National programmes: RBSK categories: practice question

A PSM question in the style of the NEET PG paper. Answer it first, then read why the right option is right and why each of the others is wrong.

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PSM · National programmes: RBSK categories

Sample item

Under the Rashtriya Bal Swasthya Karyakram, a mobile health team detects clinical rickets in a 3-year-old child at an anganwadi. In which of the four categories ('4 Ds') does this fall?

Original practice item, not a recalled exam question. Nothing here is recorded.

The answer and the reasoning

B. Deficiencies

The four Ds are defects at birth, deficiencies, diseases and developmental delays including disability. Deficiencies include anaemia, vitamin A deficiency, vitamin D deficiency (rickets), severe acute malnutrition and goitre. Rickets is a vitamin D deficiency disorder.

Option by option

  • A. Developmental delays including disability

    Developmental delays include vision and hearing impairment, speech and learning disorders.

  • B. Deficiencies (correct)

    Correct. Rickets is a vitamin D deficiency and sits under deficiencies.

  • C. Defects at birth

    Defects at birth include neural tube defects, clubfoot, cleft lip and congenital heart disease.

  • D. Diseases of childhood

    Diseases of childhood include skin conditions, otitis media, rheumatic heart disease and convulsive disorders.

Source note: Original NextPrep sample item — pending expert review. This item is original practice material awaiting independent expert review, so confirm important facts in a standard textbook.

More PSM questions

Questions about this PSM question

What is the answer to this PSM question?

The best answer is B, Deficiencies. The four Ds are defects at birth, deficiencies, diseases and developmental delays including disability.

Why is "Developmental delays including disability" not the answer?

Developmental delays include vision and hearing impairment, speech and learning disorders.

Why is "Defects at birth" not the answer?

Defects at birth include neural tube defects, clubfoot, cleft lip and congenital heart disease.

Why is "Diseases of childhood" not the answer?

Diseases of childhood include skin conditions, otitis media, rheumatic heart disease and convulsive disorders.

What concept does this question test?

It tests National programmes: RBSK categories in PSM. Deficiencies include anaemia, vitamin A deficiency, vitamin D deficiency (rickets), severe acute malnutrition and goitre. Rickets is a vitamin D deficiency disorder.

How hard is this question?

We tag it as an application question: it asks you to use a fact on a patient or a finding. The tag is our own editorial judgement, not an official difficulty rating, so read the reason for every option, not only the answer.

How should I study National programmes: RBSK categories?

Practise biostatistics with small calculations until sensitivity, predictive values and risk measures are automatic. Then use the flashcards and the other PSM questions on this site to test what stuck.

Is this a real NEET PG question?

No. It is an original practice item (editorial status: sample, version 1). NextPrep does not publish recalled or leaked questions, and independent faculty review of this item has not been completed yet, so confirm important facts in a standard textbook.