FMGE 2025 - Community Medicine PYQs Practice Questions

Q: Chronic malnutrition is best measured by?

Height for age. ***Height for age*** - This index measures **stunting**, which is the definitive indicator of **chronic malnutrition** (long-term failure to achieve expected height). - A low height-for-age indicates that a child has suffered from sustained nutritional deficiencies or repeated infections over a prolonged period. *Weight for age* - This index measures **underweight**, reflecting a mixture of both **acute** and **chronic malnutrition**. - Since it is influenced by both weight loss (wasting) and long-term growth delay (stunting), it is less specific than H/A for solely quantifying chronicity. *Weight for height* - This index measures **wasting**, which is the indicator of **acute malnutrition** (recent, rapid weight loss). - It assesses current nutritional status and is essential for identifying conditions like severe acute malnutrition (SAM). *Body mass index* - BMI is a measure of generalized nutritional status, often used to define overweight or obesity in adults, but it is **not the primary index** for assessing stunting in children. - While correlated with weight-for-height, it does not specifically capture the historical growth failure characterized by low height-for-age. [Practice more Community Medicine PYQs on OnCourse]

Q: Which of the following is the schedule of the OPV vaccine?

6th week, 10th week and 14th week. ***6th week, 10th week and 14th week***- This schedule represents the **primary series** of Oral Polio Vaccine (OPV-1, OPV-2, and OPV-3) doses given in the National Immunization Schedule (NIS).- These doses are administered 4 weeks apart, starting at 6 weeks of age, and are crucial for developing robust immunity against the **poliovirus**.*6th week, 10th week & 9th month*- Although the 6th and 10th weeks are correct for the first two primary doses, the third dose should be administered at the **14th week**, not the 9th month.- The 9th month is the typical schedule point for the first dose of **Measles/MR vaccine** and **Vitamin A supplementation**, not a primary OPV dose.*6th week, 14th week & 9th month*- This schedule incorrectly misses the required **10th-week** dose, which interrupts the recommended 4-week spacing for the primary series of OPV.- Furthermore, the inclusion of the **9th month** timing incorrectly substitutes the proper 14th-week slot for the third primary dose.*6 to 12 weeks*- This describes a broad time window and is not the specific, thrice-repeated dosing schedule required for the **OPV primary series** (OPV-1, OPV-2, and OPV-3).- The standard schedule involves three distinct doses timed precisely at **6, 10, and 14 weeks** of age to achieve high seroconversion rates. [Practice more Community Medicine PYQs on OnCourse]

Q: An image of the mascot is shown below. Identify the related national health programme.

National Leprosy eradication programme. ***National Leprosy eradication programme*** - The mascot shown in the image is **"Sapna"**, who is the official mascot for the **National Leprosy Eradication Programme (NLEP)** in India. - The mascot is used in Information, Education, and Communication (IEC) activities to reduce the stigma associated with leprosy and promote the message that it is completely curable with **Multi-Drug Therapy (MDT)**. *National Tuberculosis Elimination Programme* - The **National Tuberculosis Elimination Programme (NTEP)** does not use this mascot; its campaign is famously known by the slogan **"TB Harega Desh Jeetega"**. - The programme focuses on early diagnosis and treatment of tuberculosis using strategies like the **Directly Observed Treatment, Short-course (DOTS)**. *National Anti-Malaria Programme* - This programme, now under the **National Vector Borne Disease Control Programme (NVBDCP)**, does not have a specific mascot like the one shown. - Its awareness campaigns typically focus on preventive measures like using mosquito nets, repellents, and preventing water stagnation to control the mosquito vector. *National Polio Surveillance Program* - The polio eradication campaign in India is widely recognized by its slogan **"Do Boond Zindagi Ki"** (Two drops of life) and is associated with administering the **Oral Polio Vaccine (OPV)**. - It does not use the "Sapna" mascot; its campaigns often feature prominent celebrities and visuals of health workers administering polio drops. [Practice more Community Medicine PYQs on OnCourse]

Q: The mascot 'Sapna' shown in the image is associated with which of the following programs?

National Leprosy eradication programme. ***National Leprosy eradication programme*** - 'Sapna' is the official mascot for India's **National Leprosy Eradication Programme (NLEP)**, symbolizing the dream of a leprosy-free nation. - The campaign aims to increase awareness, promote early case detection, and combat the stigma associated with **leprosy**, particularly among children. *National Tuberculosis Elimination Programme* - The **National Tuberculosis Elimination Programme (NTEP)** does not use 'Sapna' as its mascot; its campaigns often feature slogans like "TB Harega Desh Jeetega". - NTEP's focus is on strategies like **DOTS (Directly Observed Treatment, Short-course)** and promoting early diagnosis for persistent cough. *National Anti-Malaria Programme* - Anti-malaria campaigns, under the **National Vector Borne Disease Control Programme (NVBDCP)**, typically use imagery of mosquitoes to educate about prevention. - The key messages revolve around using **mosquito nets**, repellents, and eliminating stagnant water sources to prevent mosquito breeding. *National Polio Surveillance Program* - India's **Pulse Polio Immunization programme** used 'Bholu the Guard', an elephant, as its mascot. - The program's famous slogan was *"Do Boond Zindagi Ki"* (Two drops of life), emphasizing the importance of the **oral polio vaccine (OPV)**. [Practice more Community Medicine PYQs on OnCourse]

Q: In a class of 100 students, 80% students were immunised with measles, 12 were affected. What is the primary attack rate?

60%. ***60%*** - The **Primary Attack Rate** measures the number of new cases among the susceptible population during an outbreak; the susceptible population must first be determined by excluding the immunized students. - Calculation: The total susceptible population is 100 students - 80 immunized students = **20 susceptible contacts**. Primary Attack Rate = (12 affected / 20 susceptible) × 100 = **60%**. *80%* - This figure represents the percentage of students in the class who were **immunised** (80 out of 100), not the attack rate among the susceptible population. - Using 80 as the denominator would incorrectly calculate the rate among the protected group (12/80 = 15%). *70%* - This option is mathematically incorrect and does not result from the standard calculation of **Primary Attack Rate** using the given data (12 cases among 20 susceptible individuals). - It is likely derived from an incorrect calculation or failure to correctly identify the **susceptible population** for the denominator. *50%* - This value is incorrect, as the observed number of affected students (12) leads to a higher rate than 50% when calculated against the susceptible population (20). - A **Primary Attack Rate** of 50% would only account for 10 affected students (50% of 20 susceptible individuals). [Practice more Community Medicine PYQs on OnCourse]

Question 1

Chronic malnutrition is best measured by?

Accepted Answer

Height for age

Answer

Weight for height

Answer

Body mass index

Answer

Weight for age

Question 2

Which of the following is the schedule of the OPV vaccine?

Accepted Answer

6th week, 10th week and 14th week

Answer

6 to 12 weeks

Answer

6th week, 10th week & 9th month

Answer

6th week, 14th week & 9th month

Question 3

An image of the mascot is shown below. Identify the related national health programme.

Accepted Answer

National Leprosy eradication programme

Answer

National Anti-Malaria Programme

Answer

National Tuberculosis Elimination Programme

Answer

National Polio Surveillance Program

Question 4

The mascot 'Sapna' shown in the image is associated with which of the following programs?

Accepted Answer

National Leprosy eradication programme

Answer

National Tuberculosis Elimination Programme

Answer

National Anti-Malaria Programme

Answer

National Polio Surveillance Program

Question 5

In a class of 100 students, 80% students were immunised with measles, 12 were affected. What is the primary attack rate?

Accepted Answer

60%

Answer

80%

Answer

70%

Answer

50%

Question 6

After how long is a patient advised to use alternative contraception following a vasectomy?

Accepted Answer

3 months

Answer

6 months

Answer

1 month

Answer

2 months

Question 7

Which of the following is the population norm for an ASHA worker?

Accepted Answer

1000-2500

Answer

1000-1500

Answer

2000-2500

Answer

700-1000

Question 8

A total of 2000 patients were assessed for HIV. 200 were diagnosed positive. A new ELISA screening test was tested on the same group. It showed 260 as positive out of which only 130 had the disease. What is the specificity of the test?

Accepted Answer

96%

Answer

68%

Answer

72%

Answer

80%

Question 9

Which of the following is the National Deworming Day?

Accepted Answer

10th February

Answer

11th January

Answer

10th August

Answer

10th March

Question 10

Under IDSP, which diseases are included under sentinel surveillance?

Accepted Answer

HIV + HBV

Answer

Measles + Diphtheria

Answer

Malaria + Dengue

Answer

HIV + TB

FMGE 2025 — Community Medicine