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 specificity of a screening test with True Positives (TP) = 90, False Negatives (FN) = 10, False Positives (FP) = 20, and True Negatives (TN) = 180 is calculated as follows: Specificity = TN / (TN + FP). Therefore, the specificity of this test is 180 / (180+20) = 0.85 or 85%.
सही उत्तर: क) 0.75
Specificity measures the ability of a test to correctly identify individuals *without* the disease. The calculation TN/(TN+FP) directly yields this value. A value of 0.85 indicates that for every 100 people identified as positive by the test, approximately 85 of them do not actually have the disease – making it a reasonably specific test.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A researcher wants to determine the prevalence of hypertension among adults aged 30-60 years in Kathmandu Valley. Which data collection method would yield the MOST representative sample for this study?
सही उत्तर: ख) Stratified Random Sampling based on income level
Stratified random sampling, where the population is divided into strata (e.g., income levels) and then randomly selected within each stratum, ensures proportional representation and provides a more accurate estimate of prevalence across different groups.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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According to Nepali public health guidelines, what is the primary objective of the Vitamin A supplementation program for children aged 6-59 months?
सही उत्तर: ख) To provide a preventative dose to bolster immune defenses against infections
The Vitamin A supplementation program focuses on prevention by giving a prophylactic dose, aiming to strengthen the immune system and reduce susceptibility to infections, especially in young children vulnerable to vitamin A deficiency.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A community health worker identifies a cluster of suspected measles cases in a remote village. Which epidemiological study design would BEST allow them to investigate the temporal association between exposure to a particular environmental factor (e.g., water source) and the onset of illness?
सही उत्तर: ख) Case-Control Study
A case-control study is ideal for investigating potential exposures related to a disease outbreak, particularly when looking at past exposure events. The cases (affected individuals) and controls (unaffected individuals) are compared regarding their exposure history.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The term 'herd immunity' describes which of the following scenarios in a community regarding infectious diseases?
सही उत्तर: ख) A sufficient proportion of the population is immune to an infectious agent, providing indirect protection to those who are not immune
Herd immunity refers to the protective effect gained when a significant portion of a population is immune to an illness, limiting transmission even among vulnerable, unvaccinated individuals. It’s crucial for controlling outbreaks and protecting those unable to be vaccinated.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following is the MOST effective strategy for preventing diarrheal diseases in young children in Nepal, based on WHO guidelines?
सही उत्तर: घ) Educating mothers about handwashing with soap and safe water sources
Providing access to clean water and promoting good hygiene practices (handwashing) is the cornerstone of diarrheal disease prevention. While breastfeeding is beneficial, it doesn't directly address contamination. Introducing complementary foods without hygiene can exacerbate the problem.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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A health educator is designing a public health campaign to reduce smoking rates. Which of the following approaches would be MOST effective, based on established behavioral change models?
सही उत्तर: ग) C. Utilizing persuasive messaging that highlights the negative consequences of smoking and promotes cessation strategies.
Option C reflects behavioral change theories emphasizing social cognition, perceived risk, and support for behavior modification. The other options represent more punitive or limited approaches that are unlikely to lead to sustained behavior change.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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What does ‘Case Fatality Rate’ (CFR) measure?
सही उत्तर: ख) B. The ratio of deaths to total number of cases of a disease.
The Case Fatality Rate (CFR) represents the percentage of confirmed cases that result in death, providing a critical metric for assessing disease severity and control efforts. Options A, C, and D represent different measures of disease burden.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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Which of the following factors would MOST significantly contribute to the spread of Dengue Fever in a tropical climate?
सही उत्तर: क) A. Frequent heavy rainfall events that promote mosquito breeding.
Dengue transmission is heavily influenced by *Aedes* mosquito populations, which thrive in warm conditions. Frequent rainfall provides breeding sites. Options B and C are mitigating factors, not drivers of spread.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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The World Health Organization (WHO) defines 'herd immunity' as:
सही उत्तर: ख) B. The protection afforded to individuals within a population when a sufficiently high percentage are immune to an infectious agent.
Herd immunity describes the indirect protection conferred by widespread vaccination, where a critical mass of immune individuals reduces transmission. Options A and C are oversimplifications, while option D relates to epidemic characteristics.
💬 टिप्पणी / गल्ती रिपोर्ट (०)
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