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 60-year-old male presents with symptoms of fever, cough, and chest pain. He has a history of smoking and hypertension. Which of the following is the MOST appropriate initial diagnostic test to investigate his condition?
सही उत्तर: ख) Chest X-ray
A Chest X-Ray would be the most immediately appropriate step given the patient's symptoms and risk factors, as it could reveal pneumonia or other lung abnormalities. While CBC and urine analysis provide general information, they don’t directly address the key respiratory concerns. Blood culture is used for bacterial infections that require further investigation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The primary goal of ‘Health Education’ within a community medicine program is best described as:
सही उत्तर: ख) Promoting behavior change through knowledge and skills
Health education focuses on empowering individuals with the information and skills needed to make informed decisions about their health. The other options represent different approaches within the broader healthcare system, but not the core purpose of health education itself.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following risk factors is MOST strongly associated with an increased incidence of rheumatic heart disease in Nepal?
सही उत्तर: ग) Poor sanitation and lack of access to clean water
Poor sanitation and limited access to clean water are major contributors to the spread of infections like streptococcus, which lead to rheumatic heart disease. The other options represent healthy lifestyle factors that would *decrease* the risk.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A cluster of cases of acute gastroenteritis is observed among children attending a daycare center. Epidemiological investigation reveals that several parents recently traveled from an area with suspected contaminated food supply. This scenario best illustrates which principle of disease transmission?
सही उत्तर: क) Person-to-person transmission
Person-to-person transmission, specifically through fecal-oral route due to the infected parents’ travel and subsequent contact with children at the daycare center is the most accurate explanation. The other options are less likely given the provided scenario (environmental contaminants don't typically involve direct parent-child contact).
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following diseases is MOST likely to be transmitted through contaminated water sources in a rural community setting, particularly during monsoon season?
सही उत्तर: ख) Typhoid Fever
Typhoid fever, caused by Salmonella typhi, is commonly spread via fecal-oral route and thrives in environments with inadequate sanitation. While tuberculosis, influenza, and cholera can be transmitted through water, typhoid’s link to poor hygiene makes it the most probable answer in a rural setting.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary purpose of conducting a cluster randomised trial for evaluating a public health intervention?
सही उत्तर: ख) To eliminate bias by assigning participants to groups at the population level.
Cluster randomised trials are used when interventions are delivered at group (cluster) level. This method reduces bias and allows for testing intervention effectiveness in real-world settings, unlike individual randomization which can be more costly and complex to implement.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The concept of ‘herd immunity’ refers to:
सही उत्तर: ख) Collective resistance to a disease when a significant portion of the population is immune.
Herd immunity describes the indirect protection conferred by widespread immunity in a population, reducing transmission. It's not about individual protection solely from vaccination; it’s a community-level phenomenon. Treatment strategies and single-dose efficacy are related concepts but don't define herd immunity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is a key component of a ‘healthy community’ as defined by WHO?
सही उत्तर: ख) Economic prosperity at all costs.
WHO defines a healthy community based on social determinants of health and equitable access. While economic prosperity is desired, prioritizing it above everything else ignores crucial factors like education, sanitation, and social support. Crime reduction is not inherently linked to overall health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A public health surveillance system is MOST effectively used to:
सही उत्तर: ग) Monitor the incidence and distribution of diseases to guide interventions.
Surveillance systems track disease patterns over time and space, allowing public health officials to identify emerging threats and implement targeted control measures. Predicting with certainty is impossible; treatment is patient-focused, lab research is a separate activity.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary goal of community medicine?
सही उत्तर: ख) Preventing and controlling diseases through population-based strategies.
Community medicine focuses on preventative healthcare measures aimed at reducing disease burden within a population. The other options represent aspects of other medical specialties or approaches. Clinical trials are research-oriented, direct care is patient-centric, and focusing only on acute illness neglects the broader picture.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
यी अभ्यास प्रश्न हुन्, आधिकारिक प्रश्न होइनन्। पाठ्यक्रम, विज्ञापन र नतिजाका लागि सम्बन्धित निकायको आधिकारिक वेबसाइट हेर्नुहोस्। उत्तरमा गल्ती भेटे प्रश्नमुनिको "टिप्पणी / गल्ती रिपोर्ट" मा लेख्नुहोस्।
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