NEET-PG 2017 - Community Medicine Practice Questions

Q: Identify the organization depicted in the image given below:

World Bank. ***World Bank*** - The image displays the **official logo of the World Bank**, which is a stylized globe with latitude and longitude lines on a blue background. - This logo is widely recognized as representing the **World Bank Group**, an international financial institution providing financial and technical assistance to developing countries. *WHO* - The **WHO (World Health Organization)** logo features the **Rod of Asclepius** (a snake coiling around a staff) superimposed on a map of the world. - The provided image does **not contain the Rod of Asclepius**, which is a distinct symbol of the WHO. *UNDP* - The **UNDP (United Nations Development Programme)** logo typically features the **UN emblem** (a map of the world projected from the North Pole, encircled by olive branches) in green. - The image shown does **not resemble the UN emblem** or its characteristic green color scheme for the UNDP. *UNAIDS* - The **UNAIDS (Joint United Nations Programme on HIV/AIDS)** logo incorporates the **UN emblem** along with the organization's name, often with a red ribbon or text emphasizing its focus on HIV/AIDS. - The image provided does **not include the UN emblem or any elements related to HIV/AIDS awareness**, which are central to the UNAIDS branding.

Q: Identify the organization depicted in the image given below:

United Nations. ***United Nations*** - The image displays a series of orange circles alongside the **United Nations logo**. This arrangement, often used in campaigns, represents different aspects or units under the UN's umbrella. - The **UN emblem** (globe surrounded by olive branches) is a clear identifier for the organization.

Q: Which is not correct regarding the contraceptive method being used?

Has lower failure rate than male condom. ***Has lower failure rate than male condom*** - The **female condom** (as depicted in the image) generally has a **higher typical use failure rate** than the male condom based on most effectiveness studies. - While male condoms have an 18% typical use failure rate, female condoms have a typical use failure rate of about 21%. *Inner ring can irritate penis* - The flexible, **inner ring** of the female condom, which helps secure it in place against the cervix, can potentially cause **irritation to the penis** during intercourse due to friction. - This is a known concern for some users and their partners. *Made of polyurethane* - Female condoms are traditionally made of **polyurethane**, which is a synthetic rubber suitable for individuals with **latex allergies**, allowing for use with oil-based lubricants. - Newer versions may also be made of **nitrile** or other synthetic materials. *Pregnancy can occur if penis enters between the device and vagina* - If the **penis slips between the outer ring** of the female condom and the vaginal wall, sperm can be deposited directly into the vagina, leading to potential **pregnancy**. - Proper insertion and positioning are crucial to prevent this type of user error.

Q: Which is correct about the Vaccine Vial monitor shown in the image? (Recent NEET Pattern 2016-17)

Vaccine cannot be used, irrespective of expiry date. ***Vaccine cannot be used, irrespective of expiry date*** - The image shows a **darker inner square** compared to the outer circle, indicating that the vaccine has been exposed to detrimental heat. - A VVM turning dark signifies that the vaccine has lost its **potency** and should not be administered, regardless of the expiry date. *Vaccine can be used, if expiry date not passed* - This statement is incorrect because the VVM clearly indicates **heat exposure** has compromised vaccine quality, making it unsuitable for use. - The VVM overrides the expiry date when it shows significant heat damage, as vaccine potency is reduced even if not expired. *Vaccine can be used, after expiry date* - This is incorrect as a vaccine should never be used **after its expiry date**, irrespective of the VVM status, as sterility and potency cannot be guaranteed. - Using expired vaccines poses a **health risk** and may not provide adequate protection. *Vaccine is at discard point, consult supervisor* - While it is at the discard point, consulting a supervisor is not the primary instruction; the vaccine is simply **unsuitable for use**. - The VVM is designed to be a **clear indicator** for immediate action, not necessarily requiring further consultation for the general health worker.

Q: The following instrument is used for the measurement of: (Recent NEET Pattern 2016-17)

Skin fold thickness. ***Skin fold thickness*** - The instrument shown is a **skin fold caliper**, specifically designed to measure the thickness of subcutaneous fat at various body sites. - This measurement is used to estimate **body fat percentage** and assess nutritional status. *Head circumference* - Head circumference is measured using a **flexible measuring tape**, not a caliper, to assess head growth and detect conditions like microcephaly or hydrocephalus. - This instrument's design is unsuitable for measuring a large, curved circumference. *Chest circumference* - Chest circumference is also measured with a **flexible measuring tape** around the chest, typically at the nipple line, to assess growth and respiratory function. - The caliper's limited span makes it impractical for measuring the chest. *Mid arm circumference* - Mid-arm circumference is measured using a **flexible measuring tape** around the mid-upper arm to assess nutritional status, especially in children. - While a caliper could measure arm *thickness*, it doesn't provide the circumference directly, which is the standard measurement.

Q: The image shows a special ward in a district hospital. What is it called and what should be the minimum number of beds?

Special newborn care unit, 12 beds. ***Special newborn care unit, 12 beds*** - This setup, with multiple incubators and specialized equipment, is characteristic of a **Special Newborn Care Unit (SNCU)**. - An SNCU in a district hospital is designed for critically ill and low birth weight newborns and should have a minimum of **12 beds** to accommodate patient load and provide comprehensive care. *Newborn care corner, 12 beds* - A **Newborn Care Corner** is a much simpler facility, usually found in a delivery room or operating theatre, providing basic care immediately after birth. - It does not involve multiple incubators or the intensive care observed in the image, and the bed count is irrelevant for a care corner. *Newborn stabilization units, 4 beds* - **Newborn Stabilization Units (NBSU)** are meant for stabilizing sick newborns before referral to a higher facility. - They typically have fewer beds (often 4-6) and less advanced equipment than an SNCU, making this option inconsistent with the image's complexity. *Essential newborn care unit, 4 beds* - **Essential Newborn Care (ENC)** primarily focuses on routine care for healthy newborns, such as breastfeeding support, thermal protection, and hygiene. - It does not involve intensive care equipment like incubators and ventilators seen in the picture, and the bed count is too low for the shown facility.

Q: Which of the following food adulterant leads to this clinical finding? (Recent NEET Pattern 2016-17)

Argemone mexicana. ***Argemone mexicana*** - The image on the left shows the seeds of *Argemone mexicana*, which are known to be adulterants in mustard oil. - Consumption of mustard oil adulterated with *Argemone mexicana* seeds (or their oil) causes **epidemic dropsy**, characterized by **edema** (swelling), particularly in the lower extremities, as depicted in the right image of swollen feet. *Lathyrus sativus* - Consumption of *Lathyrus sativus* (Khesari dal) causes **lathyrism**, which primarily affects the **nervous system**, leading to **paralysis** of the lower limbs, rather than edema. - The clinical findings of lathyrism do not typically include the widespread edema shown in the image. *Aflatoxin* - **Aflatoxins** are mycotoxins produced by fungi, commonly found in contaminated crops like peanuts, corn, and spices. - Aflatoxin poisoning primarily causes **hepatotoxicity** (liver damage), including cirrhosis and liver cancer, and does not commonly present with widespread edema as seen in the clinical image. *Pyrrolizidine alkaloids* - **Pyrrolizidine alkaloids** are found in various plant species and can contaminate food products. - These alkaloids are primarily known for causing **veno-occlusive disease of the liver**, leading to liver damage and portal hypertension, but not the general anasarca pictured.

Question 1

Identify the organization depicted in the image given below:

Accepted Answer

World Bank

Answer

WHO

Answer

UNDP

Answer

UNAIDS

Question 2

Identify the organization depicted in the image given below:

Accepted Answer

United Nations

Answer

World Health Organization

Answer

World Bank

Answer

UNICEF

Question 3

Which is not correct regarding the contraceptive method being used?

Accepted Answer

Has lower failure rate than male condom

Answer

Inner ring can irritate penis

Answer

Made of polyurethane

Answer

Pregnancy can occur if penis enters between the device and vagina

Question 4

Which is correct about the Vaccine Vial monitor shown in the image? (Recent NEET Pattern 2016-17)

Accepted Answer

Vaccine cannot be used, irrespective of expiry date

Answer

Vaccine can be used, if expiry date not passed

Answer

Vaccine can be used, after expiry date

Answer

Vaccine is at discard point, consult supervisor

Question 5

The following instrument is used for the measurement of: (Recent NEET Pattern 2016-17)

Accepted Answer

Skin fold thickness

Answer

Head circumference

Answer

Chest circumference

Answer

Mid arm circumference

Question 6

The image shows a special ward in a district hospital. What is it called and what should be the minimum number of beds?

Accepted Answer

Special newborn care unit, 12 beds

Answer

Newborn care corner, 12 beds

Answer

Newborn stabilization units, 4 beds

Answer

Essential newborn care unit, 4 beds

Question 7

Which of the following food adulterant leads to this clinical finding? (Recent NEET Pattern 2016-17)

Accepted Answer

Argemone mexicana

Answer

Lathyrus sativus

Answer

Aflatoxin

Answer

Pyrrolizidine alkaloids

NEET-PG 2017 — Community Medicine