QBank Fortnightly Newsletter Vol: 1, Issue: 8

Hello!

Please take a look at our 8th issue as we continue to bring more exciting updates that have happened in the world of Qbank. 

This time we talk about MCQs that we have revised based on recent census statistics, the latest MoHFW guidelines on TB, and last but not least, the Nobel prize! 

To find the relevant MCQs, copy the MCQ IDs given under each topic and search for them in the Marrow app.

1. Management of suspected Tuberculosis in neonates:

MCQ ID: MB5814, MA2050

In accordance with the NTEP (National Tuberculosis Elimination Programme) 2020 guidelines, the newborn whose mother has active tuberculosis and is on ATT, should be ruled out for active TB. Then the neonate should be managed with prophylactic isoniazid (INH) for 6 months, BCG vaccination at birth, with the continuation of breastfeeding.

Points regarding INH prophylaxis:

  • After excluding active TB, the neonate should be given INH preventive therapy irrespective of their BCG or nutritional status.
  • The dose of INH for preventive therapy is 10 mg/kg body weight administered daily for a minimum period of six months.
  • INH tablets should be collected on a monthly basis. During the monthly collections, the child should be closely monitored for TB symptoms to rule out active TB and also assess for any INH-related adverse effects.
  • BCG vaccination given at birth with planned INH preventive therapy.

If the mother is suspected of TB at the time of delivery, then, post delivery, the mother’s chest X-ray and sputum for acid-fast bacilli (AFB) are taken. If they are suggestive of tuberculosis infection, then the following steps are followed:

  • Mother has to be started on ATT.
  • Do not separate the baby from the mother.
  • Do not withhold breastfeeding.
  • Screening of household contacts.
  • Screen the neonate for congenital/active TB.

Reference: http://www.tbcindia.nic.in/WriteReadData/NTEPTrainingModules1to4.pdf

2. Birth Rate, Death Rate, and Infant Mortality Rate:

Sample Registration System (SRS) bulletin of May 2020 with the reference year 2018, released by the Office of the Registrar General presents the estimates of Birth Rate, Death Rate, Natural Growth Rate, and Infant Mortality Rate (IMR) for the year 2018 for India and its States/UTs.

  • Birth Rate:

MCQ ID: MB8162,MC3612. Pearl ID: 2224, 1709

The birth rate at all India levels has declined from 22.5 in 2009 to 20.0 in 2018. The birth rate for India varies from 16.7 in urban regions to 21.6 in rural regions. The highest birth rate has been recorded in Bihar (26.2) while the lowest in Andaman & Nicobar Islands (11.2).

  • Death Rate

MCQ ID: MA3702,MC3612. Pearl ID: 2224, 214

The death rate in India has witnessed a decline from 7.3 In 2009 to 6.2 in 2018. For the year 2018, the death rate for India varies from 5.1 in urban areas to 6.7 in rural areas. The death rate for the States/Union Territories ranges from 3.3 in Delhi to 8.0 in Chhattisgarh for 2018.

  • Infant Mortality Rate:

MCQ ID: MC7613,MC3612, MC3608. Pearl ID: 2224

The infant mortality rate in India has witnessed a significant decline from 50 in 2009 to 32 in 2018. Among the States/Union Territories, the IMR ranges from 4 in Nagaland to 48 in Madhya Pradesh for 2018.

Reference – https://censusindia.gov.in/vital_statistics/SRS_Bulletins/SRS%20Bulletin_2018.pdf

3. The Nobel Prize in Physiology or Medicine, 2020:

MCQ ID: MD5117

The Nobel Prize in Physiology or Medicine 2020 was awarded jointly to Harvey J. Alter, Michael Houghton, and Charles M. Rice “for the discovery of Hepatitis C virus.

Reference: https://www.nobelprize.org/prizes/medicine/2020/summary


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To see the previous issues of the newsletter, click here

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34 Responses

  1. If all the news letters are provided in pdf ,,it will be easy to learn….pls try for it

    • Krishna Sanjay Dave says:

      You can save the newsletter .
      If you are Android user- tap the three dots button and choose share-> print->save as PDF.

  2. Archana says:

    Thank you so much marrow

  3. Amreen khan says:

    They all are very much helpful . Thank you team marrow , but kindly provide all the updates round the year in a pdf form at the end so that it’s easy to revise at last moment.

  4. Shikha says:

    👍👍👍

  5. thanq.. please give a pdf of all updates before the exams. it will be easier for us to manage and brush up thoroughly

  6. Lahari says:

    Thank you Marrow

  7. Bhawna says:

    Thank you

  8. Dr.Vijay Kumar says:

    Wonderful information

  9. Dr.poornima says:

    Thank u so much marrow, waiting for more updates.. thank u once again

  10. Varsha rathod says:

    Thank u marrow….plzz give d pdf of recent updates before exam , so we can revise it easily

  11. Dr Madhavi says:

    Thank you very much Marrow

  12. Anuhav Goel says:

    Thanks

  13. Dr.Achchhan Khan says:

    Wonderful information

  14. Varsha varghese says:

    Thank you so much

  15. Dr.Sujeet Agrahari says:

    Thank you

  16. Dr Abhijit says:

    Thank you for the updates

  17. Dr Abhijit Tripura says:

    Thank you for updates

  18. Namita says:

    Very nice

  19. gaurav says:

    thank you

  20. Dr. Subhrasankha Acharjee says:

    Thanks team Marrow

  21. Akanksha says:

    Thanku marrow

  22. Basu says:

    Thanks..highly beneficial..make it all together for easy revision please

  23. Bhanwar says:

    thanku marrow ❤️

  24. Alokit Sharma says:

    Appreciate it team marrow, thanks

  25. Arvind kumar rohila says:

    Thank u marrow 🥰

  26. Arvind kumar rohila says:

    Love u marrow

  27. A.Asrith says:

    Thankyou marrow team for the latest updates…..

  28. Jackson Reang says:

    Yes please make pdf on these updates so the reviews become very helpful

  29. Dr Leeniya says:

    Superb marrow thank you 😍😍

  30. Bavya says:

    Tq marrow

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