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UPSC CMS PSM - Maternal, Child & Adolescent Health (MCH)
Attempt UPSC CMS PSM - Maternal, Child & Adolescent Health (MCH) under real exam conditions. Features timed computer-based test interface, textbook explanations, and detailed subject rank analytics.
Duration
15 Mins
Countdown timer with review palette.
Marking Scheme
+4.00 / -1.00
Exact negative marking as per official exam rules.
Textbook Citations
Harrison & Bailey
Standard medical textbook solution references.
Target Exam
UPSC CMS
Official paper pattern & syllabus coverage.
📝 Sample Question Preview from UPSC CMS PSM - Maternal, Child & Adolescent Health (MCH)
Below is a preview of sample questions included in this mock test. Launch the live simulator to attempt the complete test.
Question 1
A 28-year-old primigravida, at 30 weeks gestation, presents for a routine antenatal check-up. Her BMI is 32 kg/m², and she reports occasional heartburn. Her blood pressure is 130/80 mmHg, and urine dipstick is negative for protein. She has no history of gestational diabetes in previous pregnancies (not applicable as primigravida) or family history of diabetes. Her current fasting plasma glucose is 98 mg/dL. As per WHO guidelines for screening gestational diabetes mellitus (GDM) in high-risk populations, what is the MOST appropriate next step?
A. Reassure her and repeat fasting glucose at 34 weeks.
B. Advise a 75-gram oral glucose tolerance test (OGTT) immediately.
C. Start lifestyle modification and recheck fasting glucose in two weeks.
D. Advise a 50-gram glucose challenge test (GCT) followed by a 100-gram OGTT if positive.
Textbook Explanation Highlight:
According to WHO guidelines (2013), GDM screening can be done using a 75-gram OGTT at 24-28 weeks gestation, or earlier if high-risk factors are present. A fasting glucose of 98 mg/dL is within the normal range for non-pregnant individuals but a sing...
Question 2
A 6-month-old infant presents with fever, cough, and rapid breathing for 2 days. On examination, respiratory rate is 62 breaths/min, oxygen saturation is 90% on room air, and there are indrawing of the lower chest wall. The child is alert and taking feeds. According to IMNCI guidelines, what is the MOST appropriate classification and immediate management?
A. Severe pneumonia; refer urgently to hospital with first dose of oral amoxicillin.
B. Pneumonia; provide oral amoxicillin and advise follow-up in 2 days.
C. Very severe disease; provide parenteral antibiotics and oxygen immediately.
D. Not pneumonia; monitor at home and advise follow-up if symptoms worsen.
Textbook Explanation Highlight:
According to IMNCI guidelines, in a child aged 2 months to 5 years, the presence of lower chest wall indrawing OR danger signs (like lethargy, inability to drink, convulsions) indicates 'Severe Pneumonia'. Fast breathing (≥60/min for
Question 3
A 16-year-old girl is brought to the health center by her mother due to irregular menstrual cycles, acne, and weight gain over the past year. She is concerned about her daughter's future fertility. On examination, she has hirsutism and acanthosis nigricans. Her BMI is 28 kg/m². Her mother is requesting a contraceptive method that would also help regulate her cycles and manage her symptoms. Which of the following is the MOST appropriate contraceptive option in this scenario?
A. Copper-T intrauterine device (IUD).
B. Progestin-only pills (POPs).
C. Combined oral contraceptive pills (COCs).
D. Depot medroxyprogesterone acetate (DMPA) injection.
Textbook Explanation Highlight:
This adolescent presents with symptoms highly suggestive of Polycystic Ovary Syndrome (PCOS). PCOS is characterized by ovulatory dysfunction (leading to irregular periods), hyperandrogenism (acne, hirsutism), and polycystic ovaries. Combined oral con...
Question 4
The National Adolescent Health Programme (Rashtriya Kishore Swasthya Karyakram - RKSK) emphasizes six thematic areas. Which of the following is NOT one of the core thematic areas addressed by RKSK?
A. Nutrition.
B. Non-communicable diseases.
C. Substance misuse.
D. Road traffic injuries.
Textbook Explanation Highlight:
The Rashtriya Kishore Swasthya Karyakram (RKSK), launched in 2014, aims to address the health and developmental needs of adolescents in India. It focuses on six key thematic areas: 1) Nutrition, 2) Sexual and Reproductive Health, 3) Non-communicable...
Question 5
A 3-year-old child presents with a history of recurrent respiratory infections, chronic diarrhea, and failure to thrive. The child's mother reports that the child has not received any immunizations. On examination, the child is underweight for age, has oral thrush, and generalized lymphadenopathy. A rapid HIV antibody test is positive. Which of the following immunizations is absolutely contraindicated in this child?
A. Measles, Mumps, Rubella (MMR) vaccine.
B. Diphtheria, Tetanus, Pertussis (DTP) vaccine.
C. Inactivated Poliovirus Vaccine (IPV).
D. Pneumococcal Conjugate Vaccine (PCV).
Textbook Explanation Highlight:
This child presents with clinical features highly suggestive of advanced HIV infection (recurrent infections, chronic diarrhea, failure to thrive, oral thrush, lymphadenopathy) and a positive HIV test. Live attenuated vaccines are contraindicated in...