CHS Proff-2014 (BCQs)

1. COMMUNITY MEDICINE.
A. Is applied to families
B. Delivers selective health care
C. Is delivered by individual health member only
D. Only aim is to reduce death in community
E. Actively involves community
2. THE TIME INTERVAL B/W ENTERY OF AN INFECTIOUS AGENT IN TO HOST AND THE
ONSET OF SYMPTOMS IS CALLED.
A. communicable period
B. incubation period
C. Quarantine period
D. Lead time
E. None of these
3. IF A PATIENT IS INJECTED WITH IMMUNOGLOBULIN AGAINST HEPATITIS-C, THIS IS.
A. Active immunity
B. Passive Immunity
C. Non-specific immunity
D. Combined immunity
E. None of these
4. TOTAL NUNMBER OF CASES AT A GIVEN POINT OF TIME IN A GIVEN POPULATION IS.
A. Incidence
B. Prevalence
C. Epidemiology
D. Attack rate
E. None of these
5. COTROL MEASURES OF MEASLES INCLUDE THE FOLLOWING EXCEPT.
A. Isolation for 7 days after rash
B. Immunization of the contact within 7 days
C. Immunization at the beginning of the epidemic
D. Immunoglobulin instead of vaccine
E. None of these
6. CONGENITAL MALFORMATION ARE MORE COMMON IF RUBELLA OCCURS DURING
MONTH OF PREGNANCY.
A. 1ST and 2ND
B. 3RD and 4th
C. 5th and 6th
D. 7th and 9th
E. None of these
7. PREVALENCE OF TUBERCILOSIS IN A COMMUNITY IS CONFIRMED BY.
A. Mass miniature radiography
B. Sputum microscopy
C. Sputum Culture
D. Tuberculin
E. All of these
8. WATER WHOSE QUALITY IS SUCH THAT IT CAN BE USED FOR DRINKING PURPOSE IS
KNOWN AS.
A. Clean water
B. Polluted water
C. Contaminated water
D. Distilled water
E. Potable water
9. WATER WHICH CONTAINS SULPHATES AND CHLORIDES OF CALCIUM AND
MAGNESIUM IS.
A. Temporary water
B. Potable water
C. Contaminated water
D. Permanent hard water
E. Soft water
10. WHICH STATEMENT IS CORRECT REGARDING RAIN WATER? (confusion)
A. It is a soft water
B. It can dissolve iron, lead and other metals
C. It can used as water supply for large communities
D. It can collect impurities in the atmosphere
E. It is regarded as the purest form of water on earth
11. MAIN SOURCE OF WATER SUPPLY FOR MURREE AND NATHAGALI ARE.
A. Deep well
B. Rock fault springs
C. Thermal springs
D. Artesian wells
E. Lakes
12. THE MODE OF TRANSFER OF AN INFECTIOUS AGENT THROUGH THE ENVIRONMENT TO
A SUSCEPTIBLE HOST IS CALLED A.
A. Carrier
B. Reservoir
C. Vector
D. Vehicle
13. A LONGITUDINAL OR PROSPECTIVE STUDY IS ALSO REFERRED TO AS A.
A. Ecological study
B. Cross-sectional study
C. Cohort Study
D. Observational study
E. Analytical study
14. WHY GOLD STANDARD IS CONSIDERED THE BEST?
A. It helps to generalize the study to the population
B. The standard will help to conclude that results were true
C. When sensitivity test correctly identify all potential cases negative or positive
D. Gold is used as standard
E. Denotes the accuracy of the test
15. SENSITIVITY IS.
A. The ability of a test to correctly identify all individuals who have been screened and
actually have the disease
B. The ability of a test identify only those non diseased individuals who actually do not
have the disease.
C. The proportion of people screened positive by a test and actually have the disease, this
is the value
D. Not a truly evidence based test
E. Seen whenever the test is done
16. CONTRIBUTING FACTORS TO AN ILLNESS IS DEFINED AS.
A. The occurrence of mental disorders
B. A co-morbidity in the form of a psychiatric disease
C. The contributing factors od sexual disease
D. Participating factors for the occurrence of the disease
E. Factors used to influence the severity of a disease
17. AN INDIRECT MEAN OF TRANSMISSION MAY BE ANYTHING OTHER THAN.
A. Person to animal
B. Person to person
C. Object to person
D. Object to animal
E. Animal to person
18. HERD IMMUNITY IS.
A. Immunity gained from person to person transduction
B. Acquired immunity from previous exposure to an agent before a vaccine or natural
infection
C. Resistance of the entire community because of the people immunity within the
community
D. Occurs in developing countries only
E. Usually seen in immunosuppressive patients
 19. SCABIES IS CLASSIFIED AS WHICH TYPE OF WATER RELATED DISEASE?
A. Water born
B. Water based
C. Water washed
D. Water related insect water
E. Water dispersed
20. THE FIFTH MOST FREQUENT CAUSE OF MORTALITY AND LEADING CAUSE OF INJURY
RELATED DEATHS ARE.
A. Smoking
B. Suicide
C. Falling
D. Motor vehicle related, firearm or poisoning
E. Flying
21. A GOOD HEALTH TRIAD DOESNOT INCUDE.
A. Physical status
B. Social status
C. Economic status
D. Spiritual status
E. Mental status
22. PREVENTION OF COMPLICATIONS IS INCLUDED IN WHICH LEVEL OF PREVENTION?
A. Primary
B. Primordial
C. Secondary
D. Tertiary
E. None of these
23. ADVANTAGES OF COHORT STUDY ARE ALL EXCEPT.
A. Incidence cannot be calculated
B. Bias minimized
C. Relative risk can be estimated
D. Dose response ratio can be calculated
E. Enables examination of multiple outcomes of a single risk factor
24. WHICH OF THE FOLLOWING IS NOT AN ADVANTAGE OF RAPID SAND FILTER?
A. Cheaper coat of construction
B. Can deal with raw water directly
C. Filtration is rapid
D. Occupies less space
E. Washing of filter is easy
25. WHICH IS NOT A TYPE OF SCREENIG?
A. Mass screening
B. Multiple screening
C. Low risk screening
D. High risk screening
26. WHICH IS THE SKELETON OF ORGANISATION?
A. Organization function
B. Organization scheme
C. Decentralization
D. Co-ordination
E. Organogram
27. WHICH SERVICES ARE NOT A PART OF HOSPITAL SERVICES?
A. Essential services
B. Additional services
C. Utility services
D. Administrative services
E. Clinical services
28. AN INANIMATE OBJECT CAPABLE OF TRANSMITTING AN INFECTIOUS AGENT IS
CALLED.
A. Carrier
B. Fomite
C. Host
D. Case
E. Vector
29. THE FOLLOWING IS NOT A PROBABILITY SAMPLING TECHNIQUE.
A. Simple random
B. Stratified
C. Snowball
D. Cluster
E. Systematic random
30. MOST COMMON USED SOFTWARE FOR THE DATA ANALYSIS IN MEDICAL SCIENCE IS.
A. SPSS
B. EndNote
C. MiniTab
D. Epi info
E. STRATA
31. REGARDING NORMAL DISTRIBUTION FOLLOWING STATEMENT IS CORRECT.
A. Mean +- 1 SD = 45%
B. Mean +- 2 SD = 95%
C. Mean +- 3 SD = 100%
D. 100% is equal to 1.5
E. Mean > Mode
32. CARE OF DISABILITY INCLUDES ALL EXCEPT.
A. Disability prevention
B. Disability limitation
C. Rehabilitation
D. Treatment of fracture
E. Disability allowance
33. HEALTH PROMOTIVE SERVICES DON’T INCLUDE.
A. Treatment of ARI
B. Growth monitoring
C. Health screening
D. Mental counselling
E. Tobacco awareness
34. THE FUNCTIONS OF THE OUTPATIENT DEPARTMENT INCLUDE.
A. Promotion of health
B. Training of medical and nursing personnel
C. Social research
D. Psychological counselling
E. All of the above
35. FLUORIDATION OF WATER WOULD BE AN EXAMPLE OF
A. Primary prevention
B. Secondary prevention
C. Tertiary prevention
D. It is not a prevention
E. Primodial prevention
36. A RESEARCHER IS INTRESTED IN RECORDING THE NUMBER OF INDIVIDUALS IN NORTH
KARACHI TOWN WHO HAVE A COMMON COLD AT SOME POINT DURING THE MONTH
OF FEB 2013. WHICH OF THE FOLLOWING MEASURES OF MORBIDITY WOULD BE MOST
APPROPRIATE IN ANSWERING THE QUESTION?
A. Point prevalence
B. Period prevalence
C. Cumulative incidence
D. Incidence density
E. Cumulative prevalence
37. A RESEARCHER IS INTERESTED IN KNOWNING HOW MANY NEW CASES OF THE
MEASLES HAD DEVELOPED IN HAMDARD SCHOOL (BOTH PUBLIC AND VILLAGE) IN
APRIL 2012 ASSUMING THAT NO CHILDREN ENROLLED DURING THE MONTH AND NO
CHILDREN MOVED DURING THAT MONTH (ALL CHILDREN WERE FOLLOWED FOR THE
ENTIRE MONTH) WHICH MEASURE OF MORBITY WOULD BE MOST APPROPIATE IN
ANSWERING THIS QIESTION?
A. Prevalence
B. Point prevalence
C. Cumulative incidence
D. Incidence density
E. None of the above
38. IT IS ASSUMED THAT DISEASE CAN BE TRANSMITTED DIRECTLY OR INDIRECTLY. A
VECTOR SUCH AS A MOSQUITO IS AN EXAMOLE OF.
A. Direct disease transmission
B. Indirect disease transmission
C. Single exposure
D. Common vehicle exposure
E. Common disease exposure
39. GOBI-FFF
A. Is the strategy for Maternal and Child Health Centre
B. ‘O’ stands for intravenous re-hydration therapy
C. ‘B’ stands for birth weight
D. ‘I’ is integration of health services
E. All of these
40. ISOLATION IS NOT CARRIED IN ONE OF THE FOLLOWING.
A. Plague
B. Cholera
C. AIDS
D. Chicken pox
E. Mumps
41. THE MOST COMMON TYPE OF POLIO.
A. In apparent
B. Abortive
C. Non-paralytic
D. Paralytic
E. Paralytic with respiratory failure
42. ACCOURDING TO WHO FOR MULTI-DRUG RESISTANT TB, RESISTANCE SHOULD BE
PRESENT AT LEAST TO.
A. INH and Rafampicin
B. INH and Ethambutol
C. RMP and Pyrazinamide
D. Ethambutol and Pyrazinamide
E. All of these
43. USUAL TIME FOR SYMPTOMS TO APPEAR IN RABID ANIMAL IS WITHIN.
A. 2 days
B. 7 days
C. 10 days
D. 1 month
E. 6 months
44. TETANUS CAN BE PREVENTED BY WHICH OF THE FOLLOWING?
A. Active immunization with tetanus toxoid with booster every 5-10 years
B. Adequate wound toilet of contaminated wounds
C. Consider passive immunization with hyper immune immunoglobulin
D. To avoid trauma
E. Proper antibiotic treatment to septic wound
45. DISEASE THAT HAS BEEN ERADICATED WORDWIDE IS.
A. Chicken pox
B. Rabies
C. Measles
D. Polio
E. Small-pox
46. RESEVIOR FOR TETANUS BACILLI IS.
A. Human
B. Soil
C. Water
D. Hospital waste
E. Animal
47. APPROXIMATELY 1 OUT OF EVERY 9 WOMEN ARE LIKELY TO SUFFER FROM ONE OF
YHR FOLLOWING AT ANY POINT OF THEIR LIVES.
A. Cervical cancer
B. Breast cancer
C. Lung cancer
D. Oral cancer
E. Uterine cancer
48. BOTH ACTIVE AND PASSIVE VACCINATION CAN BE GIVEN TOGETHER IN ALL EXCEPT.
A. Diphtheria
B. Hepatitis-B
C. Tetanus
D. Rabies
E. Hepatitis-A
49. CORRECT RECOMMENDED SCHEDULE (ON DAYS) FOR POST EXPOSURE VACCINATION
OF PERSON WHO HAS BEEN BITTEN BY RABID DOG.
A. 0, 3 and 7
B. 0, 3, 7 and 14
C. 0, 3, 7, 14 and 28
D. 0 and 3
E. For 14 days intra-abdominal injections
50. ONE OF THE MOST DANGEROUS HEPATITIS IS.
A. Hepatitis A
B. Hepatitis B
C. Hepatitis C
D. Hepatitis D
E. Hepatitis E
 51. IN ALL OF THE FOLLOWING DISEASE CHRONIC CARRIERS ARE FOUND EXCEPT.
A. Measles
B. Typhoid
C. Hepatitis B
D. Gonorrhea
E. Hepatitis C
52. INFECTIOUS DISEASES WHOSE CONTROL IS SOLELY BASED ON ACTIVE IMMUNISATION
ARE ALL EXCEPT.
A. Measles
B. Rabies
C. Polio
D. Tuberculosis
E. Tetanus
53. QUARANTINE IS RECOMMENDED FOR FOLLOWING DISEASE IN PAKISTAN.
A. Measles
B. AIDS
C. Cholera
D. Yellow fever
E. Tetanus
54. AMONG A GROUP OF 10,000 ADULT MALES, 25% WERE OBESE AND 1000 WERE
DIABETIC, HALF OF THE DIABETIC WERE OBESE AS WELL WHICH OF THE FOLLOWING IS
CORRECT FOR DIABETES?
A. A + B = 2000
B. B = 1000
C. A + C = 500
D. C = 250
E. B + D = 9000
55. FOLLOWING ARE THE MAJOR KILLER OF CHILDREN IN PAKISTAN EXCEPT.
A. Diarrhea
B. Malnutrition
C. Acute respiratory infection
D. Vaccination related diseases
E. HIV/AIDS
56. WHICH OF THE FOLLOWING NON-COMMUNCABLE DISEASE IS RANKED 1 ST FOR
GLOBAL MORTALITY IN A 60-YEAR-OLD MAN?
A. Cardiovascular disease
B. Asthma
C. Road accidents
D. Cancers
E. Diabetes meilitus
57. THE METABOLIC SYNDROME INCLUDES ALL EXCEPT.
A. Under nutrition
B. Diabetes
C. Hypertension
D. Dyslipidemia
E. Obesity
58. WHICH OF THE FOLLOWING IS THE DELAYED EFFECET OF RADIATION?
A. Leukemia
B. Radiation syndrome
C. Mild lassitude muscle weakness
D. Thalassemia
E. None of the above
59. AN INFECTED PERSON IS LESS LIKELY TO ENCOUNTER A SUSCEPTIBLE PERSON WHEN A
LARGE PROPORTION OF THE MEMBERS OF THE GROUP ARE IMMUNE. IT IS KNOWN
AS.
A. Active immunity
B. Passive immunity
C. Herd immunity
D. Specific immunity
E. Combined immunity
60. OCCURRENCE IN THE COMMUNITY OF THE NUMBER OF CASES OF DISEASE THAT IS
UNUSUALLY LARGE OR UNEXPECTED.
A. Endemic
B. Epidemic
C. Pandemic
D. Infection
E. Out break
61. RANGE OF VALUES SURROUNDING THE ESTIMATE WHICH HAS BEEN SPECIFIED
PROBABILITY OF INCLUDING THE TRUE POPULATION VALUES IS.
A. Standard deviation
B. Standard error
C. Confidence interval
D. Correlation coefficient
E. Regression
62. THE PROBABILITY OF REJECTING THE NULL HYPOTHESIS WHICH IT IS TRUE IS.
A. Type 1 error
B. Type 2 error
C. Power of a statistical test
D. Level of significance
E. Deviation fraction
63. INFANTS DOUBLE THEIR WEIGHT AT.
A. 6-7 months
B. 9-10 months
C. 5-6 months
D. 3-4 months
E. 2-3 months
64. WHAT IS THE TOTAL ENERGY REQUIREMENT FOR A 50KG HOUSEWIFE WITHOUT
HOUSE HELP?
A. 2000 cal/day
B. 1800 cal/day
C. 2100 cal/day
D. 2200 cal/day
E. 3000 cal/day
65. THE SYMPTOMS THAT APPEARS TO CONSISTENTLY B/W PULMONARY TUBERCULOSIS
AND NON-TB RESPIRATORY DISEASE.
A. Night sweats
B. Anorexia
C. Chronic cough
D. Haemoptysis
E. Shaking chills
66. WHAT SHOULD BE THE FIRST TEST DONE WHEN CONFRONTED WITH A PATIENT IN
WHOM THERE IS CLINICAL SUSPISION OF PULMONARY TUBECULOSIS?
A. Chest X-Ray
B. Sputum AFB
C. Sputum GS/CS
D. PCR
E. All of the above
67. IN THE PREVENTION OF CARDIOVASCULAR DISEASE SALT RESTRICTION SHOULD BE
LESS THAN HOW MANY GRAMS PER DAY?
A. 2 grams
B. 3 grams
C. 4 grams
D. 5 grams
E. 6 grams
68. IN CARDIOVASCULAR DISEASE PREVENTION, ONE SHOULD PROGRESSIVLEY INSREASE
MODERATE PHYSICAL ACTIVITY TO.
A. 30 mins once a week
B. 30 mins twice a week
C. 30 mins three times a week
D. 30 mins daily
E. 1-2 hours every day
69. LEADING CAUSE OF DIARRHEAL DISEASE IS.
A. Enterotoxigenic E. coli
B. Salmonella (non-typhoid)
C. Rotavirus
D. Camphylobacter jejuni
E. Shigella
70. IF THE CHILD VOMITS, YOU MAY CONTINUE SLOWLY GIVING SMALL AMOUNT OF ORS
SOLUTION AFTER A MINIMUM OF.
A. 1 hour
B. 30 mins
C. 2 hours
D. 10 mins
E. 20 mins
71. HOW MANY GRAMS OF NACL IS IN THE STANDARD WHO ORS FORMULA?
A. 3.5
B. 5
C. 20
D. 1.9
E. 2
72. SHER DIL AND MUNIRA WITH THEIR 5 YEAR OLD SON LIVE IN THEIR HOME AND ARE
MANAGING TO SERVIVE WTH SHER DIL’S DAILY WAGE. THIS IS AN EXAMPLE OF
WHICH STRUCTURE OF FAMILY?
A. Nuclear
B. Extended
C. Single parent
D. Blended
E. Classified
73. MAMMOGRAPHY SHOULD BE DONE ANNUALY IN WOMEN OF AGE?
A. 50 years old and above
B. 60 years old and above
C. 45 years old and above
D. 30 years old and above
E. 65 years old and above
74. WOMAN WITH PRIOR PREGNANCY AFFECTED BY NEURAL TUBE DEFECTS WHO ARE
PLANNING PREGNANCY SHOULD TAKE THIS CHEMO-PROPHYLACTIC.
A. Vitamin C
B. Retinoin
C. Vitamin B complex
D. Folic acid
E. Ferrous sulphate
75. ONE OF THE FOLLOWING IS GIVEN TO WOMAN OF CHILD BEARING.
A. Tetanus immunoglobulin
B. Tetanus toxoid
C. Measles vaccine
D. BCG booster
E. Polio vaccine
76. WHEN THE CHILD HAS THE FOLLOWING CONDITION, IMMUNISATION IS ABSOLUTELY
CONTRAINDICATED.
A. HIV infection
B. Adverse reaction to the previous immunization
C. Option A and B
D. Fever
E. None of the above
77. TANNERY WORKERS ARE MORE PRONE TO DEVELOP.
A. Colon cancers
B. Gastritis
C. Renal stones
D. ARDS
E. Skin disease
78. ALL ARE GREEN HOUSE GASES EXCEPT.
A. Oxygen
B. CO
C. Ammonia
D. Methane
E. Ozone
79. THE BEST HEALTH OF WORKERS CAN BE MAINTAINED AND IMPROVED BY.
A. Provision of stressful environment
B. Provision of regular medical checkup
C. Unprotected measures according to the job
D. Early retirement of the worker
E. Proper medical assessment every fortnightly
80. FOR ADOLESCENCE HEALTH.
A. The WHO expert committee has set the age limit of adolescence between 12-22 years
B. Adolescence is the period of transition between childhood and adulthood
C. The minor concerns of adolescence include smoking, drug abuse, depression and dietary
habit disorders
D. Depending upon the climate of the country, puberty begins early in boys than in girls
E. Smoking is common in those whose life objectives are low and who do not perform well
in school
81. FOLLOWING ILLNESS HAS THE SHORTEST INCUBATION PERIOD.
A. Cholera
B. Dengue fever
C. Amoeabiasis
D. Streptococcal
82. FOLLOWING GROUP OCUPIED THE BOTTOM GROUP OF FOOD PYRAMID.
A. Milk, Cheese, Yogurt
B. Rice, Bread, Chapati
C. Mangoes, Apples, Oranges
D. Spinach, Tomato, Lettuce
E. Poultry, Fish, Meat
83. NON-INFECTIOUS OR CLOSED TYPE LEPROSY INCLUDE.
A. Borderline tuberculoid
B. Tuberculoid
C. Lepromatous lepromatous
D. Borderline lepromatous
E. Borderline borderline
84. HEAT STOKE IS A MANIFESTATION OF.
A. Loss of water
B. Dilation of blood vessels
C. Loss of salt
D. Failure of thermoregulation
E. Impairment of thermoregulation
85. WHICH OF THE FOLLOWING ISS NOT INCLUDED IN THE ELEMENTS OF PRIMARY
HEALTH CARE?
A. Immunization service
B. Family planning services
C. Specialized services
D. Nutrition
E. Health education regarding sanitation
86. FOLLOWING ARE THE CLASSIFICATION OF FOOD EXCEPT.
A. Micronutrition
B. Body building foods
C. Energy providing foods
D. Food of animal and vegetable origin
E. Appetite stimulating foods
87. FAMILY PLANNING INECTION CONTAINS.
A. Estrogen
B. Progesterone
C. Both estrogen and progesterone
D. Testosterone
E. None of these
88. BAGASSOSIS IS SEEN IN.
A. Sugarcane factory workers
B. Cement factories
C. Textile industries
D. Garment industries
E. Leather industries
89. INCIDENE OF PNEUMOCONIOSIS DEPENDS ON.
A. Size of particle
B. Duration of exposure
C. Concentration of dust in air
D. All the above
E. None of the above
90. REGARDING 2x2 TABLE.
A. a + b = Total test positive persons
B. a + b = Total non-disease persons
C. c + d = Total test negative person
D. b + d = Total disease person
E. a + b + d = Total persons in study
91. REGARDING SENSITIVITY AND SPECIFICITY IN 2 2 TABLE.
A. True Positive = Persons have disease but have no exposure of risk factor
B. False Positive = Persons have exposure of risk factor and also have disease
C. True Negative = Persons have disease but have no exposure of risk factor
D. True Positive = Persons have no and also have no exposure of risk factor
E. False Negative = Persons have disease but have no exposure of risk factor
92. FOLLOWING ARE THE RISK FACTORS OF FOR ORAL CANCER EXCEPT.
A. Chewing pan
B. Age
C. Alcohol
D. Smoking
E. Obesity
93. FOLLOWING IS FOOD FOR HEART.
A. Triglycerides
B. High density lipoproteins
C. Low density lipoproteins
D. Saturated fatty acids
E. Low density phospholipids
94. METHODS USED FOR ASSESSMENT OF NUTRINIONAL STATUS.
A. Qualitative
B. Quantitative
C. Retrospective
D. Clinical
E. Basic
95. A GLASS OF 240CC OF WATER CONTAINS.
A. 240 Kcal
B. 120 Kcal
C. 05 Kcal
D. None of these
96. PRE-DISASTER ADMINISTRATION DOESN’T INCLUDE.
A. Directing
B. Organizing
C. Repeating
D. Staffing
E. Planning
97. ONE OF THE MOST EFFECTIVE WAY OF DISPOSING HOSPITAL WASTE.
A. Chemical disinfection
B. Inertization
C. Incineration
D. Irradiation
E. None of these
98. MUNICIPAL WASTE IS IN THE OPEN DUMPS AND ALSO DUMPS IN LARGE PITS. THIS
METHOD IS KNOWN AS.
A. Incineration
B. Composting
C. Waste Furnace
D. Scavenging
E. Burial
THE END….