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#1. Which of the following are not involved in providing antenatal support to pregnant women?

Trained birth attendants or dais provide medical services during delivery and in the post-partum period. They cater to a population of 1000 in villages.
Antenatal support is provided by the following:
Health workers (male and female) โ€“ 1 per 5000 in plains and 1 per 3000 in hilly or remote areas.
โ€ข Health assistants (male and female) โ€“ 1 per 30,000 in plains and 1 per 20, 000 in remote or hilly areas. Anganwadi workers โ€“ 1 per 400-800 in plains and 1 per 300-800 in hilly or remote areas.

#2. One community health center (CHC) covers a population of_______.

Each community (CHC) covers a population of 80,000 to 1,20,000 and has a minimum of 30 beds.
Services of CHC:
Care of routine and emergency cases in medicine and surgery
Maternal, newborn, and child health
Family planning
All the National Health Programme functions
Oral health
Physical medicine and rehabilitation (PMR)
School and adolescent health services
Blood storage facility
Diagnostic services
Referral services
Maternal death review (MDR)

#3. Passive immunisation is not used in the prevention of disease caused by which of following viruses?

Passive immunization is not given in cytomegalovirus (CMV) exposure. At present, there is no role for post- exposure prophylaxis with antivirals or immune globulin. The only method of preventing maternal CMV infection is by limiting exposure to the virus by maintaining good hand hygiene.
Passive immunization is a short-term measure useful only when exposure to infection has just occurred or is likely to occur within the next few days. The duration of immunity is short and variable (1-6 weeks).

#4. All of the following are approaches to health education except:

Mass media is a method of communication for health education.
Approaches to health education include service approach, regulatory approach and health education approach.

#5. What is the correct order for the process of communication?

The correct order for the process of communication is:
Sender Message Channel Receiver Feedback
The sender (communicator) is the originator of the message. A message is the information which the communicator transmits to his audience. Channel is the media of communication between the sender and the receiver (e.g., interpersonal communication, mass media, traditional or folk media). The audience who receives, understands, and acts upon the message is called the receiver. Feedback is the reaction to the message which flows from the receiver to the sender.

#6. What is the provision of preventive, curative, and promotional health services to every individual called?

Correct Answer – Comprehensiveness
Comprehensive health care as stated by the Bhore committee means giving integrated preventive, curative, and promotional health care to every individual, irrespective of their ability to pay.

#7. Which of the following is not a socio-economic determinant of health?

Lifestyle is a behavioural and socio-cultural determinant of health. It is not a socio-economic determinant.
Socio-economic determinants of health are the following:
Economic status (per capita GNP)
Education
Occupation
Political system

#8. A 28-year-old woman comes to the primary health center to avail of a contraceptive provided under a new government program. She does not want to take daily pills. She was started on the contraceptive shown in the image below. Which of the following drugs is used in this?

Injectable contraceptive medroxyprogesterone acetate (MPA) is introduced under the Antara program.
The dosage is 150 mg I.M every 3 months. This injectable contraceptive is not to be refrigerated. It is to be stored always at room temperature (15-30 degree centigrade).

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#9. Which of the following establishments is covered by the Employeesโ€™ State Insurance Act?

Currently, private medical and educational institutes employing >20 people are covered under the ESI Act.
The ESI Act is applicable to all industries except:
Defence
Railway
Mines

#10. Which of the following color-coded kits is recommended for the syndromic management of patients with anorectal discharge in sexually transmitted infections (STIs)?

Kit 1/Grey kit is recommended for the syndromic management of patients presenting with anorectal discharge.

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Preventive medicine focuses on the three levels of prevention: primary, secondary, and tertiary. Primary prevention aims to reduce disease occurrence by promoting health (e.g., vaccinations, lifestyle modifications). Secondary prevention focuses on early detection and treatment, such as screenings for hypertension or diabetes. Tertiary prevention involves rehabilitation and reducing the impact of established diseases, such as physiotherapy for stroke recovery. These strategies are the backbone of disease control and public health improvement.

Health is influenced by social determinants, including income, education, housing, and access to healthcare. These factors shape individual and community well-being. Addressing inequalities and improving these determinants can significantly enhance population health. For instance, ensuring clean water, sanitation, and proper nutrition reduces communicable diseases and improves life expectancy. Recognizing and mitigating these influences is crucial in preventive and social medicine.