| What are the characteristic symptoms of Generalized Anxiety Disorder (GAD)? | Chronic feeling of tension, apprehension, anxiety or worrying about a number of events or activities that involve every day routine life circumstances | Generalized Anxiety Disorder (GAD): Chronic feeling of tension, apprehension, anxiety or worrying about a number of events or activities that involve every day routine life circumstances (e.g., work, school, health, finance, household chores etc.) Panic Disorder: Recurrent unexpected attacks of intense fear/ anxiety along with physical symptoms (palpitations, feelings of “choking”, trembling, chest pain feeling dizzy/faint etc.) Social Phobia: Marked fear and avoidance of social situations (e.g., interaction with strangers, meeting unfamiliar people, performing in front of others) Obsessive-compulsive disorder (OCD): Recurrent and persistent unwanted thoughts (e.g., unwanted sexual and blasphemous thoughts, fear of harming self or others, fear of contamination, doubts about daily activities etc.) and repetitive behaviours (e.g., excessive washing / cleaning, checking, ordering etc.) | 36 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | Generalized Anxiety Disorder (GAD): Chronic feeling of tension, apprehension, anxiety or worrying about a number of events or activities that involve every day routine life circumstances (e.g., work, school, health, finance, household chores etc.) Panic Disorder: Recurrent unexpected attacks of intense fear/ anxiety along with physical symptoms (palpitations, feelings of “choking”, trembling, chest pain feeling dizzy/faint etc.) Social Phobia: Marked fear and avoidance of social situations (e.g., interaction with strangers, meeting unfamiliar people, performing in front of others) | 53 | page=53,block=42 | 0.700 | valid |
| What defines the severity level as mild in the context of somatic symptoms? | only one of the symptoms specified in criterion B is fulfilled | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the commonest symptoms 1. Pain symptoms at multiple sites (such as abdominal, back, chest, dysmenorrhea, dysuria, extremity, head, joint, rectal) is often present 2. Gastrointestinal sensations (pain, belching, regurgitation, vomiting, nausea) 3. | 275 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the |
| What defines the severity level as moderate in the context of somatic symptoms? | Two or more of the symptoms specified in criterion B is fulfilled | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the commonest symptoms 1. Pain symptoms at multiple sites (such as abdominal, back, chest, dysmenorrhea, dysuria, extremity, head, joint, rectal) is often present 2. Gastrointestinal sensations (pain, belching, regurgitation, vomiting, nausea) 3. | 349 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the |
| What defines the severity level as severe in the context of somatic symptoms? | Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the commonest symptoms 1. Pain symptoms at multiple sites (such as abdominal, back, chest, dysmenorrhea, dysuria, extremity, head, joint, rectal) is often present 2. Gastrointestinal sensations (pain, belching, regurgitation, vomiting, nausea) 3. | 424 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | Although only one somatic symptom may not be continuously present, the state of being symptomatic is persistent (typically more than 6 months) A persistent course is characterized by severe symptoms, marked impairment, and long duration (more than 6 months) Severity: Mild – only one of the symptoms specified in criterion B is fulfilled Moderate – Two or more of the symptoms specified in criterion B is fulfilled Severe – Two or more of the symptoms specified in criterion B are fulfilled, plus there are multiple somatic symptoms (or one very severe somatic symptom) Following list include the |
| What is a characteristic of angina that lasts more than 20 minutes? | Angina at rest or lasting more than 20 minutes | Coronary angiography *The time point the diagnosis is confirmed with patient history & ECG ideally within 10mins from the First Medical Contract (FMC). All delays are related to FMC. ACUTE CORONARY SYNDROME: 1. Angina at rest or lasting more than 20 minutes 2. Recent worsening of stable angina (crescendo) to CCS class III 3. New onset effort angina of less than 1 month in CCS class II/ III 4. Post infarction angina ECG: If ST Elevation: Follow ST Elevation MI (STEMI) protocol If no ST Elavation: UA/NSTEMI | 211 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | ACUTE CORONARY SYNDROME: 1. Angina at rest or lasting more than 20 minutes 2. | 14 | page=14,block=87 | 0.700 | valid |
| What is a withdrawal state in the context of alcohol dependence? | when alcohol use has stopped or been reduced or use of the alcohol (or benzodiazepines) to relieve or avoid withdrawal symptoms | Alcohol dependence (three of the following six criteria to be present for at least one month) 1) A strong desire or sense of compulsion to take alcohol 2) Difficulty in controlling alcohol use 3) Withdrawal state when alcohol use has stopped or been reduced or use of the alcohol (or benzodiazepines) to relieve or avoid withdrawal symptoms 4) Evidence of tolerance 5) Preoccupation with alcohol use 6) Alcohol use persisting despite clear evidence of harmful consequences | 213 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | Alcohol dependence (three of the following six criteria to be present for at least one month) 1) A strong desire or sense of compulsion to take alcohol 2) Difficulty in controlling alcohol use 3) Withdrawal state when alcohol use has stopped or been reduced or use of the alcohol (or benzodiazepines) to relieve or avoid withdrawal symptoms 4) Evidence of tolerance 5) Preoccupation with alcohol use 6) Alcohol use persisting despite clear evidence of harmful consequences | 52 |
| What is the definition of binge drinking for men? | 5 drinks over 2 hours | • Age at initiation, quantity, frequency and progression (daily use and/or morning drinking) • Time of last alcohol use and amount • Binge drinking ( men: 5 drinks over 2 hours; women: 4 drinks over 2 hours) • Withdrawal state: insomnia, restlessness, anxiety, tremors. | 155 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | • Age at initiation, quantity, frequency and progression (daily use and/or morning drinking) • Time of last alcohol use and amount • Binge drinking ( men: 5 drinks over 2 hours; women: 4 drinks over 2 hours) • Withdrawal state: insomnia, restlessness, anxiety, tremors. | 52 | page=52,block=3 | 0.700 | valid |
| What is the definition of binge drinking for women? | 4 drinks over 2 hours | • Age at initiation, quantity, frequency and progression (daily use and/or morning drinking) • Time of last alcohol use and amount • Binge drinking ( men: 5 drinks over 2 hours; women: 4 drinks over 2 hours) • Withdrawal state: insomnia, restlessness, anxiety, tremors. | 185 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | • Age at initiation, quantity, frequency and progression (daily use and/or morning drinking) • Time of last alcohol use and amount • Binge drinking ( men: 5 drinks over 2 hours; women: 4 drinks over 2 hours) • Withdrawal state: insomnia, restlessness, anxiety, tremors. | 52 | page=52,block=3 | 0.700 | valid |
| What is the definition of diarrhea based on stool frequency? | >3 loose or watery stools/ day | DIARRHEA IS • >3 loose or watery stools/ day • Acute Diarrhea <14 days • Persistent diarrhea >14 days • Dysentery – blood in stools SKIN PINCH TEST • Locate the area on the child’s abdomen halfway between the umbilicus and the side of the abdomen. • Use thumb and first finger to pinch and not finger tips. • The fold of the skin should be in a line up and down the child’s body. • Firmly pick up all layers of the skin and tissue under them. • Pinch the skin for one second and then release it. | 14 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | DIARRHEA IS • >3 loose or watery stools/ day • Acute Diarrhea <14 days • Persistent diarrhea >14 days • Dysentery – blood in stools SKIN PINCH TEST • Locate the area on the child’s abdomen halfway between the umbilicus and the side of the abdomen. | 45 | page=45,block=3 | 0.700 | valid |
| What is the definition of infertility based on the duration of unprotected intercourse? | Inability to conceive even after one year of regular unprotected intercourse. | Inability to conceive even after one year of regular unprotected intercourse. Evaluation earlier than one year if female age is >35yrs, family history of infertility or very anxious couples. Infertility Incidence is 10-15%. Male factor- contributory in 50% cases. Both partners examined simultaneously* Ensure marriage is consummated, couple has frequent timed intercourse with the knowledge of ovulatary cycle. | 0 | definition | 1.000 | https://www.icmr.gov.in/icmrobject/custom_data/pdf/downloadable-books/STW_Manual_v1.pdf | Inability to conceive even after one year of regular unprotected intercourse. Evaluation earlier than one year if female age is >35yrs, family history of infertility or very anxious couples. | 68 | page=68,block=32 | 0.700 | valid |