National health programmes: DOTS components: 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 health programmes: DOTS components

Sample item

Which of the following is NOT a component of the DOTS strategy?

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

The answer and the reasoning

C. Mass BCG revaccination of adults

The DOTS elements are political commitment, case detection by quality-assured bacteriology, standardised short-course treatment with supervision, an uninterrupted drug supply and a recording and reporting system. Adult BCG revaccination is not part of it.

Option by option

  • A. Political and administrative commitment

    Political commitment is a component.

  • B. Diagnosis by quality-assured bacteriology

    Bacteriological diagnosis is a component.

  • C. Mass BCG revaccination of adults (correct)

    Correct. Adult BCG revaccination is not part of DOTS.

  • D. Standardised treatment with supervision and patient support

    Supervised short-course treatment is a component.

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.

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Questions about this PSM question

What is the answer to this PSM question?

The best answer is C, Mass BCG revaccination of adults. The DOTS elements are political commitment, case detection by quality-assured bacteriology, standardised short-course treatment with supervision, an uninterrupted drug supply and a recording and reporting system.

Why is "Political and administrative commitment" not the answer?

Political commitment is a component.

Why is "Diagnosis by quality-assured bacteriology" not the answer?

Bacteriological diagnosis is a component.

Why is "Standardised treatment with supervision and patient support" not the answer?

Supervised short-course treatment is a component.

What concept does this question test?

It tests National health programmes: DOTS components in PSM. Adult BCG revaccination is not part of it.

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 health programmes: DOTS components?

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.