Errata PSM

ERRATA
Q-3 : (b) 14 days
Q- 59 : (a) Diphtheria


Q-3 Registration of Birth is mandatory, and is to be done within:
a. 21 days
b. 14 days
c. 7 days
d. 28 days
Ans 3: (b) 14 days
Ref– Read the text below
Sol:
Registration of Birth is mandatory, and is to be done within 14 days, if done after 14 days but within 30 days, it is done with late fee of Rs. 5 and affidavit from concerned officer. After 1 month with late fee of Rs. 10 and an affidavit from first class magistrate.
• For children born abroad, registration can be done without any fee within 60 days of return to India
• Child’s name at the time of registration is not required, but has to be submitted within one year , or with late fee with in 15 years
• Non registration of the birth is punishable under the act.


Q-59 Notifiable diseases under WHO surveillance are all of the following except:
a. Diphtheria
b. Relapsing fever
c. Polio
d. Malaria
Ans 59 : (a) Diphtheria
Ref– Read the text below
Sol:
Notifiable diseases under WHO surveillance:
• Paralytic polio
• Relapsing fever
• Influenza
• Malaria
• Epidemic (louse-borne) typhus


NO CHANGE Q-18 The percentage of persons diagnosed as having a specified disease who die as a result of that illness within a given period is
a. Case-fatality rate
b. fatality percent-age
c. Secondary attack rate
d. Both a and b
Ans 18: (d) Both a and b
READ THE EXPLANATION CAREFULLY OPTION A AND B ARE SYNONYMS
Sol:
• Case-fatality rate—Usually expressed as the percentage of persons diagnosed as having a specified disease who die as a result of that illness within a given period.
• This term is most frequently applied to a specific outbreak of acute disease in which all patients have been followed for an adequate period of time to include all attributable deaths.
• The case-fatality rate must be clearly differentiated from the mortality rate (q.v.). (Synonyms: fatality rate, fatality percent-age, case-fatality ratio)





NO CHANGE Q-38 With reference to meningococcal meningitis, which one of the following statement is not correct.
a. Fatality in untreated cases is 90 percent
b. Disease spreads mainly by droplet infection epidemiological pattern of disease
c. Mass chemoprophylaxis causes immediate drop in the incidence rate of cases.
d. Geographic distribution and epidemic capabilities differ according to the serogroup.
Ans 38: (a) Fatality in untreated cases is 90 percent
Ref– Fatality in untreated cases is 50 percent
Sol:
• Meningococcal meningitis is a bacterial form of meningitis, a serious infection of the meninges that affects the brain membrane. It can cause severe brain damage and is fatal in 50% of cases if untreated.
• Several different bacteria can cause meningitis. Neisseria meningitidis is the one with the potential to cause large epidemics.
• Disease spreads mainly by droplet infection epidemiological pattern of disease
• Twelve serogroups of N. meningitidis have been identified, five of which (A, B, C, W135, and X) can cause epidemics.
• Geographic distribution and epidemic capabilities differ according to the serogroup.



NO CHANGE Q-105 A 32-year-old farmer presents with a crushing injury of the index finger and thumb that occurred while he was working with machinery in his barn. Records show that he received three doses of Td in the past,and that his last dose was given when he was 25 years old. In addition to proper wound cleaning and management, which of the following is the most appropriate prevention intervention?
a. Administration of tetanus toxoid
b. Administration of tetanus immunoglobulin only
c. Administration of tetanus toxoid and immunoglobulin
d. Administration of tetanus and diphtheria toxoid
Ans 105: (d) Administration of tetanus and diphtheria toxoid
Ref– Read the text below
Sol:
• If a person has received three doses or more of the Td, and the last dose was given more than five years before an injury, a tetanus and diphtheria booster should be given if the wound is contaminated, such as the one described.
• It is preferable to administer the combined diphtheria and tetanus booster (Td). You are then also using the opportunity to provide primary prevention for diphtheria.
• If the last dose of Td was given in the preceding five years, then no further action would be necessary. Td and tetanus immunoglobulin (TIG) are recommended for prophylaxis of contaminated wounds when the history of tetanus toxoid is unknown or the person received less than three doses.
• TIG is never recommended as sole prophylaxis as prolonged immunity is desired.

NO CHANGE Q-195 Fish is a poor source of?
a. Fe
b. Iodine
c. Phosphorus
d. Vitamin A
Ans 195 : (c) Phosphorus
Ref– Read the text below
Sol:
• A tricky question. In fact, fish is a rich source of all the above mentioned nutrients. However it is exceptionally good source of Iodine and Vitamin A.
• Of the remaining two choices, Phosphorus seems to be the better answer as it is in same quantities in fish as other meat products.
Fish – Protein rich – (15-25%)
Rich in
• Unsaturated fatty acids
• Vit A – also remember fish oil – richest natural source of Vit A (retinol)
• Vit D

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