Official curriculum roadmap, subject/topic distribution, negative marking rules, pacing guidelines, and solved sample questions.
🎯 Mapped Subjects & Topic Question Distribution
Total Question Pool100%
20 MCQs
Combined Active Syllabus
Community Medicine & Public Health
20 MCQs
Topic Pool
📊 Question Pool Structure
20 MCQs across fundamental, intermediate, and advanced concept tiers.
⚡ Recommended Pacing
45 to 60 seconds per MCQ. Flag complex problems and preserve 10 minutes for final revision.
⚖️ Scoring & Negative Marking
+1 mark per correct answer. In competitive tests with negative marking, -0.25 applies for incorrect guesses.
💡 Strategic Preparation & Exam Hall Guidelines
To maximize your score on Community Medicine & Public Health, candidates are advised to follow a structured three-pass approach. In the First Pass, solve all direct recall and formula-based questions within 30 seconds each to secure foundational marks. In the Second Pass, tackle multi-step analytical and quantitative reasoning problems. In the Third Pass, review marked questions and verify calculations.
Practice with the interactive player below to evaluate your speed and accuracy under real exam pressure. Every question features full mathematical formulas, step-by-step worked solutions, and conceptual explanations vetted by Apex Rankers Academy subject matter specialists.
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Sample Question 1
Community Medicine & Public HealthEasy • Medical Sciences
Under the Expanded Programme on Immunization (EPI) in Pakistan, which vaccine is administered at birth along with OPV-0 and Hepatitis B?
At birth, infants in Pakistan receive BCG (intradermal, against tuberculosis), Oral Polio Vaccine (OPV-0), and the birth dose of Hepatitis B vaccine.
Sample Question 2
Community Medicine & Public HealthEasy • Medical Sciences
The Pentavalent vaccine in Pakistan's EPI schedule provides combined protection against which five infectious diseases?
APolio, Measles, Rubella, Mumps, Tuberculosis
BDiphtheria, Pertussis, Tetanus, Hepatitis B, and Haemophilus influenzae type b (Hib)
CDiphtheria, Tetanus, Pertussis, Polio, Rotavirus
DTB, Cholera, Typhoid, Tetanus, Hepatitis A
✓ Correct Answer:B - Diphtheria, Pertussis, Tetanus, Hepatitis B, and Haemophilus influenzae type b (Hib)
📖 Step-by-Step Solution & Conceptual Rationale:
Pentavalent vaccine immunizes against Diphtheria, Pertussis (whooping cough), Tetanus, Hepatitis B, and Haemophilus influenzae type b (Hib), administered at 6, 10, and 14 weeks.
Sample Question 3
Community Medicine & Public HealthEasy • Medical Sciences
Which vector is responsible for the transmission of Dengue virus, Chikungunya, and Zika virus in Pakistan?
AAnopheles stephensi
BAedes aegypti (and Aedes albopictus)
CCulex quinquefasciatus
DPhlebotomus sandfly
✓ Correct Answer:B - Aedes aegypti (and Aedes albopictus)
📖 Step-by-Step Solution & Conceptual Rationale:
Aedes mosquitoes (primarily Aedes aegypti) are day-biting vectors that breed in clean, artificial water collections and transmit Dengue, Yellow fever, Chikungunya, and Zika.
Sample Question 4
Community Medicine & Public HealthMedium • Medical Sciences
In epidemiology, the proportion of truly diseased individuals who test positive on a screening test is termed:
ASpecificity
BSensitivity
CPositive predictive value (PPV)
DLikelihood ratio
✓ Correct Answer:B - Sensitivity
📖 Step-by-Step Solution & Conceptual Rationale:
Sensitivity represents true-positive rate: the ability of a screening test to correctly identify individuals who actually possess the disease [TP / (TP + FN)].
Sample Question 5
Community Medicine & Public HealthMedium • Medical Sciences
Which epidemiological study design is best suited for investigating rare diseases or diseases with long latency periods?
ACross-sectional survey
BCase-control study
CProspective cohort study
DEcological study
✓ Correct Answer:B - Case-control study
📖 Step-by-Step Solution & Conceptual Rationale:
Case-control studies identify individuals with the disease (cases) and without (controls) and look backwards for exposure; they are economical and ideal for studying rare conditions.
Sample Question 6
Community Medicine & Public HealthEasy • Medical Sciences
Maternal Mortality Ratio (MMR) is standardly defined in public health statistics as maternal deaths per how many live births?
A1,000 live births
B10,000 live births
C100,000 live births
D1,000,000 live births
✓ Correct Answer:C - 100,000 live births
📖 Step-by-Step Solution & Conceptual Rationale:
The Maternal Mortality Ratio is calculated as the number of resident maternal deaths resulting from the pregnancy process per 100,000 live births during a specified year.
Sample Question 7
Community Medicine & Public HealthMedium • Medical Sciences
In municipal water purification, what is the recommended minimum free residual chlorine level required at the consumer's tap after 30 minutes of contact time?
A0.1 mg/L
B0.5 mg/L
C2.0 mg/L
D5.0 mg/L
✓ Correct Answer:B - 0.5 mg/L
📖 Step-by-Step Solution & Conceptual Rationale:
WHO and national drinking water standards prescribe a minimum free residual chlorine concentration of 0.5 mg/L (ppm) after at least 30 minutes of contact time at pH < 8.0.
Sample Question 8
Community Medicine & Public HealthEasy • Medical Sciences
Which of the following describes 'Cold Chain' in public health practice?
AStorage of surgical instruments at low temperatures
BA system of storing and transporting vaccines within the recommended temperature range (+2°C to +8°C) from manufacturer to point of use
CCryotherapy for malignant skin lesions
DHypothermic cardiac preservation techniques
✓ Correct Answer:B - A system of storing and transporting vaccines within the recommended temperature range (+2°C to +8°C) from manufacturer to point of use
📖 Step-by-Step Solution & Conceptual Rationale:
The vaccine cold chain is a continuous network of refrigerators, cold boxes, and icepacks ensuring potent vaccines are kept between +2°C and +8°C from factory to administration.
Sample Question 9
Community Medicine & Public HealthMedium • Medical Sciences
The definitive diagnostic test for pulmonary tuberculosis endorsed by the WHO for rapid detection of Mycobacterium tuberculosis and rifampicin resistance is:
GeneXpert MTB/RIF is an automated real-time PCR assay providing simultaneous detection of Mycobacterium tuberculosis and rifampicin-resistance mutations within two hours.
Sample Question 10
Community Medicine & Public HealthEasy • Medical Sciences
In Pakistan, the Lady Health Worker (LHW) Programme primarily operates at which level of the healthcare delivery system?
ATertiary care hospitals
BPrimary / Community grassroots level providing promotive and preventive maternal-child health services
CDistrict headquarters specialized ICUs
DPrivate corporate diagnostic clinics
✓ Correct Answer:B - Primary / Community grassroots level providing promotive and preventive maternal-child health services
📖 Step-by-Step Solution & Conceptual Rationale:
Initiated in 1994, Pakistan's Lady Health Workers operate at the grassroots primary community tier, providing basic maternal, child, family planning, and immunization outreach services.
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