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QUIZ START
#1. 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).
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#2. Which of the following establishments is covered by the Employeesβ 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
#3. Which of the following thermometers is used to measure the low air velocity rather than the cooling power of the air?
Correct Answer – Kata thermometer
Kata thermometer is used to measure the low air velocity rather than the cooling power of the air.
It was originally used to measure the cooling power of the air (air temperature, humidity, and air movement) but currently, it is used only as an anemometer to measure low air velocities.
#4. 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).
#5. 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) β 1 per 5000 in plains and 1 per 3000 in hilly or remote areas.
β’ Health assistants (male and female) β 1 per 30,000 in plains and 1 per 20, 000 in remote or hilly areas. Anganwadi workers β 1 per 400-800 in plains and 1 per 300-800 in hilly or remote areas.
#6. 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).
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#7. 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 β visual acuity worse than 6/12 to 6/18
β’ Moderate β visual acuity worse than 6/18 to 6/60
β’ Severe β visual acuity worse than 6/60 to 3/60
β’ Blindness β visual acuity worse than 3/60
#8. 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 βlate expandingβ 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.
#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. Which of the following is false about pyrethrum?
Pyrethrum does not have a residual action like DDT or other synthetic insecticides. So, most space sprays contain pyrethrum and DDT for synergistic action.
Pyrethrum is a natural insecticide of vegetable origin. It is extracted from the flowers of Chrysanthemum cinerariafolium. It kills adult mosquitoes and other insects instantly on mere contact.
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Levels of Prevention
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.
Social Determinants of Health
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.