AIIMS/ NEET-PG 2017: Community Medicine MCQs 61-70

  1. Soft tick transmits
    a) Relapsing fever
    b) KFD
    c) Tick Typhus
    d) Tularemia

Answer: Relapsing fever
Soft tick: Q fever and relapsing fever
Hard tick: Tick typhus, KFD, Tularemia, Tick paralysis, Human babesiosis, Viral encephalitis and Viral hemorrhagic fever

  1. Toxic shock syndrome is caused by
    a) Infected BCG vaccine
    b) Infected measles vaccine
    c) Infected polio vaccine
    d) Infected DPT vaccine

Answer: Infected measles vaccine
Toxic shock syndrome (TSS) is an unfortunate but avoidable reaction of measles vaccine.
Measles vaccine does not have a preservative. Hence, once reconstituted it should not be kept beyond 2-3 hours & that too it should be kept on ice.
If it is not stored properly or is used after 2-3 hours there are chances of growth of pathogens, most important being staphylococci.
When infected, the staphylococcal toxin formed will lead to fever, diarrhea, vomiting, blood in stools, DIC, shock & ultimately death.
This usually follows use of multi-dose bulbs where the balance doses are not kept properly or not used in time.

  1. Which is not a synthetic pyrethroid?
    a) DDT
    b) Proparthrin
    c) Cyper-methrin
    d) Per-methrin

Answer: DDT
DDT (dichlorodiphenyltrichloroethane) is a colorless, crystalline, tasteless and almost odorless organo-chloride known for its insecticidal properties.
The Stockholm Convention, which took effect in 2004, outlawed several persistent organic pollutants, and restricted DDT use to vector control.
A pyrethroid is an organic compound similar to the natural pyrethrins produced by the flowers of pyrethrums. Pyrethroids now constitute the majority of commercial household insecticides.
Proparthrin, Cyper-methrin and Per-methrin are Pyrethroids.

  1. Orthotolidine test is used for detecting:
    a) Chlorine
    b) Nitrites
    c) Nitrates
    d) Ammonia

Answer: Chlorine
The amount of residual chlorine left in the chlorinated water after the required contact period, can be experimentally determined by using any of the following tests:
Orthotolidine test
DiethIy-p-Phenylene-Diamine (DPD) test – This test is widely used nowadays.

  1. Given three genera of mosquitoes (Culex, Anopheles and Aedes) act as vector for which of the following diseases word wide?
    a) Malaria
    b) Dengue
    c) Filariasis
    d) Yellow fever

Answer: Filariasis
Filariasis is transmitted by all four genera of mosquitoes including Culex, Anopheles, Mansonoides and Aedes.
Lymphatic filariasis is caused by the worms Wuchereria bancrofti (Vector-Culex), Brugia malayi (Vector-Mansonoides), and Brugia timori.
Subcutaneous filariasis is caused by Loa loa (the eye worm), Mansonella streptocerca, and Onchocerca volvulus.
These worms occupy the subcutaneous layer of the skin, in the fat layer. L. loa causes Loa loa filariasis, while O. volvulus causes river blindness.
Serous cavity filariasis is caused by the worms Mansonella perstans and Mansonella ozzardi, which occupy the serous cavity of the abdomen.

  1. Human poverty index includes all of the following except
    a) Probability at birth of not surviving to age 40
    b) Child illiteracy rate
    c) Percentage of underweight children
    d) Percentage of people without sustainable access to an improved water source

Answer: Child illiteracy rate
The Human Poverty Index (HPI) was developed by the United Nations (UN) and first reported as part of the Human Development Report in 1997.
The HPI-1 for developing country measures the deprivation in the three dimensions:
A decent standard of living
The HPI-2 for developed countries measures deprivation of four dimensions:
A decent standard of living
Social exclusion

  1. In the integrated disease surveillance project (IDSP), all of the following diseases are included except
    a) Acute respiratory infections (ARI)
    b) Snake bite
    c) Tuberculosis
    d) Leptospirosis

Answer: Tuberculosis
Integrated Disease Surveillance Programme (IDSP) was launched with World Bank assistance in November 2004 to detect and respond to disease outbreaks quickly.
Communicable Diseases under IDSP

  1. Acute Diarrheal Disease (including acute gastroenteritis)
  2. Bacillary Dysentery
  3. Viral Hepatitis
  4. Enteric Fever
  5. Malaria
  6. Dengue/Dengue Hemorrhagic Fever (DHF)/ Dengue shock syndrome (DSS)
  7. Chikungunya
  8. Acute Encephalitis Syndrome (AES)
  9. Meningitis
  10. Measles
  11. Diphtheria
  12. Pertussis
  13. Chicken Pox
  14. Fever of unknown origin (PUO)
  15. Acute Respiratory Infection (ARI)/Influenza Like illness (ILI)
  16. Pneumonia
  17. Leptospirosis
  18. Acute Flaccid Paralysis < 15 years of age 19. Dog Bite 20. Snake Bite 21. Any other state specific disease 22. Unusual syndrome 68. Polyvalent meningococcal vaccine is routinely recommended to a) Diabetic patients > 50 yrs of age on regular insulin
    b) Adolescent young males
    c) All health children of 5-7 yrs age group
    d) Laboratory workers

Answer: Laboratory workers
Polyvalent meningococcal vaccine is routinely recommended to:
Children aged 2 years or more
Laboratory personnel
Students going to abroad

  1. The forth coming new mental health act in India is named as
    a) Mental health bill
    b) Mental health care bill
    c) Mental health care and rehabilitation bill
    d) Mental health treatment and rehabilitation bill

Answer: Mental health care bill
The Mental Health Care Bill, 2013:
The Mental Health Care Bill, 2013 was introduced in the Rajya Sabha on August 19, 2013. The Bill repeals the Mental Health Act, 1987.
Though being praised by socialists, the bill doesn’t find much favor with psychiatrists.
Decriminalizing suicide and prohibiting electro-convulsive therapy:
A person who attempts suicide shall be presumed to be suffering from mental illness at that time and will not be punished under the Indian Penal Code.
Electro-convulsive therapy is allowed only with the use of muscle relaxants and anesthesia. The therapy is prohibited for minors.

  1. The number of millennium development goals directly related to health is
    a) 2
    b) 3
    c) 4
    d) 5

Answer: 3
Three of 8 goals, 8 of 18 targets to achieve them and 18 of 48 indicators of progress are related to health.