PSM FMG Recall Questions Dec 2018

• These are PSM (Preventive and Social Medicine) FMG (Foreign Medical Graduates) recall questions from December 2018.

Key PSM Concepts and Recall Questions

• Population Coverage by PHC (Plain Area)
  • 30,000 is the population coverage by a Primary Health Center in a plain area.
• Vitamin A Dosage for Deficiency (Children >1 year)
  • 2 lac (200,000 IU) 3 doses is the correct Vitamin A dosage.
• Iodine Requirement (10-Year-Old Child)
  • 40-120 μg is the iodine requirement.
• Extra Calorie Requirement in Pregnancy
  • An additional 350 calories are required.
• Waist-Hip Ratio for Obesity

  • 0.9 in males

  • 0.85 in females indicates obesity.

• Active Malaria Surveillance Incharge
  • The multipurpose worker (male) is primarily in charge of active malaria surveillance in villages.
• Urban Malaria Scheme
  • Killing adult mosquitoes is a crucial part.
  • It does not cover areas with >50,000 population and >5% slide positivity.
• CYD-TDV Vaccine
  • CYD-TDV vaccine is used for Dengue.
• Mosquito Identification
  • Anopheles mosquitoes are identified by their spotted wings.
• Disaster Management Control
  • Disaster management is under the control of the Ministry of Home Affairs.
• First Step After Disaster Impact
  • Rescue and first aid is the first step.
• Risk Reduction Phases
  • Mitigation is the phase before the impact of a disaster.
  • Preparedness occurs after mitigation.
  • Rehabilitation is the appropriate response.
• Selection Bias Correction
  • Matching is used to correct selection bias.
• Sampling Method
  • Use simple random sampling.
• Disease Reduction Calculation
  • Population attributable risk is the parameter.
• Measles Vaccine Exposure Window
  • A measles vaccine can be given within 3 days of exposure.
• Meningococcal Infection Prophylaxis (Pregnant Lady)
  • Ceftriaxone is the drug of choice.
• Oseltamivir Prophylactic Dose in Infants (H1N1)
  • 20 mg administered to infants.
• Human Anatomical Waste Disposal
  • Place in yellow bag
• Beri-Beri
  • Polished rice consumption is linked to Beri-Beri.
• School Eye Check-up
  • Vision centers are where this occurs in school.
• AFB Sputum Collection (Villages)
  • MPWs (Multi-Purpose Workers) collect/fix.
• Waste Disposal Method
  • Sanitary land filling (controlled tipping) is preferred.
• Corticosteroid Discontinuation
  • Postpone live vaccine for 2 weeks.
• IUCD Insertion Post-Delivery
  • IUCDs can be inserted immediately.
• IUCD Insertion Post-Abortion
  • IUCDs can be inserted immediately after the procedure
• Leishmaniasis Transmission
  • Leishmaniasis does not require vector
• ART Treatment Criteria
  • There is no role of CD4 counts
• Suraksha Clinic Services
  • Addresses STIs, and RTIs.
• UJJAWALA Scheme
  • Targets child trafficking.
• Mortality Inclusion
  • GRR includes mortality.
• Least Effective Contraceptive
  • Spermicidal gel
• Death Certificate Issuance
  • Death certificates should be issued within 21 days.
• Lepromin Test
  • Detects the type of leprosy.
• Cholera Convalescence Period
  • 2-3 weeks.
• Rabies Confirmation (Alive Dog)
  • A skin biopsy.
• Vaccine Storage at PHC
  • Ice-lined refrigerators.
• Measles Transmission
  • A child can contract measles from a carrier.
• Negri Body Location
  • The hippocampus.
• HIV Screening Targets
  • Targeted for all except industrial workers
• Active Form of Vitamin D
  • Calcitriol.
• Low Birth Weight Cause
  • Prematurity
• Diarrhea Treatment
  • Zinc is administered.
• Health Care System Inclusions
  • Surgically associated disease not included in health care systems.
• PHC Population Coverage (Plain Area, 2019)
  • 30,000.
• BCG Vaccine Diluent
  • Use normal saline.
• Anemia Prevalence Study
  • Cross-sectional studies.
• Antihypertensive Study Design
  • RCT (Randomized Controlled Trial).
• Lactation Calorie Needs
  • An additional 600 kcal are required.
• Kala Azar Vector Control
  • Use DDT.
• WHO Adolescence Age Range
  • 10-19 years.
• Pregnancy Weight Gain (Female)
  • An acceptable range is between 9-11 kg.
• Dengue Fever Vector
  • Aedes mosquito.
• Japanese Encephalitis Amplifier
  • Pig
• Incidence Indicator
  • Relative risk formula.
• Incidence Difference Indicator
  • Attributable risk
• Relative Risk Calculation
  • Cohort study calculates the relative risk.
• Phase 1 Drug Trial
  • Healthy volunteers are used.
• Obesity Index
  • Quetlet index.
• Obesity Waist-Hip Ratio

  • 0.9 in males and >0.85 in females.

• Community Health Indicator
  • Consider the best indicator.
• MMR
  • Consider as part of Perinatal and neonatal mortality rate discussions
• Family Planning: Children Count for NRR
  • One child is the appropriate count.
• Risk Factor Prevention Level
  • Primordial prevention.
• Pregnancy with IUCD
  • Remove the IUCD to continue pregnancy.
• Polio Diagnosis
  • Perform a stool test.
• WHO Regulated Diseases
  • Yellow fever should be considered here
• Indicator of Chronic Malnutrition
  • Height for age.
• Epidemic Dropsy Cause
  • Argemone oil in mustard oil is the cause.
• Inertization
  • "It" prevents mixing of underground water.
• Post-Disaster Disease
  • Gastero entritis is most common.
• Pasteurization Method
  • Use HTST (high-temperature short time).
• Quarantine
  • Separates exposed person.
• Fever/Neck Stiffness Protocol
  • Chemoprophylaxis of close contacts is next step.
• ORS (WHO formula)
  • The concentration of Sodium is 75 mmol.
• Pregnancy Investigation (Sub-Center)
  • Hemoglobin test.
• Cow Milk vs Breast Milk (Protein)
  • Less protein, 3 X less.
• Wernicke Encephalopathy Deficiency
  • Thiamin deficiency leads to it.
• Retinol Content
  • Fish oil is the maximum source.
• Antioxidant Potency
  • Vitamin E is the most potent.
• Blindness Cause (India)
  • Cataracts are the most common.
• WHO Vision 2020 Exclusions
  • Posterior segment discase
• Protein Quality Assessment
  • Net protein utilization is assessed.
• Dehydration Management
  • Give 900 ml ORS.
• HBsAg & HbeAg Positive Diagnosis
  • Acute+ infective.
• Viral Hepatitis & Liver Failure
  • Hepatitis E
• Iron Deficiency Indicator
  • Serum ferritin level
• Hepatitis Chronicity
  • Observed in Hepatitis C
• Sustainable Development Goals
  • The United Nations is responsible for It
• UNICEF Concerns
  • Focuses on child health.
• Anthracosis Culprit
  • Coal.
• Kupuswammy Scale & Socioeconomic Status
  • Education of head, occupation, & family income.
• NITI Aayog
  • National Institute for Transforming India
• Dispersion Statistic (Exclusion)
  • Mean excluded, focusing on Standard deviation & Variance
• OPV Contraindications
  • Diarrhea
• Kala Azar Altitudinal Limit
  • 600 meters.
• Sandfly Vector (Exclusion)
  • Consider Kala azar in vector evaluations
• Reduvid Bug Causer
  • Chagas disease is caused by the bug.
• Meningococcal Infection Protocol
  • Early diagnosis.
• Annual Rate of Infection
  • ARI
• Sputum Smear (Specificity)
  • Prioritize active detection of Tuberculosis
• Koplik Spots
  • Diagnostic for Measles.
• **Subacute sclerosing panencephalitis **
  • Measles
• Respiratory Rate Alert
  • Pneumonia consideration: Assess stages of pneumonia
• Pneumonia type
  • Pneumonia requires treatment.
• Child Diarrhea & Thirst
  • Prescribe 400-700 ml ORS.
• Glaucoma addition
  • Glaucoma was added to VISION
• Blindness type
  • Economic
• Catheter Bag Association
  • the Red bag
• Disaster Triage Basis
  • Survival potential dictates Triage priorities.
• Target Couple Identification
  • Married couples
• Contraception Option.
  • OCP
• IUCD Cases
  • Acute PID is contra indication for
• Hormonal Contraceptive Components
  • Spermicidal gels are Non- oxynols
• Malarian Meds
  • Chloroquine
• Yellow Fever
  • 8 years Most potent antioxidant** Vitamin E