Levels of prevention: rehabilitation: 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 · Levels of prevention: rehabilitation

Sample item

A 35-year-old man cured of leprosy has residual claw hands. He is trained in a vocational workshop and helped to set up a tailoring shop. Which level of prevention does this represent?

ATertiary prevention, as rehabilitationBPrimary prevention, as specific protectionCPrimordial preventionDSecondary prevention

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

The answer and the reasoning

A. Tertiary prevention, as rehabilitation

Tertiary prevention reduces the impact of established disease through disability limitation and rehabilitation. Vocational training and economic resettlement of a person with a residual deformity is rehabilitation, which covers medical, vocational, social and psychological aspects. Secondary prevention concerns early diagnosis and treatment.

Option by option

A. Tertiary prevention, as rehabilitation (correct)
Correct. Rehabilitation of a person with established disability is tertiary prevention.
B. Primary prevention, as specific protection
Specific protection, such as vaccination, prevents disease in the healthy and does not address an existing deformity.
C. Primordial prevention
Primordial prevention targets risk factors in the population before they emerge, which is unrelated to a person already affected.
D. Secondary prevention
Secondary prevention is early detection and prompt treatment to halt progress, which has already been completed here.

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.

Questions about this PSM question

What is the answer to this PSM question?

The best answer is A, Tertiary prevention, as rehabilitation. Tertiary prevention reduces the impact of established disease through disability limitation and rehabilitation.

Why is "Primary prevention, as specific protection" not the answer?

Specific protection, such as vaccination, prevents disease in the healthy and does not address an existing deformity.

Why is "Primordial prevention" not the answer?

Primordial prevention targets risk factors in the population before they emerge, which is unrelated to a person already affected.

Why is "Secondary prevention" not the answer?

Secondary prevention is early detection and prompt treatment to halt progress, which has already been completed here.

What concept does this question test?

It tests Levels of prevention: rehabilitation in PSM. Vocational training and economic resettlement of a person with a residual deformity is rehabilitation, which covers medical, vocational, social and psychological aspects. Secondary prevention concerns early diagnosis and treatment.

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 Levels of prevention: rehabilitation?

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.