NEET-PG 2015 - Community Medicine Practice Questions

Q: Under NTEP, what is the honorarium given to a DOTS provider after the completion of treatment?

500 INR. ***500 INR*** - Under the **National Tuberculosis Elimination Programme (NTEP)**, a **DOTS provider** receives an honorarium of **INR 500** upon the successful completion of tuberculosis treatment for a **new TB patient**. - This incentive, revised from the earlier amount of INR 250, aims to recognize the crucial role of DOTS providers in ensuring treatment adherence and successful outcomes. - The increased honorarium reflects the government's commitment to incentivizing community participation in TB elimination. *150 INR* - This amount is **significantly lower than the stipulated honorarium** for a DOTS provider upon treatment completion under current NTEP guidelines. - The correct incentive for successful completion of treatment is INR 500 for new TB cases. *250 INR* - This was the **earlier honorarium amount** under the previous NTEP guidelines, which has since been **revised upward**. - Under the current NTEP incentive structure, the honorarium for treatment completion has been increased to INR 500. *1000 INR* - This amount is **higher than the designated honorarium** for a DOTS provider upon treatment completion under NTEP. - While this figure may apply to other incentive schemes or different milestones, the standard honorarium for new TB case completion is INR 500.

Q: Which of the following is not typically incinerated?

Broken thermometers. ***Broken thermometers*** - **Broken thermometers** often contain **mercury**, which, when incinerated, releases **toxic mercury vapor** into the atmosphere. - This poses a severe environmental and health hazard, requiring them to be handled as **hazardous waste** and recycled or disposed of in specialized facilities to prevent mercury release. *Human anatomical waste* - **Human anatomical waste**, including body parts, tissues, and recognizable organs, is highly infectious and poses significant biohazard risks. - **Incineration** is the preferred method for its disposal to ensure complete destruction of pathogens and reduce environmental contamination. *Animal waste* - **Animal waste** from research or healthcare settings (e.g., infected animal carcasses, bedding with animal excreta) is considered **biohazardous**. - **Incineration** effectively neutralizes pathogens and reduces the volume of such waste, preventing disease transmission. *Infected solid waste* - **Infected solid waste**, such as bandages, swabs, and disposable medical devices contaminated with blood or bodily fluids, carries a high risk of spreading infectious diseases. - **Incineration** at high temperatures ensures sterilization and safe disposal of these materials, destroying pathogenic microorganisms.

Q: How often is Village Health and Nutrition Day (VHND) observed?

Once a month. ***Once a month*** - Village Health and Nutrition Day (VHND) is typically observed on a **fixed day each month** to provide essential health and nutrition services at the community level. - This regular schedule ensures consistent access to services like **immunization**, **antenatal care**, and **health education** for rural populations. *Every week* - Observing VHND every week would be a **logistical challenge** given the resources and personnel required for comprehensive service delivery. - Most community-level health programs are not designed for weekly, full-scale events due to the **intensive resource allocation** involved. *Every 6 months* - A frequency of every six months would be **insufficient** to address the ongoing health and nutrition needs of the community, especially for routine immunizations and growth monitoring. - Many public health interventions require more frequent contact to be effective in **preventing disease** and **promoting health**. *Every year* - An annual observation of VHND would be **highly inadequate** for managing public health programs, as it would miss critical windows for interventions like timely immunizations and growth assessments for infants and children. - Annual events are generally reserved for specific campaigns or assessments, not for broad, routine health service delivery.

Q: According to the ICDS scheme, what is the recommended population range for establishing one Anganwadi centre in rural areas?

400-800 (Rural). ***400-800 (Rural)*** - The **Integrated Child Development Services (ICDS)** scheme recommends one Anganwadi centre for a population of **400-800** in **rural areas**. - This is the **standard population norm** as per ICDS guidelines for establishing Anganwadi centres in typical rural settings. - This ensures adequate coverage and accessibility of ICDS services (nutrition, immunization, health check-ups, and preschool education) for mothers and children. *700-1000 (Urban)* - This population range (**700-1000**) is the standard norm for **urban areas**, not rural areas. - Urban areas have higher population density, hence a slightly larger population range is used per Anganwadi centre. - The question specifically asks about **rural areas**, making this option incorrect. *300-800 (Hilly/Tribal areas)* - This range (**300-800**) is designated for **hilly, difficult terrain, or specific tribal areas** where geographical challenges and scattered populations require lower population norms. - While this includes rural characteristics, it represents **special category areas**, not standard rural areas as asked in the question. *1000-1500 (Urban high density)* - A population target of **1000-1500** would be too high even for standard urban norms and doesn't align with official ICDS guidelines. - This is not applicable to **rural areas** as specified in the question.

Q: Among the following options, the minimum acceptable Rideal-Walker coefficient for disinfectant used for cholera stool would be?

2. ***2 (Minimum acceptable among given options)*** - The **Rideal-Walker coefficient** measures disinfectant efficacy relative to phenol as the standard reference - A coefficient of **2** means the disinfectant is **twice as effective** as phenol against test organisms (*Salmonella typhi* and *Staphylococcus aureus*) - While higher coefficients are preferred for highly infectious materials like cholera stool, **2 represents the minimum acceptable threshold** among the given options that still provides reasonable disinfection efficacy - Standard practice recommends disinfectants with RW coefficient ≥5 for cholera stool, but among the choices provided, 2 is the lowest that meets basic acceptability criteria *4 (Better choice but not the minimum)* - A coefficient of **4** means the disinfectant is **four times more effective** than phenol - This provides **more robust disinfection** and would be preferred over a coefficient of 2 - However, the question specifically asks for the **minimum acceptable** value, not the optimal value - Among the options, this is not the minimum *7 (Highly effective)* - A coefficient of **7** indicates the disinfectant is **seven times more potent** than phenol - This represents **very good disinfection efficacy** and exceeds minimum requirements - This is well above the minimum acceptable threshold *10 (Excellent efficacy)* - A coefficient of **10** means the disinfectant is **ten times more effective** than phenol - This represents **excellent disinfection power** with a very high safety margin - While ideal for high-risk situations, this far exceeds the minimum acceptable requirement

Q: What is the recommended therapeutic supplementation of iron and folic acid for adults with deficiency?

100 mg iron, 500 mcg folic acid. ***100 mg iron, 500 mcg folic acid*** - For adults with **iron deficiency anemia**, the therapeutic dose of elemental iron is typically **100-200 mg daily**, commonly given as ferrous sulfate 325 mg (containing ~65 mg elemental iron) 2-3 times daily. **100 mg is an appropriate therapeutic dose**. - For **folic acid deficiency**, the standard therapeutic dose is **1-5 mg (1000-5000 mcg) daily** for treating established deficiency. However, **500 mcg (0.5 mg)** represents a minimal therapeutic/high prophylactic dose that may be used in milder deficiencies or as initial supplementation. Among the given options, this is the most appropriate combination. *20 mg iron, 500 mcg folic acid* - **20 mg of iron** is grossly insufficient for therapeutic supplementation in iron deficiency anemia and would fail to correct the anemia adequately. - While 500 mcg folic acid has some therapeutic value, the **iron dose is far too low** for treatment. *40 mg iron, 250 mcg folic acid* - **40 mg of iron** is a prophylactic dose (used in pregnancy or prevention) but is **insufficient for therapeutic correction** of established iron deficiency anemia. - **250 mcg of folic acid** is also a prophylactic dose and inadequate for treating established deficiency. *100 mg iron, 100 mcg folic acid* - **100 mg of iron** is an appropriate therapeutic dose for treating **iron deficiency anemia**. - However, **100 mcg of folic acid** is purely a maintenance/prophylactic dose found in multivitamins and is **grossly insufficient** for treating established folic acid deficiency.

Q: Which category waste is disposed in red bags?

Contaminated recyclable waste (Category 3). ***Contaminated recyclable waste (Category 3)*** - **Red bags** are specifically designated for the disposal of **contaminated recyclable waste**, which includes items like tubing, catheters, intravenous sets, and soiled plastic bottles. - This waste is often contaminated with blood or body fluids but can be sterilized and recycled after proper treatment. *Human anatomical waste (Category 1)* - **Human anatomical waste**, such as tissues, organs, body parts, and fetuses, is typically disposed of in **yellow bags**. - This category usually requires incineration or deep burial due to its biological hazard. *Glassware and metallic implants (Category 2)* - **Glassware** (e.g., broken glass, used vials) and **metallic implants** (e.g., orthopedic implants) are typically disposed of in puncture-proof containers, often **blue** or transparent bins, for safe handling and potential recycling. - These items are separated to prevent injuries and facilitate specific recycling or treatment methods. *Pharmaceutical waste (Category 4)* - **Pharmaceutical waste** includes discarded medicines, expired drugs, and cytotoxic drugs, and it is usually collected in **yellow bags** or designated labeled containers. - Its disposal requires specific chemical treatment, incineration, or secure landfilling to prevent environmental contamination.

Q: How often is the Sample Registration System conducted in India?

1 year. ***1 year*** - The **Sample Registration System (SRS)** in India is a large-scale demographic survey conducted **annually** to provide reliable estimates of birth rates, death rates, and other fertility and mortality indicators. - Its annual nature allows for regular monitoring of demographic changes and health trends across different states and regions. *6 months* - While some surveys or data collections might occur semi-annually, the comprehensive SRS is not conducted every six months. - Conducting a system as extensive as the SRS twice a year would be logistically challenging and resource-intensive. *2 years* - A biennial (every two years) frequency would mean less up-to-date data for tracking rapid demographic shifts or evaluating the immediate impact of health interventions. - The need for current statistics on vital events necessitates a more frequent survey than every two years. *5 years* - A quinquennial (every five years) frequency would provide very infrequent data, which is insufficient for effective public health planning and policy formulation. - Key demographic indicators are needed more regularly than every five years to respond to evolving health and population needs.

Q: Which of the following statements about ASHA workers is NOT true?

Education at least till 4th class or higher. ***Education at least till 4th class or higher*** - This statement is **NOT true**. The educational qualification for an ASHA worker is typically stated as **8th class or higher**, not 4th class. - While flexibility may exist in some remote areas, the general guideline requires a higher level of foundational education. *Informs about birth and deaths in her village to PHC* - This is a true statement regarding an ASHA worker's responsibilities, as they are crucial for **community-level data collection** and reporting to the **Primary Health Center (PHC)**. - ASHAs play a vital role in health surveillance, including reporting **births, deaths, and disease outbreaks**. *Local resident* - This is a true characteristic of an ASHA worker; they must be a **resident of the village** they serve. - Being a local resident ensures **community trust**, cultural understanding, and accessibility to the population. *Works per 1000 people of an area* - This is a true statement outlining the typical **population coverage** for an ASHA worker. - ASHAs are typically appointed to serve a population of approximately **1000 people** in rural areas to ensure adequate reach and support.

Q: What is a key benefit of Randomized Controlled Trials (RCTs) in clinical research?

They minimize selection bias.. ***They minimize selection bias.*** - **Randomization** in RCTs ensures that participants have an equal chance of being assigned to any of the treatment groups, thereby balancing potential **confounding factors** across groups. - This balance helps to ensure that any observed differences in outcomes between groups are more likely due to the intervention being studied rather than pre-existing differences among participants, thus minimizing **selection bias**. *They can be conducted more quickly than other study types.* - RCTs often require **extensive planning**, recruitment, and follow-up periods, making them one of the **most time-consuming** study designs. - The need for sufficient **power** to detect meaningful differences often translates into longer study durations. *They are ideal for studying rare diseases.* - Due to the requirement for **large sample sizes** to demonstrate statistical significance, RCTs are **not practical** for diseases with low prevalence. - Recruiting enough participants with a rare disease for an RCT can be extremely challenging and often **unfeasible**. *They are generally less expensive than other study types.* - RCTs are typically among the **most expensive** study designs because they involve extensive participant recruitment, intervention administration, data collection, and long-term follow-up. - The costs associated with staff, resources, and monitoring for ethical compliance contribute to their **high financial burden**.

Question 1

Under NTEP, what is the honorarium given to a DOTS provider after the completion of treatment?

Accepted Answer

500 INR

Answer

150 INR

Answer

1000 INR

Answer

250 INR

Question 2

Which of the following is not typically incinerated?

Accepted Answer

Broken thermometers

Answer

Animal waste

Answer

Infected solid waste

Answer

Human anatomical waste

Question 3

How often is Village Health and Nutrition Day (VHND) observed?

Accepted Answer

Once a month

Answer

Every 6 months

Answer

Every week

Answer

Every year

Question 4

According to the ICDS scheme, what is the recommended population range for establishing one Anganwadi centre in rural areas?

Accepted Answer

400-800 (Rural)

Answer

700-1000 (Urban)

Answer

1000-1500 (Urban high density)

Answer

300-800 (Hilly/Tribal areas)

Question 5

Among the following options, the minimum acceptable Rideal-Walker coefficient for disinfectant used for cholera stool would be?

Accepted Answer

2

Answer

4

Answer

10

Answer

7

Question 6

What is the recommended therapeutic supplementation of iron and folic acid for adults with deficiency?

Accepted Answer

100 mg iron, 500 mcg folic acid

Answer

20 mg iron, 500 mcg folic acid

Answer

40 mg iron, 250 mcg folic acid

Answer

100 mg iron, 100 mcg folic acid

Question 7

Which category waste is disposed in red bags?

Accepted Answer

Contaminated recyclable waste (Category 3)

Answer

Glassware and metallic implants (Category 2)

Answer

Human anatomical waste (Category 1)

Answer

Pharmaceutical waste (Category 4)

Question 8

How often is the Sample Registration System conducted in India?

Accepted Answer

1 year

Answer

2 years

Answer

5 years

Answer

6 months

Question 9

Which of the following statements about ASHA workers is NOT true?

Accepted Answer

Education at least till 4th class or higher

Answer

Local resident

Answer

Informs about birth and deaths in her village to PHC

Answer

Works per 1000 people of an area

Question 10

What is a key benefit of Randomized Controlled Trials (RCTs) in clinical research?

Accepted Answer

They minimize selection bias.

Answer

They can be conducted more quickly than other study types.

Answer

They are ideal for studying rare diseases.

Answer

They are generally less expensive than other study types.

NEET-PG 2015 — Community Medicine