Swami Ramanand Teerth Rural Government Medical College, Ambajogai

Department of community medicine

Clinical Senerio Based Multiple Choice Questions

Q1. A Person is bitten by stray dog in rabies endemic area. What is immediate action
required for post exposure prophylaxis ?

[A] Apply traditional remedies to wound

[B] Administer antibiotics

[C] Ignore the bite & wait for symptoms

[D]Wash the wound with soap and water and then seek medical attention for rabies
vaccination

Q2. A community is experiencing a dengue outbreak. What is primary vector responsible

for dengue transmission ?

[A] Anopheles mosquito

[B] Culex mosquito

[C] Aedes mosquito

[D] Ixodes tick

Q3. A community is planning a public event with large gathering. What public health
measures is essential to prevent the spread of COVID-19 ?

[A] Encourage close contact & handshake

[B] Promote sharing of personal items

[C] Disregard hygiene practices during event

[D] Implement social distancing & use of masks

Q4. A child has missed recommended vaccination schedule and presenting for catch up
vaccination. What is general principle for catch up does in Universal immunization
program ( UIP ) ?
[A] Administer missed doses as soon as possible

[B] Ignore missed dose & continue with currnet schedule

[C] Delay catch up vaccination until adolescent

[D] Provide catch up doses only if there is outbreak

Q5. A 22 year old individual recently engaged in unprotected sexual intercourse with
partner of unknown HIV status. What immediate step should be taken to reduce riask of
HIV transmission?

[A] Schedule an appointment for HIV testing in few months

[B] Start anti-retroviral therapy immediately

[C] Seek post exposure prophylaxis (PEP) within 72 hours

[D] Ignore the situation as risk is minimum

Q6. A patient is diagnosed with uncomplicated malaria caused by plasmodium

falciparum. What is first line treatment for this type of malaria infection?

[A] Chloroquine

[B] Artemether/ Lumefantrine

[C] Quinine

[D] Atovaquonone/ Proguanil

Q7. In a community, the health department is intersesting in determining the prevalence

of specific health condition at a single point of time. What study design is suitable for
this situation ?

[A] Case control study

[B] Cross sectional study

[C] Cohort study

[D] Ecological study

Q8. In a community with limited assess to diverse flood sources. A group of individuals
present with symptoms such as dermatitis, diarrhea and dementia. On investigation,
their diet predominantly consist of corn based products. What deficiency I most likely
responsible for symptoms and which is appropriate term for this condition?

[A] Vitamin C Deficiency - Scurvy

[B] Vitamin B3 ( Niacin ) Deficiency - Pellagra

[C] Vitamin D Deficiency - Rickets

[D] Vitamin B12 Deficiency – Megaloblastic anemia

Q9. In a developing country, there is noticeable trend of high birth rate & death rate
leading to relatively stable population size. What stage of demographic cycle does this
country most likely find itself in ?

[A] Early expanding stage

[B] Late expanding stage

[C] Stationary stage

[D] Declining stage

Q10. In a hospital laboratory, you find a waste container filled with discarded laboratory
glassware, broken slides etc. What color coded bin should be used for disposing these
laboratory waste ?

[A] Yellow

[B] Blue

[C] White

[D] Red

Q11. In the aftermath of large scale disaster due to earthquake, some of the people were
found dead. According to disaster TRIAGE, how will you code these person into ?

[A] Red

[B] Green
[C] Yellow

[D] Black

Q12. A 28 year old man from endemic region presents with skin lesion charecterised by
well defined erythematous plaques with loss of sensation. On examination there are no
visible nodules, at skin smear reveals low bacterial load. What type of leprosy is most
likely present ?

[A] Tuberculoid leprosy

[B] Lepromatous leprosy

[C] Borderline Tuberculoid leprosy

[D] Borderline Lepromatous leprosy

Q13. In a crowded urban slum, there is outbreak of acute watery diarrhea in primarily
young children. The local health authority have identified contaminated water source as
possible cause. What is most appropriate initial public health intervention in this
situation ?

[A] Mass administration of antibiotics to affected individuals

[B] Implementing vaccination campaign targeting entire community

[C] Promotion of hand hygiene & safe water practices

[D] Distribution of ORS kits to affected household

Q14. In a rural village, prevalence of malnutrition among children under 5 year old is
high. The health team wants to implement nutrition program. Which of the following
approach will be most appropriate ?

[A] Providing vitamin supplements to pregnant woman.

[B] Promote exclusive breast feeding

[C] Conducting growth monitoring sessions for children

[D] Distributing fortified food products.

Q15. Community health worker is conducting health survey to assess the prevalence of
smoking among adults. Which is sampling method will be most suitable for study ?

[A] Convenience sampling

[B] Simple random sampling

[C] Stratified sampling

[D] Cluster sampling

Q16. A Pregnant woman in her 3rd trimester viits antenatal clinic. She has not received
any tetanus toxoid vaccine during her pregnancy. What should health care worker do ?

[A] Refer a woman to higher health facility

[B] Wait until woman goes in to labour to administer vaccine

[C] Administer single dose of tetanuis toxoid immediately

[D] Advice the woman to receive vaccine after delivery

Q17. During a health camp in a remote village, the health team identifies several cases
of goiter. What is most likely cause of goiter in this region?

[A] Iron deficiency

[B] Iodine deficiency

[C] Vitamin D deficiency

[D] Zinc deficiency

Q18. Community health worker is conducting health education session on family

planning. Which contraceptive method has highest efficacy in preventing unintended
pregnancy ?

[A] Barrier method ( Condom )

[B] Oral contraceptive pills

[C] Intrauterine device

[D] Emergency contraception

Q19. Public health department wants to reduce incidence of malaria in endemic area.
Which intervention will be most effective?

[A] Providing insecticide treated bed nets

[B] Conducting mass drug administration

[C] Promoting indoor residual spraying

[D] Distributing antimalarial drugs to pregnant woman

Q20. Community health worker is conducting health survey in urban slums, Which
indicator will provide information about overall health well being of population ?

[A] Infant Mortality Rate

[B] Maternal Mortality Ratio

[C] Under 5 Mortality Rate

[D] Life expectancy at birth

Q21. A pregnant woman is attending antenatal clinic regularly. She advised on nutrition,
immunization & safe delivery practices. Which level of prevention is been
recommended?

[A] Primary prevention

[B] Secondary prevention

[C] Tertiary prevention

[D] Primordial prevention

Q22. During routine community health survey, significant numbe of individual found to
have elevated BP. What is mopst appropriate next step ?

[A] Prescribe antihypertensive drug to all affected individuals.

[B] Refer all individuals to specialized hypertension clinic

[C] Organise health education campaign on importance of regular exercise & healthy diet.
[D] Ignore the finding as hypertension is common condition.

Q23. A coastal community is prone to natural disasters such as hurricane and floods.
What is crucial aspect of disaster preparedness in this community ?

[A] Stop pilling of antibiotics & medical supplies

[B] Constructing tall buildings to withstand heavy winds

[C] Training health workers in advanced life support techniques

[D] Developing early warning system & evacuation plan.

Q24. Pregnant woman in rural area is hesitant to seek institutional delivery due to
financial condition. Which component of JSY is designed to address this issue ?

[A] Cash incentive for institutional delivery

[B] Free distribution of contraceptive

[C] Mobile health clinic for antenatal care

[D] Vocational training for pregnant woman.

Q25. A pregnant woman during routine antenatal screening is diagnosed withm

gestational diabetes mellitus. What is next step ?

[A] Prescribing oral hypoglycemic drugs

[B] Recommending immediate insulin therapy

[C] Implementing dietary modification & regular blood monitoring

[D] Ignore diagnosis as Gestational diabetes mellitus resolves after child birth.