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Mukhmohit’s 3&$&/5501*$%*4$644*0/– JAN 2020 For updates: telegram Group t.me/mukhmohit01 or www.mukhmohit.com Revised MCQs/Explanations: Q 4, 9, 18, 28 Recent All India / NEET pattern 2020 topics and question discussion. Please note This document is not for sale or commercial benefits. The document contains information based on collections from various platforms and does not adhere or represent any organisation for testing or examination purpose. Based on versatility of medical content and ever changing guidelines, protocols, the discussions are solely from author desk as per current knowledge and may differ from other sources. Resource used: nd CRPSM – Mukhmohit Singh, 2 Edition. Conceptual review of PSM, CBS Publishers K Park, 25th Edition. Bhanot Publishers. Online resources and guidelines ================================ Q1. Maximum work hours for person including overtime under the factories act: a. 48 b. 50 c. 60 d. 100 Ans: C. 60 hours. factories act permits work for 48 hours per week with 2 hours overtime every day. making it approximately 60 hours of maximum work as per the factories act of India nd Reference: Page 348, 2 edn. CRPSM Q2. liquid chemical waste is discarded in: a. yellow category b. red category www.mukhmohit.com | YouTube: mukhmohit community medicine simplified 1 Mukhmohit’s 3&$&/5501*$%*4$644*0/– JAN 2020 For updates: telegram Group t.me/mukhmohit01 or www.mukhmohit.com c. blue category d. black category Ans. A. yellow category. nd Reference: Page 858, 2 edn. CRPSM note: chemical waste is categorized into the yellow category. the hazardous chemical and cytotoxic waste is yellow category with special sign of “CYTOTOXIC” waste. other liquid waste as body secretions is categorized into the yellow category of biomedical waste guidelines, 2016 Q3. blood bags are discarded in: a. yellow category b. red category c. blue category d. Blue category Ans: A. Yellow category nd Reference: Page 858, 2 edn. CRPSM remember: needles, scalpel, syringe with fixed needle, LP needle, suture needle, sharps: white category broken glass, empty vial, metallic body implants – blue foley’s, uro-bag, RT, iv bottle, gloves, syringe without needle, vacutainer – red category anatomical, animal, placenta, fetus, soiled waste, discarded linen, beddings – yellow microbiological, blood bags, lab waste, expired medicines – yellow cytotoxic drugs – yellow category (special mention – CYTOTOXIC waste) infectious liquid waste, body secretions, liquid chemical waste from lab, disinfectants, X-ray film liquid – YELLOW www.mukhmohit.com | YouTube: mukhmohit community medicine simplified 2 Mukhmohit’s 3&$&/5501*$%*4$644*0/– JAN 2020 For updates: telegram Group t.me/mukhmohit01 or www.mukhmohit.com edited: Q4. vaccine to be given after disaster a. Mass vaccination against typhoid b. Mass vaccination against cholera c. vaccination against Tetanus, typhoid and cholera to health workers d. Mass vaccination against tetanus Ans. vaccination against tetanus, typhoid and cholera to health workers. source: 1. https://www.who.int/immunization/sage/meetings/2012/april/2_SAGE_W GVHE_SG1__Lit_Review_CaseStudies.pdf 2. https://www.cdc.gov/disasters/immunizations.html 3. https://www.cdc.gov/disasters/disease/responderimmun.html Remarks: We will mark the option with vaccine for health workers, as only such is indicated. there is NO recommendation for any vaccine for general population or mass vaccination until there’s a specific disease outbreak. Only the ongoing National immunization schedule should be ensured to cover universal immunization with specific focus on Measles and OPV vaccines. Explanation: The major concern for anyone exposed to unsanitary conditions is that they be up to date with tetanus-containing vaccine, because if they are injured (as is common in disaster settings) the injury is likely to be contaminated. Routinely recommended vaccines are recommended for evacuees, just like they are for everyone else. cholera and typhoid vaccine do not have any evidence for mass vaccination due to low level of exposure and prevention Tetanus and HepB vaccine is required for health care providers and first responders. Any other vaccine is also given to high risk individuals depending on the type, magnitude and impact of the disaster. Q5. what is MONICA project: a. Multinational MONItoring of trends and determinants in CArdiovascular disease www.mukhmohit.com | YouTube: mukhmohit community medicine simplified 3 Mukhmohit’s 3&$&/5501*$%*4$644*0/– JAN 2020 For updates: telegram Group t.me/mukhmohit01 or www.mukhmohit.com Q6. extended sickness benefit for tuberculosis under ESI Act is: a. 91 days b. 1 year c. 2 years d. 4 years Ans. C. 2 years Reference: Page 349, CRPSM remember: sickness benefit – 91 days extended sickness benefit – 2 years Q7. A person reports 4 hours after a having a clean wound without laceration. He had taken TT 10 years before. the next step in management is: a. Full course Tetanus vaccine to be given b. Full dose TT with TIG c. Single dose TT d. No need of any vaccine Ans. C. single dose TT nd Reference: Page 562, CRPSM 2 edition Q8. Vector for Zika virus is: a. Anopheles stephensi b. Aedes aegypti c. Culex pipens d. Phelebotomus papatasi Ans. B. Aedes Aegypti Reference: Page 589, CRPSM www.mukhmohit.com | YouTube: mukhmohit community medicine simplified 4
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