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WorksheetsClinico-Social Case Taking in Community Medicine Quiz
Total questions: 15
Worksheet time: 2mins
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
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
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
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
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
A hypertensive patient stopped medication as “BP is normal now.” Which KAP component is deficient?
Knowledge about chronic nature of disease
Attitude towards regular medication
Practice of taking medicines daily
Awareness of follow-up importance
Which of the following is classified under “Promotive” management advice in CSC?
Improving dietary habits
Antibiotic therapy for infection
Isolation of infectious cases
Advising regular BP monitoring in hypertension
If mosquito larvae are found in stored drinking water during CSC, this indicates a deficiency in:
Water source selection
Water storage practices
Environmental refuse management
Personal hygiene habits
A family’s practice of avoiding colostrum, introducing pre-lacteal feeds, and starting weaning at 2 months is documented under:
Maternal health practices
Child rearing practices
Nutrition assessment
Social customs and beliefs
A CSC on a 50-year-old man with poorly controlled diabetes reveals:
Irregular follow-up due to wage loss on clinic days
High daily intake of refined carbohydrates
Overcrowded, poorly ventilated house
Adequate access to PHC within walking distance
Which single family-level advice aligns best with CSC’s preventive approach for NCD control in
this case?
Advise replacing refined carbohydrates with whole grains at main meals
Advise reducing total daily food intake by 25%
Advise avoiding eating outside the home completely
Advise limiting carbohydrate-rich foods to two meals per day
