Solve Community Medicine INICET 2022 Total Questions: 25 1. Attributable risk calculated to understand the relation between smoking and lung cancer is 90%. Which of the following is true? 10% cases of lung cancer can be eliminated in population if smoking is eliminated 90% cases of lung cancer can be eliminated in population if smoking is eliminated 90% cases of lung cancer can be eliminated in smokers if smoking is eliminated None 2. As per the National Tuberculosis Elimination Program (NTEP), HIV TB prevalence of a high-priority districts? >20% >10% >12% >15% None 3. Following an earthquake, the building codes were changed to earthquake-resistant buildings. Which of the following step of disaster management does this fall under? Disaster reconstruction Disaster response Disaster rehabilitation Disaster mitigation None 4. India is a country with different cultures and diverse languages. Which of the following steps should a physician take to address the patient for better outcomes? Insist on good communication Insist on communication only via an interpreter Treat them regardless of their cultural perceptions The physician should consider the patient's religion and cultural perception. 2, 3 3, 4 1, 4 1, 2 None 5. Which of the following statements are true regarding drugs used in anti-tubercular treatment? Rifampicin is used only in the treatment of tuberculosis Pyrazinamide is an enzyme inducer Bedaquiline inhibits ATP synthase Isoniazid inhibits mycolic acid synthesis 3, 4 1, 2, 3, 4 2, 4 2, 3, 4 None 6. 5-year-old Ram and 3-year-old Sham are Rama Devi's sons. Sham developed a rash, but Rama Devi ignored it, assuming it to be an allergy. After 3 days, Ram also developed a rash along with a fever. Out of fear, Rama Devi took Ram to the primary health center (PHC). The healthcare workers at the PHC suspected it to be measles. Choose all correct options from among the following: Ram is an index case Sham is a primary case Ram got the infection from Sham Ram could've got post-exposure prophylaxis if the mother had brought him along to the hospital when Sham got the rash 1 only is correct 1 and 4 are correct 1, 2, 3 and 4 are correct 1 and 3 are correct None 7. Which of the following criteria should be satisfied to start MDT? Hypopigmented patch with sensory loss Skin biopsy demonstrating bacilli Peripheral nerve thickening with sensory loss Peripheral nerve thickening 1, 3 1, 4 1, 2, 3 2, 3, 4 None 8. You are measuring a patient's blood pressure at a primary health center when the sphygmomanometer fell and broke and mercury was spilled onto the ground. How will you clean the mercury? Collect it by sweeping it and flush it in the toilet Collect it by hand and then wash hands with water Collect it by using a card onto a sheet of paper and put the mercury into a jar Collect it by sweeping it with a broom and throw it outside None 9. The true statement about screening tests for genetic diseases is: It is always invasive It defines risk of transmission of disease to the child Screening test has better accuracy than diagnostic test Screening requires genetic mapping None 10. Contraceptive failure is assessed using which of the following methods? Performance index Pearl index Pharmacological index Efficacy index None 11. Which of the following is the true statement regarding measures to prevent typhoid transmission in the community? Typhoid vaccine administration is the best method of preventing transmission Drug resistance in typhoid is not as big a problem as in TB In 10% cases, person to person transmission occurs Hygiene practices and clean sanitation control is more important than typhoid vaccine None 12. Match the following scientists with their discoveries: 1-a, 2-b, 3-a 1-b, 2-a, 3-c 1-b, 2-c, 3-a 1-c, 2-b, 3-a None 13. Which of the following is true about the management of a baby born to an HIV-positive mother? In exclusive breastfeeding, give nevirapine for 6 months only when baby is positive If replacement feeding, the neonate should be tested for HIV, if negative, ART is not required. If replacement feeding, the neonate need not receive nevirapine if HIV negative If exclusive replacement feeding, give nevirapine for 6 weeks, even if the baby is negative None 14. A child presents with a dog bite from a street dog. On examination, an abrasion of 1.5 cm is present, with slight oozing. Which of the following statements are correct? Category 3 wound Wash the wound with normal tap water for 15-20 minutes Clean the wound with spirit Loose suturing of the wound with a proper dressing Equine immunoglobin is given at a dose of 40 IU/kg of body weight, twice Intra-dermal vaccine is administered on days 0, 3, 7, 28 1, 2, 3, 6 1, 2, 3, 5 1, 2, 5, 6 2, 3, 5, 6 None 15. What is the branch of statistics dealing with describing the internal collection of data? Analytical statistics Inferential statistics Descriptive statistics Theoretical statistics None 16. Water from a broken septic tank is collected in a container and breeding mosquitoes are seen. The image of the larva is given below. Identify the species of the mosquito. Aedes Anopheles Culex Mansonia None 17. Isolation in a separate room is mandatory for which of the following air-borne infections? Nipah Aseptic meningitis Rabies Measles None 18. The drug shown in the image below is administered for: Sexually transmitted infections AIDS Malaria Dengue None 19. All the following cause widening of confidence interval except? Decrease in sample size Increase in sample size Increase in confidence level Increase in variability None 20. Under the Anemia Mukt Bharath initiative, mild to moderate anemia in pregnant women < 34 weeks of gestation is treated using: IV iron sucrose for non-compliance with oral tablets IM ferric carboxy maltose (FCM) 2 iron and folic acid tablets OD + IV iron sucrose 3 iron and folic acid (IFA) tablets, taken OD None 21. A 1-year-old child is brought to the healthcare unit that you are working on. His mother mentions that he had received the first dose of DPT vaccine at 6 weeks of age but has missed vaccination since then. What would you advise the patient? Give second dose of DPT Give dT alone Do not give DPT Restart DPT None 22. A point-of-care diagnostic test with a sensitivity of 98% shows a negative test result in a patient. What does this imply? Prevalance of the disease is 2%. The patient would need another point-of-care diagnostic test for the same clinical condition. Patient has been wrongly ruled out due to false negativity. Patient is less likely to have the disease. None 23. A patient with lymphatic filarisis is being managed as shown in the image below. What is the level of prevention done here? Specific protection Primary prevention Disability limitation Health promotion None 24. Which of the following indicators can help in determining whether the health system is giving importance to identifying leprosy in the community? Proportion of newly diagnosed patients with grade-2 disability Treatment initiation rate Treatment completion rate Annual new case detection rate per lac None 25. Which of the following is true regarding the vaccine vial monitor (VVM)? It is used for monitoring heat exposure of the vaccine by healthcare workers in primary healthcare. It shows cumulative exposure of the vaccine to the heat. It can be used to assess the potential efficacy of the vaccine. Calculation of the expiry date can be done using VVM. The expiry date of the vaccine can be relaxed if VVM is in an acceptable range. If the square and the circle are the same in color, then the vaccine can be safely used. 1,2 3,4 1, 2, 3, 4, 5 5,6 None 1 out of 25 Time's up