COMMUNITY MEDICINE PYQ 2017 AIIMS 2017 Solve Community Medicine AIIMS 2017 Total Questions: 21 1. In a subcentre area with a crude birth rate (CBR) of 20, what would be the expected number of antenatal care (ANC) registrations by the village health nurse (VHN) in a year? 110 100 80 60 None 2. As per the syndromic approach to sexually transmitted infections (STIs) and reproductive tract infections (RTIs), what is the treatment of choice of gonococcal and non-gonococcal urethritis? Azithromycin + Metronidazole Cefixime + Azithromycin Doxycycline + Cefixime Azithromycin + Doxycycline None 3. While testing the deleterious health hazards on a group of people after giving a new drug and a placebo, the following results were obtained as tabulated. Based on these results, which of the following is true? Absolute risk reduction (ARR) is 1% and relative risk reduction (RRR) is 10 Absolute risk reduction (ARR) is 10% and relative risk reduction (RRR) is 0.9 Absolute risk reduction (ARR) is 1% and relative risk reduction (RRR) is 0.1 Absolute risk reduction (ARR) is 10% and relative risk reduction (RRR) is 9 None 4. Which of the following wastes are disposed of in the bag shown below? Anatomical waste Soiled waste Sharp waste Urine bags None 5. Annual new case detection rate (ANCDR) of leprosy in India, as of 31st March 2016 was 0.66/10,000 population 0.66/1 lakh population 9.7/10,000 population 9.7/1 lakh population None 6. A new drug combination of chemotherapy and immunotherapy for metastatic melanoma was prescribed by a radiotherapist. It prolongs survival. Which of the following is true in this situation? Incidence reduces and prevalence increases Incidence increases and prevalence reduces Incidence reduces and prevalence remains the same Incidence remains the same and prevalence increases None 7. A researcher discovered a new drug which is effective in chronic hypertensives with a p value of Not more than 10% of the people benefitted by the drug could be due to chance The test is 90% reproducible 90% of patients will be benefitted by giving the drug 90% of test results could have occurred by chance None 8. The recommended calorie intake for a pregnant woman in the second trimester, who is a sedentary worker would increase by 350 kcal/day 450 kcal/day 520 kcal/day 600 kcal/day None 9. Observe the following curves, which of the following is a true statement about sensitivity and specificity when the curve changes from green to pink? Both sensitivity and specificity increase Sensitivity increases while specificity decreases Both sensitivity and specificity decrease Sensitivity decreases while specificity increases None 10. Match the following declarations to their significance.     1-D, 2-C, 3-A, 4-B 1-B, 2-A, 3-D, 4-C 1-A, 2-B, 3-C, 4-D 1-C, 2-D, 3-A, 4-B None 11. A study was conducted to compare the incidence of postpartum depression in mothers as compared to the sex of the child. For assessment, Edinburg Depression scaled score (EDSS) was used. The study was divided into mothers with male babies as one group to be compared with mothers with female babies. Which of the following statistical test will be used to determine the association? Chi square test Students t test Paired t test ANOVA None 12. Which of the following is true about triage? Yellow - least priority Red-mortality Green-ambulatory Blue- ambulatory None 13. Chronic liver disease is classified using the Child-Pugh score as follows: Class A: 5-6, Class B: 7-9, Class C: 10-15. What type of data is this scoring system? Qualitative Nominal Ordinal Metric None 14. A one-and-half-year-old child was brought to the hospital with a history of breathlessness, fever, cough, and cold. On examination, respiratory rate was 46/min, and there were no chest retractions. Which is the most appropriate management? Oral antibiotics, warn of danger signs, and send home No need of treatment only home remedies Give IV antibiotics and observe Give IV antibiotics and refer to higher centre None 15. A randomized trial comparing the efficacy of two drugs showed a difference between the two with a p value of Beta error Alpha error 1-a 1-B None 16. An 18 month old child is brought with no history of vaccination. From the following, which vaccines would be appropriate to give this child according to the National Immunization Schedule (NIS), India? BCG, DPT-1, OPV-1 DPT-1, OPV-1 only DPT-1, OPV-1, Measles-1, Vit. A-1 BCG, DPT-1, OPV-1, Measles-1, Vit. A-1. None 17. The following are the disease frequencies in a population. Based on the number of cases which of the following is the correct match? Disease 1: Number of cases last week 42 this week 43 Disease 2: Number of cases last week 2 and present week 42 Disease 3: Number of cases last week 6 and present week 1 Endemic, epidemic, sporadic Endemic, sporadic, epidemic Pandemic, endemic, sporadic Sporadic, endemic, epidemic None 18. Which of the following vaccine vials can be used based on the vaccine vial monitor (VVM) color changes shown? Full Left 1 Full Right 4 Only vial 1 can be used Vials 1, 2, and 3 can be used Vials 1 and 2 can be used All vials can be used None 19. P-value is the probability of which of the following? Not rejecting a null hypothesis when it is true Rejecting a null hypothesis when it is false Rejecting a null hypothesis when it is true Not rejecting a null hypothesis when it is false None 20. Under the Mid-Day Meal (MDM) scheme, supplementary nutrition provided should cover at least, 2/3 of the total protein requirement + ½ of total energy requirement 1/3 of the total protein requirement + ½ of total energy requirement 1/2 of the total protein requirement + 2/3 of total energy requirement 1/2 of the total protein requirement + 1/3 of total energy requirement None 21. Below is the graph of CD4 count in HIV patients. From the graph below identify the mean CD 4 count 200-300 300-400 Below 250 Above 350 None 1 out of 21 Time's up
