NEET-PG 2024 Practice Questions

Q: Identify the index?

Human developmental index. ***Human developmental index*** - The **Human Development Index (HDI)** is the correct answer as the diagram exactly represents its three core dimensions - HDI measures overall achievement in: **Health** (life expectancy at birth), **Education** (mean years of schooling and expected years of schooling), and **Living standards** (GNI per capita) - These are the standard components published by UNDP for calculating HDI - HDI is a summary measure of average achievement in key dimensions of human development *Human poverty index* - The Human Poverty Index (HPI) was an older measure that has been discontinued - HPI focused on deprivations rather than overall development achievements - The diagram shows development indicators (positive achievements), not deprivation indicators - HPI has been replaced by the Multidimensional Poverty Index (MPI) *POLI* - **POLI** (Physical Quality of Life Index) is a different index that uses infant mortality, life expectancy at age one, and literacy rate - The components shown in the diagram (mean years of schooling, expected years of schooling, GNI per capita) are not part of POLI - This is not a recognized standard index in current use *Multidimensional poverty index* - The **Multidimensional Poverty Index (MPI)** measures acute multidimensional poverty across health, education, and living standards - However, MPI uses **different specific indicators**: nutrition, child mortality, years of schooling, school attendance, cooking fuel, sanitation, drinking water, electricity, housing, and assets - The diagram shows HDI components (life expectancy, mean/expected years of schooling, GNI per capita), which are NOT the MPI indicators - MPI focuses on deprivations at the household level, while the diagram shows aggregate development measures

Q: Which of the following is not a component of Physical Quality of Life Index (PQLI)?

Gross National Product. ***Correct: Gross National Product*** - **Gross National Product (GNP)** is an economic indicator and is not included in the PQLI. - The PQLI specifically aims to measure well-being using social, not economic, indicators. *Incorrect: Life expectancy at 1 year* - **Life expectancy at 1 year of age** is a core component of the PQLI, reflecting health and living conditions. - It assesses the average number of years a child is expected to live past their first birthday. *Incorrect: Literacy rate* - The **adult literacy rate** is a key component of the PQLI, indicating the level of education and human development. - It measures the percentage of people aged 15 and above who can read and write. *Incorrect: Infant mortality rate* - **Infant mortality rate (IMR)** is another essential component of the PQLI, mirroring the health status of a population. - It represents the number of deaths of infants under one year old per 1,000 live births.

Q: Given the following data: 500 live births and 9 deaths within the first 7 days, calculate the early neonatal mortality rate.

18 per 1,000 live births. ***18 per 1,000 live births*** - The **early neonatal mortality rate** is calculated as (number of deaths within the first 7 days / total live births) × 1,000. - In this case, (9 deaths / 500 live births) × 1,000 = **18 per 1,000 live births**. *36 per 1,000 live births* - This value would be obtained by incorrectly doubling the correct calculation. - This represents a common calculation error where the result is multiplied by 2 instead of the standard multiplier of 1,000. *24 per 1,000 live births* - This value would be obtained if there were 12 deaths within the first 7 days, which is not the case here. - This option does not reflect the given data of 9 deaths within 500 live births. *50 per 1,000 live births* - This value would be obtained if there were 25 deaths within the first 7 days. - This option significantly overestimates the early neonatal mortality based on the provided data.

Q: Calculate the maternal mortality ratio (MMR) for the year 2023, given the following data: - Total live births: 4,000 - Women who died: 6 (1 due to a road traffic accident (RTA), 1 due to sepsis, 1 due to obstructed labor, 1 due to eclampsia, 1 due to ectopic pregnancy, and 1 due to a snake bite)

100 per 100,000 live births. ***Correct: 100 per 100,000 live births*** - The **maternal mortality ratio (MMR)** includes deaths directly or indirectly due to pregnancy, childbirth, or within 42 days of termination of pregnancy, **excluding accidental or incidental causes**. - In this scenario, **4 maternal deaths** are identified: sepsis (direct), obstructed labor (direct), eclampsia (direct), and ectopic pregnancy (direct). - **Excluded deaths**: RTA and snake bite are **incidental/accidental deaths** not related to pregnancy complications. - **Calculation**: MMR = (4 / 4,000) × 100,000 = **100 per 100,000 live births** *Incorrect: 75 per 100,000 live births* - This would incorrectly count only **3 maternal deaths** instead of 4, suggesting underestimation or exclusion of a valid maternal death (e.g., ectopic pregnancy). - Represents a **miscalculation** that underestimates maternal mortality burden. *Incorrect: 150 per 100,000 live births* - This would incorrectly include **6 deaths** (all deaths including RTA and snake bite), failing to exclude incidental causes. - Including **non-maternal accidental deaths** inflates MMR and misrepresents actual maternal health outcomes. *Incorrect: 125 per 100,000 live births* - This would incorrectly count **5 deaths**, suggesting inclusion of one incidental death (either RTA or snake bite). - Fails to properly identify and exclude **both incidental deaths**, leading to an overestimated ratio.

Q: Identify the character shown in the image:

Sapna from Leprosy campaign. ***Sapna from Leprosy campaign*** - The image depicts Sapna, a character created for the **National Leprosy Eradication Programme (NLEP)** in India. - This character was developed as part of public health campaigns to spread awareness about leprosy and reduce stigma associated with the disease. - Sapna has been widely used in educational materials and community outreach programs for leprosy awareness. *Arohi from HIV* - Arohi is a different character associated with awareness campaigns for **HIV/AIDS**, not leprosy. - She is part of distinct public health initiatives focusing on HIV prevention, treatment, and stigma reduction under the National AIDS Control Programme. *Meena from UNICEF* - Meena is a prominent animated character created by **UNICEF** to advocate for children's rights, particularly girls' education, gender equality, health, and child protection. - While UNICEF works on a wide range of health issues including communicable diseases, Meena is not specifically associated with the leprosy awareness campaign. *None of the options* - The image clearly depicts the character **Sapna**, who is specifically associated with leprosy awareness campaigns in India. - Therefore, the first option accurately identifies the character and her associated health program.

Q: Which of the following vaccines should be stored at the lowest level in an Ice-Lined Refrigerator (ILR)?

OPV. ***OPV (Oral Polio Vaccine)*** - **OPV** is a **heat-sensitive** vaccine that requires storage at the **coldest temperature** to maintain its potency. - In the traditional ILR storage protocol, OPV is stored at the **lowest level** (bottom shelf) where the temperature is coldest (0-2°C). - This positioning helps prevent heat degradation of the live attenuated virus. - **Note:** OPV has been largely replaced by IPV in India's routine immunization, but this remains a standard exam concept. *DPT (Diphtheria, Pertussis, Tetanus)* - DPT is a **freeze-sensitive vaccine** that should NOT be stored at the coldest parts of the refrigerator. - Freezing can cause **flocculation** and loss of potency, particularly affecting the pertussis component. - Stored in the **middle shelves** to avoid both freezing and excessive heat. *Hepatitis B* - Hepatitis B vaccine is **highly freeze-sensitive** and can lose efficacy permanently if frozen. - The aluminum adjuvant aggregates when frozen, reducing immunogenicity. - Stored in the **middle or upper shelves**, away from the coldest zone. *Rotavirus Vaccine* - Rotavirus vaccine is **freeze-sensitive** and must be protected from sub-zero temperatures. - Freezing can damage the viral particles and reduce vaccine effectiveness. - Stored in the **middle or upper shelves** of the ILR. **Key Principle:** In ILR storage, heat-sensitive vaccines (OPV, measles) go at the bottom (coldest), while freeze-sensitive vaccines (DPT, Hep B, IPV, Rota) go in the middle/upper shelves to prevent freezing damage.

Q: What is the correct chronological order in the disaster management cycle?

Mitigation → Impact → Response → Rehabilitation. ***Mitigation → Impact → Response → Rehabilitation*** - Among the given options, this represents the most **logical chronological sequence** in disaster management - **Mitigation** (risk reduction) occurs before a disaster as preventive measures - **Impact** represents the disaster event occurrence (though technically not a "management phase" but the event itself) - **Response** involves immediate emergency actions during and after the disaster - **Rehabilitation** encompasses recovery and long-term rebuilding efforts - **Note:** The standard disaster management cycle typically includes Mitigation → Preparedness → Response → Recovery, but this option best represents the temporal flow among the choices provided *Impact → Response → Rehabilitation → Mitigation* - Incorrectly places **Impact** first, ignoring that **mitigation** activities occur before disasters as preventive measures - Places **Mitigation** at the end rather than as an ongoing proactive process *Response → Rehabilitation → Mitigation → Impact* - Illogical sequence starting with **Response** before any disaster has occurred - Places **Impact** at the end, which contradicts the temporal nature of disaster occurrence - Fails to recognize mitigation as a preventive stage *Rehabilitation → Mitigation → Response → Impact* - Completely inverted sequence starting with **Rehabilitation** before a disaster has occurred - Does not follow the natural chronological progression of disaster events and management activities - Positions response and impact in an illogical order

Q: In a basic Health Education model, the first step is Awareness, and the second step is Motivation. What is the third step?

Action. ***Action*** - Following **awareness** and **motivation**, **action** is the crucial third step where individuals actively engage in the new behaviors or lifestyle changes. - This step involves the practical implementation of learned health information and the commitment to maintaining these changes over time. *Reflection* - **Reflection** typically occurs after an action has been taken, allowing individuals to review their experiences and learn from them. - It is not the immediate next step after motivation in the sequence of most health education models. *Dedication* - **Dedication** is a quality or characteristic often developed over time as an individual commits to a new behavior, rather than a distinct sequential step in health education models. - While important for sustaining change, it doesn't represent the primary third step in the progression from awareness to behavior change. *Contemplation* - **Contemplation** often precedes motivation, representing the stage where an individual is considering making a change but has not yet committed to it. - In models like the **Transtheoretical Model**, contemplation is an earlier stage than the actual "action" of behavior change.

Q: In Ayushman Bharat under School Health Services, which of the following is not included?

Providing free spectacles. ***Providing free spectacles*** - Under Ayushman Bharat School Health Services and RBSK (Rashtriya Bal Swasthya Karyakram), while **vision screening** is universally implemented, the provision of **free spectacles** is not uniformly guaranteed across all states and depends on fund availability and state-level implementation. - The primary focus remains on **screening and referral**, with spectacle provision being supplementary rather than a core mandated service compared to the other interventions listed. - Unlike the other three services which are universally delivered, free spectacles provision shows **geographic and implementation variability**. *Health check-up/screening* - **Comprehensive health check-ups** and screenings are a mandatory core component of the Ayushman Bharat School Health Program implemented uniformly across all states. - This includes screening for common conditions like **vision problems**, **hearing impairments**, **dental issues**, and growth monitoring. *Albendazole provision* - The administration of **Albendazole** for biannual deworming is a standard, universally implemented practice under the National Deworming Day initiative integrated with School Health Programs. - This is part of a broader strategy to improve the **nutritional status** and overall health of school-going children. *Monthly Iron Folic Acid Supplementation* - **Iron Folic Acid (IFA) supplementation** through the Weekly Iron Folic Acid Supplementation (WIFS) program is a key mandated intervention to combat **anemia** among adolescents (10-19 years). - This is universally implemented through School Health Services and directly contributes to improving **cognitive function** and physical health of students.

Q: A man presented with bilateral non-inflammatory edema after consuming a particular oil. Which test should be performed by the drug inspector to check for the adulterant?

Nitric acid test. ***Nitric acid test*** - The **nitric acid test** is used to detect the presence of **argemone oil** in mustard oil, which is a common adulterant. - **Argemone oil** ingestion can cause **epidemic dropsy**, characterized by bilateral non-inflammatory edema. *Paper chromatography test* - **Paper chromatography** is a technique used for separating and identifying components of a mixture based on differences in their partition coefficient between a stationary and a mobile phase. - While it can identify various substances, it is not the primary or most rapid test specifically for **argemone oil adulteration** when epidemic dropsy is suspected. *Methylene Blue Reduction Test* - The **Methylene Blue Reduction Test** (MBRT) is primarily used in **dairy products** to assess the microbiological quality of milk. - It measures the time taken for methylene blue to decolorize, indicating the number of viable microorganisms, and is not relevant for detecting oil adulterants. *Baudouin test* - The **Baudouin test** is used to detect the presence of **sesame oil** in other oils. - While an important test for adulteration, it is not specific for **argemone oil**, which causes the symptoms described.

Question 1

Identify the index?

Accepted Answer

Human developmental index

Answer

POLI

Answer

Human poverty index

Answer

Multidimensional poverty index

Question 2

Which of the following is not a component of Physical Quality of Life Index (PQLI)?

Accepted Answer

Gross National Product

Answer

Life expectancy at 1 year

Answer

Literacy rate

Answer

Infant mortality rate

Question 3

Given the following data: 500 live births and 9 deaths within the first 7 days, calculate the early neonatal mortality rate.

Accepted Answer

18 per 1,000 live births

Answer

36 per 1,000 live births

Answer

24 per 1,000 live births

Answer

50 per 1,000 live births

Question 4

Calculate the maternal mortality ratio (MMR) for the year 2023, given the following data:

- Total live births: 4,000
- Women who died: 6 (1 due to a road traffic accident (RTA), 1 due to sepsis, 1 due to obstructed labor, 1 due to eclampsia, 1 due to ectopic pregnancy, and 1 due to a snake bite)

Accepted Answer

100 per 100,000 live births

Answer

75 per 100,000 live births

Answer

150 per 100,000 live births

Answer

125 per 100,000 live births

Question 5

Identify the character shown in the image:

Accepted Answer

Sapna from Leprosy campaign

Answer

Arohi from HIV

Answer

Meena from UNICEF

Answer

None of the options

Question 6

Which of the following vaccines should be stored at the lowest level in an Ice-Lined Refrigerator (ILR)?

Accepted Answer

OPV

Answer

DPT

Answer

Hep B

Answer

Rota

Question 7

What is the correct chronological order in the disaster management cycle?

Accepted Answer

Mitigation → Impact → Response → Rehabilitation

Answer

Impact → Response → Rehabilitation → Mitigation

Answer

Response → Rehabilitation → Mitigation → Impact

Answer

Rehabilitation → Mitigation → Response → Impact

Question 8

In a basic Health Education model, the first step is Awareness, and the second step is Motivation. What is the third step?

Accepted Answer

Action

Answer

Reflection

Answer

Dedication

Answer

Contemplation

Question 9

In Ayushman Bharat under School Health Services, which of the following is not included?

Accepted Answer

Providing free spectacles

Answer

Health check-up/screening

Answer

Albendazole provision

Answer

Monthly Iron Folic Acid Supplementation

Question 10

A man presented with bilateral non-inflammatory edema after consuming a particular oil. Which test should be performed by the drug inspector to check for the adulterant?

Accepted Answer

Nitric acid test

Answer

Paper chromatography test

Answer

Methylene Blue Reduction Test

Answer

Baudouin test

NEET-PG 2024

Community Medicine

Forensic Medicine