CMH INSTITUTE OF MEDICAL SCIENCES BAHAWALPUR

Subject: Community Medicine Class: MBBS 4th Year

Date: 11-09-2023 Time: 1 hr. 20 min
Session Year: 2022 – 2023 Exam Pre Annual
Batch: IV Total Marks: 80
Roll No: Name:

MCQs Section
Q-1 A group of researchers conduct a vaccine trial on prisoners without an informed consent.
Which of the following principles of biomedical ethics has been violated?
a. Justice b. Beneficence
c. Non maleficence d. Autonomy
Q-2 A doctor is required to study the incidence of silicosis in a stone cutting industry. Which
study design should he choose?
a. Longitudinal b. Cross-sectional
c. Ecological surveys d. Experimental
Q-3 A health official wants early detection of a dangerous disease like cancer in a community.
Which one of the following criteria of a screening test is the most desirable in this
situation?
a. High acceptability b. High specificity
c. High sensitivity d. High yield
Q-4 In a population of 500, measles coverage is 60%, one child goes out of station and comes
back with measles from whom 20 more children get measles.
Secondary attack rate of measles is:
a. 4.0% b. 10 %
c. 1.0% d. 15 %
Q-5 A new drug was introduced in 100 patients and another 100 patients of the same disease
were given the old drug. Neither the patients nor the research team members who
assigned the drugs and evaluated patients for effect under consideration knew about the
individual treatment assignments.
This method of assignment is known as:
a. Single blinding b. Double blinding
c. Triple blinding d. Open label
Q-6 A researcher concluded that acetaminophen cures common cold, while in reality there
was no effect of acetaminophen on common cold.
The researcher has committed:
a. Type I error b. Type II error
c. Random error d. Systematic error
A researcher studied maternal mortality in Multan District. He observed more deaths in women
Q-7 who were brought to hospital and without taking other factors into account concluded that
hospital managed cases had more mortality as compared to home deliveries. This is an example
of:
a. Indirect association b. Direct association
c. Spurious association d. Temporal association
An epidemiologist was assigned to conduct a study on stroke and its association with
Q-8 hyperlipidemia. He selected 250 patients from hospital records and comparison group of 500
from community and inquired them about the hyperlipidemia.
This study design is
 a. Prospective b. Retrospective cohort
c. Retrospective cohort in prospect d. Retrospective
Q-9 A researcher is interested to determine the effect of family planning services utilization by health
education on two villages A and B. In Village A health education sessions were arranged twice
weekly and services were provided. In village B only family planning services were provided.
The sampling strategy used in given scenario is:
a. Simple random b. Judgmental
c. Cluster random d. Stratified random
Q-10 Which of the following is the better indicator for finding the central value when one or more of the
lower or the higher observations are wide apart?
a. Mean b. Median
c. Mode d. Standard deviation
Q-11 Which of the following test of significance should be applied to determine the mean difference
between the hemoglobin levels of two populations?
a. Chi-square test b. One sample t-test
c. Paired sample t-test d. Independent sample t-test
Q-12 The marks obtained by students in their annual examination had almost a ‘Normal Distribution”.
Which of the following statements best describes this distribution?
a. Mean is skewed towards the right b. The Mode is greater than the Mean
c. The Median is less than the Mean d. The Mean Median and Mode are the
same
Q-13 A researcher carried out a study in which he took a sample and found the mean value of
sample. From these data, he wanted to find the mean value of the population with 95%
confidence.
The appropriate calculation for it will be:
a. Sampling error b. Standard error
c. Standard deviation d. Coefficient of variance
Q-14 A researcher wanted to find the association between bottle-fed babies and incidence of diarrhea.
For analysis he applied chi square test and obtained p-value=0.02.
It is concluded that:
a. Null hypothesis is failed to be rejected b. Null hypothesis is rejected
c. Alternative hypothesis is failed to be d. Alternative hypothesis is rejected
rejected
Q-15 The result of Entrance Test for admission in medical college was 88 ± 4 (Mean ± 2SD).
Which of the following is the best interpretation of the spread of marks obtained?
a. 95% of the students scored between 84 b. 95% of the students scored between 88 to
to 92 marks 92 marks
c. 99.7% students scored 84 to 88 marks d. 95% of students scored 88 marks
Q-16 Which of the following is an important feature to be taken into account for a well- designed
Health Management Information System (HMIS)?
a. Input b. Process
c. Output d. Feedback
Q-17 Ten cases of food poisoning were reported in a hospital, 2 out of these developed mild
gastrointestinal symptoms, 4 developed moderate dehydration but recovered and 2 deaths
occurred due to the disease.
 The characteristic of the organism of food poisoning that produces the severest form of the
disease is:
a. Infectivity b. Pathogenicity
c. Virulence d. Communicability
Q-18 Which of the following is used to search the scientific literature?
a. End note b. SPSS
c. Google d. You tube
Q-19 In proposal writing, review of existing literature is to:
a. Make sure you have long list of references b. Make your section of literature review
long
c. Know what is already known about the d. Impress the reader about your knowledge
research topic on the subject
Q-20 Cases of meningococcal meningitis are reported occasionally from Pakistan per year.
This is an example of:
a. Epidemic b. Sporadic
c. Endemic d. Pandemic
Q-21 Which of the following disease is transmitted through direct contact?
a. Trachoma b. Tetanus
c. Tuberculosis d. Influenza
Q-22 A high level of infection beginning early in life and affecting most of the child population, leading
to a state of equilibrium such that the adult population shows evidence of the disease much less
commonly than do the children.
Which of the following diseases is in accordance with the above definition?
a. Diabetes mellitus b. Malaria
c. Hypertension d. Diarrhea
Q-23 At Saddiq Public School, Bahawalpur, a student of class II developed mumps. He was isolated
from other children till his parotid swelling subsided and his brother of class IV who looked
apparently healthy was also advised to stay at home for about a fortnight. His brother’s carrier
state is labeled as:
a. Incubatory b. Healthy
c. Convalescent d. Temporary
Q-24 A newborn baby of Human Immunodeficiency Virus (HIV) positive mother was diagnosed to
have positive HIV test. This type of mother to child transmission is known as:
a. Horizontal b. Iatrogenic
c. Vertical d. Nosocomial
Q-25 In Primary Health Care (PHC) which of the following means ‘care according to need’?
a. Equity b. Universal coverage
c. Justice d. Equality
Q-26 Government of Pakistan constructed a family planning center in one of the rural areas of
Baluchistan. After few months of social mobilization, people started availing the services.
Above scenario is an example of:
a Community participation b. Inter-sectoral collaboration
c. Utilization of services d. Self-care
Q-27 After Millennium Development goals now the signatory countries to World Health Organization
are working on achieving till 2030:
 a. Social development goals b. Sustainable development goals
c. Socioeconomic development goals d. Health for All goals
Q-28 According to Goal 3 of Sustainable Development Goals, by 2030, target is to reduce global
maternal mortality ratio less than 70 per 100,000 live births. To achieve this goal a developing
country should:
a. Take help from developed countries b. Make relevant policies and build
programs
c. Endorse NGOs to work in MCH domain d. Ask for donations from World Bank
Q-29 The first outbreak of dengue fever was reported in Pakistan in 2005, although this disease was
present in other geographical areas of the world.
So, dengue fever in Pakistan during 2005 was:
a. Emerging infection b. Re-emerging infection
c. Nosocomial infection d. Iatrogenic infection
Q-30 Which of the following is the most common health hazard for all health professionals working in
the hospitals?
a. Radiations b. Nosocomial
c. HIV/AIDS d. Malaria
Q-31 A patient developed high grade fever 3 days after being discharged from the hospital. The
attending physician suspects nosocomial infection and sent his blood sample for culture and
sensitivity.
Which of the following results in blood culture and sensitivity will confirm nosocomial infection?
a. Multi drug resistant organism b. Organism resistant to cephalosporins
c. Organism resistant to penicillin group plus d. Organism resistant to sulphonamides plus
cephalosporins group penicillin plus cephalosporins group
Q-32 The process of mixing hospital “pharmaceutical waste” with cement and other substances before
disposal is called:
a. Land filling b. Chemical disinfection
c. Recycling d. Inertization
Q-33 Which of the following vaccine is live attenuated?
a. Tetanus b. BCG
c. Meningococcal d. Hepatitis B
Q-34 A laboratory worker gets an accidental needle prick while working with blood samples. He is at
risk of contracting which of the following viral hepatitis?
a. A b. B
c. D d. E
Q-35 Persons who work at airport runways to direct aircrafts for parking are at risk of which of the
following?
a. Carpel Tunnel Syndrome b. Hearing loss
c. Visual errors of refraction d. Frozen shoulder
Q-36 Megaloblastic anemia is closely associated with which of the following?
a. Hymenolapis nana b. Ankylostoma duodenale
c. Diphylobothrium latum d. Ascaris Lumbricoide
Q-37 A person is fully immunized against Viral Hepatitis B. His blood must have the following markers
as a proof of successful vaccination:
a. HBs Ag b. Anti-HBC
 c. Ig G d. Anti-HBs
Q-38 A 5-year-old boy is diagnosed with severe anemia. His history reveals that he plays a lot
barefooted in the farm and has a habit of eating clay. Besides other medicines to correct
anemia, the doctor also prescribed medicine for intestinal parasites.
Infestation with which of the following is suspected in this case?
a. Ascaris Lumbricoide b. Ankylostoma duodenale
c. Entrobius Vermicularis d. Tenia solium
Q-39 As a head of health team to control epidemic of acute diarrhea in an urban slum, the best cost-
effective measure you will advise to the people of community is use of:
a. ORS to patients b. Bottled water
c. Filtered water d. Boiled water
Q-40 A seven day old baby is brought by her mother in the Paeds OPD, with the history of failure to
take feed due to inability to open his mouth.
The most probable diagnosis is:
a. Severe pneumonia b. Displacement of temporo-mandibular joint
c. Pyomeningitis d. Tetanus neo-natorum
Q-41 A three-year-old child develops minute pinkish discrete rash over the body. There is
enlargement of post-auricular and posterior cervical lymph nodes with no fever.
The most likely diagnosis is:
a. Measles b. Mumps
c. Rubella d. Chicken pox
Q-42 A young student of 15-years comes to the Paed’s Medicine OPD with the history of itching all
over the body, especially at night. On examination, there are scratches over his chest and
abdomen. There are also black heads in his inter-digital webs, abdomen and thorax. His other
class-mates also have same presentation.
The best treatment for this patient is:
a. Benzyl-benzoate lotion b. Anti-fungal cream
c. Anti-allergic and steroid containing cream d. Deworm the patient
Q-43 The behavior of a gang of adolescents, engaged in car stealing and use of drugs is an example
of:
a. Social delinquency b. Social pathology
c. Social evil d. Social psychology
Q-44 A chain cigarette smoker stopped smoking. Three days later, he developed constipation
headache, irritability and depression these symptoms are due to
a. Habituation b. Tolerance
c. Psychological dependence d. Physical dependence
Q-45 Which of the following is a physiological barrier in communication?
a. Excessive noise b. Low I.Q
c. Impaired hearing d. Not understanding language of educator
Q-46 The Health Education programming are divided into multiple groups and at the end of day, all
participants join together and one representative from each group presents his/her conclusion is
called:
a. Workshop b. Panel discussion
c. Conference d. Symposium
Q-47 In a remote area of Bahawalpur after allocation of health budget, Government decided to have
 an immunization program instead of family planning program.
It is an example of:
a. Average cost b. Opportunity cost
c. Marginal cost d. Incremental cost
Q-48 If “vital index” of a population is exactly 100, it means that population is:
a. Stationary b. Stable
c. Expansive d. constrictive
Q-49 According to Integrated Management of Neoborn and Childhood Illness (IMNCI) strategy, which
of the following color code defines home management:
a. Red b. Pink
c. Yellow d. Green
Q-50 A mother brought her 8 months old child with complaint of cough and fever for two days. On
examination, child was having 40 0C fever with respiratory rate of 52 breaths/ minute.
As per IMNCI, the diagnosis will be:
a. Very severe disease b. Severe pneumonia
c. Pneumonia d. No pneumonia
Q-51 A newly married couple visits family planning center for contraception. Upon investigation the
woman has hyperlipidemia. The method of contraception which would be used cautiously in this
woman is:
a. Condom b. Combined oral contraceptive pills
c. Second generation IUCD d. Mini pill
Q-52 There is a significant lowering of birth rate, increase in life expectancy, and decrease in overall
mortality rates in most developed countries which has resulted in changes in the population
structure.
This phenomenon is closely associated with:
a. Demographic transition B Environmental effect
c. Epidemiological transition d. Epidemic shift
Q-53 Population pyramid of a country showing a high proportion of elderly persons in the population is
a reflection of which of the following?
a. The population with high birth rate b. The population of a low maternal mortality
ratio
c. A stable population growth rate d. Increase in life expectancy
Q-54 A 26-year-old married bank manager approached a health care provider in family planning
center. She wants to delay her pregnancy for one-year due to her job commitments. Her
menstrual cycle is regular. She is not interested in taking any modern method of contraception.
The most appropriate traditional method in this scenario would be:
a. Cervical mucus method b. Safe period
c. Abstinence d. Withdrawal
Q-55 Calculate APGAR score from given description: newborn appears blue and pale, heart rate 70/
minute, no response to stimulation of sole of feet by a brisk slap, slow and flaccid muscle tone
and irregular respiration:
a 0 b. 2
c. 4 d. 6
Q-56 Body weight of a 4-year-old child was found to be greater than 65% of 50th percentile.
According to the “Harvard Classification”, such a child belongs to the malnutrition category of:
a. Grade-I b. Grade-II
c. Grade-III d. Grade-IV
Q-57 An investigator wants to estimate the prevalence of vitamin A deficiency in a community. The
most suitable group to assess this deficiency would be:
a. 0-12 months old infants b. Children 6 months- 6years old
c. 12-18 years old teenagers d. 15-44 years old women of reproductive
age group
Q-58 A 10-year-old boy was brought to health care facility with complaint of swelling and red patches
on angles of mouth.
This condition is caused by the deficiency of:
a. Niacin b. Riboflavin
c. Pantothenic acid d. Pyridoxine
Q-59 A diabetic patient approaches you to get an advice on diets with low glycemic index. As a health
care provider which of the following food item will be recommended by you?
a. Whole grains b. Basmati rice
c. Corn flakes d. Baked potato
Q-60 The body weight of an adult man is 85kg and his height 1.75 meters. According to WHO
classification of obesity, based on BMI, he belongs to category of:
a. Over-weight b. Pre-obesity
c. Obesity class I d. Obesity class II
Q-61 The laboratory report of a patient revealed “serum estrogen level” lower than the normal, while
the levels of “homocysteine; D-Dimer; factor VII and fibrinogen” were all raised. These findings
are the best indicator of:
a. Coronary heart disease b. Diabetes mellitus
c. Rheumatic heart disease d. Cancers and malignancy
Q-62 A three-year-old child was brought in the emergency of a tertiary care hospital with the complaint
of bilateral knee joint swelling. On enquiry the patient suffered excessive bleeding at the time of
his circumcision for which he was hospitalized. Similar history of bleeding was also present in
other children of the family. The patient was diagnosed as a case of “hemophilia”. Upon infusion
of blood clotting factor VIII, his symptoms relieved altogether.
This patient is most probably suffering form:
a. Autosomal dominant disease b. X-linked dominant disease
c. Autosomal recessive disease d. X-linked recessive disease
Q-63 A surgeon after removing a lump from the right breast of a young lady sent a piece to a lab for
histopathological examination. The histopathological report was as follows: “T3N2M0”. The best
interpretation of this report would be that the tumor:
a. Is confined to breast b. Has metastasized to regional lymph
nodes
c. Has metastasized to distant organs d. Is in stage of carcinoma in situ yet
Q-64 Which of the following is an example of the mechanical ventilation?
a. Balanced ventilation b. Cross ventilation
c. Difference in temperature d. Diffusion
Q-65 The first step of purification of surface water while using “slow sand filter” is storage for 14 days.
 This may result in:
a. Reduction of about 90% of pathogenic b. Decrease in turbidity
micro organisms
c. Anaerobic oxidation of organic matter d. Chemical purification of water
present in water

Q-66 From urban slum of a large city, many cases of diarrhea were reported. Health authorities took
initiative for its prevention and sent the water sample for test. The report showed: chloride 250
ppm, nitrate 40ppm, total dissolved solids 500 ppm, and E. coli 5/100ml.
The conclusion drawn is that:
a. The chloride level is too high b. There is fecal contamination
c. Total dissolved solids are high d. It is hard water
Q-67 The most appropriate person for welfare of students in school and dental health services is:
a. School administrator b. School principal
c. Class teacher d. Student’s mother
Q-68 While purchasing school furniture, the buyer asked the carpenter to prepare the desk in which
edge of the chair goes inside the edge of the desk.
The type of desk recommended by him is:
a. Plus b. Minus
c. Zero d. Plus minus one
Q-69 At outreach level, stationary services are provided at ‘Health House’ which belongs to:
a. Lady Health Visitor (LHV) b. Lady Health Supervisor (LHS)
c. Lady Health Worker (LHW) d. Woman Medical Officer (WMO)
Q-70 Pakistan is signatory to WHO and is grouped in which of the following regions?
a. South East Asia b. Europe
c. Eastern Mediterranean d. Western Pacific
Q-71 Every year, 7th April is celebrated as:
a. World TB Day b. World Malaria Day
c. World Health Day d. World Hepatitis Day
Q-72 “Board of management” (BOM) is the governing body for:
a. First level care health facilities (FLCF) b. Primary health care facilities
c. Secondary health care facilities d. Tertiary health care facilities
Q-73 Transfer of powers from central office of “health department” to the “local district governments” is
called:
a. Decentralization b. Deconcentration
c. Delegation d. Devolution
Q-74 The Government has advised the health department to introduce primary health care program in
a certain rural community near Bahawalpur.
For this purpose, the first step which should be taken is:
a. Situation analysis b. Monitoring
c. Evaluation d. Surveillance
Q-75 A coal mine worker developed miner’s nystagmus. This condition has developed due to working
in:
a. Dusty atmosphere b. Poor illumination
c. Allergy to coal dust d. Hot and humid condition
Q-76 According to “triage and tagging” system, “low priority” patients are given:
a. Black tags b. Green tags
c. Red tags d. Yellow tags
Q-77 In an automobile manufacturing plant of Pakistan, a large number of employees are working in
different sections. Persons, who work in the section of welding, started reporting sick with
redness of eyes. On examination conjunctivitis and keratitis are found.
What could be the cause of this problem?
a. Poor personal hygiene b. Heat
c. Overwork d. Ultraviolet radiations
Q-78 A person working in printing industry developed abdominal colic, constipation, loss of appetite,
blue line on gums and weakness of wrist joint.
The most appropriate test would be:
a. Blood examination for leukopenia b. Coproporphyrin as a screening test
c. X ray chest and complete blood d. Ultrasound of whole abdomen
examination
Q-79 The most appropriate bed side test for assessing blood coagulation profile in a case of bite by a
hemotoxin producer snake is:
a. INR b. PT
c. APTT d. 20 WBCT
Q-80 Which of the following is the most common type of home injury in Pakistan?
a. Drowning b. Burn
c. Fall d. Poisoning