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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The concept of ‘reproductive health’ encompasses which of the following elements?
सही उत्तर: ग) C. Immunization programs for children under five years.
Option 2 is correct as reproductive health encompasses a wide range of services related to women's health, including prenatal, delivery, and postpartum care alongside family planning choices. Options A, C, and D represent specific aspects but do not fully capture the broader scope of reproductive health.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What is the primary purpose of conducting a Sentinel Surveillance system in Nepal?
सही उत्तर: ग) C. To provide detailed clinical information about every patient diagnosed with a communicable disease.
Option 2 is correct; Sentinel surveillance involves monitoring key diseases from a subset of healthcare facilities, allowing for early detection and rapid response to outbreaks without overwhelming resources. Options A, C and D describe broader aspects of disease monitoring but don’t capture the focused nature of sentinel systems.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A public health worker is investigating a cluster of diarrheal cases in a rural community. Which epidemiological study design would be most appropriate to determine the potential source of contamination?
सही उत्तर: ख) B. Case-control study comparing individuals with the disease to a control group without it.
Option 1 is correct because a case-control design allows for efficient comparison of exposure histories between cases (individuals with the disease) and controls (those without), facilitating identification of potential risk factors. Options A and C require more extensive data collection and follow-up, while Option D involves intervention assessment not source investigation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term ‘Z score’ is most appropriately used in Community Medicine to represent:
सही उत्तर: ग) C. The number of standard deviations a particular data point is from the mean.
Option C is correct as Z-scores are statistical measures that quantify relative position in a dataset, indicating how many standard deviations a value differs from the mean, which is crucial for understanding disease prevalence and variation across populations. Options A and B use terms not typically associated with Z-scores and Option D describes incidence rates.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A public health program aims to reduce the incidence of diarrheal diseases in children under five. Which of the following interventions would likely have the GREATEST impact, according to current evidence?
सही उत्तर: ग) Implementing improved sanitation and hygiene practices
Improved sanitation and hygiene practices (access to clean water, handwashing) are consistently demonstrated as the most effective interventions for reducing diarrheal diseases in children. The other options address secondary issues or do not target the root cause of the problem.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The ‘Barker Index’ is a measure of:
सही उत्तर: ख) Infant mortality rate
The Barker index uses birth weight to assess childhood development and health. The other options relate to different measures of population health outcomes. It’s a valuable tool for predicting later health risks based on early life conditions.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A community health worker identifies a cluster of cases exhibiting symptoms consistent with dengue fever in a rural area. Which vector is MOST likely responsible for transmission?
सही उत्तर: ग) Mosquitoes of the *Aedes* genus
Dengue fever is primarily transmitted by mosquitoes of the *Aedes* genus, particularly *Aedes aegypti*. The other options represent different mosquito genera known for transmitting other diseases. This makes *Aedes* the most likely vector.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What does a 'scarlet fever' rash typically indicate?
सही उत्तर: क) A bacterial infection with Streptococcus pyogenes
Scarlet fever is caused by a streptococcal infection (specifically *Streptococcus pyogenes*). The rash is a characteristic sign of this infection. Options B, C and D represent different conditions with distinct symptoms.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following best describes the primary mode of transmission for Hepatitis B virus?
सही उत्तर: क) Sexual Contact
Hepatitis B is primarily transmitted through direct contact with infected blood or body fluids. The other options represent modes of transmission for different viral infections. The tempting incorrect option, ‘Airborne droplets’, is common for influenza but not Hepatitis B.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A trial of an oral contraceptive among 300 women recorded 12 accidental pregnancies over two years. What is the approximate Pearl Index for this contraceptive?
सही उत्तर: घ) 12.0
The Pearl Index is calculated by dividing the number of unintended pregnancies by the total number of women using the method and multiplying by 100. In this case, (12/300) * 100 = 4%. However, we need to adjust for two years; therefore, a more accurate estimation is 12 / (300 * 2) = 0.02, which equates to approximately 2.0 . This value needs adjustment by the number of women using the method in the two year period, but this question is intended for basic calculation.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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