Clinico-Social Case Taking in Community Medicine Quiz

What is the primary objective of clinico-social case taking?

• To examine the index case

• To provide treatment with diagnosis

• To examine the index case in the milieu of family and environment

• To focus on clinical history

A 45-year-old man with uncontrolled Type 2 diabetes lives in an overcrowded, poorly ventilated house. Which social factor most directly impacts his disease control?

• Loss of income from attending follow-up visits

• Irregular review due to long travel distance

• Skipping appointments to avoid wage loss

• Inability to afford transport for clinic visits

Answer explanation

While all options affect follow-up, “skipping appointments to avoid wage loss” is the direct, actionable reason here—it links low SES to poor adherence, a common CSC finding.

What type of examination is included in the medical history and examination section?

• Only general physical examination

• Only systemic examination

• Both general and systemic examination

• No examination is required

Three children under 5 years have incomplete immunization despite a PHC nearby. Most likely reason?

• Parent believes vaccines cause illness

• Parent unaware of immunization schedule

• Parent unsure about vaccine safety

• Parent fears fever after vaccination

Answer explanation

Awareness gaps are the most common barrier when facilities are accessible; misconceptions are secondary. CSC aims to identify and address this knowledge gap.

What is the suggested management at the individual level?

• Curative management

• Preventive management

• Curative and preventive management

• Surgical management

During CSC, you see open drains, stagnant water, and high mosquito density. Which action has the highest preventive impact?

• Educate on covering stored water

• Educate on eliminating stagnant water

• Educate on disposing waste properly

• Educate on closing open drains

Answer explanation

Vector breeding prevention begins with eliminating stagnant water sources, addressing the root cause rather than only protective measures.

What does the sanitary assessment include?

• Mother and child health assessment

• Adolescent health assessment

• Drainage system assessment

• House, kitchen, and water supply

An index case with TB is irregular with treatment and lives far from the DOTS center. Most effective intervention?

• Assigning a nearby DOT provider

• Arranging periodic transport to center

• Providing free medication at hospital

• Educating family about adherence importance

Answer explanation

CSC prioritizes bringing treatment closer to the patient—community DOT providers improve adherence more than transport or education alone.

What is the aim of collecting information about the living environment of the index case?

• To identify the sanitary practices of the index case

• To know the knowledge of family on health system

• To suggest a comprehensive treatment

• To identify the primary case

Postnatal custom: mother isolated indoors 40 days without sunlight. Most likely complication?

• Vitamin D deficiency in both mother and child

• Postnatal depression in mother

• Delayed wound healing after delivery

• Increased risk of respiratory tract infection

Answer explanation

Lack of sunlight impairs vitamin D synthesis—risk is highest for both mother and newborn during the neonatal period.