This document contains a series of questions and answers related to medical topics. It begins with a question about the correct treatment for a person presenting with a single hypopigmented patch and loss of sensation, with answer choices of different treatment durations for medications A and B. Subsequent questions cover topics like HPV vaccination schedules, measles transmission between siblings, factors that impact confidence intervals, vaccines that can be given to elderly patients, neonatal HIV prophylaxis, dietary treatment of diabetes, catching up on missed childhood vaccines, and recommended routine screening tests. Each question includes explanations of the topic and identifies the correct answer with references.

1. INICET May 2022 – PSM Recall
Dr Venkatesh Karthikeyan
AIIMS Patna
t.me/drvkspm
Dr Venkatesh Karthikeyan, AIIMS Patna 1

2. Q1) A person presented to you with single hypopigmented patch
with loss of sensation. Choose the correct treatment
a) A for 6 months
b) A for 12 months
c) B for 6 months
d) B for 12 months
A
B
Dr Venkatesh Karthikeyan, AIIMS Patna 2

3. Q1) A person with single hypopigmented patch with single hypopigmented patch with loss of
sensation. Choose the correct treatment
• Diagnosis ? Skin lesion
with Sensory
loss
Leprosy
Upto 5 skin
lesions
Paucibacillary
leprosy
(BT,BB,TT)
More than 5
skin lesions
Multibacillary
leprosy
(LL,BL)
Dr Venkatesh Karthikeyan, AIIMS Patna 3

4. Q1) A person with single hypopigmented patch with single hypopigmented patch with
loss of sensation. Choose the correct treatment
Dr Venkatesh Karthikeyan, AIIMS Patna 4

5. Q1) A person with single hypopigmented patch with single hypopigmented patch with loss of
sensation. Choose the correct treatment
Dr Venkatesh Karthikeyan, AIIMS Patna 5

6. Q1) A person presented to you with single hypopigmented patch
with loss of sensation. Choose the correct treatment
a) A for 6 months
b) A for 12 months
c) B for 6 months
d) B for 12 months
Reference: IAPSM’s Textbook of Community Medicine,
Edition 2, Page 449
A
B
Dr Venkatesh Karthikeyan, AIIMS Patna 6

7. Dr Venkatesh Karthikeyan, AIIMS Patna 7

8. Q2) According to WHO SAGE, How many doses
of HPV is/are given to 9 – 14 years girl?
a) 1 dose
b) 2 dose
c) 1 or 2 dose
d) 3 dose
Dr Venkatesh Karthikeyan, AIIMS Patna 8

9. Q2) According to WHO SAGE, How many doses of HPV is/are given to 9 –
14 years girl?
WHO SAGE – Strategic Advisory Group of Experts on Immunization
Dr Venkatesh Karthikeyan, AIIMS Patna 9

10. Q2) According to WHO SAGE, How many doses of HPV is/are
given to 9 – 14 years girl?
SAGE recommends updating dose schedules for HPV as follows:
• One or two-dose schedule for the primary target of girls aged 9-14
• One or two-dose schedule for young women aged 15-20
• Two doses with a 6-month interval for women older than 21.
Dr Venkatesh Karthikeyan, AIIMS Patna 10

11. Q2) According to WHO SAGE, How many doses of HPV is/are given to 9 –
14 years girl?
Dr Venkatesh Karthikeyan, AIIMS Patna 11

12. Q2) According to WHO SAGE, How many doses
of HPV is/are given to 9 – 14 years girl?
a) 1 dose
b) 2 dose
c) 1 or 2 dose
d) 3 dose
Reference: https://www.who.int/news/item/11-04-2022-one-dose-human-
papillomavirus-(hpv)-vaccine-offers-solid-protection-against-cervical-
cancer#:~:text=%E2%80%9CSAGE%20urges%20all%20countries%20to,the%2
0course%20of%20their%20lifetimes.%E2%80%9D
Dr Venkatesh Karthikeyan, AIIMS Patna 12

13. Q3) A female had two kids – Ram and Shyam. One day Shyam complained of fever
and rash all over the body. After 3 days, Ram also complained of fever and rash,
following which she took her children to doctor where they were diagnosed as
measles. Which of the following is true?
1) Ram is index case
2) Shyam is primary case
3) Post exposure prophylaxis in Ram could have prevented disease in him
4) Ram got infected from Shyam
Options:
a) Only 1 is true
b) Only 2,3 is true
c) Only 2,3,4 is true
d) All are true
Dr Venkatesh Karthikeyan, AIIMS Patna 13

14. Q3) A female had two kids – Ram and Shyam. One day Shyam complained of fever and rash all over
the body. After 3 days, Ram also complained of fever and rash, following which she took her children to
doctor where they were diagnosed as measles. Which of the following is true?
Dr Venkatesh Karthikeyan, AIIMS Patna 14

15. Q3) A female had two kids – Ram and Shyam. One day Shyam complained of fever and rash all over the body. After
3 days, Ram also complained of fever and rash, following which she took her children to doctor where they were
diagnosed as measles. Which of the following is true?
1) Ram is index case
2) Shyam is primary case
3) Post exposure prophylaxis in Ram could have prevented disease in him
4) Ram got infected from Shyam
*The term primary case can only apply to infectious diseases that spread from
human to human, and refers to the person who first brings a disease into a group
of people—a school class, community, or country.
*The index case, however, is the patient in an outbreak who is first noticed by the
health authorities, and who makes them aware that an outbreak might be
emerging.
Dr Venkatesh Karthikeyan, AIIMS Patna 15

16. Q3) A female had two kids – Ram and Shyam. One day Shyam complained of fever and rash all over the body. After
3 days, Ram also complained of fever and rash, following which she took her children to doctor where they were
diagnosed as measles. Which of the following is true?
1) Ram is index case
2) Shyam is primary case
3) Post exposure prophylaxis in Ram could have prevented disease in
him
4) Ram got infected from Shyam
*In unimmunized/partially immunized – vaccination within 72 hours
*Passive immunization with Ig – within 6 days of exposure
Dr Venkatesh Karthikeyan, AIIMS Patna 16

17. Q3) A female had two kids – Ram and Shyam. One day Shyam complained of fever
and rash all over the body. After 3 days, Ram also complained of fever and rash,
following which she took her children to doctor where they were diagnosed as
measles. Which of the following is true?
1) Ram is index case
2) Shyam is primary case
3) Post exposure prophylaxis in Ram could have prevented disease in him
4) Ram got infected from Shyam
Options:
a) Only 1 is true
b) Only 2,3 is true
c) Only 2,3,4 is true
d) All are true
References: Reference: IAPSM’s Textbook of Community Medicine, Edition 2, Page 253
Dr Venkatesh Karthikeyan, AIIMS Patna 17

18. Bonus point
Dr Venkatesh Karthikeyan, AIIMS Patna 18

19. Q4) All increases confidence interval except
a) Increase in sample size
b) Decrease in sample size
c) Increase in variability
d) None of the above
Dr Venkatesh Karthikeyan, AIIMS Patna 19

20. Q4) All increases confidence interval except
• It is a range of values within which we are 95% confident that the true
population value lies
• 95% CI for population mean= sample mean+/- 1.96 Standard error
• SE = SD/Root of Sample size
• 95% confidence interval for the population mean indicates that there
is 95% probability that the population mean actually lies within that
particular confidence interval
• Example:
Dr Venkatesh Karthikeyan, AIIMS Patna 20

21. Q4) All increases confidence interval except
Dr Venkatesh Karthikeyan, AIIMS Patna 21

22. Q4) All increases confidence interval except
• Wider CI = less accurate or less reliable
• CI can be decreased by increasing the sample size
• Variability (also called spread or dispersion) refers to how spread out
a set of data is.
• Increased variability  SD increases  SE increases  CI increases
Dr Venkatesh Karthikeyan, AIIMS Patna 22

23. Q4) All increases confidence interval except
a) Increase in sample size
b) Decrease in sample size
c) Increase in variability
d) None of the above
Source : Essentials of Biostatistics and Research Methodology by
Indranil Saha, 3rd edition, Pg 126
Dr Venkatesh Karthikeyan, AIIMS Patna 23

24. Q5) Which of the following research method is
used to describe the collected data?
a) Theoretical statistics
b) Descriptive statistics
c) Analytical statistics
d) Inferential statistics
Dr Venkatesh Karthikeyan, AIIMS Patna 24

25. Q5) Which of the following research method is
used to describe the collected data?
Dr Venkatesh Karthikeyan, AIIMS Patna 25

26. Q5) Which of the following research method is used to describe the collected data?
Dr Venkatesh Karthikeyan, AIIMS Patna 26

27. Q5) Which of the following research method is used to describe
the collected data?
Dr Venkatesh Karthikeyan, AIIMS Patna 27

28. Q5) Which of the following research method is
used to describe the collected data?
a) Theoretical statistics
b) Descriptive statistics
c) Analytical statistics
d) Inferential statistics
Dr Venkatesh Karthikeyan, AIIMS Patna 28

29. Q6) Vaccines for which of the following vaccine
preventable diseases can be given to elderly?
1) Diphtheria
2) Mumps
3) Zoster
4) Malaria
Options:
a) 1,2,3 only
b) 2 and 3 only
c) 1 and 3 only
d) All of the above
Dr Venkatesh Karthikeyan, AIIMS Patna 29

30. Q6) Which of the following vaccine preventable diseases can be
given to elderly?
Dr Venkatesh Karthikeyan, AIIMS Patna 30

31. Q6) Which of the following vaccine
preventable diseases can be given to elderly?
1) Diphtheria
2) Mumps
3) Zoster
4) Malaria
Options:
a) 1,2,3 only
b) 2 and 3 only
c) 1 and 3 only
d) All of the above
Source:
https://ncdc.gov.in/WriteReadData/linkimages/February_Final_020862513827.pdf
Dr Venkatesh Karthikeyan, AIIMS Patna 31

32. Dr Venkatesh Karthikeyan, AIIMS Patna 32

33. Q7) A female known to be on ART gave birth to a
child by vaginal delivery. Which one is true
regarding prophylaxis to neonate?
a) In Exclusive replacement feeding, prophylaxis of Nevirapine to be
given for 6 weeks
b) In Exclusive breast feeding , there is no need of nevirapine
prophylaxis
c) In Exclusive replacement feeding, nevirapine prophylaxis should be
given after testing and subsequently repeat testing after 6 weeks
d) In Exclusive replacement feeding, no need of nevirapine prophylaxis
Dr Venkatesh Karthikeyan, AIIMS Patna 33

34. Q7) A female known to be on ART gave birth to a child by vaginal delivery.
Which one is true regarding prophylaxis to neonate?
Dr Venkatesh Karthikeyan, AIIMS Patna 34

35. Dr Venkatesh Karthikeyan, AIIMS Patna 35

36. Q7) A female known to be on ART gave birth to a child by vaginal
delivery. Which one is true regarding prophylaxis to neonate?
a) In Exclusive replacement feeding, prophylaxis of Nevirapine to be given
for 6 weeks
b) In Exclusive breast feeding , there is no need of nevirapine prophylaxis
c) In Exclusive replacement feeding, nevirapine prophylaxis should be
given after testing and subsequently repeat testing after 6 weeks
d) In Exclusive replacement feeding, no need of nevirapine prophylaxis
Source :
http://naco.gov.in/sites/default/files/National_Guidelines_for_PPTCT.pdf
Dr Venkatesh Karthikeyan, AIIMS Patna 36

37. Q8) A 50 year old male has fasting blood glucose of 160 mg/ dl.
Which one is true regarding Non pharmacological treatment ?
A) Calories from alcohol should not be more than 10% of total calories
B) Total calories from fat should be less than 30% of total calories
C) Total salt intake should be less than 5000 mg / day
D) Should include more dietary fibres
Dr Venkatesh Karthikeyan, AIIMS Patna 37

38. Q8) A 50 year old male has fasting blood glucose of 160 mg/ dl. Which
one is true regarding Non pharmacological treatment ?
Dr Venkatesh Karthikeyan, AIIMS Patna 38

39. Non pharmacological management of Diabetes
Q8) A 50 year old male has fasting blood glucose of 160 mg/ dl.
Which one is true regarding Non pharmacological treatment ?
Nutrients % of total calories
Carbohydrate 50 – 60%
Protein 15 – 20%
Fat <30% (saturated fat <10%)
Cholesterol <300 mg/day
Fiber 25-40 g/day – same as general population
Sodium <2000 mg/day
Alcohol Not >5% of total calories
Vitamins and Minerals Same as general population
Dr Venkatesh Karthikeyan, AIIMS Patna 39

40. Q8) A 50 year old male has fasting blood glucose of 160 mg/ dl.
Which one is true regarding Non pharmacological treatment ?
A) Calories from alcohol should not be more than 10% of total calories
B) Total calories from fat should be less than 30% of total calories
C) Total salt intake should be less than 5000 mg / day
D) Should include more dietary fibres
Dr Venkatesh Karthikeyan, AIIMS Patna 40

41. Q9) A one year old child has come to your OPD. He
received his last DPT vaccine at 6 weeks of age.
Which one is true?
A) Skip DPT
B) Give 2nd dose of DPT
C) Give 1st dose of DPT again and restart schedule
D) None of the above
Dr Venkatesh Karthikeyan, AIIMS Patna 41

42. Dr Venkatesh Karthikeyan, AIIMS Patna 42

43. Dr Venkatesh Karthikeyan, AIIMS Patna 43

44. Dr Venkatesh Karthikeyan, AIIMS Patna 44

45. Dr Venkatesh Karthikeyan, AIIMS Patna 45

46. Q9) A one year old child has come to your OPD. He
received his last DPT vaccine at 6 weeks of age.
Which one is true?
A) Skip DPT
B) Give 2nd dose of DPT
C) Give 1st dose of DPT again and restart schedule
D) None of the above
Dr Venkatesh Karthikeyan, AIIMS Patna 46

47. Q10) Routine screening is cost effective and
recommended in
a) VDRL
b) Bacteriuria
c) GDM
d) ECHO
Dr Venkatesh Karthikeyan, AIIMS Patna 47

48. Dr Venkatesh Karthikeyan, AIIMS Patna 48

49. Q10) Routine screening is cost effective and
recommended in
a) VDRL
b) Bacteriuria
c) GDM
d) ECHO
Dr Venkatesh Karthikeyan, AIIMS Patna 49

50. Q11) Which of the following is true regarding
genetic screening?
a) Screening requires genetic mapping
b) Screening tests define risk of passing genetic disorder
c) Screening is more accurate than diagnostic tests
d) It is usually invasive
Dr Venkatesh Karthikeyan, AIIMS Patna 50

51. Dr Venkatesh Karthikeyan, AIIMS Patna 51

52. Dr Venkatesh Karthikeyan, AIIMS Patna 52

53. Q11) Which of the following is true regarding
genetic screening?
a) Screening requires genetic mapping
b) Screening tests define risk of passing genetic disorder
c) Screening is more accurate than diagnostic tests
d) It is usually invasive
Dr Venkatesh Karthikeyan, AIIMS Patna 53

54. Q12) True regarding Human Genome project?
a) It is done with international collaboration
b) 20,000 genes were identified
c) Uses next generation sequencing
d) Takes more than 20 years to complete
Dr Venkatesh Karthikeyan, AIIMS Patna 54

55. Dr Venkatesh Karthikeyan, AIIMS Patna 55

56. Dr Venkatesh Karthikeyan, AIIMS Patna 56

57. Dr Venkatesh Karthikeyan, AIIMS Patna 57

58. Q12) True regarding Human Genome project?
a) It is done with international collaboration
b) More than 20,000 genes were identified
c) Uses next generation sequencing
d) Takes more than 20 years to complete
Dr Venkatesh Karthikeyan, AIIMS Patna 58

59. Q13) Which of the following Leprosy contacts
should be considered for post exposure
prophylaxis?
a) Age <2 years
b) Sharing clothes with the patient
c) Living in contact with patient for >6 months
d) Living in contact with the patient for >20 hours a week
Dr Venkatesh Karthikeyan, AIIMS Patna 59

60. Post Exposure Prophylaxis – Inclusion criteria
• A person who has been living/working/having social activities for
more than 3 months and have 20 hour/week with a newly detected
case of leprosy in last 1 year
• Age older than or equal to 2 years.
• Made in India vaccine – Mycobacterium Indicus Pranii vaccine (2017)
Dr Venkatesh Karthikeyan, AIIMS Patna 60

61. Dr Venkatesh Karthikeyan, AIIMS Patna 61

62. Q13) Which of the following Leprosy contacts
should be considered for post exposure
prophylaxis?
a) Age <2 years
b) Sharing clothes with the patient
c) Living in contact with patient for >6 months
d) Living in contact with the patient for >20 hours a week
Dr Venkatesh Karthikeyan, AIIMS Patna 62

63. Q14) Admission to isolation room is advised
for which airborne infection?
a) Measles
b) Nipah encephalitis
c) Aseptic meningitis
d) CJD
Dr Venkatesh Karthikeyan, AIIMS Patna 63

64. Q14) Admission to isolation room is advised
for which airborne infection?
a) Measles - Airborne
b) Nipah encephalitis – Fomite/droplet
c) Aseptic meningitis - ?
d) CJD – No person to person transmission
Dr Venkatesh Karthikeyan, AIIMS Patna 64

65. Q15) Which of the following is not routinely
screened for – before blood transfusion?
a) Malaria
b) Dengue
c) HBV
d) HIV
Dr Venkatesh Karthikeyan, AIIMS Patna 65

66. Q15) Which of the following is not routinely screened for – before blood
transfusion?
Dr Venkatesh Karthikeyan, AIIMS Patna 66

67. Q15) Which of the following is not routinely screened for –
before blood transfusion?
Dr Venkatesh Karthikeyan, AIIMS Patna 67

68. Q15) Which of the following is not routinely
screened for – before blood transfusion?
a) Malaria
b) Dengue
c) HBV
d) HIV
Dr Venkatesh Karthikeyan, AIIMS Patna 68

69. Q16) Which of the following is true regarding
typhoid control?
a) Immunization is the most important measure
b) Drug resistance in typhoid is not as big as in TB
c) Person to person transmission is present in 10% of cases
d) Safe disposal of human excreta, safe water supply and personal
hygiene is more important than immunization
Dr Venkatesh Karthikeyan, AIIMS Patna 69

70. Q16) Which of the following is true regarding
typhoid control?
a) Immunization is the most important measure
b) Drug resistance in typhoid is not as big as in TB
c) Person to person transmission is present in 10% of cases
d) Safe disposal of human excreta, safe water supply and personal
hygiene is more important than immunization
Dr Venkatesh Karthikeyan, AIIMS Patna 70

71. Q17) A patient presents to you with 3 weeks fever and abdominal
distension. Antibiotics and antimalarials were not helpful. He
turned out to be rk39 dipstick test positive. Which drug can be
used?
a) Fluconazole
b) Bedaquiline
c) Amphotericin B
d) Penicillin
Dr Venkatesh Karthikeyan, AIIMS Patna 71

72. Dr Venkatesh Karthikeyan, AIIMS Patna 72

73. Q17) A patient presents to you with 3 weeks fever and abdominal distension.
Antibiotics and antimalarials were not helpful. He turned out to be rk39 dipstick test
positive. Which drug can be used?
Dr Venkatesh Karthikeyan, AIIMS Patna 73

74. Dr Venkatesh Karthikeyan, AIIMS Patna 74

75. Q17) A patient presents to you with 3 weeks fever and abdominal
distension. Antibiotics and antimalarials were not helpful. He
turned out to be rk39 dipstick test positive. Which drug can be
used?
a) Fluconazole
b) Bedaquiline
c) Amphotericin B
d) Penicillin
Dr Venkatesh Karthikeyan, AIIMS Patna 75

76. Q18) A 25 year old male presents will fevers & chills for one
week and altered sensorium for one day. RDT Pf is positive.
Which of the following is not a complication?
a) Creatinine >3 mg/dl
b) RBS < 40 mg%
c) Unarousable coma
d) Arterial pH > 7.4
Dr Venkatesh Karthikeyan, AIIMS Patna 76

77. Dr Venkatesh Karthikeyan, AIIMS Patna 77

78. Q18) A 25 year old male presents will fevers & chills for
one week and altered sensorium for one day. RDT Pf is
positive. Which of the following is not a complication?
a) Creatinine >3 mg/dl
b) RBS < 40 mg%
c) Unarousable coma
d) Arterial pH > 7.4
Dr Venkatesh Karthikeyan, AIIMS Patna 78

79. Q19) As per NTEP, high priority TB – HIV
district is defined as?
a) >10% population of known HIV+ among TB patients tested for HIV
in district
b) >12% population of known HIV+ among TB patients tested for HIV
in district
c) >15% population of known HIV+ among TB patients tested for HIV
in district
d) >20% population of known HIV+ among TB patients tested for HIV
in district
Dr Venkatesh Karthikeyan, AIIMS Patna 79

80. Q19) As per NTEP, high priority TB – HIV
district is defined as?
a) >10% population of known HIV+ among TB patients tested for HIV
in district
b) >12% population of known HIV+ among TB patients tested for HIV
in district
c) >15% population of known HIV+ among TB patients tested for HIV
in district
d) >20% population of known HIV+ among TB patients tested for HIV
in district
Dr Venkatesh Karthikeyan, AIIMS Patna 80

81. Q20) Which of the following is false regarding
Rabies immunoglobulin?
a) IM dose is 20 IU/Kg
b) Not given after 7 days of 1st vaccine dose
c) Equine RIG can be used when Human Ig is not available
d) Maximum dose of Ig must be given at deltoid
Dr Venkatesh Karthikeyan, AIIMS Patna 81

82. Q20) Which of the following is false regarding
Rabies immunoglobulin?
a) IM dose is 20 IU/Kg
b) Not given after 7 days of 1st vaccine dose
c) Equine RIG can be used when Human Ig is not available
d) Maximum dose of Ig must be given at deltoid
Dr Venkatesh Karthikeyan, AIIMS Patna 82

83. Q21) Endogenous transmission in India is
reported for
a) Ebola virus
b) Hendra virus
c) Yellow fever
d) CCHF
Dr Venkatesh Karthikeyan, AIIMS Patna 83

84. Dr Venkatesh Karthikeyan, AIIMS Patna 84

85. Dr Venkatesh Karthikeyan, AIIMS Patna 85

86. Q21) Endogenous transmission in India is
reported for
a) Ebola virus
b) Hendra virus
c) Yellow fever
d) CCHF
Dr Venkatesh Karthikeyan, AIIMS Patna 86

87. Q22) India is a diverse country with various culture
and languages. Which of the following is correct?
a) Give due emphasis on patient’s cultural extent
b) Leave Communication to interpreter
c) Physician may consider giving emphasize on communication
d) Treat patients regardless of their perception
Dr Venkatesh Karthikeyan, AIIMS Patna 87

88. Q22) India is a diverse country with various culture
and languages. Which of the following is correct?
a) Give due emphasis on patient’s cultural extent
b) Leave Communication to interpreter
c) Physician may consider giving emphasize on communication
d) Treat patients regardless of their perception
Dr Venkatesh Karthikeyan, AIIMS Patna 88

89. Dr Venkatesh Karthikeyan, AIIMS Patna 89

90. Thank you!
t.me/drvkspm
www.drvenkateshkarthikeyan.com
Dr Venkatesh Karthikeyan, AIIMS Patna 90