Question 1

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

Accepted Answer

Prophylactic administration of vitamin K in breastfed babies is an example of specific protection. It is given to prevent vitamin K deficiency bleeding, a condition that can lead to serious bleeding in newborns. This is a preventive measure rather than treatment or rehabilitation, and it is more specific than general health promotion.

Question 2

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

Accepted Answer

The oral polio vaccine (OPV) is preferred in polio eradication campaigns because it provides herd immunity. When administered, the vaccine virus can spread in the community, thereby immunizing others who have not been vaccinated. This characteristic is crucial for eradicating polio from areas with low vaccination coverage.

Question 3

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

Accepted Answer

The correct approach is to perform a Mantoux test (Tuberculin skin test) and if the result is negative, then administer the BCG vaccine. This is because a negative Mantoux test indicates that the child has not been exposed to TB and can safely receive the BCG vaccine for protection against tuberculosis.

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:

Accepted Answer

Tetanus toxoid is recommended during pregnancy to prevent neonatal tetanus, especially if the woman has not been previously vaccinated or if her vaccination status is unknown.

Question 5

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

Accepted Answer

BCG vaccine should be stored in a refrigerator, typically between 2°C and 8°C, to maintain its effectiveness.

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?

Accepted Answer

Back washing of the sand bed is the correct method to restore the filtration rate in a rapid sand filtration plant when slowing is observed due to loss of head. This process involves reversing the flow of water through the filter to remove the accumulated particles in the sand bed, thereby increasing the head and restoring the filtration rate.

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.

Accepted Answer

The water is fit for consumption after allowing an overnight contact time for the chlorine to disinfect the water, assuming the correct amount of bleaching powder was used and properly mixed.

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:

Accepted Answer

Fluoridation of water is a proven public health measure for preventing dental caries (tooth decay) by adjusting the fluoride concentration in public water supplies. It strengthens tooth enamel and makes teeth more resistant to acid attacks from plaque bacteria and sugars in the mouth.

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:

Accepted Answer

The answer of Different agents are used for chlorination of...

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:

Accepted Answer

Scabies is characterized by intense itching that worsens at night, often affecting areas such as the axillae, groin, and hands. The fact that multiple family members are affected suggests a contagious condition like scabies.

Question 11

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

Accepted Answer

Air embolism is a condition that can occur in individuals working in compressed air environments, such as divers or workers in compressed air chambers. It happens when air bubbles enter the bloodstream and block blood vessels, leading to symptoms like cough, dyspnea (difficulty breathing), and joint pains.

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:

Accepted Answer

The answer of A survey on air pollution was conducted...

Question 13

Health education is the responsibility of

Accepted Answer

Health education is considered a responsibility of every health worker, as all roles within healthcare contribute to educating patients and the public on health-related matters.

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?

Accepted Answer

Iron deficiency is the most common cause of anemia, especially in pregnant women, leading to symptoms such as pallor, shortness of breath, lethargy, and palpitation.

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:

Accepted Answer

Combined oral contraceptive pills should be used cautiously in women with hyperlipidemia because they can further alter lipid levels, potentially increasing the risk of cardiovascular diseases.

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:

Accepted Answer

Injectable contraceptives are a suitable option for this woman because they are not associated with an increased risk of ectopic pregnancy and do not worsen anemia. They are also a convenient and reversible form of contraception that does not require daily compliance.

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:

Accepted Answer

Irregular menstrual bleeding is a common side effect associated with the use of Norplant, a subdermal contraceptive implant.

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:

Accepted Answer

Administering Anti-Rh immunoglobulins at delivery is the standard measure to prevent Rh incompatibility in a pregnancy where the mother is Rh-negative and the father is Rh-positive. This helps prevent the mother's immune system from developing antibodies against Rh-positive blood, which could affect future pregnancies.

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:

Accepted Answer

The minimum number of essential antenatal visits is 3. This is because these visits are essential for monitoring the health of the mother and the baby, and for providing the mother with the necessary information and support.

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:

Accepted Answer

The "snow storm" appearance on a chest X-ray is characteristic of Silicosis, a lung disease caused by inhaling silica dust, commonly found in industries such as mining, sandblasting, and foundry work.

Quiz 11: Public Health and Occupational Health