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Past Questions — 2021

MHMS • 2021 • Technical Subject Paper-III

For an epidemiological study, every 10th person is selected from a population. This type of sampling is known as:

A) Simple random sampling
B) Stratified random sampling
C) Systematic random sampling
D) Cluster random sampling
Selecting every tenth person is systematic random sampling.
MHMS • 2021 • Technical Subject Paper-III

Hostile witness is one who:

A) Threatens the judge
B) Threatens the prosecutor
C) Refuse to answer
D) Wilfully gives false evidence
A hostile witness is one who gives evidence adverse to the party calling them and may deliberately deviate or give false evidence.
MHMS • 2021 • Technical Subject Paper-III

One TB infected person can infect approximately how many people in 1 year?

A) 20
B) 30
C) 10
D) 5
Classical epidemiology teaching estimates that one infectious TB case may infect roughly 10 people in a year.
MHMS • 2021 • Technical Subject Paper-III

Barun is taller than Sanjay. Bipul is taller than Barun. Krishna is also not as tall as Bipul but is taller than Barun. Who is the tallest?

A) Sanjay
B) Bipul
C) Krishna
D) Barun
Bipul is taller than both Barun and Krishna, and Barun is taller than Sanjay; therefore Bipul is tallest.
MHMS • 2021 • Technical Subject Paper-III

In the event of an epidemic, the first step is:

A) Verification of diagnosis
B) Isolation
C) Immunization
D) Notification
The first step in investigating an apparent epidemic is to verify the diagnosis and confirm that an outbreak exists.
MHMS • 2021 • Technical Subject Paper-III

The analytical study where population is the unit of study is:

A) Cross sectional
B) Ecological
C) Case-control
D) Cohort
In an ecological study, the unit of analysis is the population or group rather than individuals.
MHMS • 2021 • Technical Subject Paper-III

For Asian populations, the normal BMI (Body Mass Index) range is:

A) 18.5 – 24.99
B) 18.5 – 22.99
C) 20.5 – 24.99
D) 20.5 – 22.99
For Asian populations, the commonly used normal BMI range in the source context is 18.5–22.9 kg/m².
MHMS • 2021 • Technical Subject Paper-III

The number of live birth per 1000 women in the reproductive age group in a year refers to:

A) Total Fertility Rate
B) Gross Reproduction Rate
C) Net Reproduction Rate
D) General Fertility Rate
General fertility rate is live births per 1000 women of reproductive age per year.
MHMS • 2021 • Technical Subject Paper-III

An index of operational efficiency of malaria control programme is:

A) Annual parasite incidence
B) Annual blood examination rate
C) Slide positivity rate
D) Human blood index
Annual blood examination rate is an index of operational efficiency of malaria surveillance/control.
MHMS • 2021 • Technical Subject Paper-III

False perception without any external stimulus is:

A) Illusion
B) Hallucination
C) Delirium
D) Delusion
Hallucination is a perception occurring without an external stimulus.
MHMS • 2021 • Technical Subject Paper-III

Respiratory rate can be diagnosed as fast breathing in a less than 2-month-old infant, if respiratory rate/minute is more than:

A) 29
B) 39
C) 49
D) 59
For infants younger than 2 months, fast breathing is 60 or more breaths/minute, i.e. greater than 59.
MHMS • 2021 • Technical Subject Paper-III

Koplik spots in Measles are seen in which stage of the disease:

A) Prodromal stage
B) Incubation stage
C) Eruptive stage
D) Convalescent stage
Koplik spots appear during the prodromal/catarrhal stage of measles.
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.