Wednesday 1 August 2012

MCQS WITH DETAILED EXPLAINATION OF ANSWERS

1.Which one of the following is a good index of the severity of an acute disease?
1 Cause specific death rate.
2 Case fatality rate.
3 Standardized mortality ratio.
4 Five year survival


Answer is 2                 K PARK - PSM 17th ed/49 (repeat)

Case fatality rate represents the killing power of a disease. It is simply the ratio of deaths to cases. So It is a ratio not the true rate. Case fatality rate is closely related to virulence.
Total No. Of death d/t a particular disease                                                                     X 100 =C.F.R                           Total No. Of cases d/t the same disease



2. Distribution of blood flow is mainly regulated by the:
1 Arteries
2 Arterioles
3 Capillaries
4 Venules


Answer is 2
GANONG ,S REVIEW OF PHYSIOLOGY ED 19 Pg-579

        Blood flow in the vessels primarily due to pumping action of the heart
Other factors are diastolic recoil of walls of arteries, pumping action skeletal muscle on
veins and negative intrathoracic pressure
        Regulation of Blood flow to each tissue is depends on the diameter of the vessels
principally of arterioles. Resistance to flow mostly depends on diameter of arterioles and to a minor degree on the viscosity of the blood. Arterioles are the major site of the resistance to blood flow and small change in their caliber causes large change in the total peripheral resistance.



3. A 2-year-old female child was brought to a PHC with a history of cough and fever for 4 days with inability to drink for last 12 hours. On examination, the child was having weight of 5 kg and respiratory rate of 45/minute with fever. The child will be classified as suffering from:
1 Very severe disease.
2 Severe Pneumonia.
3 Pneumonia.
4 No Pneumonia.


Answer is 3
K PARK PSM 17th ed/137
Management of pneumonia in a child aged 2 months upto 5 years
SIGNS
Chest indrawing (if also recurrent wheezing, go directly to treat wheezing
No chest indrawing but fast breathing
(50 per minute or more if child 2 months -upto 12 months,
  40 per minute or more if child 12 months upto 5 years
No chest indrawing Nofastbreathing (Less than 50 per minute if child 2 months upto 5 years).
CLASSIFY AS
SEVERE PNEUMONIA
PNEUMONIA
NO PNEUMONIA COUGH OR COLD

2 comments:

  1. A great thanks to Doctor Ekpiku the man that work for you as a father I was having genital herpes for 6 year I never found cure I was embarrassed every time I always have pain every time am very happy for Doctor Ekpiku who God bring as helper to me, when I found his email on internet i was shock if it was true serious the man is real he will ask you to choose for your choice of your propose of the cured he inform me about the herbs cure and the spell casting and the spell casting take 45 mins to work which I applied for, once you provide what he need for the spell casting he get the necessary thing available for the cure and he go on with the cure, he inform me that the cure is done at night when will was in the night he go on with the spell casting at time I sleep off because he ask me to sleep on my bed, when I wake-up I found changing in my body I was cured I run to hospital for test I found out am negative thanks to Doctor Ekpiku you can reach him on his email now ekpikuspellhomeofgrace@gmail.com Or ekpikuspellhomeofgrace@hotmail.com.
    Thank You Dr Ekpiku and text me for further information +1 (650) 319-6239

    ReplyDelete
  2. I was diagnosed as HEPATITIS B carrier in 2013 with fibrosis of the
    liver already present. I started on antiviral medications which
    reduced the viral load initially. After a couple of years the virus
    became resistant. I started on HEPATITIS B Herbal treatment from
    ULTIMATE LIFE CLINIC (www.ultimatelifeclinic.com) in March, 2020. Their
    treatment totally reversed the virus. I did another blood test after
    the 6 months long treatment and tested negative to the virus. Amazing
    treatment! This treatment is a breakthrough for all HBV carriers.

    ReplyDelete