For free online test series, join MedPGthrissur's test.

Registration page :
http://medpgthrissur.org/portal/Pages/SubscriberRegistration.aspx

Login Page:
http://medpgthrissur.org/portal/

Duration: 1 hour
When: Every Tuesday and Saturday
When exactly:
1) You can login anytime between Tuesday 10 am and Wednesday 9am
2) You can login anytime between Saturday 10 am and Sunday 9am

Test is for 1 hour from the time of starting the test( time is mantained on the server)
If connection is lost, login again and go to my exams page(clock is still running)

Score and ranks will be published at 10 am the next day( Wednesday and Sunday)

Catch is that answer key and explanation will be given to medPGstudents only.
But you can easily get it from any of your friends in MedPG thrissur

P.S.
For free daily sms Medical MCQs on mobile
Join medPGmcq sms channel :
http://labs.google.co.in/smschannels/channel/medPGmcq

From computer or mobile browser(using Google account)

OR
SMS
ON medPGmcq
to _9870807070

Exam Review
Exam Name: 044 - 28 June 2011
1.

Which of the following conditions is not caused by a trinucleotide repeat expansion?

a) Fragile X syndrome
b) Huntington's
c) Ataxia telangiectasia
d) Myotonic dystrophy
Review:Medicine-Nurti, Meta disorder-

2.

Raised prostate specific antigen signifies all except

a) Ca Prostate
b) Prostatic calculi
c) Prostatic Hypertrophy
d) Prostatitis
???c ???
Review:Pathology-Lower urinary tract & M genital sys--PSA is organ specific but not cancer
specific -Conditions with elevated PSA levels. -Carcinoma prostate -Benign prostatic
hyperplasia -Prostatitis -Prostatic infarct -Instrumentation of prostate -Ejaculation -20% to 40%
of patients with organ confined prostate cancer have a PSA value of 4 ng/ml or less.

3.

Essential Pentosuria Can occur due to deficiency in metabolic pathway of:

a) Glycogen
b) Fructose
c) Uronic acid
d) Hexosaminophophate
Review:Paediatrics-Metabolic Disorders & Genetics-

4.

Which of the following stain is used to find carcinoma while doing endoscopies?
a) Toluidine blue
b) Gentian violet
c) Hematoxylyin and eosin
d) Methylene blue
Review:MICROBIOLOGY--

5.

Schiller duval bodies are seen in;

a) Endodermal sinus tumour
b) Choricarcinoma
c) Granulosa cell tumour
d) Arrhenoblastoma

Review:OBG-6.

The effective life period of Progestasert is

a) 1 years
b) 2 years
c) 3 years
d) 4 years
Review:OBG-Contraception-

7.

Sporulation occurs in
a) Lag phage
b) Log phage
c) Stationary phase
d) Decline phase
Review:Microbiology-Mycology-

8.

Continuous data is represented by

a) Histogram
b) Simple bar diagram
c) Linear plot
d) Multiple bar diagram
Review:SPM--

9.

Diagnostic accuracy of a test is determined

a) Sensitivity
b) Specificity
c) Predictive value
d) None
Review:SPM-Epidemiology, screening for disease-

10. Part of the heart lying in front of oesophagus

a) Left atrium
b) Left ventricle
c) Right ventricle
d) Right atrium
Review:Anatomy-Thorax11. Sinus carcinoma is most commonly of which of the following type
a) Transistional carcinoma
b) Squamous cell carcinoma
c) Adeno carcinoma
d) Columnar cell carcinoma

Review:p-12. In Klumpke's palsy the lesion involves

a) C5,C6,C7
b) C5,C6
c) C8,T1
d) C5,C6,C7, C8, T1
Review:Anatomy-Superior Extremity-Klumpke's paralysis is due to injury to the lower trunk
of brachial plexus, formed by union of C8 and T1 nerves.
13. Retinal detachment is seen in all except
a) Senile retinoschisis
b) Diabetic retinopathy
c) Lattice retinal degeneration
d) Salzmanns nodular dystrophy
Review:Opthal-Retina14. Which of the following is an example of Type IV hypersensititvity
a) Arthrus reaction
b) Serum sickness
c) Schwartzmann reaction
d) Granulomatous reaction
Review:MICROBIOLOGY-IMMUNOLOGY15. The treatment of choice for non-union of extracapsular fracture neck femur
a) Hip spica
b) Intramedullary nailing
c) Internal fixation
d) compression plating
Review:Orthopaedics-Fractures and Dislocations--Intertrochanteric fractures seldom fail to
unite. If healing is delayed, the fracture probably will not join and further operation is
advisable. -The fragments are respositioned the fixation device is applied more securely and
bone grafts are packed around the fracture.
16. Pseudotumour cerebri is seen in with the following except
a) Gentamicin
b) Tetracycline
c) Oral contraceptives
d) Hypervitaminosis A
Review:Medicine-Neurology17. The following is true regarding spleen
a) Notch is on inferior border
b) Long axis parallel to 12th Rib

c) Developed from ventral mesogastrium

d) Nerve supply from coeliac plexus
Review:Anatomy-Abdomen18. The following mosquito control is important for international travel
a) Culex
b) Anopheles
c) Mansoni
d) Aedes aegyptii
Review:SPM-19. Culture of streptococcus viridians resemble
a) Staphylococcus
b) Strept.pyogenes
c) Pneumococcus
d) Strept. Fecalis
Review:Micro-Bacteriology-Colonies of pneumococcus resemble colonies of str.viridnas
(Small, dome shaped, glistening with an area of green discoloration around them)
20. Sperm obtains its mobility in
a) Vas deferens
b) Epididymis
c) Seminal vesicle
d) Urethra
Review:Physiology-Endocrinology21. Which of the following is not true about warfarin
a) It causes reduction of vitamin k-dependent clottting factors
b) T1/2 36 h
c) Crosses placenta
d) Can be given in liver disease
Review:Pharmacology-22. A 48 year old woman admitted with a history of weakness for months. On examination,
cervical lymph nodes were found enlarged and spleen was palpable 2 cm below the costal
margin. Her hemoglobin was 10.5 g/dl, platelet count 237 x 109/L and total leukocyte
count 40x109/L, which included 80% mature lymphoid cells with coarse clumped
chromtin. Bone marrow revealed a nodular lymphoid infiltrate. The peipheral blood
lymphoid cells wee positive for CD19, CD5, CD20 and CD23 and were negative for
CD79B and FMC-7. What is the most likely diagnosis?
a) T-cell rich B-Cell lymphoma with leukemic spill over in blood
b) Chronic lymphocytic leukemia
c) Mantle cell lymphoma
d) A definite diagnosis cannot be made in this patient without lymph node biopsy

Review:Medicine-Hematological Malignancies23. Drugs associated with significant ototoxicity potential include the following except
a) Ethacrynic acid
b) Nitrogen mustard
c) Gentamicin
d) Co-trimoxazole
Review:Pharma-Chemotherapy24. The most poisonous mercury salt is
a) chloride
b) Oxide
c) Cyanide
d) Chromate
Review:FM-TOXICOLOGY25. False about tryptophan is
a) It is purely glucogenic
b) Niacine synthesis
c) Serotonin synthesis
d) None of the above
Review:Biochemistry-Proteins26. A 78-year-old female is anesthetized for a right hemicolectomy for 3 hours. At the end of
the operation the patient's blood pressure is 130/85 mm Hg, heart rate is 84 beats/min
core body temperature is 35.4 degree C, and PECO2 on mass spectrometer is 38 mm Hg.
Which of the following would be the least plausible reason for prolonged apnea in this
patient?
a) Residual neuromuscular blockade
b) Narcotic overdose
c) Cerebral hemorrhage
d) Persistent intraoperative hyperventilation
Review:Anesthesia-General-Hyperventilation to Paco2 of 20 mm Hg or higher for more than 2
hours will result in active transport of HC)3- out of the CNS. This results in spontaneous
breathing at a lower (not higher) Paco2. The other choices should be included in the differential
diagnosis of apnea
27. Least amount of CO2 is in
a) Anatomical dead space-end inspiration phase
b) Anatomical dead space-end expiration phase
c) Alveoli-end inspiration phase
d) Alveoli-end expiration phase

Review:Physiology-Respiratory28. The classical flexion and rotatin deformities at hip and knee joints, as a sequelae of
polimyelities, are due to the contracutre of
a) Tensor fascia lata
b) Gastrocnemious
c) Tendo Chilles
d) Hamstrings
Review:ORTHOPAEDICS--Vinod
29. Direct coombs is positive in hemolytic anaemia due to
a) Paroxysmal cold hemoglobinuria
b) Paroxysmal nocturnal hemoglobinuria
c) Hereditary spherocytosis
d) Idiopathic thrombocytopenic purpura
Review:Pathology-Red Blood cell and Bleeding Disorders30. All can commonly occur in a patient who suffered decelerating injury in which pituitary
stalk was damaged except:
a) Diabetes mellitus
b) Thyroid insufficiency
c) Adrenocortical insufficiency
d) Diabetes insipidus
Review:Sugery-Neurology31. Zinc is an essential component of the following enzymes except
a) Carbonic anhydrase
b) Alkaline phosphatase
c) xantrhine oxidase
d) Ethanol dehydrogenase
Review:Biochem-ENZYMES32. For transplantation cornea is preserved in
a) Modified MK medium
b) Glycerine medium
c) Wet medium
d) None of the above
Review:Opthal-Cornea-Methods of corneal prservations: 1. Short terms storage : 4 degree
Celcius in moist chamber (upto 48 hrs) 2. Intermediate (Upto 2 wks) : Mc Carey - Kaufman
(MK) medium -Optisol medium ( Choondroitin sulfate enriched) 3. Long term storage - Organ
cultur method (35 days)
33. Deep blue colour of hypostasis is seen in death due to poisoning by
a) Potassium cyanide

b) phosphorous
c) Aniline dyes
d) Carbon monoxide
Review:FM-Death,Post Mor. Changes & Autopsy34. Investigation of choice for a pregnant lady with upper abdominal mass
a) Barium meal
b) MRI
c) CT scan
d) DSA
Review:Radiology Diagnosis-Diagnosis35. All are true about mumps excpet
a) Caused by myxovirus
b) Secondary attack rate is 86%
c) Most frequent in age group 5-15 years
d) Incubation period 7 days
Review:SPM-36. A women is exposed to muliple sex partners has 5 times increased risk for CaCx the
attributable risk is:
a) 20%
b) 50%
c) 80%
d) 100%
Review:SPM-Statistics37. All of the following programmes are sponsored by Ministry of Social Welfare except
a) Balwadi nutrition programme
b) Special nutrition programme
c) Midday meal programme
d) ICDS
Review:SPM-Demo, FP, MCH38. Alpha-1 antitrypsin deficiency causes
a) Emphysema
b) Bronchitis
c) Bronchieactasis
d) Pneumonia alba
Review:PATH-39. In trauma all of the following hormones are raised except
a) Glucagon

b) Corticosteroid
c) Insulin
d) Mineralocorticoid
Review:Surgery-Healing & Mana of wound & Accident40. Rubeosis iridis is seen in
a) Central retinal vein occlusion
b) Iridocyclitis
c) Glaucoma
d) Cataract
Review:Opthal-Retina41. The smallest cranial nerve is the
a) Olfactory
b) Oculomotor
c) Trochlear
d) Accessory
Review:-42. All of the following are characteristics of the rash of chickenpox:
a) Quick evolution of rash
b) Rash begins on the trunk
c) Quick prodromal period
d) Profusion of lesions of face
Review:Medicine-43. The rod receptor potential differs from other sensory receptors in that it shows
a) Depolarization
b) Decreased negativity
c) Increased conductance of sodium
d) Hyperpolarization
Review:Physiology-Spl. Senses44. A pt aged 60yrs needs an eye examination.He needs a drug which will dilate his eyes but
not paralyse his ciliary muscles.Choose the drug:
a) Atropne
b) Phenylephrine
c) Cyclopentolate
d) Tropicamide
Review:OPHTHALMOLOGY-NUEROLOGY-Sreelatha
45. A chest physician performs bronchoscopy in the procedure room of the out patient
department. To make the instrument safe for use in the next patient waiting outside, the

most appropriate method to disinfect the endoscope is by

a) 70% alcohol for 5 min
b) 2% glutaraldehyde for 20 min
c) 2% formaldehyde for 10 min
d) 1% sodium hypochlorite for 15 min
Review:Gen. Microbiology-Morph & Physiolo of Bacteria46. A two year old child with fare skin, blue eyes, Hyperactivity, and occasional seizures, with
urine turning green on ferric chloride test, the diagnosis is:
a) Phenylketonuria
b) Alkaptonuria
c) Multiple carboxylase deficiency
d) Glutaric aciduria
Review:Paediatrics-Metabolic Disorders & Genetics47. Herald patch is caused by
a) Psoriasis
b) Leprosy
c) Lichen planus
d) Pityriasis rosea
Review:Dermatology-48. Wrong statement regarding Hb-s is
a) Low O2 tension exacerbates sicking
b) 'T' form of Hb-S polymerises
c) Sticky forms occurs only with deoxy Hb-s- T forms
d) Binding of deoxy Hb-A to 'T' Deoxy Hb-s extends the polymer
Review:Biochemistry-Proteins49. An 85 -year-old male with no previous medical history except for cataracts is undergoing
a transurethral resection of the prostate gland under spinal anesthesia. Twenty minutes
into the procedure the patient becomes restless. Over the next 20 minutes his blood
pressure increases from 110/70 to 140/90 mm Hg and his heart rate slows from 90 to 50
beats/min.The patient is noted to have some difficulty breathing. The most likely cause of
these symptoms in this patient is
a) Volume overload
b) Hyponatremia
c) High spinal
d) Bladder perforation
Review:Anesthesia-General-Large quantities of irrigating fluid can be absorbed during
transurethral resection of the prostate gland because of open venous sinuses in the prostate.
From 10 to 30 mL of fluid per minute are absorbed on average. During long cases, this can
amount to several liters, causing hypertension reflex bradycardia, and pulmonary congestion

50. Water tolerance test is useful in differentiating the short stature as a result of
a) Hypopituitarism
b) Gonadal dysgenesis
c) Primordial dwarfism
d) Mild hypothyroidism
Review:Paediatrics-Endocrinology51. Emergency contraception prevents pregnancy by all of the following mechanisms, except:
a) Delaying/inhibiting ovulation
b) Inhibiting fertilization
c) Preventing implantation of the fertilized egg
d) Interrupting an early pregnancy
Review:OBG-52. Which of the following is not a cause of systemic lupus erythematosus like reaction
a) Hydrallazine
b) Isoniazid
c) Oestrogen
d) Diphenylhydantoin
Review:Dermatology-53. Dymetria is seen in
a) Extra pyramidal lesions
b) Cerebellar lesions
c) Pyramidal lesions
d) Cortical lesions
Review:Physiology-CNS54. Treatment of squamous cell carcinoma of anal canal?
a) Abdominoperineal resection
b) Anterior resection
c) Local resection
d) Chemo radiotherapy given concurrently
Review:SURGERY-55. Treatment of choice III CIN in 40 year old female is;
a) Hysterectomy
b) Laser coagulation
c) Cryocoagulation
d) Cone excision
Review:OBG--Modalities for management of CIN -Ablative procedure - Cryotherpy - Laser
vaporisation -Excisional Procedure -Loop electro surgical excision (LEEP) Surgery Hysterectomy - Conisation Ablative Procedures -They are performed in out patient setting

(OPD procedures) -They must only be performed when the following conditions exist: 1. There
is no evidence of micro invasion or invasive cancer (on cytologyy, colposcopy or ECC). 2. The
lesion is located on the ectocervix (as determined by colposcopy and ECC). 3. There is no
involvement of the endocervix (as determined by colposcopy and ECC) 4. Cytology and
histology correspond with each other.
56. Rigor mortis develops__ after death
a) 1/2 - 1 hr
b) 1-2 hours
c) 3-6 hours
d) 6-8 hours
Review:FM-Death,Post Mor. Changes & Autopsy-onset, of Rigor is 1-2 hours, but since here
'develops' is asked, answer is 3-6 hours. Conditions altering the onset and duration of rigor. 1.
Age 2. Nature of death 3. Muscular state 4. Atmospheric conditions
57. Select the statement which best characterises lymph capillaries
a) Have smaller diameter than blood capillaries
b) Less permeable than blood capillaries
c) Have no endothelial lining
d) Have a discontinuous basement membrane
Review:Anatomy-Histology58. The proportion of children in the age group of 0-6 years, who are the beneficiaries of
integrated Child Development Services Scheme, in the population is about
a) 6%
b) 13%
c) 20%
d) 27%
Review:SPM-Demo, FP, MCH59. Skin lesion in meningococcal meningitis is due to
a) Exotoxin
b) Endotoxin
c) Allergic reaction
d) Direct vascular
Review:Micro-Bacteriology--The pathogenic agent in meninigococcal disease appears to be
endothelium is particularly sensitive to endotoxin -Meningococcemia presents as acute fever,
with chills, malaise, prostration and petechial rash.
60. The proportion of children in the age group of 0-6 years, who are the beneficiaries of
integrated Child Development Services Scheme, in the population is about
a) 6%
b) 13%
c) 20%
d) 27%

Review:SPM-Demo, FP, MCH61. Coronary steal phenomenon is caused by

a) Verapimil
b) Dipyridamol
c) Digitalis
d) Nifidipine
Review:PHAR-62. The sterilization method for the instruments which are damaged by dry heat is
a) Steam
b) Radiation
c) Boiling
d) Burning
Review:Gen. Microbiology-Morph & Physiolo of Bacteria63. Anticoagulant only effective in VIVO:
a) Heparin
b) Coumarin
c) EDTA
d) Sodium citrate
Review:Medicine-CVS64. All of the following are true except;
a) Streptodormase breaks DNA
b) Streptokinase is produced by A,C,G
c) Streptolysin O acts in reduced states only
d) Erythrogenic toxin is plasmid mediated
Review:MICROBIOLOGY-65. Chondritis tuberosa is:
a) Symphilitic lesion of ear cartilage
b) Chronic laryngitis
c) Tuberculosis of ear cartilage
d) Infection of cartilage of pinna of ear
Review:ENT-Ear-Chondritis tuberosa is tubercular infection of external ear cartilage
66. Which is the most widely used contraceptive method in India?
a) Female sterilization
b) Vasectomy
c) IUCD
d) COC

Review:OBG-Contraception67. The fungi, which do not have sexual phase, belong to which of the following groups
a) Phycomycetes
b) Fungi inperfecti
c) Basidiomycetes
d) Ascomycetes
Review:Microbiology-Parasitology68. The epidemiological trend of poliomyelitis are except
a) Effects higher age groups
b) Increasing in tropics
c) Increased upper limb paralysis
d) Sporadic to epidemic
Review:P & SM-69. The following are alkylating agents except
a) Cyclophosphamide
b) Methotrexate
c) Chlorambucil
d) Busulphan
Review:Pharmacology-70. Medial geniculate body is concerned with
a) Hearing
b) Vision
c) Smell
d) Taste
Review:Physiology-CNS71. Egg shell calcification is seen in
a) Silicosis
b) Asbestosis
c) Farmers lung
d) Anthracosis
Review:p-72. Features of hypovolemic shock are all except
a) Oliguria
b) Bradycardia
c) Low B.P
d) Acidosis

Review:Surgery-Resuscitation and Support73. Vibro cholerae produce a heat labile exotoxin that act via the CAMP pathway to cause
cholera, which of the following bacteria causes disease in man by a similar mechanism
a) Shigella dysenteriae type I
b) Escherichia coli
c) Bacillus cereus
d) S.aureus
Review:Microbiology-Gram- bact--The heat stable toxins of E.coli acts by activation of cyclic
guanosine monophasphate (cGMP) in the intestine -Cholera enterotoxin is very similar to the
heat labile toxin of E.coli in structural chemical, biological and antigenic properties.
74. A child, presented with progressive loss of developmental milestones, banging and
writhing movements of hands. He has also intermittent fever, joint pain and reduced
urine output. Which of the following is the most probable enzyme deficiency responsible
for it?
a) HGPRTase deficiency
b) Adenosine deaminase deficiency
c) Phenylalanine hydroxylase deficiency
d) Acid maltage
Review:Paediatrics-75. Al are useful in digoxin toxicity except
a) Hemodialysis
b) Fab antibodies
c) Postassium
d) Atropine
Review:MEDICINE-76. All are features of primary tuberculosis; except
a) Pleural effusion
b) Consolidation
c) Pulmonary fibrosis
d) Lymphadenopathy
Review:Respiratory-Pulmonology77. Long term complication of infants born to IDDM mother is
a) DM
b) Ketotic hypoglycemia
c) Obesity
d) Blindness
Review:Paediatrics-Endocrinology78. If the axial length of the eyeball is changed by 1mm then the power changes by

a) 1dioptre
b) 2D
c) 3D
d) 4D
Review:OPHTHALMOLOGY-LENS-Sreelatha
79. Global eradication of small pox was declared by WHO on one of the following dates
a) 26th October 1977
b) 5th July 1975
c) 17th May 1975
d) 8th May 1980
Review:SPM-Communicable disease80. A testicular tumor in a man aged 60 years is; most likely to be
a) Germ cell tumor
b) Sertoli cell tumor
c) Teratocarcinoma
d) Lymphoma
Review:Surgery-81. Conductive deafness is assoiciated with:
a) Acoustic Neuroma
b) Meniere's disease
c) Otosclerosis
d) Suppurative Labyrinthitis
Review:ENT-Ear-Acoustic neuroma, Miniere's disease and Suppurative Labyrinithitis cause
Sensory- Neural deafness, while otosclerosis causes conductive deafness.
82. Maggots appear in body in rainy season within
a) 24 hrs
b) 1-2 days
c) 2-3 days
d) 3-4 days
Review:FM-Death,Post Mor. Changes & Autopsy83. Which is not a feature of skeletal muscle
a) Spindle shaped fibres
b) Syncytium
c) Striations
d) Hypolemmal nucleus
Review:Anatomy-Histology84. The most important reservior of infection for most of the diseases of human is:

a) Humans
b) Animals
c) Birds
d) Fishes
Review:Health-85. Casual association factors can be revealed by?
a) Case control study
b) Cohort study
c) Cross sectional study
d) Experimental study
Review:SPM-Statistics86. Best Index to assess recent fertility pattern is
a) Generally fertility rate
b) Pregnancy rate
c) Age specific fertility rate
d) Net production rate
Review:SPM-Demo, FP, MCH87. Best prognosis in lymphoma is seen in
a) Ig Ab + BALL
b) T ALL
c) Early Pre B ALL
d) Pre B ALL
Review:pathology-88. The time gap between primary and secondary case is:
a) Serial interval
b) Generation time
c) Median incubation period
d) Secondary attack rate
Review:SPM-Epidemiology89. Twin peak sign seen in:
a) Monochorionic diamniotic
b) Dichorionic monaminiotic
c) Conjoined twins
d) Diamniotic dichorionic
Review:OBG-Multifetal Pregnancy90. 6 month old baby with sever pallorand hepatosplenomegaly,similar history with the
sibbling. Investigation of choice;

a) Bone marrow biopsy

b) Hb electrophoresis
c) Hb estimation
d) Platelet count
Review:Paediatrics-Hematological disorders91. The treatment of choice in myoclonic epilepsy is
a) ACTH
b) Sodium valproate
c) Phenobarbitone
d) Carbamazepine
Review:med-92. The following are psychotic disorders except
a) Schizophrenia
b) Mania
c) Psychotic depression
d) Hysteria
Review:Psychiatry-General93. The commonest type of renal lesion in children is
a) Lipoid nephrosis
b) Membrano prolifeative glomerulo nephritis
c) Focal glomerulonephritis
d) Diffuse glomerulosclerosis
Review:Paediatrics-94. Horner's syndrome consists of
a) Miosis and endopthalmos
b) Miosis and exopthalmos
c) Miosis and proptosis
d) Miosis and ptosis
Review:OPHTHALMOLOGY-NUEROLOGY-Sreelatha
95. Compared with tetracycline, chloramphenicol is more effective in typhoid fever but
ineffective in
a) Entamoeba histolytica
b) E.coli
c) S.aureus
d) Pseudomonas
Review:Pharma-Chemotherapy96. Which organ is most commonly involved blast injury?

a) Lung
b) Liver
c) intestines
d) Skeletal muscle
Review:FM-97. Toxic amblyopia is produced by
a) INH
b) Rifampicin
c) Ethambutol
d) Pyrazinamide
Review:Opthal-98. What organism most frequently causes a urinary tract infection
a) Staphylococcus epidermidis
b) Staphylococcus aureus
c) Pseudomonas aeruginosa
d) Escherichia coli
Review:Medicine-Kidney99. Brunner's glands are located in the
a) Duodenum
b) Jejunum
c) Iieum
d) All
Review:Anatomy-Histology100. Latest inclusion in community health is
a) Felt need of people
b) At doors steps
c) Economical
d) Community participation
Review:Health
P.S.
For free daily sms Medical MCQs on mobile
Join medPGmcq sms channel :
http://labs.google.co.in/smschannels/channel/medPGmcq
From computer or mobile browser(using Google account)
OR
SMS

ON medPGmcq
to _9870807070