सामुदायिक चिकित्सा – Community Medicine MCQ
सामुदायिक चिकित्सा – MD/MS प्रवेश
Community Medicine · MECEE-PG – MD/MS/MDS Entrance · ४१० प्रश्न
४१० प्रश्न उपलब्ध। मोड छान्नुहोस्:
सामुदायिक चिकित्सा: प्रश्न र उत्तर
सही लागेको विकल्पमा थिच्नुहोस्। सही भए हरियो, गलत भए रातो देखिन्छ; ३ सेकेन्डपछि सही उत्तर र व्याख्या देखिन्छ।
सही: ० / ०
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A public health survey reveals a statistically significant association between smoking during pregnancy and the occurrence of low birth weight babies. What is the MOST accurate interpretation of this finding?
सही उत्तर: ग) This correlation does not prove causation; it’s possible that mothers who smoke also have other risk factors for low birth weight babies
Option 2 is correct. The phrase ‘statistically significant association’ implies a causal relationship, acknowledging the potential influence of other contributing factors. Options 1 and 3 misinterpret the meaning of correlation; option 4 is incorrect due to not accounting for the statistical significance.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following factors contributes MOST significantly to the high incidence of tuberculosis (TB) in Nepal’s mountainous regions?
सही उत्तर: ख) Limited access to healthcare facilities and poor sanitation conditions
Option 1 is correct. The challenging terrain and limited infrastructure in Nepal’s mountainous regions result in reduced access to healthcare services and prevalent unsanitary living conditions – prime contributors to TB's spread.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term ‘vertical transmission’ in epidemiology refers to:
सही उत्तर: ग) Transmission of a disease from mother to child during pregnancy, childbirth or breastfeeding
Option 2 is correct as vertical transmission specifically describes the transfer of pathogens from mother to child. The other options describe different types of transmissions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A village health volunteer observes a sudden increase in cases of diarrheal disease among children under five years old following heavy rainfall and contaminated water sources. Which of the following is the MOST appropriate initial intervention?
सही उत्तर: ग) Educating families on proper hygiene practices, including handwashing and safe water storage
Option 2 is correct. Hygiene education directly addresses the root cause – contaminated water sources – which is the most effective initial intervention. Options 1 and 3 are inappropriate; antibiotics aren't a first-line treatment for diarrheal diseases, and referral isn’t initially necessary.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following statements best describes the primary goal of immunization programs in Nepal’s public health strategy?
सही उत्तर: क) To eradicate all infectious diseases within five years regardless of cost
Option 0 is correct because immunization programs aim to build herd immunity – protecting the entire community through widespread vaccination. The other options are either overly ambitious (timeframe), incomplete (only specific age group) or misrepresent the core purpose of immunization.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary goal of 'Health for All' initiatives promoted by WHO during the 1970s and 80s?
सही उत्तर: ग) Strengthening primary health care systems at the community level to address basic health needs.
The 'Health for All' initiative (1977) focused on strengthening primary health care services within communities, emphasizing prevention and addressing fundamental health challenges where they occur. Options 1 and 2 represent approaches that were not central to this strategy; option 3 accurately reflects the core objective, while option 4 represents an entirely different developmental focus.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A study reports a Maternal Mortality Ratio (MMR) of 70 per 100,000 live births. What does this primarily represent?
सही उत्तर: ख) The rate of maternal death specifically due to complications arising from childbirth
The MMR is conventionally expressed as the number of maternal deaths per 100,000 live births. This indicates the risk associated with pregnancy and childbirth specifically, excluding other causes of death during this period. The other options represent different metrics or aspects of maternal health data.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What does 'herd immunity' primarily refer to in disease control?
सही उत्तर: ग) The protection conferred when a significant portion of the population is immune to a disease, reducing transmission even among unvaccinated individuals
Herd immunity describes how widespread immunity in a community (through vaccination or prior infection) creates a buffer against disease spread. Even those who aren't vaccinated benefit because the likelihood of an infected person encountering a susceptible individual is reduced, protecting vulnerable populations. The other options relate to individual protection, eradication, or animal breeds.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A health worker is investigating a cluster of cases of acute diarrhea in a rural community. Which laboratory test would be MOST useful in identifying the potential source of contamination?
सही उत्तर: ख) Stool Culture for *Salmonella* and *E. coli*
Identifying bacterial pathogens in stool samples, particularly *Salmonella* and *E. coli*, is the most direct way to pinpoint the source of fecal contamination leading to acute diarrhea. CBC, electrolyte panels, and chest x-rays are not directly related to identifying the cause of diarrheal illness.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to the WHO, what is the recommended temperature range for storing vaccines at health facility level?
सही उत्तर: क) 2°C - 8°C
Maintaining the vaccine temperature within 2°C to 8°C is crucial for preserving their potency and effectiveness. While other temperatures may be used for specific vaccines under certain circumstances, this range represents standard practice to ensure optimal preservation. The others are either too high or too low for most common vaccines.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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