Repeated Medical PG Question- 102

#PSM(INI-CET)

Q- At a PHC 50 patients were transferred from another centre and required antihypertensive treatment. 40 people were given tablet amlodipine 5 mg . Among them 10 have contraindication to use of amlodipine  so they were started with lisinopril 5 mg (PO). The drugs are supplied at the PHC on monthly basis. So, how many medications will you order extra with Reorder Factor (rf) to maintain the stocks and provide health care to community?

 A. 1000, rf=3 

 B. 1200, rf=2 

 C. 1400, rf=3 

 D. 1600, rf=2

ANSWER= D. 1600, rf=2

Explain:- Amlodipine : 40 x30 = 1200 Lisinopril : 10 x 30 = 300 Total reorderd value = 1200+300 =1500 + 100(extra kept) = 1600. Reorderd factor for 1 month is 2

 

Q-  The components of Kangaroo mother care are: 

 A. Skin to skin contact, early discharge, exclusive breastfeeding 

 B. Skin to skin contact, reduce infection, exclusive breastfeeding 

 C. Prevent infection, early ambulation and prevent heat loss of baby 

 D. Prevent infection, early discharge and emotional bonding

ANSWER= A. Skin to skin contact, early discharge, exclusive breastfeeding
Explain:- The main component of kangaroo mother care are Skin to skin contact(kangaroo position),early discharge and follow up, exclusive breastfeeding.

 

Q-  How do you identify a diabetic case in a Primary health care centre in peripheral setting? 

 A. Hba1c more than 6.5 

 B. Random plasma glucose 

 C. Fasting plasma glucose 

 D. 2-hour post-glucose load 

 

Choose the correct option: 

 A , C and D  

 C and D 

 B and C 

 A, B, C and D

ANSWER= C and D
Explain:- Fasting Blood Glucose (FBG): Before taking the blood test, the person should have taken no food for at least 8 hours. They should fast overnight and must not have anything to eat until after the test. The easiest way to do this is to arrange an appointment for the patient to have the blood test first thing in the morning. 2. Random Blood Glucose: Sugar level or blood glucose measured at any time of day without regard to time since the last meal. It does not take into account what the patient has been eating or drinking. It is easier to perform but less sensitive than the other tests. However, as explained earlier, for the purpose of screening, random blood sugar over 140 mg/dl is taken as requiring further follow-up.