Deck 11: Public Health and Occupational Health

Question 1

Prophylactic administration of vitamin K in breast fed babies is an example of:

A)Health Promotion
B)Treatment
C)Specific protection
D)Rehabilitation

Answer 1

Specific protection

Question 2

Most important reason for recommending oral polio vaccine in the polio eradication campaign despite availability of a safe injectable vaccine that, it:

A)Provides 90% immunity in one dose
B)Does not interfere with vertical immunity
C)Has been donated by WHO
D)Provides herd immunity

Answer 2

Provides herd immunity

Question 3

A 5 year old child comes to the immunization centre without BCG scar on his arm; what would you prefer?

A)Give BCG vaccine
B)No need of BCG
C)Perform mantoux if positive then give BCG
D)Perform mantoux if negative then given BCG

Answer 3

Perform mantoux if negative then given BCG

Question 4

A woman in the seventh month of pregnancy reports to you in the antenatal clinic for the first time. The recommended immunization is by:

A)Tetanus toxoid
B)Hepatitis B vaccine
C)Rubella vaccine
D)Pneumococcal vaccine

Question 5

A GP purchased BCG vaccine for his clinic. He should store this vaccine at his clinic in:

A)A dark place
B)Deep freezer
C)Water carrier
D)Refrigerator

Question 6

During a sanitary inspection of a rapid sand filtration plant, slowing of the filtration rate was observed owing to loss of head. Which method will you suggest to give head to water in such a situation?

A)Addition of alum
B)Scraping the top layer
C)Increasing duration of storage
D)Back washing of sand bed

Question 7

You were required to chlorinate well water; you added required amount of bleaching powder solution to the water and allowed an overnight contact tim What is your recommendation regarding consumption of this water for drinking.

A)Fit for consumption
B)To be used after 12 hours
C)To be used after another 24 hours
D)Rechlorinate

Question 8

A dental surgeon appointed in rural health centre reports an increased incidence of dental carries in the children of that are the relevant preventive measure that he should suggest to the health authorities is:

A)Fluoridation of water
B)Chlorination of water
C)Use of bacterial filter
D)Use of boiled water

Question 9

Different agents are used for chlorination of water on large scale. If after chlorination taste of water is not much altered; level of residual chlorine is more stable and persistent. The likely agent to be used for chlorination was:

A)Chloramines
B)Chlorine gas
C)Perchloron
D)Bleaching powder

Question 10

Six of the ten family members living in a single room house complain of intense itching with scratching in axillae, groin and hands; it is more marked at night. The most likely diagnosis is:

A)Scabies
B)Dermatitis
C)Eczema
D)Psoriasis

Question 11

A Person working in compressed air chamber presented with symptoms of cough, dyspnoea and joint pains. This clinical presentation is suggestive of:

A)Pulmonary edema
B)Fat embolism
C)Air embolism
D)Rupture of spleen

Question 12

A survey on air pollution was conducted in an urban area to determine the major contaminant in air. The major contaminant estimated in all air pollution is:

A)Grit and dust
B)Sulphur dioxide
C)Carbon monoxide
D)Nitrogen dioxide

Question 13

Health education is the responsibility of

A)Health educationalist
B)Doctor
C)Paramedical staff
D)Every health worker

Question 14

A pregnant woman presented with pallor, shortness of breath, lethargy and palpitation. Her blood examination revealed hemoglobin level of 9 gm/dl. In your opinion what could be the probable deficiency in the woman?

A)Iron
B)Niacin
C)Vitamin C
D)Iodine

Question 15

A newly married couple visits family planning centre for contraception. Upon investigation the woman has hyperlipidemia. The method of contraception which would be used cautiously in this woman is:

A)Condom
B)Combined oral contraceptive pill
C)Second generation IUCD
D)Mini pill

Question 16

A 30 years old lady having two kids wants to plan her family. On examination she is found to be anemia. She also gives history of ectopic pregnancy last year. The best method of contraception for her would be:

A)Lippe's loop
B)Injectable contraceptives
C)Progestasert
D)Multi-load

Question 17

.For long term contraception, a sub -dermal implant known as "nor-plant" is being used now a days. The main disadvantage of Norplant is:

A)Spontaneous expulsion
B)Irregular menstrual bleeding
C)Pelvic inflammatory disease
D)Ectopic pregnancy

Question 18

A primary Gravida with O- ve blood group comes to labour room with labour pains. Her husband's blood group is O+v In order to avoid Rh incompatibility in pregnancy, which measure would you take:

A)Administer AntiRh immunoglobulins at delivery
B)Serial ultrasonography
C)Chorionic villous biopsy
D)Amniocentesis

Question 19

An 8 weeks pregnant lady comes to gynae OPD for antenatal visit for the first time. She told the doctor that she has come from far off area and it's not possible to come for her monthly antenatal visits. The doctor advised the minimum number of essential antenatal visits is:

A)3
B)4
C)5
D)6

Question 20

An industrial worker reported to you with complaints of cough, history of dyspnoea on exertion and pain in the chest. His X-ray chest showed snow storm appearanc The diagnosis would be:

A)Asbestosis
B)Siderosis
C)Silicosis
D)Aspergillosis

Question 21

An occupational worker presented with complaints of exertional dyspnoe He gave history of being in an industry dealing with spare parts such as gas kit and brakes, he also gave history of smoking for about five years. His X-ray chest showed a ground glass appearance / honey combing in the lower two thirds of the lung fields. The likely condition that he suffers from is:

A)Silicosis
B)Anthracosis
C)Asbestosis
D)Siderosis

Question 22

A worker who had been in the battery manufacturing unit for the last 20 years, reported to you with complaints of loss of appetite and abdominal colic of 2 weeks duration. You will prefer to investigate him for:

A)Cholecystitis
B)Lead poisoning
C)Appendicitis
D)Ca stomach

Question 23

In a lead pipe factory, you want to carry out a screening programme in workers to exclude lead poisoning. Your choice of the most useful screening test will be measurement of:

A)Lead in blood
B)Lead in urine
C)Coproporphyrin in urine
D)Aminolaevulinic acid in urine

Question 24

The commonest physical health hazard in most industries is:

A)Heat
B)Noise
C)Humidity
D)Light

Question 25

A person aged 40 years, working as a laborer in grain market for the last 25 years presented with a history of repeated attacks of respiratory infections in the last 1 year. X-ray showed pulmonary fibrosis. The likely diagnosis was:

A)Tuberculosis
B)Silicosis
C)Silicotuberculosis
D)Farmer's lung