During mass drug administration for lymphatic filariasis, a health worker visits a household. Which member should be excluded from the tablets?

A woman who is 5 months pregnant

A 65-year-old man with controlled hypertension

A man with filarial swelling of one leg

A nurse explains Ni-kshay Poshan Yojana to a newly notified TB patient. The scheme gives:

Monthly nutritional support by direct benefit transfer during treatment

Free food packets only for drug-resistant TB

Free hospital admission for the full course of treatment

A one-time cash award on completing treatment

National health programmes and schemes

26 AIIMS NORCET (Nursing Officer) practice questions on National health programmes and schemes, part of Community Health Nursing. The first 25 are below; the first 5 with answers and explanations (tap Show answer after you have chosen), the rest in Learn with a free account.

Question 1 · Easy
Ayushman Bharat PM-JAY gives each eligible family a cashless health cover of up to:
1. A₹1 lakh per year
2. B₹10 lakh per year
3. C₹5 lakh per year
4. D₹2 lakh per year
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Answer: C · ₹5 lakh per year
Pradhan Mantri Jan Arogya Yojana gives eligible families cover of up to ₹5 lakh per family per year for secondary and tertiary hospital care. Treatment is cashless and paperless at empanelled public and private hospitals, with no limit on family size or age. It is the insurance arm of Ayushman Bharat. The other arm is the Ayushman Arogya Mandirs for primary care.
- A: ₹1 lakh is far below the PM-JAY cover.
- B: ₹10 lakh exceeds the standard family cover.
- D: ₹2 lakh is not the national PM-JAY limit.
Question 2 · Medium
During mass drug administration for lymphatic filariasis, a health worker visits a household. Which member should be excluded from the tablets?
1. AA 65-year-old man with controlled hypertension
2. BA woman who is 5 months pregnant
3. CA healthy 6-year-old boy
4. DA man with filarial swelling of one leg
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Answer: B · A woman who is 5 months pregnant
Mass drug administration gives all eligible people in an endemic area a single annual dose of DEC with albendazole (and ivermectin where triple-drug MDA is used) to cut transmission. The tablets are not given to pregnant women, children under 2 years and the seriously ill. The drugs are swallowed in front of the health worker, never handed out to be taken later. People with lymphoedema still take MDA and are also taught limb care.
- A: Elderly people with a stable chronic illness are eligible.
- C: Children from 2 years of age are eligible, with age-based doses.
- D: People with filarial lymphoedema are included in MDA.
Question 3 · Hard
A 30-kg child from Bihar is confirmed to have kala-azar. The programme's preferred treatment is a single infusion of liposomal amphotericin B at 10 mg/kg. What dose is needed?
1. A30 mg
2. B3,000 mg
3. C150 mg
4. D300 mg
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Answer: D · 300 mg
The dose is 10 mg/kg x 30 kg = 300 mg, given as a single intravenous infusion in 5% dextrose. A single-day regimen is preferred because it gives high cure rates and avoids long hospital stays and adherence problems. The nurse watches for infusion reactions such as fever, chills and back pain. Indoor residual spraying against sandflies supports case management.
- A: 30 mg is 1 mg/kg, the daily dose range of conventional amphotericin B.
- B: 3,000 mg is a ten-fold error in the calculation.
- C: 150 mg would be a 5 mg/kg dose, half of what is ordered.
Question 4 · Hard
A child gets every dose of vitamin A on the national schedule, from the dose at 9 months up to the last one at 5 years. How much vitamin A has the child received in total?
1. A17 lakh IU
2. B18 lakh IU
3. C16 lakh IU
4. D9 lakh IU
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Answer: A · 17 lakh IU
The schedule has 9 doses. The first, at 9 months, is 1 lakh IU. The next 8 doses, every 6 months from 16-18 months to 5 years, are 2 lakh IU each, giving 16 lakh IU. The total is 1 + 16 = 17 lakh IU.
- B: 18 lakh IU wrongly counts the first dose as 2 lakh IU.
- C: 16 lakh IU leaves out the first dose of 1 lakh IU.
- D: 9 lakh IU counts every dose as 1 lakh IU.
Question 5 · Medium
A nurse explains Ni-kshay Poshan Yojana to a newly notified TB patient. The scheme gives:
1. AFree food packets only for drug-resistant TB
2. BMonthly nutritional support by direct benefit transfer during treatment
3. CFree hospital admission for the full course of treatment
4. DA one-time cash award on completing treatment
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Answer: B · Monthly nutritional support by direct benefit transfer during treatment
Ni-kshay Poshan Yojana pays every notified TB patient a monthly amount by direct benefit transfer to the bank account for the whole duration of treatment. The money is meant for better nutrition, since undernutrition both raises the risk of TB and slows recovery. Patients from both public and private sectors are eligible once notified on Ni-kshay. The nurse should help the patient link a bank account early.
- A: It covers all notified TB patients, drug-sensitive and drug-resistant.
- C: Most TB patients are treated as outpatients; the scheme does not pay for admission.
- D: Payment is monthly during treatment, not a single reward at the end.
Question 6 · Easy
Mission Indradhanush mainly targets which groups?
1. AChildren up to 2 years and pregnant women
2. BAdolescent girls aged 10-19 years
3. CAdults over 60 years of age
4. DSchool children aged 5-15 years
Answer and explanation in LearnFree account
Question 7 · Easy
Which disease is covered by India's national vector borne disease control programme?
1. ALeptospirosis
2. BScrub typhus
3. CRabies
4. DJapanese encephalitis
Answer and explanation in LearnFree account
Question 8 · Easy
Janani Suraksha Yojana is mainly:
1. AA free nutrition scheme for children under six
2. BA cash incentive to promote institutional delivery
3. CA campaign to fully immunise infants
4. DA health insurance scheme for hospital care
Answer and explanation in LearnFree account
Question 9 · Medium
An ASHA in a malaria-endemic village sees a man with fever since yesterday and no danger signs. Under the national programme, what should she do first?
1. ATest with a bivalent RDT and treat by the result
2. BGive paracetamol and review him after a week
3. CSend him to the district hospital for a smear
4. DGive chloroquine to every fever case presumptively
Answer and explanation in LearnFree account
Question 10 · Easy
A 25-year-old man wants a confidential HIV test with counselling at a district hospital. Under the National AIDS Control Programme, he should be sent to the:
1. ADesignated microscopy centre
2. BAntiretroviral therapy centre
3. CBlood bank
4. DIntegrated Counselling and Testing Centre
Answer and explanation in LearnFree account
Question 11 · Medium
A mother asks whether she will have to pay for her caesarean section, medicines, diet and transport at the district hospital. Which scheme entitles her to all of these free?
1. AJanani Suraksha Yojana
2. BPradhan Mantri Matru Vandana Yojana
3. CJanani Shishu Suraksha Karyakram
4. DAyushman Bharat PM-JAY
Answer and explanation in LearnFree account
Question 12 · Easy
Under India's national schedule, vitamin A is first given at 9 months of age with the measles-rubella vaccine. What is that first dose?
1. A2 lakh IU
2. B1 lakh IU
3. C50,000 IU
4. D25,000 IU
Answer and explanation in LearnFree account
Question 13 · Medium
According to national blindness surveys, the leading cause of blindness among people aged 50 years and over in India is:
1. AUncorrected refractive error
2. BCataract
3. CCorneal opacity
4. DGlaucoma
Answer and explanation in LearnFree account
Question 14 · Medium
A 34-year-old has three hypopigmented, anaesthetic skin patches and two thickened peripheral nerves. His slit-skin smear is negative. Under the leprosy programme, he is classified as:
1. AMultibacillary leprosy
2. BIndeterminate leprosy, not to be treated
3. CNot leprosy, as the smear is negative
4. DPaucibacillary leprosy
Answer and explanation in LearnFree account
Question 15 · Medium
During a dengue outbreak, the most useful advice a community health nurse can give families is to:
1. ASpray only the walls of cattle sheds
2. BDrain large ponds and paddy fields nearby
3. CSleep under bed nets mainly from midnight to dawn
4. DEmpty and scrub water containers once a week
Answer and explanation in LearnFree account
Question 16 · Easy
In the RMNCH+A strategy, the '+A' stands for:
1. AAnaemia control
2. BAdult health
3. CAIDS control
4. DAdolescent health
Answer and explanation in LearnFree account
Question 17 · Hard
A 45-year-old woman treated for TB three years ago has a cough again. Her CBNAAT reports 'MTB detected, rifampicin resistance detected'. What is the most appropriate next step under NTEP?
1. AAdd streptomycin to the first-line drugs
2. BRestart the first-line regimen of 2HRZE and 4HRE
3. CTreat as RR-TB and send for further drug-resistance tests
4. DRepeat the CBNAAT after 2 months of HRZE
Answer and explanation in LearnFree account
Question 18 · Hard
A 40-kg man with P. vivax malaria has a normal G6PD test and is not pregnant. Primaquine is prescribed at 0.25 mg/kg daily for radical cure. What total amount of primaquine will he take over the full course?
1. A140 mg
2. B70 mg
3. C30 mg
4. D10 mg
Answer and explanation in LearnFree account
Question 19 · Medium
Ayushman Arogya Mandirs (formerly Health and Wellness Centres) differ from the older sub-centres mainly because they provide:
1. AComprehensive primary care including NCD screening
2. BOnly maternal and child health services
3. CSpecialist surgical care for the whole block
4. DCashless hospital admission for eligible families
Answer and explanation in LearnFree account
Question 20 · Hard
A 30-year-old man newly diagnosed with HIV is found to have drug-sensitive pulmonary TB. He is not yet on ART and has no signs of meningitis. Following national guidelines, when should ART be started?
1. AStart ART first, then ATT after 2 months
2. BStart ART only if CD4 falls below 200
3. CComplete 6 months of ATT, then start ART
4. DStart ATT first, then ART within 2 weeks
Answer and explanation in LearnFree account
Question 21 · Medium
Under the national NCD programme, population-based screening for hypertension, diabetes and common cancers is offered to every person aged:
1. A60 years and above
2. B30 years and above
3. C40 years and above
4. D18 years and above
Answer and explanation in LearnFree account
Question 22 · Easy
Under NTEP, the preferred first diagnostic test for a person with presumptive pulmonary TB, where available, is:
1. AA rapid molecular test such as CBNAAT or Truenat
2. BA chest X-ray without a sputum test
3. CSputum smear microscopy for acid-fast bacilli
4. DA tuberculin skin test
Answer and explanation in LearnFree account
Question 23 · Medium
A woman 16 weeks pregnant tests HIV positive at an ICTC. Her CD4 count is 520 cells/µL. Under NACO guidelines, she should:
1. AStart ART only if her CD4 count falls below 350
2. BWait until 28 weeks of pregnancy before starting ART
3. CStart lifelong ART now, whatever her CD4 count
4. DReceive single-dose nevirapine in labour only
Answer and explanation in LearnFree account
Question 24 · Hard
In a year, health workers in a village of 8,000 people examine 2,000 blood smears for malaria, and 40 are positive. What is the annual parasite incidence?
1. A2 per 1,000 population
2. B25 per 1,000 population
3. C20 per 1,000 population
4. D5 per 1,000 population
Answer and explanation in LearnFree account
Question 25 · Medium
For a new adult with drug-sensitive pulmonary TB, the NTEP daily regimen is:
1. A2 months HRZES, then 5 months HRE
2. B6 months of isoniazid alone
3. C2 months HRZE, then 4 months HRE
4. D2 months HRZE, then 4 months HR
Answer and explanation in LearnFree account

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National health programmes and schemes

Ayushman Bharat PM-JAY gives each eligible family a cashless health cover of up to:

During mass drug administration for lymphatic filariasis, a health worker visits a household. Which member should be excluded from the tablets?

A 30-kg child from Bihar is confirmed to have kala-azar. The programme's preferred treatment is a single infusion of liposomal amphotericin B at 10 mg/kg. What dose is needed?

A child gets every dose of vitamin A on the national schedule, from the dose at 9 months up to the last one at 5 years. How much vitamin A has the child received in total?

A nurse explains Ni-kshay Poshan Yojana to a newly notified TB patient. The scheme gives:

Mission Indradhanush mainly targets which groups?

Which disease is covered by India's national vector borne disease control programme?

Janani Suraksha Yojana is mainly:

An ASHA in a malaria-endemic village sees a man with fever since yesterday and no danger signs. Under the national programme, what should she do first?

A 25-year-old man wants a confidential HIV test with counselling at a district hospital. Under the National AIDS Control Programme, he should be sent to the:

A mother asks whether she will have to pay for her caesarean section, medicines, diet and transport at the district hospital. Which scheme entitles her to all of these free?

Under India's national schedule, vitamin A is first given at 9 months of age with the measles-rubella vaccine. What is that first dose?

According to national blindness surveys, the leading cause of blindness among people aged 50 years and over in India is:

A 34-year-old has three hypopigmented, anaesthetic skin patches and two thickened peripheral nerves. His slit-skin smear is negative. Under the leprosy programme, he is classified as:

During a dengue outbreak, the most useful advice a community health nurse can give families is to:

In the RMNCH+A strategy, the '+A' stands for:

A 45-year-old woman treated for TB three years ago has a cough again. Her CBNAAT reports 'MTB detected, rifampicin resistance detected'. What is the most appropriate next step under NTEP?

A 40-kg man with P. vivax malaria has a normal G6PD test and is not pregnant. Primaquine is prescribed at 0.25 mg/kg daily for radical cure. What total amount of primaquine will he take over the full course?

Ayushman Arogya Mandirs (formerly Health and Wellness Centres) differ from the older sub-centres mainly because they provide:

A 30-year-old man newly diagnosed with HIV is found to have drug-sensitive pulmonary TB. He is not yet on ART and has no signs of meningitis. Following national guidelines, when should ART be started?

Under the national NCD programme, population-based screening for hypertension, diabetes and common cancers is offered to every person aged:

Under NTEP, the preferred first diagnostic test for a person with presumptive pulmonary TB, where available, is:

A woman 16 weeks pregnant tests HIV positive at an ICTC. Her CD4 count is 520 cells/µL. Under NACO guidelines, she should:

In a year, health workers in a village of 8,000 people examine 2,000 blood smears for malaria, and 40 are positive. What is the annual parasite incidence?

For a new adult with drug-sensitive pulmonary TB, the NTEP daily regimen is: