PSM flashcards for NEET PG
75 cards. Read the question, answer in your head, then check. For spaced repetition, study the deck in the app.
What this deck is for
These 75 cards pick out single facts in PSM that the exam keeps returning to: Biostatistics, Epidemiology, Vector-borne diseases, Immunisation, Concepts of health, Concept of health and disease and more. Practise biostatistics with small calculations until sensitivity, predictive values and risk measures are automatic. Cards are a starting set, not full coverage of the subject; the study guide lists the full map.
Where students slip in PSM: Using outdated programme names or figures. Read the PSM study guide.
1 · Biostatistics
Define sensitivity and specificity.
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Sensitivity: true positives ÷ all diseased. Specificity: true negatives ÷ all healthy.
Memory hook: SnNout, SpPin.
2 · Biostatistics
Proportion within ±1, ±2 and ±3 SD of a normal distribution?
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About 68%, 95% and 99.7%.
Memory hook: 68–95–99.7.
3 · Epidemiology
Which design gives incidence, and which suits rare diseases?
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Cohort gives incidence and relative risk; case-control suits rare diseases and gives odds ratios.
Memory hook: Cohort forward, case-control backward.
4 · Vector-borne diseases
Main vectors of dengue and of urban malaria?
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Dengue: Aedes aegypti. Urban malaria: Anopheles stephensi.
Memory hook: Aedes bites by day.
5 · Biostatistics
Type I vs Type II error?
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Type I: false positive, rejecting a true null. Type II: false negative, missing a real effect.
Memory hook: Power = 1 − β.
6 · Epidemiology
What is the case fatality rate?
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The proportion of people with a disease who die of it within a stated period.
Memory hook: A measure of killing power, not of risk.
7 · Immunisation
Which vaccines are given intradermally in India's routine schedule?
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BCG, and fractional IPV (fIPV). Rabies vaccine can also be given intradermally in the intradermal regimen. Confirm against the current schedule.
Memory hook: BCG leaves a scar.
8 · Concepts of health
What is the WHO definition of health?
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A state of complete physical, mental and social well-being, and not merely the absence of disease or infirmity.
Memory hook: Three dimensions.
9 · Biostatistics
Which measure of central tendency suits skewed data, and which is pulled most by outliers?
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The median suits skewed data; the mean is pulled most by extreme values.
Memory hook: The mean chases the tail.
10 · Epidemiology
What does a relative risk of 1 mean?
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No association between exposure and outcome. Above 1 suggests more risk in the exposed; below 1 suggests protection.
Memory hook: One means no difference.
11 · Concept of health and disease
What are the four levels of prevention?
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Primordial, primary, secondary and tertiary prevention.
Memory hook: Primordial prevents the risk factor from arising.
12 · Concept of health and disease
What is the aim of secondary prevention?
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Early diagnosis and prompt treatment, such as screening, to halt progression.
Memory hook: Catch it early.
13 · Concept of health and disease
What does tertiary prevention include?
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Disability limitation and rehabilitation in established disease.
Memory hook: Limit damage, restore function.
14 · Concept of health and disease
Name the spectrum of disease from exposure to outcome in the natural history.
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Stage of susceptibility, presymptomatic (subclinical) stage, clinical disease, then recovery, disability or death.
Memory hook: Four stages.
15 · Concept of health and disease
What is the epidemiological triad?
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Agent, host and environment.
Memory hook: A, H, E.
16 · Concept of health and disease
What is the iceberg phenomenon of disease?
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Clinically apparent cases are only the visible tip; most cases are subclinical, undiagnosed or latent.
Memory hook: Screening reaches the submerged part.
17 · Epidemiology
What is the difference between an epidemic and an endemic disease?
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Epidemic: occurrence clearly above expected levels. Endemic: constant presence in a given area.
Memory hook: Endemic is the baseline.
18 · Epidemiology
What is attributable risk?
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Incidence in the exposed minus incidence in the non-exposed: the excess risk due to the exposure.
Memory hook: Risk difference.
19 · Epidemiology
What does a randomised controlled trial do that other designs cannot?
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Random allocation balances known and unknown confounders between groups.
Memory hook: Randomisation beats confounding.
20 · Epidemiology
What is the purpose of blinding in a trial?
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To reduce bias in assessment and reporting; double blind hides allocation from both participants and investigators.
Memory hook: Blinding reduces bias.
21 · Epidemiology
What is the incubation period?
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The interval between entry of the infectious agent and the appearance of the first symptoms.
Memory hook: Exposure to symptoms.
22 · Epidemiology
What is herd immunity?
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Indirect protection of susceptibles when a sufficient proportion of the population is immune, reducing transmission.
Memory hook: Works for person-to-person spread.
23 · Epidemiology
What is lead time bias in screening?
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Apparent increase in survival because disease is detected earlier, without any real delay in death.
Memory hook: Earlier diagnosis is not longer life.
24 · Biostatistics
Which test compares proportions of two categorical variables?
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The chi-square test.
Memory hook: Categories, so chi-square.
25 · Biostatistics
Which test compares the means of two independent groups with a normal distribution?
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The unpaired (independent) t-test.
Memory hook: Two means, t-test.
26 · Biostatistics
Which test compares means across three or more groups?
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ANOVA (analysis of variance).
Memory hook: More than two means.
27 · Biostatistics
What does the p-value represent?
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The probability of obtaining the observed result or a more extreme one if the null hypothesis is true.
Memory hook: Small p means data unlikely under null.
28 · Biostatistics
What is the standard error of the mean?
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Standard deviation divided by the square root of the sample size.
Memory hook: SD over root n.
29 · Biostatistics
What does a ROC curve plot?
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Sensitivity against 1 minus specificity across cut-off values.
Memory hook: Larger area under the curve means a better test.
30 · Communicable diseases
What is the vector of Japanese encephalitis, and the amplifying host?
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Culex tritaeniorhynchus; pigs are amplifying hosts.
Memory hook: Pigs amplify the virus.
31 · Communicable diseases
Which drug is used for mass drug administration against filariasis?
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Diethylcarbamazine with albendazole (with ivermectin in selected areas).
Memory hook: DEC plus albendazole.
32 · Communicable diseases
What is the vector of scrub typhus and the causative agent?
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Trombiculid mite (chigger); Orientia tsutsugamushi.
Memory hook: Mite bite leaves an eschar.
33 · Communicable diseases
What is the incubation period of measles?
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About 10 days to fever and 14 days to rash.
Memory hook: Rash follows fever by about 3 to 4 days.
34 · Communicable diseases
Which pathogen is the commonest cause of acute diarrhoea in children in developing countries?
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Rotavirus.
Memory hook: Rota for toddlers.
35 · Communicable diseases
What is the standard approach to diagnosing TB under the national programme?
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Molecular tests such as CBNAAT or Truenat are used as the preferred initial test, with microscopy as support.
Memory hook: Molecular first.
36 · Communicable diseases
How is rabies post-exposure managed in a category III bite?
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Wound washing with soap and water, vaccine, and rabies immunoglobulin infiltrated into and around the wound.
Memory hook: Category III needs immunoglobulin.
37 · Non-communicable diseases
What are the four main NCDs targeted by global action plans?
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Cardiovascular diseases, cancers, chronic respiratory diseases and diabetes.
Memory hook: Four diseases, four risk factors.
38 · Non-communicable diseases
What are the four shared behavioural risk factors for NCDs?
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Tobacco use, harmful alcohol use, unhealthy diet and physical inactivity.
Memory hook: Tobacco, alcohol, diet, inactivity.
39 · Non-communicable diseases
Which screening test is used for cervical cancer by visual inspection?
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Visual inspection with acetic acid (VIA).
Memory hook: Acetowhite change.
40 · Non-communicable diseases
Which cancer screening test is used for breast cancer at community level in India?
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Clinical breast examination, with mammography for selected groups.
Memory hook: Clinical breast examination is the community-level tool.
41 · Non-communicable diseases
What BMI cut-off defines overweight and obesity by WHO classification?
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Overweight 25 to 29.9 kg/m2; obesity 30 kg/m2 or more.
Memory hook: 25 and 30.
42 · Non-communicable diseases
What is the WHO classification of hypertension in terms of the blood pressure threshold?
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Hypertension is generally defined as 140/90 mmHg or above.
Memory hook: 140 over 90.
43 · Non-communicable diseases
What is the rule of halves in hypertension?
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Half of hypertensives are undetected, half of those detected are untreated, and half of those treated are inadequately controlled.
Memory hook: Successive halving.
44 · Nutrition
Which vitamin deficiency causes xerophthalmia?
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Vitamin A.
Memory hook: Night blindness is the earliest symptom.
45 · Nutrition
Which is the earliest clinical sign of vitamin A deficiency?
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Night blindness (nyctalopia).
Memory hook: Then Bitot spots.
46 · Nutrition
What is the energy value of 1 g of carbohydrate, protein and fat?
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4 kcal, 4 kcal and 9 kcal respectively.
Memory hook: 4, 4, 9.
47 · Nutrition
What is the most common cause of anaemia in India?
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Iron deficiency.
Memory hook: Nutritional anaemia.
48 · Nutrition
Which deficiency causes endemic goitre, and how is it prevented?
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Iodine deficiency; prevented by iodised salt.
Memory hook: Salt iodisation.
49 · Nutrition
Which clinical form of protein energy malnutrition shows oedema?
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Kwashiorkor.
Memory hook: Oedema with relatively preserved fat.
50 · Environmental health
Which gas is the main cause of the greenhouse effect from human activity?
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Carbon dioxide.
Memory hook: Methane is also important.
51 · Environmental health
What is the most reliable indicator of faecal pollution of water?
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Escherichia coli (coliform count).
Memory hook: E. coli is faecal.
52 · Environmental health
What is the residual free chlorine level recommended after one hour of contact in disinfected water?
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0.5 mg/L.
Memory hook: Half a milligram per litre.
53 · Environmental health
What is the Horrocks apparatus used for?
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Determining the chlorine demand of water to calculate the bleaching powder dose.
Memory hook: Chlorine demand.
54 · Environmental health
In which colour container are sharps placed under the biomedical waste rules?
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Sharps go into white (translucent) puncture-proof containers.
Memory hook: White for sharps.
55 · Environmental health
Which colour bag is used for infectious plastic waste such as tubing and gloves?
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Red bag.
Memory hook: Red for contaminated plastic.
56 · Environmental health
Which disease results from long-term exposure to silica dust?
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Silicosis.
Memory hook: Mining and quarrying.
57 · Maternal and child health
What is the definition of maternal mortality ratio?
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Maternal deaths per 100,000 live births.
Memory hook: Denominator is live births.
58 · Maternal and child health
Which period does the neonatal period cover?
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The first 28 completed days of life.
Memory hook: Early neonatal is the first 7 days.
59 · Maternal and child health
What is the recommended duration of exclusive breastfeeding?
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The first six months of life.
Memory hook: Then complementary feeding.
60 · Maternal and child health
Which scale is used to assess the newborn at one and five minutes?
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Apgar score.
Memory hook: Five parameters, maximum score 10.
61 · Maternal and child health
What does IMNCI stand for?
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Integrated Management of Neonatal and Childhood Illness.
Memory hook: Classifies illness by colour-coded signs.
62 · Maternal and child health
What is the colour-coded management category for a child with severe illness needing urgent referral?
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Pink (red) row: urgent pre-referral treatment and referral.
Memory hook: Pink means refer.
63 · National health programmes
What is the strategy of the national TB programme for treatment delivery?
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Directly observed treatment with daily fixed-dose combination regimens.
Memory hook: DOTS.
64 · National health programmes
What is the target age group of the Rashtriya Bal Swasthya Karyakram?
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Children from birth to 18 years, screened for defects, deficiencies, diseases and developmental delays.
Memory hook: The 4 Ds.
65 · National health programmes
What is the focus of the Janani Suraksha Yojana?
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Promoting institutional delivery through cash assistance to reduce maternal and neonatal deaths.
Memory hook: Safe motherhood intervention.
66 · National health programmes
Who is the ASHA?
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A community-level female health activist who links the community with the health system.
Memory hook: Accredited Social Health Activist.
67 · National health programmes
What is the population norm for a primary health centre in plain areas?
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One PHC per 30,000 population.
Memory hook: 30,000 in plains.
68 · National health programmes
What is the population norm for a sub-centre in plain areas?
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One sub-centre per 5,000 population.
Memory hook: 5,000 in plains.
69 · National health programmes
What is the population norm for a community health centre in plain areas?
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One CHC per 120,000 population.
Memory hook: 1.2 lakh.
70 · Demography and health indicators
What is the infant mortality rate?
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Deaths under one year of age per 1000 live births in a year.
Memory hook: Sensitive indicator of health.
71 · Demography and health indicators
What is the total fertility rate?
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The average number of children a woman would bear in her lifetime at current age-specific fertility rates.
Memory hook: Replacement level is about 2.1.
72 · Demography and health indicators
What are the components of the Human Development Index?
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Health (life expectancy), education and income.
Memory hook: Long life, knowledge, decent living.
73 · Demography and health indicators
What is the Physical Quality of Life Index composed of?
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Infant mortality, life expectancy at age one and literacy.
Memory hook: Three indicators.
74 · Demography and health indicators
Which type of population pyramid indicates a rapidly growing population with high fertility?
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Broad base, narrowing sharply upward (expansive pyramid).
Memory hook: Triangular shape.
75 · Demography and health indicators
What is the dependency ratio?
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The ratio of dependants (under 15 and over 64 years) to the working-age population (15 to 64 years).
Memory hook: Dependants over workers.
Common questions
How many PSM flashcards are there?
75 cards across 13 topics. The deck grows as we add material.
Which topics are in the PSM deck?
Biostatistics, Epidemiology, Vector-borne diseases, Immunisation, Concepts of health, Concept of health and disease, Communicable diseases, Non-communicable diseases, Nutrition, Environmental health, Maternal and child health, National health programmes, and more.
Is the PSM deck free?
PSM opens with a paid term. The free plan includes the Anatomy, Physiology and Biochemistry decks.
How do spaced-repetition cards work?
You rate each card Again, Hard, Good or Easy. Cards you find hard return soon and cards you know return later, so your time goes where you forget.
What is the memory hook on a card?
75 of these cards carry a one-line hook: a short cue that helps the answer stick. It is optional and appears after you reveal the answer.
How many PSM cards should I do a day?
Ten to twenty minutes a day is plenty. A few due cards every day beat a long session once a week.
Can I flip through the cards on this page?
You can read each question and reveal its answer here. For scheduling, ratings and progress, study the deck in the app.
Are the PSM cards reviewed by faculty?
Not yet. They are original and still awaiting independent review, so confirm anything important in a standard textbook.