Community Medicine MCQ

MBBS THIRD PROFESSIONAL EXAMINATION 2007
Community Medicine (MCQs)

Model Paper

Page 1 of 22

Total No. of MCQs 65
Marks 65 Time 1 hour 5 minutes

CONCEPTS OF HEALTH AND DISEASE.

1. Restriction of activities of a contact, who has been
exposed to a case of communicable disease for maximum
incubation period, is termed as:
a. Elimination
b. Quarantine
c. Surveillance
d. Control
e. Isolation

Key: b

Weighting: 1 Mark
Reference: Parks Text Book
Row 1 of table of specification

2. The required temperature for sterilization against
spores in Hot-air oven is:
a. 120-140
0
C for one hour
b. 140-160
0
C for one hour
c. 160-180
0
C for one hour
d. 180-200
0
C for one hour
e. 200-240
0
C for one hour

Key: c

Weighting: 1 Mark

3. Dettol is a commonly used antiseptic agent in the
community. Its chemical name is:
a. Hexachlorophane
b. Chloroxylenol
c. Chlorhexidine
d. Cetrimide
e. Cresol

Key: b

Weighting: 1 Mark


Model Paper

Page 2 of 22

INTRODUCTION TO PUBLIC HEALTH AND HEALTH SYSTEMS..

4. Our rural masses are facing multiple health problems. The
best approach to deal with their problems is to provide:
a. Basic health services
b. Health education
c. Safe water supply and sanitation
d. Free medical care
e. Primary health care.

Key: e

Weighting: 1 Mark

5. Which one of the following is not included in the elements
of Primary Health Care?
a. Immunization services
b. Family planning services
c. Specialized services
d. Health education regarding water and sanitation
e. Provision of essential drugs

Key: c

Weighting: 1 Mark

6. The main headquarters of WHO are present in which one
of the following countries?
a. Switzerland
b. France
c. America
d. England
e. Egypt

Key: a

Weighting: 1 Mark


Model Paper

Page 3 of 22

GENERAL EPIDEMIOLOGY

7. When a new treatment is developed that delays death but
does not produce recovery from a chronic disease, which
of the following will occur?
a. Prevalence of the disease will decrease
b. Incidence of the disease will increase
c. Prevalence of the disease will increase
d. Incidence of the disease will decrease
e. Incidence & prevalence of the disease will decrease

Key: c

Weighting: 1 Mark
Row 3(a) of table of specification

8. Which one of the following gives the strength of
association between the cause and the disease?
a. Prevalence rate.
b. Case fatality rate.
c. Adjusted rate.
d. Incidence rate.
e. Disease index.

Key: d

Weighting: 1 Mark
Reference:Parks Text Book
Row 3(c) of table of specification

9. Which one of the following is not included in analytical
epidemiological studies?
a. Historical cohort studies
b. Cohort studies
c. Case control
d. Case report
e. Experimental studies

Key: d

Weighting: 1 Mark


Model Paper

Page 4 of 22
10. Killing power of a disease is best expressed by:
a. Attack Rate.
b. Secondary Attack rate.
c. Case fatality rate.
d. Survival index.
e. Proportionate mortality rate.

Key: c

Weighting: 1 Mark

11. Difference in incidence rate of disease between
exposed group and non exposed group is:
a. Attributable fraction
b. Relative risk
c. Attributable risk
d. Prevalence rate
e. Odds ratio

Key: c

Weighting: 1 Mark

CONTROL AND PREVENTION OF COMMUNICABLE DISEASES

12. Koplik's spots are the diagnostic sign of one of the
following diseases:
a. Rubella
b. Whooping cough
c. Measles
d. Meningitis
e. Mumps

Key: c

Weighting: 1 Mark
Row 3(b) of table of specification


Model Paper

Page 5 of 22
13. The best strategy recommended by WHO for the
control of pulmonary Tuberculosis is:
a. BCG vaccination at mass level
b. Chemoprophylaxis with INH
c. Early case detection and prompt treatment
d. Proper disposal of sputum
e. Awareness

Key: c

Weighting: 1 Mark

14. Which one of the following diseases does not spread by
infected droplets?
a. Chicken pox
b. Measles
c. Poliomyelitis
d. Mumps
e. Rubella

Key: c

Weighting: 1 Mark

15. Which one of the following diseases will not have a
human healthy carrier?
a. Cholera
b. Diphtheria
c. Salmonellosis
d. Hydatidosis
e. HIV

Key: d

Weighting: 1 Mark


Model Paper

Page 6 of 22
CONTROL AND PREVENTION OF NON COMMUNICABLE
DISEASES

16. Which one of the following factors will lead to
hypertension?
a. High Protein diet
b. High sodium intake
c. Body mass index of 25
d. Hypervitaminosis A
e. High HDL

Key: b

Weighting: 1 Mark

17. Which one of the following is not a risk factor for coronary
heart disease?
a. Oral contraceptives
b. Alcohol abuse
c. High fibre diet
d. Type A personality
e. Diabetes

Key: c

Weighting: 1 Mark

IMMUNOLOGY

18. The number of Tetanus Toxoid doses for a woman of
childbearing age is?
a. One
b. Two
c. Three
d. Four
e. Five

Key: e

Weighting: 1 Mark
Reference: PARKS TEXT BOOK
Row 3(d) of table of specification


Model Paper

Page 7 of 22

19. Which one of the following is a cell derived vaccine?
a. Measles
b. BCG
c. OPV
d. Hepatitis B
e. Mumps

Key: d

Weighting: 1 Mark

20. Which one of the following types of immunization is
available against Rabies?
a. Live attenuated vaccine
b. Killed vaccines
c. Cell derived vaccine
d. Cell wall vaccine
e. Toxoids.

Key: b

Weighting: 1 Mark
Row 3(d) of table of specif ication

21. Both active and specific passive types of immunization are
available for which one of the following?
a. Tetanus
b. Meningitis
c. Measles
d. Mumps
e. Tuberculosis

Key: a

Weighting: 1 Mark

Model Paper

Page 8 of 22

22. A student has come to Pakistan from Kenya, he must have
a valid certificate of vaccination against:
a. TB.
b. Poliomyelitis
c. Mumps
d. Yellow fever
e. Hepatitis B.

Key: d

Weighting: 1 Mark

Biostatistics

23. Which of the following data is not measurable?
a. Nominal
b. Ordinal
c. Interval
d. Continuous
e. Discrete

Key: a

Weighting: 1 Mark

24. Which of the following diagram represents a
homogeneous data?
a. Multi modal curve
b. Normal distribution curve
c. Right skewed curve
d. Left skewed curve
e. Bimodal curve

Key: b

Weighting: 1 Mark

Model Paper

Page 9 of 22

25. Which one of the following is not a measure of central
tendency?
a. Mean
b. Median
c. Mean deviation
d. Geometric mean
e. Mode

Key: c

Weighting: 1 Mark

26. Shape of normal distribution curve is based mainly on:
a. Mean and sample size
b. Mean and standard deviation
c. Range and sample size
d. Range and standard deviation
e. Mean and Range

Key: b

Weighting: 1 Mark

DEMOGRAPHY

27. The number of deaths in people above 65 years expressed
as percentage of total deaths of all age groups is known
as:
a. Expectancy of life at 65 years.
b. Proportional mortality rate.
c. Crude death rate.
d. Specific death rate.
e. Adjusted death rate.

Key: b

Weighting: 1 Mark

Model Paper

Page 10 of 22

28. Which one of the following is the most reliable indicator of
fertility in a country?
a. Growth rate
b. Crude birth rate
c. Natural increase rate
d. Total fertility rate
e. General fertility rate

Key: d

Weighting: 1 Mark

29. The number of daughters a new born girl will bear during
her life time assuming fixed age specific fertility and
mortality rate, refers to which one of the following?
a. Crude birth rate
b. Gross reproduction rate
c. Net reproduction rate
d. Total fertility rate
e. General fertility rate

Key: c

Weighting: 1 Mark

NUTRITION

30. Vitamin A deficiency state is characterized by one of the
following:
a. Bitots spots
b. Anemia.
c. Diarrhea.
d. Bone deformities.
e. Dermatitis.

Key: a

Weighting: 1 Mark

Model Paper

Page 11 of 22

31. Which one of the following is a meat borne disease?
a. Bacillus Cereus infection
b. Taeniasis.
c. Ascariasis.
d. Shigellosis.
e. Clostridium Botulinum infection.

Key: b

Weighting: 1 Mark

32. One important clinical sign of Kwashiorkor type of
malnutrition is:
a. Monkey face
b. Oedema
c. Obvious muscle wasting
d. Obvious loss of subcutaneous fat
e. Usually good appetite

Key: b

Weighting: 1 Mark

33. Which one of the following is not a feature of
Marasmus?
a. Muscle wasting.
b. Low weight for height
c. Hypo pigmented hair
d. Severe subcutaneous fat loss
e. Irritability

Key: c

Weighting: 1 Mark


Model Paper

Page 12 of 22

34. Which one of the following is not true regarding Vitamin
A?
a. It is a water soluble Vitamin
b. Its deficiency causes xeropthalmia
c. Animals foods are sources of preformed Vitamin A (Retinol)
d. Liver stores Vitamin A in the form of retinol palmitate
e. Its deficiency also causes follicular hyperkeratosis.

Key: a

Weighting: 1 Mark

MCH & FAMILY PLANNING

35. Which one of the following is not included in the four
pillars of safe mother hood?
a. Family planning
b. Antenatal care
c. Clean delivery
d. Essential obstetric care
e. Female literacy

Key: e

Weighting: 1 Mark

36. The average weight gain for a pregnant woman with BMI
20 25 should be:
a. 4 to 8kg
b. 8 to 12kg
c. 12 to 16kg
d. 16 to 20 kg
e. 20 to 24kg

Key: b

Weighting: 1 Mark

Model Paper

Page 13 of 22

37. Regarding breast feeding which one of the following is
true?
a. Feeding of newborn should commence on the second day
after birth
b. Colostrum contains antibodies
c. 5 breast feeds one after every 4 hrs should be given to early
neonates.
d. Breast feeding is contraindicated in women with tuberculosis
e. If infant cannot suck, feeding should be discontinued

Key: b

Weighting: 1 Mark

38. Which one of the following gestational infections will
result in congenital anomaly?
a. Chicken Pox
b. Candidiasis
c. Typhoid
d. Pneumonia
e. Cholera

Key: a

Weighting: 1 Mark

39. Which one of the following is not a mechanical method of
contraception?
a. Insertion of Copper T
b. Insertion of Lippes Loop
c. Use of diaphragm
d. Contraceptive implants
e. Condoms

Key: d

Weighting: 1 Mark

Model Paper

Page 14 of 22
40. A Post coital contraception is recommended within:
a. 06 hours of unprotected- intercourse.
b. 48 hours of unprotected- intercourse.
c. 72 hours of unprotected- intercourse.
d. Two days of missed period.
e. Two weeks of missed period.

Key: b

Weighting: 1 Mark

SCHOOL HEALTH

41. Which of the following statements is true for school
Health team?
a. It consists of one male doctor & one female doctor and two
nurses.
b. It serves up to 5000 school children.
c. Every school, small or large, should have its own school
health team linked with BHUs.
d. It is responsible for curative health care.
e. School health records are a reliable source of data in Pakistan.

Key: b

Weighting: 1 Mark

42. Which of the following arrangements regarding
desks & chairs is recommended for school children?
a. Minus type
b. Plus type
c. Benches to accommodate a large number of children in a
small space
d. Desks with revolving seats
e. Desks with recliner chairs

Key: a

Weighting: 1 Mark

Model Paper

Page 15 of 22

43. The Routine Medical Inspection of school children during
school career should at least be:
a. Once every year
b. Four times in the total schooling period
c. On the request of teachers
d. In the disease out-breaks.
e. Once in the total schooling period

Key: b

Weighting: 1 Mark

ENVIRONMENT

44. The presence of nitrates in water indicates:
a. Temporary hardness of water
b. Permanent hardness of water
c. Fresh faecal pollution
d. Past faecal pollution
e. Parasitic contamination of water

Key: d

Weighting: 1 Mark

45. Mottling of teeth is a nutrition related condition
which results from:
a. Deficiency of Fluorine in drinking water
b. Deficiency of Chlorides in water
c. Excess of Fluorine in drinking water
d. Excess of Nitrites in water.
e. Malabsorption.

Key: c

Weighting: 1 Mark

Model Paper

Page 16 of 22
46. The sloughed off layer in the trickling filter during the
treatment of sewage in modern plants is known as:
a. Humus
b. Wet manure
c. Scum
d. Sullage
e. Sludge

Key: a

Weighting: 1 Mark

47. House waste-water which does not contain human
excreta is known as:
a. Humus
b. Sewage
c. Sludge
d. Sullage
e. Scum

Key: d

Weighting: 1 Mark

48. Which one of the following does not refer to vitiation of
air?
a. Decrease in air movements
b. Increased concentration of carbon dioxide
c. Decrease in relative humidity
d. Increase in temperature
e. Increase in bacterial count

Key: c

Weighting: 1 Mark

Model Paper

Page 17 of 22
49. Which one of the following is correct regarding daily
upper limit of noise without substantial damage to
hearing?
a. 50 db
b. 70 db
c. 75 db
d. 85 db
e. 100 db

Key: d

Weighting: 1 Mark

OCCUPATIONAL HEALTH

50. Which one of the following is included in pneumoconiosis?
a. Anthracosis
b. Sarcoidosis
c. Psittacosis
d. Aspergillosis
e. Salmonellosis

Key: a

Weighting: 1 Mark

51. Which one of the following is not an example of
organic dust?
a. Cane fiber
b. Tobacco
c. Cotton dust
d. Grain dust
e. Asbestos

Key: e

Weighting: 1 Mark

Model Paper

Page 18 of 22

52. Foundry workers may suffer from one of the following
diseases as a result of occupational exposure:
a. Silicosis
b. Asbestosis
c. Stomach cancer
d. Lung cancer
e. Anthracosis

Key: a

Weighting: 1 Mark

53. Which one of the following is not true regarding
Pneumoconiosis?
a. Byssinosis is due to inhalation of cotton dust
b. Anthracosis is due to inhalation of anthrax spores
c. Baggassosis is an occupational hazard of workers in paper
mills.
d. Asbestosis predisposes to pleural mesothelioma.
e. Pneumoconiosis is irreversible

Key: b

Weighting: 1 Mark

ENTOMOLOGY

54. Which one of the following statements is not true
regarding Lice?
a. Lice belong to phylum arthropoda.
b. It undergoes incomplete metamorphosis.
c. Pediculosis is a viral disease transmitted by the bite of a body
louse.
d. Relapsing fever occurs when an infected louse is crushed on
the skin.
e. Dusting powder containing 10% DDT is effective for
Pediculosis.

Key: c

Weighting: 1 Mark


Model Paper

Page 19 of 22
55. Which one of the following insecticides is the least toxic
organo-chlorine compound for human beings?
a. DDT
b. HCH
c. Dieldrin
d. Aldrin
e. Chlordane

Key: a

Weighting: 1 Mark

PARASITOLOGY

56. Asexual cycle of malarial parasite ends with the
production of which one of the following to propagate
the disease?
a. Sporozoties
b. Merozoites
c. Schizonts
d. Gametocytes
e. Oocytes

Key: d

Weighting: 1 Mark

57. The best method recommended by WHO for malaria
control in endemic areas is:
a. The use of Pyrethrum impregnated bed nets
b. Regular use of Chloroquine
c. Genetic Control of Mosquitoes
d. Vaccination
e. Passive immunity by anti-sera

Key: a

Weighting: 1 Mark


Model Paper

Page 20 of 22
SNAKE BITE

58. A snakebite victim was brought to a health facility after 6
hours of bite. There was a bloody discharge at the site of
bite. There were ecchymosis & serum filled blebs. The
most likely snake involved is:
a. Viper
b. Cobra
c. Krait
d. Sea snake
e. Non poisonous snake

Key: a

Weighting: 1 Mark
Reference: Ilyas Ansari Text Book

MENTAL HEALTH

59. Mental retardation is seen in which of the following
childhood conditions?
a. Trisomy 21
b. Marasmus.
c. Kwashiorkor
d. Congenital HBV infection
e. Juvenile Diabetes.

Key: a

Weighting: 1 Mark
Reference: Illyas Ansari Text Book

DRUG ADDICTION

60. The most important factor which makes the smoking
cessation program successful is:
a. The desire of the smoker to quit
b. Availability of replacement therapy
c. A well planned program
d. The advice by a competent doctor
e. Follow up program

Key: a

Weighting: 1 Mark


Model Paper

Page 21 of 22
61. Which one is incorrect about tobacco smoking?
a. The babi es born smoking to mothers, who smoke, weigh on
average 200, less at birth than those of non smokers.
b. It is responsible for about 3 million deaths/year in the world
c. In developed world per capita consumption of tobacco is
increasing
d. Dose-response relationship is seen in cigarette smoking and
lung cancer
e. Withdrawal symptoms include irritability, sleep problems and
tremors.

Key: c

Weighting: 1 Mark

62. Self administration of a drug for non medical reasons in
quantities and frequencies which may impair an
individuals ability to function effectively and which may
result in social, physical or emotional harm is best named
as:
a. Drug dependence
b. Drug tolerance
c. Drug abuse
d. Self medication.
e. Drug therapy

Key: c

Weighting: 1 Mark

63. Marijuana is derived from which one of the following
plants?
a. Cannabis
b. Morning Glory
c. Coca bush
d. Mushrooms
e. Cactus

Key: a

Weighting: 1 Mark


Model Paper

Page 22 of 22

HEALTH EDUCATION

64. In a health education programme, if a group of 10 people
are speaking on a topic of common interest, it is called a:
a. Workshop
b. Panel discussion
c. Group discussion
d. Symposium
e. Demonstrations

Key: c

Weighting: 1 Mark

DISASTERS

65. In which of the following disasters, injuries usually
exceed death?
a. Earth quakes
b. Landslide
c. Avalanches
d. Floods
e. Explosions

Key: a

Weighting: 1 Mark

Community Medicine MCQ

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MBBS THIRD PROFESSIONAL EXAMINATION 2007

Community Medicine (MCQs)

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