1)You administer vitamin A prophylactically to a 15-month-old child during a routine checkup.

What
is the level of prevention being achieved here?

A)Primary

B)Secondary

C) Tertiary

D) Primordial

2)A child having strep throat is being prescribed benzathine penicillin G. Which level of prevention of
rheumatic fever does this intervention fall under?

A)Primary prevention

B) Primordial prevention

C)Secondary prevention

D)Tertiary prevention

3)What is the most common cause of injury-related death?

A)Interpersonal violence

B)Falls

C)Road traffic accidents

D)Suicide

4) The BMI of two Indian college students are 17 and 24.99 respectively.How will you classify them in
terms of their BMI?

A)Underweight and normal

B) Underweight and overweight

C)Normal and overweight

D) Underweight and obese

5) Which of the following steps is not included in STEP approach of WHO?

A)Therapeutic assessment

B)Physical assessment

C)Psychological assessment

D)Behavioral assessment
6) Which among the following is not a primary method of prevention of carcinoma in the
population?

A)Screening

B)Restricting the use of tobacco

C)Immunization

D) Avoiding alcohol

7) Which of the following women is not at an increased risk of developing breast cancer in future?

A) A woman who attained menarche at 9 years of age

B) A woman who has never breastfed in her lifetime

c) A woman who attained menopause at 56 years of age

D) A woman who had her first full term pregnancy at 26 years of age

8) Which of the following interventions will cause the maximum decrease in systolic blood pressure
in a hypertensive patient?

A)Restricting intake of animal products

B)Taking a brisk walk for at least 30 minutes a day

C)Adopting the DASH eating plan

D)Restricting sodium intake to less than 6g per day

9) According to the WHO, what is the cut-off for visual acuity for blindness?

A)6/60

B)3/60

C)1/60

D) Perception of light

10) Which of the following organisms is least likely to be associated with malignancies?

A)Cytomegalovirus

B)Epstein-Barr Virus

C)HPV 6 and 11

D)Schistosoma
11) Kwashiorkor is caused by deficiency of?

1.Vitamin K

2.Proteins

3. Calcium

4.More than one of the above

12)Which of the following factors can increase the risk of being overweight or obese?

1. Lack of sleep

2. Birth weight

3. Dietary pattern

4. All of these

13)Which of the following is/are the main reason of malnutrition?

1. Limited access to adequate health care facilities.

2. Limited access to food and its affordability.

3. Geographical segregation and poor accessibility to markets due to lack of roads.

4. All of the above

14) Which of the following statements is correct?

1. Overnutrition leads to stunting.

2. Undernutrition leads to obesity.

3. Undernutrition leads to underweight.

4. All of the above.

15) Which of the following medicinal plant can be used to treat blood pressure?

1. Sarpagandha

2. Babool

3. Jamun

4. Tulsi
16) Which of the following is an example of non-infectious disease?

1. Pneumonia

2. High Blood Pressure

3. Influenza

4. Typhoid

17) Risk for coronary heart disease may increase with high intakes of:

1. Coconut oil

2. Coconut

3. Red palm oil

4. Animal fats

18) Lathyrism is caused by

1. Argemone seeds

2. Kesari dhal

3. Aflatoxin

4. Heavy metals

19)A patient with prader-willi syndrome needed to be evaluated for obesity but the measuring
height in your clinic is broken.Which other indices can you use?

1.Quetlets Index

2.Corpulence index

3.Lorentx formula

4.Brocas index

20)A chronic soker was found to have deranged lipid profile during his annual checkup.Which of the
following is directlyassociated with developing risk of cad?

1.HDL Levels

2.VLDL Levels

3.LDL Levels

4IDL Levels
21)A 50yr old is on HRT which is the most sensitive method for screening cancer in her?

1.self breast examination

2.clinical breast examination

3.usg of breast

4.mammography

21)45y diabetic is concerned about him developing cad.what ratio should be aimed to achieved in
this patient?

1.cholesterol/hdl>2.5

2. .cholesterol/hdl<2.5

3. .cholesterol/hdl>3.5

4. .cholesterol/hdl<3.5

22. The purpose is to limit the incidence of disease by controlling causes and risk factors
A. Primordial prevention
B. Primary prevention
C. Secondary prevention
D. Tertiary prevention

23)What is the most common cause of injury-related death?

A)Interpersonal violence

B)Falls

C)Road traffic accidents

D)Suicide

24)Which of the following is not related to CAD?

1.Stanford 3 community study

2.Framingham studies

3.catie Trials

4.MRFIT
25)Which of the following is at high risk of developing CAD?

1.Competitive and Ambitious

2 calm and relaxed

3.Who supress their emotions

4.Introvert person

26) 1. 5 students of 4th year of Wah Medical College are doing research on risk factors and their
perception among patients of coronary heart disease. They have observed that risk factor which is
most significantly associated with the incidence of CHD is:

a. Hypertension

b. High serum cholesterol

c. Alcoholism

d. Decreased physical activity

27) 20 years old gentleman presented to the emergency department with history of abdominal pain
an after words loss of consciousness. His mother told that he was having polydipsia, polyphagia for
last few days. His blood sugar was 700 mg/dL & urinary ketones were positive. The likely diagnosis is:

a. Hyperosmolar coma

b. Diabetic ketoacidosis

c. Diabetes Mellitus type 2

d. Diabetes insipidus

28) 45 years old male morbidly obese presented with history of polyuria & polydipsia. His blood
sugar is 240 mg/dL. Most likely diagnosis is:

a. Diabetes Mellitus type 1

b. Diabetes Mellitus type 2

c. Maturity onset diabetes of young

d. Diabetes insipidus (neurogenic)

b. ECG

c. Glycosylated hemoglobin

d. EEG

30) 45 years old gentleman presents with a two week history of polydipsia, polyuria. He is found to
have a random glucose of 200 mg/dL. There are no ketones in the urine. Most suitable for this man
is that he should be:

a. On regular hypoglycomics

b. Reassured & reassessed after 2 months

c. On restricted diet & reassessed after 10 days

d. Admitted to hospital

31) 49 years old black African male smoker with positive family history of hypertension presented
with history of constant headache. His blood pressure was 140/90 mg hg. The modifiable risk factor
in this particular case is:

a. Male sex

b. African race

c. Positive family history

d. Smoking

32) An 80 kg 50 years old gentleman is found to have BP of 135/80 mm of Hg. The most important
step included in primary prevention of hypertension in this patient is to:

a. Advise lipid profile

b. Reduce weight

c. Ensure patient compliance

d. Take antihypertensive treatment

a. Flouride

b. Potassium

c. Chromium

d. Manganeese

34) Use of oral contraceptives by women smokers over 35 years of age is associated with increased
risk of:

a. Cervical cancer

b. Breast carcinoma

c. Chronic bronchitis

d. Coronary heart disease

35) A forty years old woman presents with an ovarian cyst; you want to screen her for breast cancer
before suggesting any hormonal treatment. What will you advise?

a. Chest radiograph

b. Mammography

c. Biopsy of breast

d. Blood levels of progesterone

36) During a health education session about non communicable diseases in a female community;
you will inform that genetics and family history make a woman more prone to have:

a. Cataract

b. Stroke

c. Breast cancer

d. Oral cancer
37) Epidemiologist linked prevalence of carcinomas mostly related with parasitic and viral infections,
in developing countries due to bad hygienic conditions. During the research strong linkage was
proposed between carcinoma cervix and:

a. Cytomegalovirus

b. Human papilloma virus

c. Epstein bar virus

d. Helicobacter pylori

38) Dietary factors have a strong influence on the development of carcinomas. A research article was
read in Marriott Islamabad regarding this fact and gastric carcinoma was linked with:

a. High fat intake

b. Beef consumption

c. Smoked fish

d. Presence of nitrosamines

39) Japan has low incidence of prostate cancer as compared to the incidence in USA. The incidence
of carcinoma prostate decrease in Japanese when migrate to U.S. This support:

a. Nutritional effect

b. Environmental effect

c. Genetic effect

d. Metabolic effect

40) A 10 years old boy presented with complaints of fever, accompanied by profuse sweating for
the last 1 week. He also complained of multiple joint pains. Serum ASO titre was increased. The
likely diagnosis is:

a. Malaria

b. Dengue

c. Hepatitis B

d. Rheumatic fever
41) ancer registration is important for any cancer control programme. It provides a base for
assessing the magnitude of problem and for planning the necessary action. If the size for a
population based case registry is 6 million it is considered to be:

a. Inadequate

b. Very small

c. Adequate

d. Very large

42) A 35 years old man hypertensive, smoker and having positive family history of diabetes and
obesity suddenly became unconscious. CT scan was suggestive of hemorrhagic stroke. The main
risk factor of stroke in this case is:

a. Hypertension

b. Diabetes

c. Obesity

d. Smoking

43) .A 40 years old woman taking oral anti-diabetics for last 5 years, with poor control of blood sugar
presented to physician for routine checkup. The test which provides a long term index of glucose
control in this case would be:

a. Standard oral glucose test

b. Random blood sugar

c. Glycosylated haemoglobin

d. Urine sugar examination

44) Cancer is the second leading cause of death in developed countries. It is regarded as a modern
slow epidemic. The most common site of cancer in men and women in the world is:

a. Lung

b. Stomach

c. Colorectal

d. Liver
45) A 45 years old man has weight of 70 kg and height of 1.6 m. His BMI is 27.3. He is:

a. Under weight

b. Normal weight

c. Over weight

d. Obese

46) Japan has low incidence of prostate cancer as compared to the incidence in USA. The incidence
of carcinoma prostate in Japanese did not change with their migration to the U.S. It supported:

a. Nutritional effect

b. Environmental effect

c. Genetic effect

d. Metabolic effect

47) A 40 years old executive who smokes three packs of cigarettes a day comes to your office for his
routine health maintenance assessment. He states that he would like to quit smoking but he is
having great difficulty. He has tried three times before, but he says “pressure at work mounted up
and I just had to go back to smoking”. Of the following factors which is the most important factor in
determining the failure of smoking cessation.

a. 40 years age

b. Numbers of cigarettes

c. Stress at work

d. Half hearted attempts to quit

48) A 40 years old executive who smokes three packs of cigarettes a day comes to your office for his
routine health maintenance assessment. He states that he would like to quit smoking but he is
having great difficulty. He has tried three times before, but he says “pressure at work mounted up
and I just had to go back to smoking”. He just had to go back to smoking, the content of cigarette for
this relapse is:

a. Nicotine level

b. Tar content of the cigarette

d. Ketone

49) A 40 years old executive who smokes three packs of cigarettes a day comes to your office for his
routine health maintenance assessment. He states that he would like to quit smoking but he is
having great difficulty. He has tried three times before, but he says “pressure at work mounted up
and I just had to go back to smoking”. The most suitable method to increase long term smoking
abstinence is:

a. Nicotine chewingum

b. Sedation

c. Daily injection of Nicotine

d. Pan chewing

50) Cigarette smoking increases the risk of acquiring cancer of:

a. Liver

b. Bones

c. Ovaries

d. Esophagus