PSM Flashcards
3 Method of Disposal of Yellow Category Hospital Waste
Incinerations waste (>1196°C) Deep Burial (PHC and Peripheral HC) Plasma Pyrolysis
Inertization of PCR waste is done by?
Mixing it with 15% of Lime and Cement
Indicator Bacteria for Autoclave is_________?
Indicator Bacteria for Autoclave is
Clostridium Perferinges
Indicator Bacteria for Microwave is_________?
Indicator Bacteria for Microwave is Bacillus substilis
Which is the most common Disaster?
Hydrological Disaster
Flood (Most Common)
Draught
Cyclones(Tsunami )
Most common diseases durng flood is?
Most common disease:
1. Gastroenteritis
- Leptospirosis
- Cholera
- Rickettsial Diseases
- Malaria and othet vector borne diseases
Most important preventive measures during flood?
2
- Safe disposal of fecal matter.
* Chlorination of water
Vaccination during flood?
- OPV
* Measles & Vit A supplementation.
Intubation period of Measles?
Intubation period of Measles Vaccine?
Intubation period of Measles: 10-14 days
Intubation period of Measles Vaccine: 7 days
In Triage,
Patients requiring life saving surgery within 6 hours is in which colour classification?
Red
In Triage,
Patients requiring surgery within 6-24 hours is in which colour classification?
Yellow
Patients requiring stiches and dressings(Ambulatory Patients) is in which colour classification?
Green
During War or Mass casuality the colour Triage is in which order?
Which is the second in order?
Reverse Triage.
- Green
- Yellow
- Red
- Black
In Biostatistics,
If P value = .5, it means?
It means that 5% of time result came by chance or result is wrong and 95% of time result is correct or significant
In Biostatistics,
If P value = .5, it means?
Result of study is significant or correct
Rejecting a null hypothesis when true is ______ error?
Alpha Error or Type 1 Error
Researcher forcefully tries to prove that result of study is significant but in reality the study result are not significant
This error is called ______ error?
Alpha Error or Type 1 Error
What happens to P value when Alpha Error increases?
P value and Alpha Error are proportional to each other.
Not rejecting a null hypothesis when false is _____ error?
B Error or Type 2 Error
When researcher did significant study in reality but said that the study is not significant, he commits ______ error?
Beta Error
In Biostatitics,
Confidence of study?
1 - Alpha Erro
How much we can rely on result of study
In Biostatistics,
Power of Study?
1- B error
Ability to say what study can prove or do
Methods to increase power of study in biostatistics? (2)
- Decrease B error
* Increase sample size or number of observations
Socioeconomic scale applied on Urban Population?
Kuppuswamy Scale
Socioeconomic scale applied on Rural Population?
Parikh Scale
Or
B.G Prasad Classification
Questions to be asked on Kuppuswamy Scale?
Whom should it be asked to?
Head of Household
- Education of HOH
- Occupation of HOH
- Total monthly family income
Family belongs to BPL category, if?
If per capita income < Rs1330/month
Person belong to BPL catergory, if,
Less than Rs_______/day in Urban
Less than Rs_______/day in Rural
Urban: Less than Rs34/day
Rural: Less than Rs27/day
Parametric Scale is applied on Quantitative / Qualitative variable?
Quantitative
Parametric Tests are?
Paired T Test
Unpaired T Test or Student T Test
ANOVA
Non Parametric Tests are?
Sign Test
Chi Square Test
Chi Square Test (Fischer Test when sample is <30)
2 or more group and data is Qualitative.
Test required is _________
Chi Square Test
3 or more group and Quantitative data
Then test to be taken is________?
ANOVA Test
Father of Public Health?
Cholera
Father of Epidemiology?
John Snow
MCC for Left Sided Hemiparesis?
Lacular Infract in Right Basal Ganglia
MCC of infant death in India?
Premature Delivery
National Vector Borne Diease Central Program
Malaria J. E Filariasis Kala Azar Dengue Chickengunya
National Vector Borne Diease Central Program
Malaria J. E Filariasis Kala Azar Dengue Chickengunya
Best indicator for impact of malarial control program?
API(Annual Parasite Incidents Rate)
API= No of malarial positive slides x 1000 ÷ Total Population
The best indicator for operational efficiency of malaria control program?
ABER
Annual Blood Examination Rate
= No of slides made out of fever cases x 1000
÷ Total Population
Steps for Malaria control strategy?
- Early diagnosis and treatment
- IRS and ITN
(Indoor Residual Spray)
(Insecticide Treated Net)
3.Source Reduction (Best Method)
Who makes blood slides of from every fever case in the village?
Health Worker (Male) or Multi Purpose Worker
For Malaria blood slides, thick and thin blood films are for?
Thick: Detect presence of Plasmodium
Thin: Detect species of Plasmodium
Treatment for P.vivax Malaria?
Tab Chloroquine
Tab Primaquine
Primaquine is contraind in
Pregnancy
Infant <1year
Patients of G6PD deficiency
Primaquine is contraindicated during?
Primaquine is contraind during:
Pregnancy
Infant <1year
Patients of G6PD deficiency
Treatment of P. falciparum in northeastern states?
Artemether
Lumifantrene
Treatment of P. falciparum in non northeastern states?
ACT Artesuade Combination Therapy
Tab Artesuade
Tab Sulphadoxine
Tab Pyremethamine
Tab Primaquine (only on day two of treatment )
Artesuade is contraindicated during first trimester of pregnancy.
Artesuade is contraindicated during pregnancy, which other drug is given?
Quinine
Natural Indoor Residual Spray
Pyrethrum
Derived from Chrysanthemum plant
Artificial - Indoor Residual Spray
DDT
BHC(Benzene Hexa Chloride)
Malathion
BHC- Lindane, Gammaxene
Also used for Scabies
DOC for Scabies
Permethrin
Least toxic organophosphate?
Malathion
ITN (Insecticide Treated Net)
Size of Hole?
Number of holes per sq inch?
ITN (Insecticide Treated Net)
Size of Hole: 0.0475 inch
Number of holes per sq inch: 150
ITN (Insecticide Treated Net) is treated with?
Deltamethrin
Step 3- Source Reduction Tests
Larvicidal
- Fish - Gambushia(Guppy)
- Drugs: Temephos and Abate
Best strategy for urban malaria control?
Repair of drainage and leakage from pipes and water sources.
MC site of Aedes Breeding?
Overhead Watertank
Anapheles mosquito breeds only in __________
Clean water.
Anapheles is also known as Sophisticated Mosquito
Culex breed in _________
Culex breed in dirty water/ditches
Culex is known as Culex Mosquito
Filariasis or Elephantiasis is caused by?
Wuccheria Bancrofti
Wucheria Bancrofti resides inside the ________ and comes out into _________ maximum btw _____ to ______
Wucheria Bancrofti resides inside the lymphatics and comes out into blood maximum btw 10pm to 2pm
For mass diagnosis of Filariasis,
what is done?
20ml of blood is collected btw 8pm to 2am
For individual diagnosis of Filariasis?
DEC stimulation test
(Diethyl Carbamazapine)
After 2 hours micro filariasis is seen in blood
DOC for filariasis?
DEC
Diethyl Carbamazapine
For mass chemoprophylaxis for Filariasis?
DEC + Albendazole
Filariasis + JE
Microfilaria shows _________cycle
Cyclopropagative/ Cyclodevolopment/ Propagative
Cyclodevelopment
Larvae grows inside host
In propagative life cycle, parasite does what all inside the host?
In propagative life cycle, parasite can only multiply inside the host.
Eg. Plague bacilli:Yersinia Pestis - Rat Flea
In cyclopropagative life cycle, parasite does what all inside the host?
In propagative life cycle, parasite multiply and grow inside the host
Plasmodium - Human
Main Amplifying host of JE?
Pig
Treatment for JE?
Paracetamol + Fluids
C/F of JE?
Fever Frontal Headache Nausea Vomiting Neck Rigidity Abnormal Movements
The vector for JE?
Life cycle?
Culex Mosquito
Ardid Bird ➡ ️Culex Mosquito ➡ Pig ➡ Culex Mosquito ➡ Ardid Bird
Human is a an accidental dead end host
Most endemic place for JE?
Gorakhpur, UP
Vaccine for JE?
Live Vaccine SSA 14 14 12
Given upto 15years, but in endemic areas it can be given to adult.
Other name of Kala Azar?
Visceral Leishmaniasis
Kala Azar or Visceral Leishmaniasis is transmitted by?
Sandfly
Phlebotmous
CF of Kala Azar?
Fever Gradual Darkening of Skin Hepatomegaly Spleenomegaly Ascitis
DOC for Kala Azar?
Liposomal Amphotencin B
LAMB
2nd DOC for Kala Azar?
Oral Miltejosine
3rd DOC for Kala Azar?
Sodium Stibogluconate
Rapid diagnostic test for Kala Azar?
rk/39
4 states endemic to Kala Azar?
- Bihar
- Jharkhand
- UP
- West Bengal
Dengue is transmitted by?
Aedes Mosquito
Breakbone fever and hemorrage is a characteristic symptom of?
Dengue
What happens in Phase 1 of Dengue?
Fever, Frontal headache, Nausea, Vomiting, Bone Pain
+
Tourniquette Test Positive