. The water and power development and public health engineering are the two areas which are
working with the health department for control of diarrheal and gastrointestinal
diseases in Rawalpindi District, which is an example of:
a. Equity
b. Equality
c. Sustainability
d. Appropriate technology
e. Intersectoral collaboration**
62. Gantt chart is a chart which depicts the projects activities in relation to :
a. Manpower
b. Finances
c. Time**
d. Transport
e. Material
63. Expanded Programme on Immunization (EPI) was started to vaccinate the children against
six specific vaccine preventable diseases. This reflects:
a. Selective approach **
b. Secondary prevention
c. Comprehensive PHC
d. Equality
e. Intersectoral coordination
64. For providing quality health services, community participation plays an essential role. To
ensure maximum community participation, which level of health care system should be
strengthened?
a. Primary health care **
b. Secondary health care
c. Tertiary health care
d. Teaching hospital
e. Higher level referral facility
65. Ultimate desire of any program is called:
a. Goal**
b. Aim
c. Plan
d. Target
e. Objective