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#1. The image shown corresponds to which health program and disease?

The given image is of SAPANA for leprosy. Sapana refers to a local school-going girl who will help to spread awareness in the community.

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#2. Which of the following establishments is covered by the Employees’ 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 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.

#4. 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.

#5. 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.

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#6. 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

#7. 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).

#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 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.

#9. 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).

#10. All of the following are true about socialized medicine except:

Increasing the utilization of health services is not a component of socialized medicine.
It refers to the provision of medical service through the state funds; however, it is operated and regulated by professional groups. Russia was the first to completely socialize medicine.
It eliminates competition among physicians as well as ensures social equity and universal health coverage.

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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.