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Past Questions — 2021

MHMS • 2021 • Technical Subject Paper-III

Epidemic typhus is transmitted by:

A) Soft tick
B) Louse
C) Hard tick
D) Rat flea
Epidemic typhus is transmitted by the body louse.
MHMS • 2021 • Technical Subject Paper-III

Dose of Rifampicin in RNTCP is:

A) 600 mg
B) 450 mg
C) 300 mg
D) 100 mg
The standard adult rifampicin dose in RNTCP/DOTS was 600 mg daily.
MHMS • 2021 • Technical Subject Paper-III

Which vitamin is absent in human breast milk?

A) Vitamin K
B) Vitamin C
C) Vitamin D
D) Vitamin A
Human breast milk is a poor source of vitamin D and is classically described as deficient in it.
MHMS • 2021 • Technical Subject Paper-III

High prevalence associated with:

A) High cure rate
B) Immigration of healthy people
C) Longer duration of disease
D) Less Incidence of disease
Longer disease duration increases prevalence because existing cases remain in the population longer.
MHMS • 2021 • Technical Subject Paper-III

Gastric lavage is contraindicated in the following:

A) Barbiturate poisoning
B) Kerosene poisoning
C) Paracetamol poisoning
D) Carbolic acid
Gastric lavage is contraindicated after hydrocarbon ingestion such as kerosene because of aspiration risk.
MHMS • 2021 • Technical Subject Paper-III

Leprosy is considered a public health problem if the prevalence of leprosy is more than:

A) 1 per 10,000
B) 2 per 10,000
C) 5 per 10,000
D) 10 per 10,000
A prevalence above 1 per 10,000 was traditionally used as a public-health threshold for leprosy.
MHMS • 2021 • Technical Subject Paper-III

Treatment of Severe Falciparum malaria is:

A) Chloroquine
B) Mefloquine
C) Quinine
D) Primaquine
Among the listed drugs, quinine is the classic treatment for severe falciparum malaria; current practice uses parenteral artesunate where available.
MHMS • 2021 • Technical Subject Paper-III

Maternal Mortality Rate (MMR) is calculated by:

A) Maternal deaths/live birth
B) Maternal deaths/1000 live births
C) Maternal deaths/100000 live births
D) Maternal deaths/100000 population
Maternal mortality ratio is maternal deaths per 100,000 live births.
MHMS • 2021 • Technical Subject Paper-III

Cephalic index is:

A) Maximum breadth of skull
B) Maximum length of skull
C) Ratio of (a) and (b)
D) Sum of (a) and (b)
Cephalic index = maximum skull breadth ÷ maximum skull length × 100.
MHMS • 2021 • Technical Subject Paper-III

Pond’s fractures are common in:

A) Children
B) Adolescent
C) Adult
D) Old age
Pond-type depressed skull fractures are especially associated with the pliable skull of young children.
MHMS • 2021 • Technical Subject Paper-III

Changes in occurrence of a disease over long periods is known as:

A) Epidemics
B) Seasonal trends
C) Cyclical trends
D) Secular trends
Long-term changes in disease occurrence are called secular trends.
MHMS • 2021 • Technical Subject Paper-III

SAFE strategy has been developed for the control of:

A) Onchocerciasis
B) Trachoma
C) Refractive error
D) Ocular trauma
SAFE is the WHO strategy for trachoma control: Surgery, Antibiotics, Facial cleanliness and Environmental improvement.
MHMS • 2021 • Technical Subject Paper-III

Incest is:

A) Intercourse with blood relation
B) Intercourse with children
C) Intercourse with friends
D) Intercourse with a married woman
Incest refers to sexual intercourse between close blood relatives within prohibited degrees of relationship.
MHMS • 2021 • Technical Subject Paper-III

First clinical sign of Vitamin-A deficiency is:

A) Night blindness
B) Conjunctival xerosis
C) Bitot’s spots
D) Keratomalacia
Night blindness is the earliest clinical manifestation of vitamin A deficiency.
MHMS • 2021 • Technical Subject Paper-III

All are primary levels of prevention except:

A) Health promotion
B) Specific protection
C) Early diagnosis and treatment
D) Immunization
Early diagnosis and prompt treatment belong to secondary prevention, not primary prevention.
MHMS • 2021 • Technical Subject Paper-III

Best indicator of antemortem drowning is:

A) Froth in nostrils
B) Cutis anserina
C) Washerwoman’s hand
D) Water in stomach
Persistent fine froth at the mouth/nose is a useful antemortem sign of drowning, although no single sign is absolutely diagnostic.
MHMS • 2021 • Technical Subject Paper-III

The minimum age at which an individual is responsible for his criminal act is:

A) 7 years
B) 12 years
C) 16 years
D) 21 years
Under the IPC framework, a child below 7 years was conclusively presumed incapable of committing a crime.
MHMS • 2021 • Technical Subject Paper-III

‘Whip-lash’ injury is caused due to:

A) Fall from a height
B) Acute hyperextension of the spine
C) Blow on top to head
D) Acute hyperflexion of the spine
Whiplash classically results from sudden hyperextension followed by flexion of the cervical spine.
MHMS • 2021 • Technical Subject Paper-III

Incidence of a disease in a population of 30,000 and 300 new cases is:

A) 0.1 per 1000
B) 10 per 1000
C) 100 per 1000
D) 1 per 1000
Incidence = 300/30,000 × 1000 = 10 new cases per 1000 population.
MHMS • 2021 • Technical Subject Paper-III

Which of the following is true about Global warming?

A) CO2 is a major greenhouse gas
B) Stratosphere ozone layer is harmful
C) CFC increases stratosphere ozone layer
D) Kyoto protocol called for 20% reduction in greenhouse emissions
Carbon dioxide is a major greenhouse gas and contributes substantially to global warming.
MHMS • 2021 • Technical Subject Paper-III

N is more intelligent than M. M is not as intelligent as Y. X is more intelligent than Y but as not as good as N. Who is the most intelligent of all?

A) N
B) M
C) X
D) Y
N is above M, and X is below N; therefore N is the most intelligent.
MHMS • 2021 • Technical Subject Paper-III

Under NHM, ASHAs are located at:

A) Sub-centre
B) PHC
C) CHC
D) Village
ASHAs are village-level community health workers under NHM.
MHMS • 2021 • Technical Subject Paper-III

BAL is given:

A) Orally
B) IV
C) IM
D) All of the above
BAL (dimercaprol) is administered by deep intramuscular injection.
MHMS • 2021 • Technical Subject Paper-III

Persistent diarrhoea in infants is when the duration is more than:

A) 7 days
B) 14 days
C) 21 days
D) 1 month
Persistent diarrhoea is diarrhoea lasting 14 days or more.
MHMS • 2021 • Technical Subject Paper-III

Universal antidote consists of:

A) Activated charcoal
B) Copper sulfate
C) Egg white
D) Starch
Activated charcoal is the principal component of the historical “universal antidote” concept and is the intended option here.