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Objective Questions

Latest SHS Bihar CHO Exam Question (Objective Questions), MCQ in English

Subjects : Child Health, Adolescent Health, Maternal Health, Family planning, Communicable & Non-communicable Diseases

Question Bank SHS Bihar CHO Exam - English
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Child Health

Question 1Single Answer
Which hormone is primarily responsible for milk production in lactating mothers ?
  1. A
    Estrogen
  2. B
    Prolactin
  3. C
    Oxytocin
  4. D
    Testosterone
Question 2Single Answer
When should a newborn typically start breastfeeding after birth ?
  1. A
    Within 12 hours
  2. B
    Within 24 hours
  3. C
    Within 48 hours
  4. D
    Within 72 hours
Question 3Single Answer
What is the recommended duration of exclusive breastfeeding for infants ?
  1. A
    2 months
  2. B
    4 months
  3. C
    6 months
  4. D
    8 months
Question 4Single Answer
Which of the following is a common breastfeeding position that allows the baby to lie on their side facing the mother's breast ?
  1. A
    Cradle hold
  2. B
    Football hold
  3. C
    Side - lying position
  4. D
    Cross - cradle hold
Question 5Single Answer
What is the purpose of the let - down reflex during breastfeeding ?
  1. A
    To increase milk production
  2. B
    To stimulate the baby's appetite
  3. C
    To release stored milk into the ducts
  4. D
    To soothe the baby
Question 6Single Answer
How is HIV primarily transmitted from mother to child during childbirth or breastfeeding ?
  1. A
    Through respiratory droplets
  2. B
    Through contaminated food and water
  3. C
    Through infected blood or breast milk
  4. D
    Through close physical contact
Question 7Single Answer
What is the most effective way to prevent mother - to - child transmission (PMTCT) of HIV during childbirth ?
  1. A
    Early initiation of antiretroviral therapy (ART) for the mother
  2. B
    Cesarean section delivery
  3. C
    Exclusive breastfeeding for the first 6 months
  4. D
    Prenatal vitamins and supplements
Question 8Single Answer
At what stage of pregnancy should HIV testing be conducted for pregnant women ?
  1. A
    First trimester
  2. B
    Second trimester
  3. C
    Third trimester
  4. D
    Any trimester
Question 9Single Answer
What is the recommended feeding option for infants born to HIV - positive mothers in a resource - limited setting where safe and sustainable formula feeding is not feasible ?
  1. A
    Exclusive breastfeeding
  2. B
    Exclusive formula feeding
  3. C
    Mixed feeding (breastfeeding and formula)
  4. D
    No feeding until weaning age
Question 10Single Answer
What is a common antiretroviral medication used to prevent mother - to - child transmission of HIV during pregnancy and breastfeeding ?
  1. A
    Penicillin
  2. B
    Zidovudine (AZT)
  3. C
    Aspirin
  4. D
    Paracetamol

Adolescent Health

Question 11Single Answer
What is an early warning sign of postpartum psychosis in adolescents?
  1. A
    Feeling overwhelmed
  2. B
    Difficulty concentrating
  3. C
    Occasional mood swings
  4. D
    Changes in sleep patterns
Question 12Single Answer
Which of the following is NOT a common perinatal mental health condition that can impact adolescent mothers?
  1. A
    Depression
  2. B
    Anxiety
  3. C
    Obsessive-Compulsive Disorder (OCD)
  4. D
    Postpartum Psychosis
Question 13Single Answer
Which of the following factors can contribute to perinatal mental health issues in adolescents?
  1. A
    Lack of social support
  2. B
    Financial difficulties
  3. C
    Limited access to healthcare
  4. D
    All of the above
Question 14Single Answer
Early identification and intervention for perinatal mental health issues in adolescents can:
  1. A
    Improve maternal well-being
  2. B
    Enhance infant development
  3. C
    Reduce risk of postpartum depression
  4. D
    All of the above
Question 15Single Answer
What is a common symptom of perinatal anxiety in adolescents?
  1. A
    Excessive worrying
  2. B
    Difficulty sleeping
  3. C
    Changes in appetite
  4. D
    All of the above
Question 16Single Answer
A 16-year-old pregnant girl expresses fear of giving birth. This is most likely indicative of:
  1. A
    Postpartum depression
  2. B
    Perinatal anxiety
  3. C
    Postpartum psychosis (incorrect timing)
  4. D
    None of the above
Question 17Single Answer
Fathers of adolescent mothers can play a significant role in:
  1. A
    Reducing stress
  2. B
    Providing emotional support
  3. C
    Encouraging healthy coping mechanisms
  4. D
    All of the above
Question 18Single Answer
Perinatal mental health concerns in adolescents can be effectively treated with:
  1. A
    Medication alone
  2. B
    Therapy alone
  3. C
    A combination of medication and therapy
  4. D
    There is no effective treatment.
Question 19Single Answer
Adolescent mothers with perinatal depression are more likely to:
  1. A
    Engage in healthy prenatal care
  2. B
    Experience bonding difficulties with their baby
  3. C
    Have a higher self-esteem
  4. D
    Report greater satisfaction with motherhood
Question 20Single Answer
School-based programs can be beneficial for adolescents by:
  1. A
    Providing education on perinatal mental health
  2. B
    Offering peer support groups
  3. C
    Connecting students with mental health resources
  4. D
    All of the above

Maternal Health

Question 21Single Answer
The recommended age for a woman to begin regular mammograms for breast cancer screening is:
  1. A
     20 years old
  2. B
    30 years old
  3. C
    40 years old
  4. D
    50 years old
Question 22Single Answer
A Pap smear is a test used to screen for:
  1. A
    Breast cancer
  2. B
     Cervical cancer
  3. C
    Ovarian cancer
  4. D
    Uterine cancer
Question 23Single Answer
The recommended age for a woman to begin regular Pap smear tests is:
  1. A
    18 years old
  2. B
    21 years old 
  3. C
     25 years old
  4. D
     30 years old
Question 24Single Answer
A woman who has never been sexually active:
  1. A
    Does not need cervical cancer screening.
  2. B
    Needs annual Pap smears regardless of age.
  3. C
    Should start Pap smears after the age of 30.
  4. D
    Needs a Pap smear every other year.
Question 25Single Answer
Which of the following is a symptom of cervical cancer?
  1. A
    No symptoms in early stages
  2. B
    Unusual vaginal bleeding
  3. C
    Persistent pain in the lower abdomen
  4. D
     Difficulty breathing
Question 26Single Answer
Early detection of breast cancer is important because:
  1. A
    Treatment options are more limited.
  2. B
    Treatment is more effective and has a higher cure rate.
  3. C
    There are no effective treatments for early-stage breast cancer.
  4. D
     Breast cancer is always fatal.
Question 27Single Answer
During a Pap smear, a healthcare provider collects a sample of cells from the:
  1. A
     Ovaries
  2. B
    Uterus
  3. C
     Vagina
  4. D
    Fallopian tubes
Question 28Single Answer
A woman with a family history of cervical cancer should discuss screening options with her doctor:
  1. A
     Never
  2. B
    Always
  3. C
    Only if she has symptoms
  4. D
    After the age of 40
Question 29Single Answer
Clinical breast exams are performed by a healthcare professional to check for:
  1. A
     Changes in breast size or shape
  2. B
     Lumps or masses
  3. C
    Skin dimpling or nipple retraction
  4. D
     All of the above
Question 30Single Answer
There are different types of mammograms available. Which type is typically used for women with dense breasts?
  1. A
    Digital mammogram 
  2. B
    Ultrasound
  3. C
     MRI
  4. D
    All of the above

Family planning

Question 31Single Answer
Which of the following is a natural method of family planning ?
  1. A
    Barrier methods
  2. B
    Hormonal methods
  3. C
    Surgical methods
  4. D
    Abstinence
Question 32Single Answer
Which of the following is a long - acting reversible contraceptive method ?
  1. A
    Intrauterine device (IUD)
  2. B
    Combined oral contraceptive pill (COCP)
  3. C
    Condom
  4. D
    Diaphragm
Question 33Single Answer
Which of the following is a permanent method of family planning ?
  1. A
    Tubal ligation
  2. B
    Vasectomy
  3. C
    Both (a) & (b)
  4. D
    Combined oral contraceptive pill (COCP)
Question 34Single Answer
Which of the following is a side effect of combined oral contraceptive pill (COCP) ?
  1. A
    Nausea and vomiting
  2. B
    Breast tenderness
  3. C
    Irregular bleeding
  4. D
    All of the above
Question 35Single Answer
Which of the following is a risk factor for deep vein thrombosis (DVT) in women taking combined oral contraceptive pill (COCP) ?
  1. A
    Age over 35 years
  2. B
    Smoking
  3. C
    Obesity
  4. D
    All of the above
Question 36Single Answer
Which of the following is a side effect of progestin - only pills (POP) ?
  1. A
    Weight gain
  2. B
    Acne
  3. C
    Irregular bleeding
  4. D
    All of the above
Question 37Single Answer
Which of the following is a side effect of injectable contraceptives ?
  1. A
    Amenorrhea
  2. B
    Weight gain
  3. C
    Mood changes
  4. D
    All of the above
Question 38Single Answer
Which of the following is a side effect of intrauterine device (IUD) ?
  1. A
    Heavy menstrual bleeding
  2. B
    Spotting or bleeding between periods
  3. C
    Pelvic cramps
  4. D
    All of the above
Question 39Single Answer
Which of the following is a side effect of male condoms ?
  1. A
    Allergic reaction to latex
  2. B
    Decreased sensitivity
  3. C
    Breakage
  4. D
    All of the above
Question 40Single Answer
Which of the following is a side effect of female condoms ?
  1. A
    Insertion difficulty
  2. B
    Discomfort during intercourse
  3. C
    Breakage
  4. D
    All of the above

Communicable & Non-communicable Diseases

Question 41Single Answer
Chronic kidney disease (CKD) is classified as a:
  1. A
    Communicable disease
  2. B
     Non-communicable disease
  3. C
     Autoimmune disease
  4. D
    Blood disorder
Question 42Single Answer
The main function of the kidneys is to:
  1. A
    Produce red blood cells
  2. B
     Filter waste products from the blood  
  3. C
     Fight infection
  4. D
    Regulate body temperature
Question 43Single Answer
The primary mechanism of bone loss in osteoporosis is:
  1. A
    Increased bone mineralization
  2. B
    Enhanced bone density
  3. C
    Imbalance between bone formation and resorption
  4. D
    Reduced calcium absorption
Question 44Single Answer
The leading causes of chronic kidney disease globally are:
  1. A
    Bacterial infections
  2. B
    Diabetes and high blood pressure 
  3. C
    Viral infections
  4. D
    Parasites
Question 45Single Answer
Which of the following is a common risk factor for osteoporosis?
  1. A
    High calcium intake
  2. B
    Regular weight-bearing exercise
  3. C
    Smoking
  4. D
    Adequate vitamin D levels
Question 46Single Answer
Early stages of CKD often have:
  1. A
    Very noticeable symptoms
  2. B
     No symptoms 
  3. C
    Severe pain
  4. D
    All of the above
Question 47Single Answer
Potential complications of advanced CKD include:
  1. A
     Heart disease
  2. B
    Weak bones
  3. C
    Anemia 
  4. D
    All of the above
Question 48Single Answer
How does estrogen deficiency contribute to osteoporosis in women?
  1. A
    It improves bone density
  2. B
    It reduces bone resorption
  3. C
    It promotes bone formation
  4. D
    It accelerates bone loss
Question 49Single Answer
Risk factors for developing CKD include:
  1. A
    Family history of CKD 
  2. B
    Unhealthy diet 
  3. C
    Smoking
  4. D
     All of the above
Question 50Single Answer
The most common fracture associated with osteoporosis occurs in which bone?
  1. A
    Skull
  2. B
    Femur (thigh bone)
  3. C
    Humerus (upper arm bone)
  4. D
    Radius (forearm bone)
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