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#1. Which parameter is used to measure the operational efficiency of the National Vector Borne Disease Control Programme?

The annual blood examination rate (ABER) is used to measure the operational efficiency of the National Vector Borne Disease Control Programme (NVBDCP).

#2. Which of the following options best defines the correct sequence of the phases of the demographic cycle?

The correct sequence of the phases of the demographic cycle is High stationary Early expanding β†’ Late expanding β†’ Low stationary β†’ Declining.
India is currently in the β€œlate expanding” stage which is the third stage in the demographic cycle where
Declining death rates and declining birth rates are seen.
Another important concept of the demographic cycle is the demographic gap which is the difference between birth rate and death rate. The demographic gap is maximum in the early-expanding phase, characterized by a high birth rate and low death rate. As the demography of the country transitions to the late-expanding phase, both birth rate and death rate falls causing a decreasing demographic gap. Although the birth rate is falling in the late-expanding phase, it is still higher than the death rate, which causes the population to increase.

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#3. During a screening camp at a village, a man was found to have severely impaired vision. According to the WHO definition of blindness, what is the cut-off for visual acuity to define it as blindness?

According to the WHO, blindness is defined as visual acuity of less than 3/60.
The leading causes of vision impairment and blindness are uncorrected refractive errors and cataracts
Distance vision impairment:
β€’ Mild – visual acuity worse than 6/12 to 6/18
β€’ Moderate – visual acuity worse than 6/18 to 6/60
β€’ Severe – visual acuity worse than 6/60 to 3/60
β€’ Blindness – visual acuity worse than 3/60

#4. Which of the following is the objective of the Ujjawala Scheme?

The Ujjawala Scheme is for the prevention of trafficking and for the rescue, rehabilitation, and reintegration of victims of trafficking for commercial sexual exploitation.
The Ujjwala Yojana (note spelling without β€œa”) is for providing 5 crores of free cooking LPG connections to all families below the poverty line till 2019.
The Ujala Scheme (Unnat Jyoti by Affordable LEDs and Appliances for All) is the largest domestic lighting project in the world, launched under the Ministry of Power. It aims at promoting the use of energy-efficient LED bulbs in every household in the country.

#5. 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).

#6. A hospital collected nasopharyngeal swabs from 1000 patients every day from the onset of the disease. The organism count was found to be maximum on the 5th day, which also showed the maximum infectivity (infecting 825 patients). What is this period of 5 days from the onset of the disease known as?

The time interval between the receipt of infection by a host and the maximal infectivity of that host is known as the generation time.
The time of maximum communicability may precede or follow the incubation period.

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#7. Pick the correct statement regarding the Sanchol cholera vaccine:

The Sanchol cholera vaccine is a bivalent vaccine given in 2 liquid doses orally to children >=1 year of age.
The Sanchol cholera vaccine is a bivalent oral cholera vaccine (OCV) that targets both Vibrio cholerae 01 and Vibrio cholerae 0139 serogroups, which are the primary causes of cholera outbreaks. It is designed to provide immunity by stimulating the production of antibodies in the intestines, the site of infection.

#8. You are assigned to calculate the human poverty index (HPI) of a village in India. Which of the following parameters will you not include?

For developing countries, HPI-1 is used, where the adult illiteracy rate is included, not the literacy rate.
HPI-2 is used for developed countries.
Human poverty index (HPI) measures deprivation in basic dimensions of human development.

#9. 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.

#10. 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)

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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.