1.

When a vertical line drawn from the edge of the desk touches the margin of the seat then it is:
● Minus desk
● Plus desk
● Zero desk*
● Writing desks
● None of the above
2. Plus desk seating arrangement is not recommended because these desks cause;
● Knee knocking
● ENT problems
● Mental disorders
● Scoliosis*
● Osteoporosis
3. First observer of deviated behavior of a student is;
● Medical officer
● Vaccinator
● School Health Attendant
● School Health Nurse
● School teacher*
4. In a school, one Privy should be for;
● 50 students
● 75 students
● 100 students*
● 125 students
● 150 students
5. In a school one Urinal is for;
● 25 students
● 60 students*
● 75 students
● 100 students
● 125 students
6. Land required for Higher elementary school is
● 3 acres
● 4 acres
● 5 acres
● 10 acres*
● 15 acres
7. Land required for Primary school is;
● acres
● 2 acres
● 3 асres
● 4 acres
● 5 аcres*
8. With additional one acre of land per additional;
● 25 students
 ● 50 students
● 75 students
● 100 students*
● 125 students
9. In a classrooms minimum floor space should be;
● 50 square feet
● 100 square feet
● 125 square feet
● 150 square feet*
● 175 square feet
10. The level of roof of a classroom should be at least;
● 10 Feet
● 12 Feet*
● 14 Feet
● 16 Feet
● 18 Feet
11. ln one classroom there should not be more than;
● 40 Students*
● 50 Students
● 60 Students
● 70 Students
● 100 Students
12. The following are important school health problems except;
● Accidents
● Scabies
● Parasitic infestation
● Dental Caries
● Diabetes mellitus*
13. The one most important function of school health services out of following is,
● Assurance of proper sitting facilities
● Immunization of the students
● Health education of the parents of students
● Medical inspection of the students*
● Nutritional supplementation of the students
14. During a health education class, the School Health Nurse stresses the importance of hand
washing practices among children. Which of the following health problem can be prevented
by adequate hand washing?
● HBV infection
● Diarhoea*
● Malaria
● Plague
● Yellow fever
15. World No Tobacco Day is celebrated each year on:
● 7th March
 ● 31st May*
● 10th July
● 11th September
● 01st December
16. A woman, of 40 years age, wants to have an advice on use of spacing contraceptives. She has
a family history of cardiac problems and also two past C-sections. The best choice for be
would be:
● Progesterone only pill*
● Combined pill
● IUCD
● Once a month pill
● Combined injectable contraceptive
17. A 30-year-old woman, having two boys, came from a remote village to an MCH Centre for
advice on contraception. Her per vaginum examination showed inflamed cervix; she admitted
her inability to visit the facility on regular basis. Which method of contraception would be the
best for her?
● OCPS
● IUCD
● Tubal ligation
● Condoms
● Implant*
18. One Main function of Contraceptive is;
● To bring out wanted pregnancies
● To avoid unwanted pregnancies*
● To space the pregnancies
● To improve fertility woman
● To produce permanent infertility
19. Condoms possess one extra advantage which any other contraceptive method does not have.
This is;
● Very cheap by cost
● Easy to use
● Use does not require supervision
● Has no metabolic effects
● Protects against STDS*
20. 100% protection is provided by one of the following spacing contraceptive methods;
● IUC devices
● Condoms
● Cervical caps
● Hormonal pills*
● Spermicidal creams
21. All are adverse effects of COC Pills except
● Myocardial Infarction
● Cerebral Thrombosis
● Permanent infertility*
 ● Venous Thrombosis
● Hypertension
22. In human body, HIV acts by;
● Disturbing hormonal balance
● Breaking down immune system*
● Paralyzing Sensory nerves
● Causing thrombosis
● Decreasing platelets
23. HIV infection is a problem with many serious issues for mankind. The greatest threat of this
infection is;
● Still no vaccine has been discovered
● Still no treatment is available
● Once infected, remains infected for life
● Opportunistic infections are common*
● No herd immunity for this infection
24. Incubation Period of HIV infection is;
● Six weeks
● Six months
● One year
● Ten years
● Uncertain*
25. There are many established modes of transmission of HIV infection. In Pakistan the most
prevalent mode of transmission is;
● IV drug abusers*
● Sexual contacts
● Blood transfusion
● Organ transplant
● Trans vertical
26. HIV Infection occurs mostly between 20-44 years age group. Highest incidence in which age
group occurs?
● 15-19 years age group
● 20-24 years age group*
● 25-29 years age group
● 30-35 years age group
● 35 years plus age group
27. Geriatrics is considered to be very important issue in Preventive Medicine because of global
increase in number of senior citizens. It is;
● A Science Dealing with the problem and diseases of old age
● A Knowledge of Combination of physical and psychological changes of old age*
● A process of progressive and generalized impairment of function of old people
● A social work of helping old people to fulfill their requirements
● A demographic study of causes of increasing old population
28. Substance abuse is a medical as well as a social problem. Drug abuser, during the period of his
drug intake, passes through different stages to reach final stage of Physical Dependence. One
of these phases is Psychological Dependence. Following are the characteristics of it except;
● psychological desire
● Little or no tendency to increase the dose
● Diminishing effects of same dose
● No withdrawal syndrome
● Effects the individual only*
29. A drug abused in which there is no physical dependence, no tolerance and no withdrawal
symptoms is;
● Amphetamines
● Barbiturates
● Caffeine*
● Cocaine
● Cannabis
30. Mode of action of Oral Contraceptive Pills is:
● By blocking the secretion of growth hormone
● By increasing the viscosity of vaginal flora
● By killing the sperms
● By blocking the pituitary secretion of gonadotropin*
● By blocking the secretion of renal gland
31. All are non-contraceptive benefits of oral contraceptives pills except it gives protection
against;
● Benign breast disorders
● Carcinoma Cervix
● Iron deficiency anemia
● Ovarian cyst
● Un diagnosed uterine bleeding*
32. Failure rate of IUCD per 1000 insertion is
● <1*
● >1
● 3 to 5
● 5 to 8
● 10
33. Parasite that causes the most severe form of malaria is;
● Combined P. Ovale
● P.ovale only
● P. malaria only
● P.vivax only
● P.faciparum only*
34. Mosquito that have high preferences for animal blood are called;
● Anthrophilic specie
● Endophagus Species
● Exophagus Species
 ● Endophilic spesies
● Zoophilic Species*
35. Mosquito that have high preference for human blood are;
● Anthrophilic species*
● Endophagus species
● Exophagus species
● Exophilic species
● Zoophilic species
36. Malaria eradication program was started in Pakistan in;
● 1955*
● 1960
● 1965
● 1970
● 1976
37. The area is called hyper endemic for malaria if spleen rate is
● 0%
● <10% ( HYPO)
● 11-50%( MESO)
● 51-75%*( HYPER)
● >75%( HOLO)
38. All are principles of Primary Health Care except.
● Appropriate technology
● Community participation
● Equality*
● Equity
● Multisectoral approach
39. Number of MDGs directly relate to health are
● 3*
● 4
● 5
● 6
● 7
40. Number of BHUS attached with one RHC are;
● 1 to 5
● 1 to 10
● 2 to 10
● 5 to 10*
● 5 to 15
41. FLCF stands for;
● First level critical facility
● First level contact facility
● First level care facility*
● Final level critical facility
42. Total number of SDGS are;
 ● 7
● 9
● 17*
● 15
● 13
43. All were the drawbacks in the old Health Information System except;
● Lack of motivated staff
● Lack of printed supplies*
● Manual data processing
● Multiple overlapping reports
● Unfocused disease indicators
44. All are topological disasters except;
● Avalanches
● Cyclones*
● Floods
● Landslides
● Storms*
45. After a disaster, TRIAGE is an approach for;
● Immunization of affected people
● Provision of food and shelter to the people
● Rehabilitation of the affected people
● Removal of dead bodies from the area
● Prioritization of helping affected people*
46. If we compare losses both in floods and earthquakes, then in an earthquake there are;
● Equal deaths and injuries
● Less damage to civic facilities
● Less structural loss
● More deaths than injuries
● More injuries than deaths*
47. Any loss or abnormality of physiological or psychological nature, which results in dysfunction
of any organ, is called;
● Death
● Disability
● Handicap
● Impairment*
● Injury
48. Any restriction or lack of ability to perform an activity within the range considered normal for
an individual is called;
● Death
● Disability*
● Handicap
● Impairment
● Injury
49. Disadvantage as a result of impairment or disability is called;
 ● Death
● Disability
● Handicap*
● Impairment
● Injury
50. Tobacco use is associated with all the following cancers except;
● Bladder
● Lungs
● Nasal septum*
● Oral cavity
● Pharynx
51. All are leading Personal Health problems of school students except;
● Communicable diseases
● Dental caries
● Malnutrition
● Parasitic infections
● Unsafe drinking water*
52. Median value is the;
● 25th percentile
● 50th percentile*
● 75th percentile
● 80th percentile
● 90th percentile
53. There are 4 children in a family. This is an example of;
● Continuous data
● Cooked data
● Discrete data*
● Nominal data
● Ordinal data
54. Most powerful and popular way of presenting ordinal / ranked data is
● Cumulative frequency table
● Multiple bar charts
● Pie chart*
● Relative frequency table
● Simple table
55. Total area covered in a normal/ standard distribution curve is taken as;
● 1*
● 2
● 5
● 10
● 5
56. A 25 years old lady was fitted with an IUCD. The most likely side effect she is going to have will
be;
● Ectopic pregnancy.
 ● Increase vaginal bleeding*
● Low backache.
● Pelvic infection.
● Spontaneous expulsion
57. A couple has completed its family. The most simple and effective family planning method will
be;
● Abstinence,
● IUCD,
● Condoms*
● Oral contraceptive pills.
● Vasectomy
58. All are non-contraceptive benefits of oral contraceptive pills except it gives protection against;
● Benign breast disorders
● Carcinoma of cervix
● Iron deficiency anaemia
● Ovarian cyst.
● Undiagnosed uterine bleeding*
59. All are indications for oral contraceptive pills except;
● Cancer of genitals.
● Carcinoma breast,
● Liver disease.
● Renal impairment*
● Undiagnosed uterine bleeding
60. A 55 years old industrial worker came to OPD with complaints of deafness. He has been
working 10 hours a day with exposure to noise of 90db and 2000 Hz. What is the most likely
cause of his deafness?
● Age of worker
● Mental stress
● Duration of work
● Dust particles
● Loudness of sound*
61. An industrial worker presented with blue line on gums and on blood CP test, stippling of RBC.
The most likely industry he has worked in is;
● Lead pipes*
● Poultry
● Cotton
● Agriculture
● Sugar cane
62. Following does not represent the submerged portion of iceberg;
● Diagnosed cases*
● Latent cases
● Pre symptomatic carriers
● Incubatory carriers
● Subclinical cases
63. Paris green is used as;
● Repellant
● Anti-Adult measure
● Anti- Larval measure*
● Residual spray
● Space spray
64. Host in which agent passes asexual cycle is called;
● Definitive host
● Obligate host
● Intermediate host*
● Transport host
● None of above
65. All of the following diseases are spread by housefly except;
● Cholera
● Diarrhoea
● Kala azar*
● Polio
● Typhoid fever
66. Following arthropod is mechanical carrier of disease agents;
● Mosquito
● Housefly*
● Louse
● Sand fly
● Rat flea
67. Considering the type of Host in different diseases, which of the following statement is correct?
● Man is the definitive host in malaria
● Mosquito is the definitive host in filariasis
● Man is the intermediate host in filariasis
● Mosquito is the intermediate host in malaria
● Mosquito is the definitive host in malaria*
68. Causative agent of malaria is;
● Culex mosquito
● Anopheline mosquito
● Aedes mosquito
● Plasmodium*
● None of the above
69. In a shanty town of Karachi where intermittent water supply system is existing, a woman
noticed lots of mosquitoes which were black and spotted around the water tank. Keeping in
mind this situation which disease is likely to be seen in this family?
● Dengue*
● Yellow fever
● Malaria
● Filariasis
● Encephalitis
70. Artificial collections of water are a breeding medium for;
● Aedes*
● Mansoni
● Anopheles
● Culex
● A and C
71. Malaria is a disease transmitted to man by vector transmission. Vector of Malaria is;
● Male Aedes aegypti mosquito
● Female Aedes aegypti mosquito
● Female Anopheline mosquito*
● Male Anopheline mosquito
● Housefly
72. The malarial parasite with widest distribution throughout the world is:
● P.vivax*
● P.falciparum
● P.malariae
● P.ovale
● Anopheles
73. Professor of public health was delivering lecture on Arthropod Borne Diseases and their
control. On query of a student, he said that the best approach for the control of arthropod
borne diseases is;
● Chemical control
● Genetic control
● Biological control
● Insect growth regulation
● Source reduction*
74. A medical officer working at BHU in the periphery of Baluchistan noticed that most of the
people presented with painful cutaneous ulcers on the exposed parts of the body. Almost all
of them gave history that it started as agranular nodule after some insect bit. The medical
officer Almost all realized that they had been bitten by:
● Aedes Aegypti
● Phelbotomus*
● Xenopsyella cheopsis
● Ormithotorous Moubata
● Glossinae palpalis
75. A man reports with fever and rigors; chills and lethargy: His blood CP is positive for crescent
like structures in RBCS related to a parasite involved in this disease. Which arthropod comes
to your mind as a transmitter of this disease?
● Mosquito*
● Louse
● Tick
● Mite
● Flea
76. For the purpose of Health Planning the term "resources" implies various resources needed for
the performance of any action / program. It includes all of the following except;
● Manpower
● Money
● Goals and Objectives*
● Infrastructure
● Time
77. Which one is not a combined vaccine?
● MMR Vaccine
● TT Vaccine*
● DT Vaccine
● DPT Vaccine
● Penta Vaccine
78. Solid excreta which settle down in the tanks is called:
● Sullage
● Sludge*
● Sewage
● Sewer
● Garbage
79. Waste water containing solid and liquid excreta is:
● Refuse
● Garbage
● Sullage
● Sewage*
● Sludge
80. In the component of Triage black colour stands for
● Ambulatory patients
● Search and rescue of victims
● Highest priority treatment
● Medium Priority
● Dead (Least priority)*
81. In Disaster Management the component of tagging does not include;
● Name
● Age
● Place of birth
● Ambulatory Care*
● Triage Category
82. Majority of the mortality by road traffic accidents in car drivers can be prevented by wearing:
● Seat belts*
● Safety helmets
● Leather clothing
● Goggles
● Gloves
83. Toxic Hospital refuse is best disposed off by;
 ● Composting
● Dumping
● Incineration*
● Burial
● Sanitary Landfill
84. Domestic accidents include all except;
● Burns
● Poisoning
● Entrapment in manhole
● Kitchen accidents
● Road traffic accidents*
85. Almost all the health agencies of the world agree that Primary Health Care (PHC) is the best
strategy for health care, An important principle of PHC is.
● Community participation*
● Community sanitation
● Economic development
● Equal health budget for all countries
● Provision of international aid
86. During Disasters, rapidly classifying the injured on the basis of severity of injuries and chances
of survival with prompt medical intervention; is a part of.
● Disaster Mitigation
● Field Care
● Provision of first aid
● Triage*
● Tagging
87. Biochemical Oxygen Demand (BOD) is a standard test which is an indicator of organic content
of the sewage. It is the amount of oxygen utilized by.
● Aerobic bacteria in sewage*
● Aquatic life in sewage
● Chemical pollutants in sewage
● Inorganic matter in sewage
● Pathogenic bacteria in sewage
88. Which is not the principle of primary health care.
● Cost effectiveness*
● Appropriate technology
● Community participation
● Intersectoral coordination
● Equity
89. The first contact of a client with the health system is in a:
● Specialized institution
● Primary health care facility*
● Secondary health care facility
● Teaching institution
● Tertiary health care facility
90. Which of the following is not included in the eight elements of PHC?
● Essential drugs
● Safe drinking water and sanitation
● Maternal and child health
● Occupational health*
● Treatment of locally endemic diseases
91. All are characteristics of a good incinerator except;
● Burning should be less then 90%
● It should be double chambered
● It should have preferably wet filters
● The emission must be free of health hazards
● Temperature must be 300 to 400 degree Celsius*
92. All are included in GOBI-FFF except:
● Basic education*
● Family planning
● Growth monitoring
● Immunization
● Oral rehydration therapy
93. SDGS are expected to be attained by the year:
● 2025
● 2028
● 2030*
● 2035
● 2040
94. All are contraindications for contraceptive use except.
● Cancer of cervix*
● Pelvic inflammatory disease
● Suspected pregnancy
● Thromboembolism
● Vaginal bleeding of unknown etiology
95. Mode of action of oral contraceptive pills is by:
● Blocking the secretion of growth hormone.
● Increasing viscosity of vaginal flora
● Killing the sperms
● Blocking pituitary secretion of gonadotrophins*
● Blocking secretion of renal hormone
96. Pre- Placement Examination is a very important component for Occupational Health. Its
purpose is to;
● Keep a record of health of workers
● Use its findings to notify
● Place the right man in right job*
● Adjust the pay scales for workers
● Increase Medical Allowance for him
97. Workers having healed or active tuberculosis of lungs should not opt occupation where
mentioned hazard is present.
● Lead
● Dyes
● Silica*
● Heat
● Sugar cane
98. Under Mines Act, the number of Notifiable diseases are;
● 4
● 6
● 8*
● 10
● 12
99. Replacement of a harmful material by a harmless one or of lesser toxicity is recommended for
good health of workers. Given substitutions are important except;
● White Phosphorus by Phosphorus sesquisulphide
● Zinc or iron paints by Lead paints
● Mercury salts by Silver salts
● Benzene by Acetone
● All substitutions are wrong*
100. If a female worker becomes widow, leave with full payment, equal to the pay of the
worker, given to her, for a period of,
● 2 months
● 3 months
● 4 months*
● 5 months
● 6 months