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1) The first case of communicable disease introduced into a defined population

is termed as (2014 Supplementary)


a) Index case
b) Primary case
c)
Secondary case
d) Suspected case
e) Probable case

Answer: b...And the First case came to the attention of the


Investigator is called Index case

2) In case control study confounding bias can be prevented by:


a) Randomization
b) Matching
c) Double blinding
d) Triple blinding
e) Sampling
Answer B
3) A public health physician wants to study the load of hypertension in Punjab to
establish special screening and treatment service. Which design is more useful
for this?
a) Cross sectional
b) Case series
c) Cohort
d) Case control
e) Experimental
Answer: a (Load of disease, burden of disease, prevalence of disease all
carry same meaning and can be determined by cross sectional study)
4) When a new treatment is developed that delays deaths but does not produce
recovery from a chronic disease, which of the following will occur: (2014 A and S)
a) Prevalence of the disease will decrease
b) Incidence of the disease will increase
c) Prevalence of the disease will increase
d) Incidence and prevalence of the disease will decrease
e) Incidence of the disease will decrease
Answer: c. Note: factors increasing the prevalence of disease are, long
duration of disease, decrease the cure rate of disease, decrease the death
rate due to the disease and decreasing the incidence of disease

5) The time period required between ingestion of an infectious blood meal and viral
replication in salivary tissue of the VECTOR sufficient for transmission to occur is
called (2013A &2014 S)
a) Latent period
b) Lead time
c) Intrinsic incubation period
d) Extrinsic incubation period
Answer: D.
6) The natural history of a disease is best established by:
a) Morbidity indicator
b) Prevalence studies
c) Experimental studies
d) Cohort studies
Answer: d cohort study is also called longitudinal study or incidence study
7) The most feasible design to assess the relationship between breast cancer and
risk factor can be established by:
a) Cohort study
b) Case control study
c)
Cross sectional study
d) Randomized trial
e) Non- randomized trial
Answer: b
8) Group of people worked at uranium mines for 5 years among them few
developed cancer due to uranium exposure. Which type of association would it
be? (2013 A)
a) Biological plausibility
b) Coherence of association
c)
Temporal association
d) Specificity of association
e) Spurious association
Answer: c
9) Permanent reduction of incidence of a disease to zero as a result of deliberate
efforts. No intervention is required now. It is :
a) Elimination of disease
b) Control of disease
c)
Eradication
d) Surveillance
e) Monitoring
Answer: c
10)
In a study of the cause of lung cancer patients who had the disease were
matched with control by age, sex, place and social class. The frequency of

cigarette smoking was then compared on the two groups. What type of study
was this? (2013 S)
a) Prospective cohort study
b) Case control study
c)
Retrospective study
d) Experimental study
e) Case series study
Answer: b
11)
a)
b)
c)
d)
e)

Population at risk is used as denominator in calculation of : (2013 S)


mortality rate
incidence
prevalence
relative risk
none of them

Answer: b
12)
a)
b)
c)
d)
e)

Which of the following study design , give you the incidence


Case control study
Cohort study
RCT
Descriptive cross sectional
None of them

Answer: b
13)
Direct standardization is used to compare the mortality rates between two
countries this is done because of difference in:
a) Cause of death
b) Denominators
c) Age distribution
d) Numerators
Answer: c
14)
a)
b)
c)
d)
e)

Relative risk of 1 (one) indicate:


No association
Highly positive association
Positive association
Negative association
Highly negative association

Answer: aA relative risk of one mean that the incidence of disease is


equal in both the exposed and unexposed population. This would
therefore imply no association
15)
a)
b)
c)

Recall bias mostly associated with which study design :


Case control study
Cohort
RCT

d) Field trial
Answer: a
16)
a)
b)
c)
d)

The purpose of double blind study is to:


Avoid subject bias
Avoid observer bias and sampling variation
Reduce the effect of sampling variation
Avoid subject bias and sampling variation

Answer: b
17)
Average number of daughter a new born girl will bear during life time
assuming fixed age specific fertility and mortality is:( 2014 A)
a) Gross reproductions rate
b) Net reproduction rate
c) Total fertility rate
d) Total marital fertility rate
e) Gross fertility rate
Answer b
18) The average number of children women would have if she were to
pass through her reproductive years bearing children at the same rates
as the women now in each group is called: (2014 S)
a) General fertility rate
b) Net reproduction rate
c) Total fertility rate
d) Total marital fertility rate
e) Gross reproduction rate
Answer: c
19)
a)
b)
c)
d)

The term family size refers to:


Total number of female children born to women
Total number of person in a family
Total number of children a women has born at a point in time
None of the above

Answer: c
20)
a)
b)
c)
d)
e)

Demography include study of all except


Fertility
Mortality
Social mobility
Marriage
Morbidity

Answer: e
21)
Replacement level fertility is considered to be achieved when an average
a) 3 birth per person
b) 1 birth per person

c) 2.1 birth person


d) 2.5 birth person

Answer: c
22) What is most suitable hormonal contraceptive for post partum lactating
mother:
a) Combined oral pills
b) Nor ethisteron enantate(NET-EN)
c) DMPA
d) Norplant
e) Third generation IUCD
Answer: c
23)
The most sensitive indicator of obstetric and pediatric care is: (2013
A)
a) Still birth
b) Post neonatal mortality rate
c) Perinatal mortality rate (PMR)
d) Under 5 mortality rate
e) Early neonatal mortality rate
Answer: c which is also the most sensitive indicator of obstetrics
and gynecology so for both we use PMR
24) In maternal mortality rate ,denominator is: (2013 A)
a) 1000 live births
b) 1000 births
c) 1000 pregnancy
d) 1000 population
e) 1000 deliveries
Answer: a
25) In city with midyear population of 1 lakh, there were 2500 live birth
during a year, during same year, 5 females died due to postpartum
hemmorrhage, 1 due to toxemia of pregnancy, 1 due to electrocution, 2
due to abortion and 2 died due to obstructed labor.MMR per 100,000 lives
birth for this city during the same year. (2013 S)
a) 400
b) 440
c) 350
d) 300
e) None of them
Answer: a
Calculation: 5+1+2+2/2500 multiply by 100,000= 400
NOTE: we dont take the death which occurs due to electrocution because
they
are not related to pregnancy but it is accident and thats why we
dont take incident/accident in calculation
26) Which one of the following is not a direct cause of maternal
mortality:

a) Cardiac disease
b) Eclampsia
c) Hemorrhage
d) Abortion
e) Sepsis
Answer: a
27)
Multiload device contains:
a) Copper
b) Zinc
c) Progesterone
d) Gold
e) Silver
Answer: a
28) Contraindication of IUCD includes which of the following :
a) Suspected pregnancy
b) Pelvic inflammatory disease
c) Previous ectopic pregnancy
d) Cancer of cervix/uterus
e) All of the above
Answer: e
29) Failure rate of contraceptive method is determined by :
a) Sullivans index
b) Number of accidental pregnancy
c) Pearl index
d) Half life
Answer: c
30) Vasectomy is associated with :
a) Impotency
b) Complete infertility
c) Partial infertility
d) Loss of libido
e) Testicular atrophy
Answer: b

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