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Single best Answer out of 4 choices Fill in the blanks Assertion and reasoning

12 th IAPP Quiz on NVBDCP For PG students Prepared by Department of Community Medicine KVG Medical College Sullia . Single best Answer out of 4 choices Fill in the blanks Assertion and reasoning Multiple correct answers Rapid fire . Round 1 instructions .

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Single best Answer out of 4 choices Fill in the blanks Assertion and reasoning

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  1. 12th IAPP Quiz on NVBDCP For PG students Prepared by Department of Community Medicine KVG Medical College Sullia Single best Answer out of 4 choices Fill in the blanks Assertion and reasoning Multiple correct answers Rapid fire

  2. Round 1 instructions • Circle the most appropriate answer. • One mark for each correct answer • No Negative marks • No Elimination at the end of this round

  3. 1. National Anti Malaria Program was renamed as National Vector Borne Diseases Control Program in the year? 1997 2002 1977 2005

  4. 2. The Plasmodium Species not found in India is Falciperum malaria Vivax Ovale

  5. 3. Man is a dead end host in Chickungunya Malaria JE Kala-Azar

  6. 4. The Animal that is considered as “amplifier host” of the virus, in Japanese encephalitis is Man Horse Cattle Pig

  7. 5. Man is a definitive host and mosquito an intermediate host in Dengue JE Malaria Filariasis

  8. 6. Sodium Antimony Stibogluconate is drug of choice in JE Filariasis Dengue Kala Azar

  9. 7. Desert coolers provide an excellent substrate for breeding of which mosquito Mansonia Culex Anopheles Aedes

  10. 8. To distinguish Chikungunya from dengue fever, During an outbreak following test is used Nucliec acid detection by PCR Haemagglutination Neutralization test Haemagglutination Inhibition test IgM capture ELISA

  11. 9. Epidemiological features for J.E. include all of the following except epidemics have been reported in Karnataka Cattle do not circulate virus Man does not play a role in JE transmission Vectors rest indoors

  12. 10. The insecticide of choice for preparing a multifilament long lasting insecticide treated bed net is Temephos Abate permethrin Deltamethrin

  13. Round 2 fill in the blanks • One mark for each correct answer • No Negative marks • No Elimination at the end of this round • If there are two then each will be given 50% marks • Best 4 Teams will go for the third round

  14. 11. Define Vector Borne Diseases as per Indian NVBDCP program Diseases that are transmitted to humans or other animals by an insect such as mosquito or by another arthropod

  15. 12. ) Nearly ---------percent of world population is infected with Vector Borne Diseases 50

  16. 13) The drug of choice for chemoprophylaxis against Malaria for short term travelers (< 6weeks) travelling from non malarious to Malarious areas is ------------------ Doxycycline

  17. 14) On Hematological Examination --------- and --------------are striking features of L. donovani infection Progressive Leukopenia, severe anaemia

  18. 15) ------------------and ------------ are the drugs used for mass drug administration in Filariasis DEC + Albendazole

  19. 16) For diagnosis of J.E. Blood specimen should be collected within ---- days after onset of illness for isolation of virus and at least ---- days after onset of illness for detection of IgM antibodies. 4, 5

  20. 17) The most efficient fish for curtailment of larvae menace (eats maximum number of larvae / hour) is --------------- GambusiaAffinis

  21. 18) After JE vaccination, immunity develops in _______ days 30

  22. 19) Maximum density of microfilaria in blood is found between ___ am/pm to__ am/pm 10pm ,2 am

  23. 20) Active case detection (ACD) in Malaria implies that the M.P.W.would visit all houses within the sub-centre area once in -------- days and look for fever cases which occurred between the current and previous visit 15

  24. Round 3 Instructions • ( 2 marks for correct answer and -1 mark for incorrect answer.) one minute for each question 1st Question starts from 1st team Teams can pass the turn if they do not know the answer. Next team will get the chance Given below are paired statements. • Statement A = (Assertion), Statement R = (Reason). • Select appropriate answer using the code given below. • Both A (Assertion) and R (Reason) are true and R (Reason) is the correct explanation of A (Assertion). • Both A (Assertion) and R (Reason) are true, but R is not the correct explanation of A. • A (Assertion) is true, but R (Reason) is false. • A (Assertion) is false, but R (Reason) is true. • Best three teams will go for the next round

  25. 21. Assertion: There are currently no licensed malaria vaccines. Reason: Over 20 vaccine projects are in clinical trials.

  26. 22. Assertion: On World Malaria Day 2013, WHO launched a new initiative called T3: Test, Treat, Track. Reason: T3 is an initiative urging malaria-endemic countries, donors and the global malaria community to scale up diagnostic Testing, Treatment and Tracking. (surveillance for malaria)

  27. 23. Assertion: WHO strongly recommends routine yellow fever vaccination for children in areas at risk for the disease. Reason:Vaccination is the single most important measure for preventing yellow fever.

  28. 24. Assertion: The number of yellow fever cases worldwide has increased over the past two decades Reason: There is a) declining population immunity to infection, b) deforestation, c) urbanization, d) population movements and e) climate change.

  29. 25. Assertion: A newly accessible vaccine against Japanese Encephalitis (manufactured in China) is going to make the protection of more children in developing countries easier. Reason: The vaccine, only needs to be given in one dose, it can be used for infants, and it is less expensive than other Japanese Encephalitis vaccines.

  30. 26. Assertion: The AedesAegypti mosquito is the primary vector of dengue. Reason: After virus incubation for 10–20 days, an infected mosquito is capable of transmitting the virus to others.

  31. 27. Assertion: Serological tests, such as enzyme-linked Immunosorbent assays (ELISA), may confirm the presence of IgM and IgG anti-Chikungunya antibodies. Reason: IgM antibody levels are highest, three to five weeks after the onset of illness and persist for about two months.

  32. 28. Assertion: Until recently, the only method of diagnosis for Lymphatic Filariasis was through examination of thick smears of 20–60 μl of fingerprick blood for microfilaria Reason: A more efficient, but cumbersome, method of diagnosis at the community level is filtration of 1 ml of intravenous blood and examination of the filtrate for microfilaria.

  33. 29. Assertion: The control of breeding sites of Culex mosquitoes is relatively easy due to the large number and variety of breeding sites. Reason: Guppy and Gambusia fish should be put in unused wells and other water bodies.

  34. 30. Assertion: It is advisable not to exercise during an acute attack of infection in Lymphatic Filariasis Reason: An acute attack of infection is painful

  35. Round 4 Instructions • ( 2 marks for correct answer and -1 mark for incorrect answer.) • one minute for each question • 1st Question starts from 1st team • Teams can pass the turn if they do not know the answer. • Next team will get the chance • Two teams will qualify for the rapid fire round

  36. 31. Following statements are true about J.E.a. Man to man transmission is not reportedb. Culicine mosquito is zoophilicc. Mortality is 80-90%d. Clinical Cases represent tip of the iceberg a c and d are true a b and c are true b c and d are true a b and d are true

  37. 32. Following things are true about yellow fevera. Yellow fever is an acute viral haemorrhagic disease. B. Up to 50% of severely affected persons without treatment will die from yellow fever. C. The virus is endemic in tropical areas of Africa and Latin America, with a combined population of over 900 million people.D. The number of yellow fever cases has decreased over the past two decades a c and d are true a b and d are true b c and d a b c are true

  38. 33. Which of the following statements are correct regarding Malariaa. According to the W.H.O. estimates, there were about 207 million cases of malaria in 2012 and an estimated 627 000 deathsb. Most deaths occur among adults living in Africac. In recent years, some human cases of malaria have also occurred with Plasmodium knowelskid. Plasmodium falciparum is the most deadly species. b c and d are correct a b and d are correct a b and c are correct a c and d are correct

  39. 34. Following statements regarding treatment of malaria are truea.Presumptivechloroquine treatment is recommended for suspected malaria casesb. Primaquine is contra indicated in pregnant woman c. P.vivax cases should be treated with chloroquine for three days and Primaquine for 14 days. d. Pregnant women with uncomplicated P. falciparum infection in 1st Trimester are treated with ACT a and d are correct c and d are correct a and b are correct b and c are correct

  40. 35. Which of the guidelines for treatment of Severe malaria cases is true a. Artesunate: 2.4 mg/kg body weight IV or IM given on admission (time = 0 h); then at 12 h and 24 h and then once a day. ORb. Artemether: 3.2 mg/kg body weight IM given on admission and then 1.6 mg/kg body weight per day. OR c. Arteether: 150 mg IM daily for 3 days in adults only (not recommended for children). ORd. Quinine: 40 mg/kg body weight on admission (IV infusion or divided IM injection) followed by maintenance dose of 20 mg/kg body weight 8 hourly. a c and d are true a b and d are true b c and d are true a b and c are true

  41. 36. Among the anopheline species the exophilic resting behavior is seen in a. Anopheles culicifaciesb. Anopheles fluviatalisc. Anopheles minimusd. Anopheles stephensi A and d are correct C and d are correct A and b are correct b and c are correct

  42. 37. Following statements regarding Leishmaniasis are truea. Diffuse cutaneousleishmaniasis produces disseminated and chronic skin lesions resembling those of lepromatous leprosy. B. Kala azar, is characterized by high fever, weight loss, swelling of the spleen and liver, and anaemiac. Single-dose liposomal amphotericin B is shown to be effective, cheap, usable at the peripheral level for treatment of visceral leishmaniasisd. In Adults weighing < 25 Kg, Miltefosine is used for treatment of Kala Azar in endmic areas at a dosage of 50 mg twice a day for 28 days a c and d are true a b and d are true b c and d are true a b and c are true

  43. 38. Following statements regarding Aedesaegypti mosquito are truea. Aedesaegypti mosquito generally bites during day time.B. For Aedes mosquito control 0.1% pyrethrum extract “ready-to-spray” formulation is used for indoor spraying c. One liter of 0.1% pyrethrum extract “ready-to-spray” formulation is needed to cover 100 cubic meters of indoor space.D. Pyrethrum is is non-toxic to humans and other non-target organisms at the recommended dose a c and d are true a b and c are true b c and d are true a b and d are true

  44. 39./Following facts about Chikungunya are truea. Chikungunya virus, is classified in the family Togaviridae and genus Alphavirus.B. Incubation period ranges from 10 to 15 daysc. Chikungunya usually starts suddenly with fever, chills, headache, nausea, vomiting, joint pain, and rash.D. Laboratory confirmation of diagnosis is important especially in areas where dengue is present. a b and c are true a b and d are true b c and d are true a c and d are true

  45. 40. Following facts about Ultra Low Volume (ULV) fogging are truea. Minimum volume of liquid insecticide formulation is applied per unit area.B. Presently technical malathion is the insecticide used for this purpose.C. Since no diluent is used, the technique is more cost-effective than thermal foggingd. High fire hazard and relatively less environment-friendly a c and d are true a b and d are true b c and d are true a b and c are true

  46. Fifth Round: (Rapid Fire) State whether True or False:Instructions • (1 mark for correct answer and -1 mark for incorrect answer.) • Maximum time 10 minutes • If two or more teams get equal marks, Team answering fast will be the winner.

  47. 41. In Filariasis Apparently healthy persons transmit the infection to others while the persons with severe form of the disease no longer transmit the infection True

  48. 42. One of the factors responsible for increased proportion of P. falciparum cases relative to P. vivax is the continued treatment of resistant P. falciparum cases with chloroquine True

  49. 43. NVBDCP supplies RDT kits for detection of P. falciparum at locations where microscopy results are not obtainable within 48 hours of sample collection. False

  50. 44. Artemisinin derivatives are administered as monotherapy for uncomplicated malaria. False

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