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QUIZ START
#1. 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).
#2. 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
#3. 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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#4. 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
#5. 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 βaβ) 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.
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#6. 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.
#7. 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.
#8. 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.
#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).
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#10. 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
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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.