BRAC health volunteers in rural community contribute to?
A
Only emergencies
B
Promoting health and preventing disease
C
Only vaccination
D
Hospital billing
Question 37Single Answer
What is epidemiological surveillance?
A
CCTV monitoring
B
GPS tracking
C
Hospital accounts
D
Systematic disease data collection and analysis
Question 38Single Answer
Health literacy improves?
A
Hospital profits
B
Patient adherence and health outcomes
C
Staff salaries
D
Room cleaning
Question 39Single Answer
WHO's MPOWER strategy targets?
A
Alcohol
B
Tobacco
C
Diet
D
Tactical medicine
Question 40Single Answer
Dietary salt reduction public policy is a form of?
A
Secondary prevention
B
Palliative care
C
Primary prevention
D
Emergency care
Question 41Single Answer
A diabetes health awareness camp exemplifies?
A
Program
B
Rehabilitation
C
Surveillance
D
Adverse event review
Question 42Single Answer
For health promotion, behavior change at individual level is encouraged through?
A
Legislation
B
Community education and counseling
C
Punitive laws
D
Banning all foods
Question 43Single Answer
Patient autonomy emphasizes?
A
Patientβs informed choices
B
Doctor decides
C
Family decisions only
D
Government mandates
Question 44Single Answer
A surrogate decision-maker acts when the patient is?
A
Fully conscious
B
Incapacitated
C
A minor
D
Traveler
Question 45Single Answer
Informed consent requires?
A
Verbal only
B
Disclosure, understanding, voluntariness
C
Signed form only
D
Family approval
Question 46Single Answer
A doctor misrepresents success rates. This violates?
A
Patient autonomy
B
Justice
C
Nonmaleficence
D
Beneficence
Question 47Single Answer
Right to refuse treatment reflects which principle?
A
Nonmaleficence
B
Autonomy
C
Justice
D
Beneficence
Question 48Single Answer
Confidentiality may be breached when?
A
Patient smokes
B
None
C
Hospital routine
D
Thereβs a legal duty to report infectious disease
Question 49Single Answer
What is beneficence?
A
Do no good
B
Acting in the patient's best interests
C
Promoting own agenda
D
Financial profit
Question 50Single Answer
In case of limited resources, equitable care follows?
A
Fair allocation based on need
B
First come first serve
C
Highest payer
D
Family pressure
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General Medicine
Question 51Single Answer
A doctor who doesn't let patients ask questions undermines?
A
Autonomy
B
Justice
C
Beneficence
D
Nonmaleficence
Question 52Single Answer
A physician prioritizing treatment of relatives over others breaches?
A
Autonomy
B
Justice
C
Confidentiality
D
Nonmaleficence
Question 53Single Answer
Dual loyalty conflict occurs when?
A
Treating friend
B
Pressure from employer to prioritize organizational goals
C
Treating child
D
Research
Question 54Single Answer
Physician self-care contributes to ethical care by promoting?
A
Nonmaleficence
B
Malpractice
C
Prejudice
D
Inequity
Question 55Single Answer
Which concept recognizes reasonable medical uncertainty and patient preferences?
A
Paternalism
B
Shared decision-making
C
Compliance
D
Heuristic approach
Question 56Single Answer
Managing conflicts of interests requires?
A
Concealment
B
Disclosure and mitigation
C
Accept bribes
D
No oversight
Question 57Single Answer
Bioavailability refers to?
A
Drug purity
B
Portion reaching systemic circulation
C
Drug safety
D
Side effects
Question 58Single Answer
A drug with a narrow therapeutic index requires?
A
No monitoring
B
Therapeutic drug level monitoring
C
Less frequent dosing
D
No dosing guidelines
Question 59Single Answer
First-pass metabolism affects which route?
A
Intravenous
B
Inhalation
C
Oral
D
Transdermal
Question 60Single Answer
What does plasma protein binding affect?
A
Drug taste
B
Free active drug concentration
C
Dose route
D
Bioavailability
Question 61Single Answer
A drug with a long half-life requires?
A
Frequent dosing
B
Less frequent dosing and longer accumulation time
C
No dose adjustments
D
High loading dose always
Question 62Single Answer
What is pharmacokinetics?
A
Study of drug effects
B
Study of drug marketing
C
Study of pill appearance
D
Study of body's effect on drug
Question 63Single Answer
What is pharmacodynamics?
A
Study of body's effect on drug
B
Study of drugβs effect on body
C
Study of drug cost
D
Study of drug route
Question 64Single Answer
Competitive antagonists block receptors by?
A
Blocking effect of agonist reversibly
B
Irreversible binding
C
Enhancing agonist
D
Blocking metabolism
Question 65Single Answer
What is a type A drug reaction?
A
Dose-dependent predictable
B
Allergic
C
Idiosyncratic
D
Genetic
Question 66Single Answer
What is drug tolerance?
A
Increased response
B
Reduced response after repeated use
C
Allergic reaction
D
Immuno response
Question 67Single Answer
Teratogenicity describes?
A
Placental transfer
B
Drug-induced fetal malformations
C
Immune boosting
D
Liver toxicity
Question 68Single Answer
CYP450 enzyme induction leads to?
A
Increased drug metabolism
B
Decreased drug absorption
C
Prolonged action
D
No interaction
Question 69Single Answer
What is pharmacovigilance?
A
Prescribing drugs
B
Monitoring drug safety post-marketing
C
Clinical trials only
D
Drug advertising
Question 70Single Answer
A βblack-box warningβ indicates?
A
Serious risk of adverse effects
B
Safe drug
C
FDA approval date
D
Cheap price
Question 71Single Answer
What is pharmacogenomics?
A
Study of drug dosage
B
Study of genomic variation on drug response
C
Drug cost analysis
D
Manufacturing process
Question 72Single Answer
Which enzyme polymorphism is known to affect warfarin dosing?
A
CYP3A4
B
CYP1A2
C
CYP2C9 and VKORC1
D
CYP2D6
Question 73Single Answer
Codeine efficacy depends on genetic variation in which enzyme?
A
CYP2C19
B
CYP2D6
C
CYP3A4
D
CYP1A2
Question 74Single Answer
Poor metabolizers of CYP2D6 may experience what with codeine?
A
Excessive analgesia
B
No analgesia
C
Liver toxicity
D
Heart block
Question 75Single Answer
TPMT polymorphism affects dosing of which drug?
A
Azathioprine
B
Warfarin
C
Metformin
D
Gabapentin
Question 76Single Answer
Genetic variation in SLCO1B1 is associated with risk of myopathy from?
A
Statins
B
Beta blockers
C
Renin inhibitors
D
Diuretics
Question 77Single Answer
UGT1A1 polymorphism causes toxicity with which drug?
A
Irinotecan
B
Doxorubicin
C
Methotrexate
D
Cyclophosphamide
Question 78Single Answer
Pharmacogenomic testing is most useful for?
A
OTC vitamins
B
Narrow-therapeutic-index drugs
C
First-generation antihistamines
D
Probiotics
Question 79Single Answer
HLA-B*1502 is associated with serious reactions to which drug?
A
Carbamazepine
B
Aspirin
C
Metformin
D
Lisinopril
Question 80Single Answer
Clopidogrel resistance can result from polymorphism in?
A
CYP3A4
B
CYP2C19
C
CYP2D6
D
CYP2E1
Question 81Single Answer
Abacavir hypersensitivity is linked to which allele?
A
HLA-B5701
B
CYP2D6
C
HLA-A0201
D
CYP3A5
Question 82Single Answer
Genetic variant in OPRM1 can alter response to what class?
A
Beta blockers
B
Opioids
C
Statins
D
ACE inhibitors
Question 83Single Answer
Genetic testing in personalized medicine aims to reduce?
A
Cost only
B
ADRs and toxicity
C
Number of drugs available
D
Clinical trials
Question 84Single Answer
Pharmacogenomics differs from pharmacogenetics in that it?