MBBS IInd Year 2001

MCQ 1. The common route of transmission for hepatitis A is a. Through injection b. Sexual c. Mother to child d. Faeco oral Key: d 2. Breast feeding is contraindicated in a. Tuberculosis b. Leprosy c. Syphilis d. HIV Key: d 3. In Nepal, according to Annual Report from the Department of Health Service 1998/ 99, the deliveries conducted by trained person as percentage of expected pregnancies is a. 13% b. 23% c. 33% d. 46% Key: a 4. In Nepal, according to Annual Report from the Department of Health Service 1998/ 99, the antenatal first visit coverage is a. 16% b. 26% c. 36% d. 46% Key: b 5. In Nepal, the recommended level of iodisation of common salt is a. 50 ppm at production level and 30 ppm at retailer level. b. 10 ppm at production level and 20 ppm at retailer level. c. 20 ppm at all levels d. 3 ppm at production level and 2 ppm at retailer level. Key: a 6. For prevention of anemia of pregnancy a. 60 mg of Iron folate taslets are given once daily from second trimester on wards b. 160 mg of Iron folate taslets are given once daily from second trimester on wards c. 250 mg of Iron folate taslets are given once daily from third trimester on wards d. 50 mg of Iron folate taslets are given once daily from frist trimester on wards Key: b

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7. In a diet survey enquires are made about nature and quantity of food eaten during previous a. 24 hours b. 72 hours c. 3 days d. 7 days Key: a 8. Which of the following is a sign of severe dehydration a. Drowsiness b. Restlessness c. Severe thirst d. Oedema Key: a 9. Which of a following is the best I.V. Fluid for treating severe dehydration due to diarrhoea. a. Ringer Lactate b. Blood c. Normal Saline d. 5% Dixtrose Key: a 10. Which of the following is the safest water for drinking purpose a. River water b. Rain water c. Boiled water d. Water treated with potassium permanganate Key: c 11. Eating undercooked beef may cause a. Hydatid disease b. Ascariasis c. Taeniasis d. Amoebiasis Key: c 12. Goitrogens are present in which of the following vegetables a. Carrot and Vegetables b. Cabbage and Cauliflower c. Turnips d. Tomatoes and Potatoes Key: b

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SAQ 1. 2. 3. 4. List the methods of prevention of transmission of Hepatitis A. List the qualities of an ideal weaning food. What are the advantages of breast-feeding? List the measures necessary to ensure wholesome and clean food at public eating places. 5. What is pasteurization? 6. List ten important indicator for safe motherhood program 7. Name the contents of the safe home delivery kit. 8. List 5 objectives of the safe motherhood program. 9. What are five important activities included in post-natal service of safe motherhood program? 10. What are five important cause for under 5 years old child mortality in Nepal? 11. Define Diarrhea. 12. What are the signs of dehydration? 13. What is the composition of oral dehydration solution? 14. name the infective agents which can cause diarrhea. 15. What are home available fluids (HAF), which can be used in diarrhea. 16. How does transmission of amoebiasis take place? 17. Briefly describe secondary prevention of amoebiasis. 18. What health education can be given to general public to prevent taeniasis? Describe briefly. 19. What are the main dietary sources of vitamin A? 20. What are the main dietary sources of Iron? 21. Name the various Iodine deficiency disorders (IDD) 22. Briefly describe infection malnutrition cycle. 23. What is stunting? 24. What measures can be taken to prevent epidemic dropsy? 25. Name the various anthropometric measures for assessing nutritional status in children.

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PBQ 1. Anita is 26 years old lady who has just delivered a baby. Just 1 week before delivery, she has been diagnosed to have sputum positive pulmonary tuberculosis. The acceptable practice with regard to breast feeding would be a. Breast feed the baby and also give anti-TB Chemotherapy to the mother b. Breast feed the baby and do not worry about mothers tuberculosis c. Give expressed breast milk d. Give cows milk (Key: a) 2. You are the medical officer in charge of the Madhuban PHC. You want to measure the health status and the changes in it from year to year. The most sensitive indicator would be a. Crude birth rate b. Crude death rate c. Infant mortality rate d. Under 5 immunization rate (Key: c) 3. A male child of age 8 months in a remote village of Nepal is suffering from loose motions since last 3 days. Frequency of motions is 5 6 times per day, stool is semisolid and contains mucus. The family comprises of parents and two elder sisters aged 4years and 2 years. Both parents are illiterate and work as labourers. They live in a Kutcha house, in in-sanitary conditions. Source of drinking water is a near by river. The child is on breast milk with very little top feeding. The child is a febrile but feels thirsty and is restless and irritable. The treatment of choice for this child would be a. Intravenous rehydration b. Oral rehydration c. Metronidazole d. Tetracycline (Key: b) 4. A female child aged 2 years is unable to see properly in the dark. She sometimes collides with household furniture in the evening and night and falls, this child belongs to a poor family. The mother is of poor nutritional status and could not adequately breast-feed the child during infancy. Familys diet is poor and they eat whatever is cheap and easily available. The most probable diagnosis is a. Vitamin K deficiency b. Vitamin E deficiency c. Vitamin A deficiency d. Vitamin D Deficiency (Key-c)

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