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4. All of the following are true about Varicella virus 12. About chickenpox all are true except: [MP 2002]
except: [AIIMS Nov 2010] (a) Lesions appear in crops
(a) 10-30% chances of occurrence (b) Centripetal distribution of rashes
(b) All stages of rash are seen at the same time (c) Rashes shows rapid progression from macule to
(c) Secondary attack rate is 90% vesicle
(d) Rash commonly seen in flexor area (d) Crusts contain live virus
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Review Questions
33. A baby was given a dose measles vaccine at 6 months
of age due to epidemic of measles/malnutrition. Correct
giving subsequent dose will be: [MH 2007]
24. To eradicate measles the percentage of infant popula- regarding (a) Give one more dose as soon as possible
tion to be vaccinated is at least ____%: [DNB 2001] (b) Give after 14-16 months with booster dose
(a) 70 [Recent Question 2012] (c) Give after 9 months age
(b) 80 (d) No dose required
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RUBELLA
(b) Most commonly associated with CVS anomalies,
cataract and hearing loss
34. Recommended vaccination strategy for rubella is to
(c) High risk if infected after 16 weeks
vaccinate first and foremost: [AIPGME 2007]
(d) IgM antibodies may be seen shortly after birth
(a) Women 15-49yrs
(b) Infants MUMPS
(c) Adolescent girls
(d) Children 1-14yrs 42. M.C. complication of mumps in children is:
35. Risk of the damage of fetus by maternal rubella is (a) Pneumonia [RJ 2004]
maximum if mother gets infected in [AIIMS Nov 2005] (b) Pancreatitis
(a) 6-12 weeks of pregnancy (c) Aseptic meningitis
(b) 20-24 weeks of pregnancy (d) Encephalitis
(c) 24-28 weeks of pregnancy 43. Incubation period of Mumps is: [Recent Question 2013]
(d) 32-36 weeks of pregnancy (a) 7 days (b) 10 days
(c) 14 days (d) 18 days
36. Risk of the damage of fetus by maternal rubella is maxi-
mum if mother gets infected in:
Communicable and Non-communicable Diseases
39. Rubella features include all except: 47. Which of the following is true about influenza:
[AP 2003] (a) Affects all ages and sexes [PGI June 06]
(a) Tender lymphnodes in the neck (b) I. P 18 – 72 hrs
(b) Congenital infection with cataract (c) Pandemics rare
(c) Incubation period < 10 days (d) Asymptomatics rare
(d) Caused by RNA virus (e) No animal reservoir
40. Under eradication of congenital rubella syndrome pro- 48. Which of the following lead to an outbreak of Influenza
gram the first priority group for rubella vaccination is: in China in 2013? [PGI May 2013]
(a) All nonpregnant women of age 15-44 years (a) H1N1 (b) H3N2
(b) All adolescent nonpregnant girls 15 to 24 of age (c) H2N2 (d) H7N9
(c) All female children at one year [RJ 2008] (e) H5N1
(d) All nonpregnant women
49. Incubation period of swine flu: [Recent Question 2013]
41. False about congenital rubella syndrome: (a) 1-3 days (b) 2-3 weeks
(a) IgG is diagnostic [AIIMS May 2011] (c) 10-15 days (d) 5 weeks
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50. Pig in H1N1 influenza acts as: [DNB December 2010] (c) Penicillin
(a) Carrier (d) DPT
(b) Amplifying host
(c) Reservoir 58. Schick test does not indicate: [Kolkata 2003]
(d) Vector (a) Immunity to diphtheria
51. Major reason for H5N1 not to become a global pandemic (b) Susceptibility to diphtheria
(c) Hypersensitivity to diphtheria
is
(d) Carrier of diphtheria
[AIIMS November 2014]
(a) Route of transmission is not respiratory
(b) Man to man transmission is rare 59. Diphtheria carrier are diagnosed by: [MP 2000]
(c) Does not cause serious disease among humans (a) Throat culture (b) Gram’s staining
(d) Restricted to few countries only (c) Albert’s staining (d) Schick test
60. A Negative Schick test indicates: [MP 2007]
DIPHTHERIA (a) Immunity to Diphtheria
(b) Susceptibility to Diphtheria
52. True about Diphtheria are all except: (c) Immunity to Pertusis
(a) Carriers are more common sources of infection than (d) Immunity to Mumps
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66. A child with pertussis should be isolated for: 74. Meningococcal vaccine available is:
(a) 1-2weeks [Kolkata 2003] [Recent Question 2013]
(b) 2-4weeks (a) ACW135Y (b) ABCW135
(c) 3-4weeks (c) CYW135B (d) ABCY
(d) 4-6weeks
Review Questions
67. About pertussis true is: [MP 2000]
(a) Secondary attack rate 90%
(b) No cross immunity with parapertussis
75. The neurological complications of DPT are due to:
(a) Pertussis component [Bihar 2003]
(c) Most infectious during paroxysmal stage
(b) Diphtheria
(d) Affects only humans
(c) Tetanus
(d) All
MENINGOCOCCAL MENINGITIS
76. Chemoprophylaxis for meningococcal meningitis:
68. True about meningococcal meningitis is: (a) Ampicillin [Kolkata 2008]
(a) Causative agent is a gram –ve diplococci (b) Tetracycline
(b) Cases are the most important source of infection (c) Rifampicin
[AIIMS May 1994] (d) Erythromycin
Communicable and Non-communicable Diseases
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81. Not evaluated in Clinical evaluation pneumonia at 88. National Tuberculosis Institute is located at:
PHC [Recent Question 2014] (a) New Delhi [AIIMS Nov 2003]
(a) Respiratory rate (b) Chingelput
(b) Inability to feed (c) Bangalore
(c) Oxygen saturation (d) Chennai
(d) Chest in drawing
89. Decrease in which of the following parameters indicate
the decrease in tuberculosis problem in India?
Review Questions (a) Incidence of infection [DPG 2004]
(b) Prevalence of infection
82. Respiratory rate can be diagnosed as fast breathing in a (c) Incidence of disease
less than 2-month-old infant, if respiratory rate/minute (d) Prevalence of disease
is more than: [Kolkata 2004]
(a) 29 (b) 39
90. The overall prevalence of tuberculosis infection in In-
dia as per 4th round of longitudinal survey was:
(c) 49 (d) 59
(a) 20% [Karnataka 2004]
(b) 30%
TUBERCULOSIS
(c) 40%
(d) Global incidence of TB disease < 1 case per million registered cases were 220. what is the incidence of TB?
population per year (a) 133 per 100, 000 [AIPGME 2010]
(b) 121 per 100, 000
84. If the objective of the investigator is to assess the in- (c) 111 per 100, 000
cidence of tuberculosis infection in a community, the (d) 100 per 100, 000
most appropriate methodology would be to:
[AIIMS Nov 2005, 2006, AIPGME 2007] 93. Which
of the following is not false about annual risk of
(a) Identify all individuals with positive tuberculin test TB? [AIPGME 2010]
(b) Perform sputum examination of chest symptomatics (a) ARI of 1% = 75 new cases
(c) Identify new converters to Tuberculin test (b) Current ARI in India is 1.7%
(d) Screen all under-five children with Tuberculin test (c) It represents new cases of TB.
(d) It is assessed by tuberculin conversion in previously
85. Point of control in tuberculosis the infection is: non-vaccinated children
(a) < 1% in 0-14 group of children
(b) > 1% is all children 0-5 yrs age group 94. McKneown’s Theory states that reduced prevalence of
(c) < 1% in 15-49 of age group [AIPGME 1991] Tuberculosis occurs due to: [AIPGME 2011]
(d) < 2% in 0-14 group (a) Enhanced knowledge and awareness
(b) Medical advancements
86. Which of the following is true about tuberculin test? (c) Behavioural modification
(a) It gives the immune status of patient [AIPGME 1997] (d) Social and environmental factors
(b) It may be negative in dissociated tuberculosis
(c) It tells about prior exposure to Mycobacterium 95. A lactating woman has sputum positive Tuber-culosis
tuberculosis only and her neonate child is 3 months old. What is the rec-
(d) It is highly positive in a post measles case ommended chemoprophylaxis? [AIIMS May 2011]
(a) INH 3mg/kg for 3 months
87. The most appropriate test to assess the prevalence of tu- (b) INH 5mg/kg for 3 months
berculosis infection in a community is:
(c) INH 3mg/kg for 6 months
[AIIMS May 92, AIPGME 04]
(d) INH 5mg/kg for 6 months
(a) Mass Miniature Radiography
(b) Sputum examination [Recent Questions 2014] 96. Antitubercular drug which causes Optic neuritis is:
(c) Tuberculin Test [NUPGET 2013]
(d) Clinical examination (a) Ethambutol (b) Rifampicin
(c) Isoniazid (d) Pyrizinamide
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97. Number of (+) for tubercle bacilli if count in AFB 107. Sputum positive TB patients on chemotherapy should
be isolated at least for
sample is > 10 per oil immersion fields? [Recent Question 2014]
[Recent Question 2013] (a) 2 weeks
(a) + (b) ++ (b) 3 weeks
(c) +++ (d) Scanty (c) 4 weeks
98. One TB infected person can infect how many people in 108. (d) 6 weeks
1 year? [Recent Question 2013] Contacts of Sputum positive tuberculosis patient who
(a) 20 (b) 30 should be given preventive chemotherapy
(c) 10 (d) 5 (a) Pregnant women [Recent Question 2014]
(b) Old people
99. Incidence of TB in a community measured by: (c) Children above 6 years
[DNB December 2011]
(d) Children below 6 years
(a) Sputum smear + [Recent Questions 2014]
(b) Tuberculin test +
(c) Sputum culture Review Questions
(d) Mantoux test +
100. The most appropriate test to assess the prevalence of tu- 109. In(a) T.B/ a ‘case’ is”:
Cough (b) Sputum positive
[DNB 2001]
Communicable and Non-communicable Diseases
(c) BACTEC +ve (b) Mantoux test can differentiate between BCG and in-
(d) Mantoux test positive fection
106. Tuberculin positive means: [DNB June 2011] (c) Can be grown on ordinary culture media
(a) Immunodeficient patient (d) Drug sensitivity is tested by schick test
(b) Resistance to tuberculin protein
(c) Patient is infected with mycobacterium
116. In tuberculosis combination of Antimicrobials is used:
(a) To delay the development of resistance [MP 2002]
(d) Patient is suffering from disease
(b) To reduce toxicity
312