CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120)<\/title>\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Playfair+Display:wght@600;700&family=Source+Serif+4:ital,wght@0,300;0,400;0,600;1,400&display=swap\" rel=\"stylesheet\">\n<style>\n#cms21p2c *,#cms21p2c *::before,#cms21p2c *::after{box-sizing:border-box;margin:0;padding:0}\n#cms21p2c{--ter:#C0603A;--ter-light:#e8825f;--ter-pale:#fdf1ec;--teal:#2A7A6F;--teal-light:#3da394;--teal-pale:#eaf4f3;--ink:#1a1a1a;--ink-mid:#444;--ink-soft:#777;--line:#e0d8d4;--bg:#fdfaf8;--white:#ffffff;--correct:#1e6f46;--correct-bg:#eaf7ef;--correct-border:#43a047;--wrong:#b83232;--wrong-bg:#fdf0f0;--wrong-border:#e53935;--radius:10px;font-family:'Source Serif 4',Georgia,serif;font-size:16px;color:var(--ink);background:var(--bg);line-height:1.7;padding:0 0 48px}\n#cms21p2c .cq-sentinel{height:1px}\n#cms21p2c .cq-statusbar{position:fixed;top:0;left:0;right:0;z-index:99999;background:var(--white);border-bottom:2px solid var(--line);border-left:4px solid var(--ter);box-shadow:0 2px 12px rgba(0,0,0,0.11);opacity:0;pointer-events:none;transform:translateY(-110%);transition:opacity 0.22s ease,transform 0.22s ease}\n#cms21p2c .cq-statusbar.visible{opacity:1;pointer-events:auto;transform:translateY(0)}\n#cms21p2c .cq-sb-stats{display:flex;align-items:center;padding:0.38rem 0.7rem;font-size:0.73rem;color:var(--ink-soft)}\n#cms21p2c .cq-sb-item{display:flex;align-items:center;gap:0.18rem;padding:0.1rem 0.5rem;border-right:1px solid var(--line);white-space:nowrap;line-height:1}\n#cms21p2c .cq-sb-item:last-child{border-right:none}\n#cms21p2c .cq-sb-item strong{color:var(--ink);font-size:0.8rem;font-weight:700}\n#cms21p2c .cq-sb-sep{flex:1}\n#cms21p2c .cq-sb-progress{height:4px;background:var(--line);overflow:hidden}\n#cms21p2c .cq-sb-fill{height:100%;background:linear-gradient(90deg,var(--ter),var(--teal));width:0%;transition:width 0.4s ease}\n#cms21p2c .cq-timer-item{display:none;align-items:center;gap:0.18rem;padding:0.1rem 0.5rem;border-right:1px solid var(--line);white-space:nowrap;line-height:1;font-size:0.73rem}\n#cms21p2c .cq-timer-item.active{display:flex}\n#cms21p2c .cq-timer-item strong{font-size:0.8rem;font-weight:700;color:var(--teal);font-variant-numeric:tabular-nums}\n#cms21p2c .cq-timer-item.warning strong{color:var(--wrong)}\n#cms21p2c .cq-grace{display:none;position:fixed;top:0;right:0;bottom:0;left:0;z-index:999999;background:rgba(0,0,0,0.55);align-items:center;justify-content:center}\n#cms21p2c .cq-grace.show{display:flex}\n#cms21p2c .cq-grace-box{background:var(--white);border-radius:12px;border-top:5px solid var(--wrong);padding:32px 28px;text-align:center;max-width:320px;width:90%;box-shadow:0 8px 40px rgba(0,0,0,0.25)}\n#cms21p2c .cq-grace-box h3{font-family:'Playfair Display',serif;font-size:1.2rem;color:var(--wrong);margin-bottom:10px}\n#cms21p2c .cq-grace-box p{font-size:0.88rem;color:var(--ink-mid);margin-bottom:18px;line-height:1.55}\n#cms21p2c .cq-grace-count{font-family:'Playfair Display',serif;font-size:2.8rem;font-weight:700;color:var(--wrong);line-height:1;margin-bottom:18px}\n#cms21p2c .cq-grace-btn{background:var(--wrong);color:#fff;border:none;border-radius:8px;padding:10px 24px;font-family:'Playfair Display',serif;font-size:0.95rem;font-weight:700;cursor:pointer;transition:background 0.2s}\n#cms21p2c .cq-grace-btn:hover{background:#c62828}\n#cms21p2c .cq-header{background:var(--teal);color:var(--white);padding:28px 24px 22px;text-align:center}\n#cms21p2c .cq-header h1{font-family:'Playfair Display',serif;font-size:1.45rem;font-weight:700;letter-spacing:0.01em;line-height:1.3}\n#cms21p2c .cq-header p{font-size:0.85rem;opacity:0.85;margin-top:6px;font-style:italic}\n#cms21p2c .cq-meta{display:flex;justify-content:center;gap:16px;margin-top:14px;flex-wrap:wrap;align-items:center}\n#cms21p2c .cq-badge{background:rgba(255,255,255,0.15);border:1px solid rgba(255,255,255,0.3);border-radius:20px;padding:4px 14px;font-size:0.78rem;letter-spacing:0.03em}\n#cms21p2c .cq-timer-btn{background:transparent;border:1.5px solid rgba(255,255,255,0.7);color:var(--white);border-radius:20px;padding:4px 14px;font-family:'Source Serif 4',serif;font-size:0.78rem;cursor:pointer;letter-spacing:0.03em;transition:background 0.2s;display:flex;align-items:center;gap:6px}\n#cms21p2c .cq-timer-btn:hover{background:rgba(255,255,255,0.15)}\n#cms21p2c .cq-timer-btn.running{background:rgba(255,255,255,0.2);border-color:var(--white)}\n#cms21p2c .cq-body{max-width:760px;margin:0 auto;padding:0 16px}\n#cms21p2c .cq-card{background:var(--white);border:1px solid var(--line);border-radius:var(--radius);margin:24px 0;overflow:hidden;transition:box-shadow 0.2s}\n#cms21p2c .cq-card:hover{box-shadow:0 2px 12px rgba(192,96,58,0.1)}\n#cms21p2c .cq-qhead{background:var(--ter-pale);border-bottom:1px solid var(--line);padding:14px 18px;display:flex;gap:12px;align-items:flex-start}\n#cms21p2c .cq-qnum{flex-shrink:0;width:26px;height:26px;border-radius:50%;background:var(--ter);color:#fff;font-size:0.72rem;font-weight:700;display:flex;align-items:center;justify-content:center;margin-top:2px;transition:background 0.2s}\n#cms21p2c .cq-qnum.ans-c{background:var(--correct-border)}\n#cms21p2c .cq-qnum.ans-w{background:var(--wrong-border)}\n#cms21p2c .cq-qtext{font-size:0.93rem;color:var(--ink);line-height:1.65}\n#cms21p2c .cq-options{padding:14px 18px;display:flex;flex-direction:column;gap:8px}\n#cms21p2c .cq-opt{display:flex;align-items:flex-start;gap:10px;padding:10px 14px;border:1.5px solid var(--line);border-radius:8px;cursor:pointer;transition:border-color 0.15s,background 0.15s;background:var(--white);-webkit-tap-highlight-color:transparent}\n#cms21p2c .cq-opt:hover:not(.cq-locked){border-color:var(--teal);background:var(--teal-pale)}\n#cms21p2c .cq-opt-letter{flex-shrink:0;width:20px;height:20px;border-radius:50%;border:1.5px solid var(--line);display:flex;align-items:center;justify-content:center;font-size:0.65rem;font-weight:700;color:var(--ink-soft);transition:all 0.15s;margin-top:1px}\n#cms21p2c .cq-opt-text{font-size:0.89rem;color:var(--ink-mid);line-height:1.55}\n#cms21p2c .cq-opt.cq-correct{border-color:var(--correct-border);background:var(--correct-bg);cursor:default}\n#cms21p2c .cq-opt.cq-correct .cq-opt-letter{background:var(--correct-border);border-color:var(--correct-border);color:#fff}\n#cms21p2c .cq-opt.cq-correct .cq-opt-text{color:var(--correct);font-weight:600}\n#cms21p2c .cq-opt.cq-wrong{border-color:var(--wrong-border);background:var(--wrong-bg);cursor:default}\n#cms21p2c .cq-opt.cq-wrong .cq-opt-letter{background:var(--wrong-border);border-color:var(--wrong-border);color:#fff}\n#cms21p2c .cq-opt.cq-wrong .cq-opt-text{color:var(--wrong)}\n#cms21p2c .cq-opt.cq-dimmed{opacity:0.42;cursor:default}\n#cms21p2c .cq-opt.cq-locked{cursor:default}\n#cms21p2c .cq-explanation{display:none;background:var(--teal-pale);border-top:1px solid #b2d8d3;padding:10px 18px 12px;font-size:0.82rem;color:#1a4f49;line-height:1.62}\n#cms21p2c .cq-exp-label{font-size:0.7rem;font-weight:700;letter-spacing:0.08em;text-transform:uppercase;color:var(--teal);margin-bottom:4px}\n#cms21p2c .cq-submit-wrap{text-align:center;padding:28px 16px 8px}\n#cms21p2c .cq-btn{background:var(--teal);color:var(--white);border:none;border-radius:8px;padding:13px 36px;font-family:'Playfair Display',serif;font-size:1rem;font-weight:700;cursor:pointer;letter-spacing:0.02em;transition:background 0.2s,transform 0.1s}\n#cms21p2c .cq-btn:hover{background:var(--teal-light)}\n#cms21p2c .cq-btn:active{transform:scale(0.98)}\n#cms21p2c .cq-score{display:none;background:var(--white);border:2px solid var(--teal);border-radius:var(--radius);margin:28px 0 0;padding:28px 24px;text-align:center}\n#cms21p2c .cq-score-ring{width:110px;height:110px;border-radius:50%;background:conic-gradient(var(--teal) 0%,var(--line) 0%);display:flex;align-items:center;justify-content:center;margin:0 auto 20px;position:relative}\n#cms21p2c .cq-score-ring::before{content:'';position:absolute;width:86px;height:86px;border-radius:50%;background:var(--white)}\n#cms21p2c .cq-ring-inner{position:relative;display:flex;flex-direction:column;align-items:center;line-height:1.2}\n#cms21p2c .cq-ring-pct{font-family:'Playfair Display',serif;font-size:1.3rem;font-weight:700;color:var(--teal)}\n#cms21p2c .cq-ring-sub{font-size:0.6rem;color:var(--ink-soft);text-transform:uppercase;letter-spacing:0.05em}\n#cms21p2c .cq-score h2{font-family:'Playfair Display',serif;font-size:1.2rem;color:var(--ink);margin-bottom:8px}\n#cms21p2c .cq-net-line{font-size:1rem;color:var(--teal);font-weight:600;margin-bottom:6px}\n#cms21p2c .cq-verdict{font-size:0.85rem;color:var(--ink-soft);margin-bottom:20px}\n#cms21p2c .cq-score-bands{display:flex;justify-content:center;gap:10px;flex-wrap:wrap;font-size:0.8rem}\n#cms21p2c .cq-band{padding:4px 12px;border-radius:16px;font-weight:600}\n#cms21p2c .cq-band-c{background:var(--correct-bg);color:var(--correct)}\n#cms21p2c .cq-band-w{background:var(--wrong-bg);color:var(--wrong)}\n#cms21p2c .cq-band-s{background:var(--teal-pale);color:var(--teal)}\n#cms21p2c .cq-retry-btn{margin-top:22px;background:transparent;border:2px solid var(--teal);color:var(--teal);border-radius:8px;padding:10px 28px;font-family:'Playfair Display',serif;font-size:0.95rem;font-weight:700;cursor:pointer;transition:background 0.2s,color 0.2s}\n#cms21p2c .cq-retry-btn:hover{background:var(--teal);color:var(--white)}\n@media(max-width:480px){#cms21p2c .cq-header h1{font-size:1.15rem}#cms21p2c .cq-qtext{font-size:0.88rem}#cms21p2c .cq-opt-text{font-size:0.84rem}}\n<\/style>\n<\/head>\n<body>\n<div id=\"cms21p2c\">\n <div class=\"cq-sentinel\" id=\"cms21p2c-sentinel\"><\/div>\n <div class=\"cq-statusbar\" id=\"cms21p2c-statusbar\">\n <div class=\"cq-sb-stats\">\n <div class=\"cq-timer-item\" id=\"cms21p2c-timer-item\">\u23f1 <strong id=\"cms21p2c-timer-display\">40:00<\/strong><\/div>\n <div class=\"cq-sb-item\">\u2705 <strong id=\"cms21p2c-sc\">0<\/strong><\/div>\n <div class=\"cq-sb-item\">\u274c <strong id=\"cms21p2c-sw\">0<\/strong><\/div>\n <div class=\"cq-sb-item\">\u23f3 <strong id=\"cms21p2c-sr\">40<\/strong> left<\/div>\n <div class=\"cq-sb-sep\"><\/div>\n <div class=\"cq-sb-item\">Net <strong id=\"cms21p2c-sn\">0<\/strong> \/ <strong id=\"cms21p2c-sm\">160<\/strong><\/div>\n <\/div>\n <div class=\"cq-sb-progress\"><div class=\"cq-sb-fill\" id=\"cms21p2c-fill\"><\/div><\/div>\n <\/div>\n <div class=\"cq-grace\" id=\"cms21p2c-grace\">\n <div class=\"cq-grace-box\">\n <h3>Time's Up!<\/h3><p>Submitting in<\/p>\n <div class=\"cq-grace-count\" id=\"cms21p2c-grace-count\">10<\/div>\n <button class=\"cq-grace-btn\" id=\"cms21p2c-grace-now\">Submit Now<\/button>\n <\/div>\n <\/div>\n <div class=\"cq-header\">\n <h1>Combined Medical Services Examination 2021<br>Paper II \u00b7 Part 3<\/h1>\n <p>Preventive & Social Medicine<\/p>\n <div class=\"cq-meta\">\n <span class=\"cq-badge\">Questions 81 \u2013 120<\/span>\n <span class=\"cq-badge\">Options reshuffled<\/span>\n <button class=\"cq-timer-btn\" id=\"cms21p2c-timer-btn\">\u23f1 Start Timed Mode<\/button>\n <\/div>\n <\/div>\n <div class=\"cq-body\">\n <div id=\"cms21p2c-questions\"><\/div>\n <div class=\"cq-submit-wrap\"><button class=\"cq-btn\" id=\"cms21p2c-submit\">Submit Answers<\/button><\/div>\n <div class=\"cq-score\" id=\"cms21p2c-score\">\n <div class=\"cq-score-ring\" id=\"cms21p2c-ring\"><div class=\"cq-ring-inner\"><span class=\"cq-ring-pct\" id=\"cms21p2c-ring-pct\">0%<\/span><span class=\"cq-ring-sub\">score<\/span><\/div><\/div>\n <h2>Your Result<\/h2>\n <div class=\"cq-net-line\" id=\"cms21p2c-net-line\"><\/div>\n <div class=\"cq-verdict\" id=\"cms21p2c-verdict\"><\/div>\n <div class=\"cq-score-bands\">\n <span class=\"cq-band cq-band-c\" id=\"cms21p2c-ct-c\"><\/span>\n <span class=\"cq-band cq-band-w\" id=\"cms21p2c-ct-w\"><\/span>\n <span class=\"cq-band cq-band-s\" id=\"cms21p2c-ct-s\"><\/span>\n <\/div>\n <button class=\"cq-retry-btn\" id=\"cms21p2c-retry\">\u21ba Retry Quiz<\/button>\n <\/div>\n <\/div>\n<\/div>\n<script>\n(function(){\n 'use strict';\n const NS='cms21p2c',TOTAL=40,MAX=160,TIMER_SECS=2400,GRACE_SECS=10;\n const QUESTIONS=[\n {id:81,stem:'The life expectancy at birth for a country A is 64 years. The minimum and maximum values of life expectancy are 20 years and 86 years respectively. As part of Human Development Index (HDI), what is the Life Expectancy Index for the country A?',correct:'0.667',options:['0.512','0.667','0.744','0.970'],exp:'HDI Life Expectancy Index = (Actual \u2212 Min) \/ (Max \u2212 Min) = (64\u221220)\/(86\u221220) = 44\/66 = 0.667.'},\n {id:82,stem:'Which of the following indicators stand consolidated in Physical Quality of Life Index (PQLI)?\\n1. Infant mortality\\n2. Life expectancy at age one\\n3. Per capita income\\n4. Literacy',correct:'1, 2 and 4',options:['1, 2 and 3','1, 3 and 4','1, 2 and 4','2, 3 and 4'],exp:'PQLI (Morris, 1979): Infant Mortality Rate (1), Life Expectancy at age ONE \u2014 not birth (2), and Adult Literacy Rate (4). Per capita income is NOT included \u2014 PQLI measures quality-of-life outcomes, not economic inputs. Statements 1, 2 and 4 correct.'},\n {id:83,stem:'Consider the following staff: 1. Medical Officer, 2. Pharmacist, 3. Anaesthetist, 4. Health Educator. Of them, who are routinely posted to a PHC?',correct:'1, 2 and 4',options:['1, 2 and 3','1, 3 and 4','1, 2 and 4','2, 3 and 4'],exp:'Routine PHC staff (IPHS): Medical Officer (1), Pharmacist (2), Health Educator (4). Anaesthetist is NOT routinely posted at PHC \u2014 available at CHC\/FRU level. Statements 1, 2 and 4 correct.'},\n {id:84,stem:'Which one of the following management techniques helps in standardising the methods of performing jobs?',correct:'Work Sampling',options:['Systems Analysis','Decision Making','Work Sampling','Personnel Management'],exp:'Work Sampling (Activity Sampling) standardises job methods by observing and recording work activities at random time intervals \u2014 identifies inefficiencies and establishes standard times. More practical than continuous time-motion study.'},\n {id:85,stem:'STDs are transmitted by',correct:'Direct contact',options:['Direct contact','Droplet infection','Contact with soil','Vector borne'],exp:'STDs are transmitted by DIRECT CONTACT \u2014 direct mucous membrane to mucous membrane contact, skin-to-skin with infected lesions, or contact with infected body fluids during sexual activity. Not by droplets, soil, or vectors.'},\n {id:86,stem:'Under the International Health Regulations which of the following diseases are notifiable by the National Health Authority to the WHO?\\n1. Cholera\\n2. Plague\\n3. Klebsiella pneumonia\\n4. Yellow fever',correct:'1, 2 and 4',options:['1, 2 and 3','1, 2 and 4','1, 3 and 4','2, 3 and 4'],exp:'IHR 2005 mandatory notifications to WHO: Cholera (1), Plague (2), Yellow fever (4), and Smallpox. Klebsiella pneumoniae is a common nosocomial bacterium \u2014 NOT a mandatorily notifiable disease under IHR. Statements 1, 2 and 4 correct.'},\n {id:87,stem:'In which one of the following study designs, the unit of study involves populations rather than individuals?',correct:'Ecological studies',options:['Ecological studies','Cross-sectional studies','Case-control studies','Cohort studies'],exp:'Ecological studies use populations\/groups as the unit of analysis \u2014 correlating aggregate disease rates with aggregate exposure levels. All other listed designs use the individual as the unit of study. Main limitation: ecological fallacy.'},\n {id:88,stem:'The following table shows mortality figures among hazardous industry workers:\\nAge 25-34: National death rate 2.0\/1000, Worker population 3000, Observed deaths 8\\nAge 35-44: National death rate 3.5\/1000, Worker population 2000, Observed deaths 9\\nAge 45-54: National death rate 6.0\/1000, Worker population 2000, Observed deaths 13\\nWhat is the Standardized Mortality Ratio (SMR)?',correct:'120',options:['100','110','120','130'],exp:'Expected deaths = (2.0\/1000\u00d73000)+(3.5\/1000\u00d72000)+(6.0\/1000\u00d72000) = 6+7+12 = 25. Observed = 8+9+13 = 30. SMR = (30\/25)\u00d7100 = 120. SMR>100 = higher mortality than national average.'},\n {id:89,stem:'Which one of the following best explains the relationship among Prevalence (P), Incidence (I) and Duration (D) of a disease given the assumption that the population is stable?',correct:'P = I x D',options:['I = P x D','D = P x I','I = P + D','P = I x D'],exp:'In a stable endemic disease: P = I \u00d7 D (Prevalence = Incidence \u00d7 average Duration). Chronic diseases with long duration have high prevalence despite modest incidence. Fundamental epidemiological relationship guiding resource allocation.'},\n {id:90,stem:'A new test for COVID-19 gave: Disease Present: Test Positive=60, Test Negative=100. Disease Absent: Test Positive=40, Test Negative=1800. What is the sensitivity of the test?',correct:'37.5%',options:['20.5%','37.5%','60%','97%'],exp:'Sensitivity = TP\/(TP+FN) = 60\/(60+100) = 60\/160 = 37.5%. Specificity = 1800\/1840 = 97.8%. Poor sensitivity (misses 62.5% of true cases) but high specificity \u2014 suitable as a confirmatory test, not a screening test.'},\n {id:91,stem:'The blood glucose level of 5 individuals was 110, 94, 102, 98, 96.\\n1. The range is 16\\n2. The median is 98\\n3. The standard deviation is root 10\\nWhich of the above statements are correct?',correct:'1 and 2 only',options:['1 and 2 only','2 and 3 only','1 and 3 only','1, 2 and 3'],exp:'Range = 110\u221294 = 16 (1 correct). Sorted: 94,96,98,102,110 \u2014 median = 98 (2 correct). Mean=100; population SD=\u221a32 \u22485.66; sample SD=\u221a40 \u22486.32; neither equals \u221a10. Statement 3 FALSE. Statements 1 and 2 correct.'},\n {id:92,stem:'Which of the following are true about measles?\\n1. It is highly infectious in the phase following the appearance of rash\\n2. Infection usually confers lifelong immunity\\n3. It has a low secondary attack rate',correct:'2 only',options:['1 and 2','2 and 3','1 and 3','2 only'],exp:'Measles: most infectious during PRODROMAL phase, 4 days BEFORE the rash \u2014 NOT following it (1 FALSE). Natural infection confers lifelong immunity (2 TRUE). Secondary attack rate is ~90% \u2014 one of the HIGHEST of any infection (3 FALSE). Only statement 2 is correct.'},\n {id:93,stem:'Which of the following drugs should be avoided in first-line ART regimens because of its well recognised metabolic toxicities?',correct:'Stavudine (d4T)',options:['Zidovudine (AZT)','Stavudine (d4T)','Tenofovir (TDF)','Lamivudine (3TC)'],exp:'Stavudine (d4T) causes peripheral neuropathy, irreversible lipoatrophy, life-threatening lactic acidosis, and lipodystrophy \u2014 most severe metabolic toxicity profile among ARVs. WHO phased out d4T globally. Current first line: TDF+3TC+DTG.'},\n {id:94,stem:'The recommended dose of cotrimoxazole for treatment of pneumonia in a child weighing 16 kg is',correct:'Two paediatric tablets twice a day',options:['One paediatric tablet twice a day','Two paediatric tablets twice a day','Three paediatric tablets twice a day','Four paediatric tablets twice a day'],exp:'WHO\/IMNCI weight-band dosing: 10\u201319 kg = 2 paediatric tablets twice daily. Child weighing 16 kg: 2 paediatric tablets (each TMP 20mg + SMX 100mg) twice daily for 5 days.'},\n {id:95,stem:'Hepatitis B vaccine administered at birth is',correct:'A monovalent vaccine of Hepatitis B',options:['A pentavalent vaccine','A combined vaccine of inactivated Polio and Hepatitis B','A monovalent vaccine of Hepatitis B','A fixed combination vaccine of Hib, Hepatitis A and Hepatitis B'],exp:'HepB at birth under UIP = MONOVALENT HepB given within 24 hours to prevent vertical transmission. Subsequent doses given as Pentavalent (DPT+HepB+Hib) at 6, 10, 14 weeks. The birth dose is a separate monovalent injection.'},\n {id:96,stem:'The classical triad of congenital defects in Congenital Rubella Syndrome include which of the following?\\n1. Hydrocephalus\\n2. Deafness\\n3. Cardiac malformations\\n4. Cataract',correct:'2, 3 and 4',options:['1, 2 and 3','1, 2 and 4','1, 3 and 4','2, 3 and 4'],exp:'CRS classic triad: Deafness (sensorineural, most common ~60\u201375%), Cardiac malformations (PDA, pulmonary artery stenosis), Cataracts (pearly white). Hydrocephalus is NOT part of CRS \u2014 associated with CMV, toxoplasmosis, or Zika (1 false). Statements 2, 3 and 4 correct.'},\n {id:97,stem:'Which of the following are correct in respect of Diphtheria?\\n1. The incubation period is 14 to 28 days\\n2. Diphtheria antitoxin is used in treatment of cases\\n3. It is one of the diseases protected by the Pentavalent vaccine in National Program',correct:'2 and 3 only',options:['1 and 2 only','2 and 3 only','1 and 3 only','1, 2 and 3'],exp:'Diphtheria: incubation = 2\u20135 days, NOT 14\u201328 days (1 FALSE). Diphtheria antitoxin is the specific treatment neutralising exotoxin (2 correct). DPT in Pentavalent protects against diphtheria (3 correct). Statements 2 and 3 correct.'},\n {id:98,stem:'A person has a dog-bite on uncovered skin of right leg with a minor abrasion without bleeding. Which statements about management are correct?\\n1. The bite should be taken as a category I contact\\n2. The bite requires local treatment of the wound\\n3. The person requires immediate vaccination\\n4. The person requires immediate administration of rabies immunoglobulin',correct:'2 and 3 only',options:['1 and 2','2 and 3 only','3 and 4 only','2, 3 and 4'],exp:'Minor abrasion without bleeding on uncovered skin = WHO Category II (NOT Category I \u2014 statement 1 false). Category II: wound washing (2 correct) + anti-rabies vaccination (3 correct). RIG is for Category III only (deep bites, face, mucous membranes). Statements 2 and 3 correct.'},\n {id:99,stem:'Consider the following stages of modern sewage treatment:\\n1. Use of Grit chamber\\n2. Use of Primary sedimentation tank\\n3. Screening\\n4. Use of Sludge digester\\nWhat would be the correct sequence?',correct:'3 to 1 to 2 to 4',options:['3 to 2 to 1 to 4','2 to 3 to 4 to 1','3 to 1 to 2 to 4','4 to 2 to 1 to 3'],exp:'Sewage treatment sequence: Screening (3) removes large solids \u2192 Grit chamber (1) removes grit\/sand \u2192 Primary sedimentation tank (2) settles suspended solids \u2192 Sludge digester (4) handles settled sludge anaerobically. Correct sequence: 3\u21921\u21922\u21924.'},\n {id:100,stem:'A vital layer, also known as \"Schmutzdecke\" is seen in which one of the following?',correct:'Slow sand filter',options:['Air filter','Rapid sand filter','Slow sand filter','Reverse osmosis filter'],exp:'Schmutzdecke (\"biological mat\") forms on the surface of a SLOW SAND FILTER \u2014 a gelatinous layer of algae, bacteria, and protozoa providing 99.9% bacterial removal including Giardia and Cryptosporidium cysts. Rapid sand filters rely on chemical coagulation, not biological action.'},\n {id:101,stem:'A 25-year-old woman is a sedentary worker and lactating mother with a 3-month-old child. Which one is the best approximation of her energy requirement in kilocalories per day?',correct:'2500 kcal\/d',options:['1500 kcal\/d','2250 kcal\/d','2500 kcal\/d','2830 kcal\/d'],exp:'Sedentary woman baseline ~1900 kcal\/day + lactation addition ~500\u2013600 kcal\/day = ~2450\u20132500 kcal\/day. ICMR RDA for sedentary lactating woman approaches 2450 kcal. Best approximation from options: 2500 kcal\/day.'},\n {id:102,stem:'The amount of iron lost per 28 day cycle in menstruating women is',correct:'12.5 mg',options:['5.5 mg','8.5 mg','12.5 mg','15.5 mg'],exp:'Iron lost per 28-day cycle: standard ICMR\/WHO figure = approximately 12.5 mg (based on average blood loss ~25 mL \u00d7 0.5 mg Fe\/mL). This forms the basis for the higher recommended dietary iron intake in premenopausal women.'},\n {id:103,stem:'The most sensitive indicator of environmental iodine deficiency is',correct:'Urinary iodine excretion',options:['Prevalence of goitre','Prevalence of neonatal hypothyroidism','Prevalence of cretinism','Urinary iodine excretion'],exp:'Urinary Iodine Excretion (UIE) is the most sensitive indicator of environmental iodine deficiency \u2014 reflects current intake, detects changes within days. Median UIE <100 mcg\/L indicates deficiency. Goitre prevalence reflects long-term chronic deficiency.'},\n {id:104,stem:'Insulin Resistance Syndrome (Syndrome X) is associated with which of the following?\\n1. Type 2 Diabetes Mellitus\\n2. Hyperinsulinaemia\\n3. Dyslipidaemia\\n4. Hypercalcaemia',correct:'1, 2 and 3',options:['1, 2 and 3','1, 2 and 4','1, 3 and 4','2, 3 and 4'],exp:'Metabolic Syndrome components: Type 2 DM (1), Hyperinsulinaemia (2), Dyslipidaemia \u2014 hypertriglyceridaemia + low HDL (3), Hypertension, Central obesity. HYPERCALCAEMIA is NOT a component (4 false). Statements 1, 2 and 3 correct.'},\n {id:105,stem:'The \"DASH diet\" is a lifestyle modification for management of which of these conditions?',correct:'Hypertension',options:['Cancer','Diabetes','Anemia','Hypertension'],exp:'DASH diet (Dietary Approaches to Stop Hypertension): specifically designed for hypertension. Emphasises fruits, vegetables, whole grains, low-fat dairy; reduces sodium, saturated fats, red meat. Reduces systolic BP by 8\u201314 mmHg \u2014 comparable to drug monotherapy.'},\n {id:106,stem:'Which one of the following is a famous large prospective study that helped establish risk factors for coronary heart disease?',correct:'Framingham study',options:['Adelaide study','Birmingham study','Framingham study','Pittsburg study'],exp:'Framingham Heart Study (Massachusetts, 1948 onwards): established the concept and major risk factors for CHD \u2014 hypertension, hypercholesterolaemia, smoking, diabetes, obesity. Term \"risk factor\" largely coined here. Framingham Risk Score used globally for 10-year cardiovascular risk calculation.'},\n {id:107,stem:'Which of the following statements regarding lead poisoning are correct?\\n1. Lead poisoning is also called plumbism\\n2. Basophilic stippling of red blood cells is seen\\n3. Progressive massive fibrosis of lungs is seen\\n4. Coproporphyrin in urine (CPU) is a useful screening test',correct:'1, 2 and 4',options:['1, 2 and 3','1, 2 and 4','2, 3 and 4','1, 3 and 4'],exp:\"Lead poisoning = Plumbism (1 correct). Basophilic stippling of RBCs is a classic haematological sign (2 correct). Coproporphyrin in urine is a sensitive screening test (4 correct). Progressive Massive Fibrosis = coal workers' pneumoconiosis, NOT lead (3 FALSE). Statements 1, 2 and 4 correct.\"},\n {id:108,stem:'Of the following international agencies, which agency has been assisting India in development of friendly models of sanitization?',correct:'DANIDA (Danish Development Agency)',options:['SIDA (Swedish International Development Agency)','DANIDA (Danish Development Agency)','Ford Foundation','CARE (Cooperative for Assistance and Relief Everywhere)'],exp:'DANIDA (Danish International Development Agency) has specifically partnered with India for the National Programme for Control of Blindness \u2014 supporting cataract surgery scale-up, ophthalmic training, and eye care infrastructure across multiple states.'},\n {id:109,stem:'Which one among the following was used for measuring economic status of households, in the National Family Health Survey-III (NFHS-III)?',correct:'Wealth index',options:[\"Kuppuswamy's scale\",'Pareek scale','Lifestyle index','Wealth index'],exp:'NFHS-III (2005\u201306) used the WEALTH INDEX \u2014 a composite measure constructed via principal component analysis from household assets, housing characteristics, and land ownership. Kuppuswamy scale: urban SES. Pareek scale: rural SES.'},\n {id:110,stem:'In a town with one lakh population there are 2500 live births. There were 75 neonatal deaths, 200 deaths before age one, and 300 deaths before age three. Which statements regarding IMR are correct?\\n1. The denominator is 1,00,000\\n2. The IMR of the town is higher than the current national average of IMR for India\\n3. The numerator is the number of children dying before the age of one month\\n4. The IMR of the town is 80 per 1000 live births',correct:'2 and 4 only',options:['2 only','2 and 4 only','1 and 3 only','1, 2 and 4'],exp:'IMR = deaths under 1 year \/ live births \u00d7 1000 = 200\/2500 \u00d7 1000 = 80\/1000 (4 correct). Denominator = live births (2500), not total population (1 false). Numerator = under-1-year deaths (200), not neonatal deaths (3 false). India national IMR \u224828\u201330 \u2014 town IMR of 80 is HIGHER (2 correct). Statements 2 and 4 correct.'},\n {id:111,stem:'The voluntary scheme under which any obstetrics and gynaecology specialist, lady doctor\/MBBS doctor can volunteer themselves for providing safe motherhood service is called',correct:'Vande Mataram Scheme',options:['Ayushman Bharat Scheme','Mamta Scheme','Janani Suraksha Scheme','Vande Mataram Scheme'],exp:'Vande Mataram Scheme (2004, MoHFW): voluntary scheme where O&G specialists, lady doctors, and MBBS doctors register to provide free\/subsidised safe motherhood services (ANC, delivery, PNC) in underserved areas.'},\n {id:112,stem:'A 2-year-old child has never been vaccinated. As per the Universal Immunization Program, which among the following vaccines will be administered on the first visit?\\n1. BCG vaccine\\n2. DPT-1 vaccine\\n3. Hepatitis B vaccine\\n4. Measles vaccine',correct:'1, 2 and 4',options:['1 and 3','2 only','1, 2 and 4','2 and 4 only'],exp:'Unvaccinated 2-year-old catch-up: BCG if <5 years with no scar (1 correct), DPT-1\/Pentavalent-1 to start primary series (2 correct), Measles as child is >9 months and missed scheduled dose (4 correct). HepB under UIP is given as part of Pentavalent \u2014 not as separate monovalent at age 2. Statements 1, 2 and 4 correct.'},\n {id:113,stem:'Consider the following statements:\\nStatement-1: In the National Immunization Program, BCG vaccine is given only on the left upper arm\\nStatement-2: This is done to maintain uniformity and for helping surveyors in verifying receipt of the vaccine\\nWhich one of the following is correct?',correct:'Both Statement-1 and Statement-2 are correct and Statement-2 is the correct explanation for Statement-1',options:['Both Statement-1 and Statement-2 are correct and Statement-2 is the correct explanation for Statement-1','Both Statement-1 and Statement-2 are correct and Statement-2 is not the correct explanation for Statement-1','Statement-1 is true but Statement-2 is false','Statement-1 is false but Statement-2 is true'],exp:'Statement 1 TRUE: BCG in NIP is given only on the LEFT upper arm. Statement 2 TRUE: standardised to maintain uniformity and allow surveyors to verify vaccination by checking the left arm scar \u2014 this IS the correct explanation for Statement 1.'},\n {id:114,stem:'You visit an industry to audit benefits under the Employees State Insurance Act. Which of the following benefits should be available?\\n1. Medical benefit\\n2. Sickness benefit\\n3. Funeral expenses\\n4. Rehabilitation allowance',correct:'1, 2, 3 and 4',options:['1 and 3 only','2 and 4 only','1, 2 and 3 only','1, 2, 3 and 4'],exp:'ESI Act 1948 provides: Medical benefit (1), Sickness benefit \u2014 cash during certified sickness (2), Funeral expenses \u2014 lump sum (3), Rehabilitation allowance (4). All four are genuine ESI entitlements. Answer: 1, 2, 3 and 4.'},\n {id:115,stem:'Among the following intra-uterine contraceptive devices, which of the following are included in second generation IUDs?\\n1. Lippes Loop\\n2. Copper T-200\\n3. LNG-20 (Mirena)\\n4. Copper-T-380 A',correct:'2 and 4 only',options:['2 only','4 only','1, 2, 3 and 4','2 and 4 only'],exp:'IUD generations: 1st (inert) = Lippes Loop. 2nd (copper-bearing) = Copper T-200 (2) and Copper T-380A (4). 3rd (hormonal) = LNG-20\/Mirena (3). Second-generation IUDs = Copper T-200 and Copper T-380A only. Answer: 2 and 4.'},\n {id:116,stem:\"DANIDA, the international aid agency of Denmark, is known for its assistance to which one of India's National Health Programmes?\",correct:'National Blindness Control Programme',options:['National AIDS Control Programme','National Blindness Control Programme','National Tuberculosis Control Programme','National Deafness Control Programme'],exp:\"DANIDA is specifically associated with India's National Programme for Control of Blindness and Visual Impairment (NPCBVI) \u2014 supporting cataract surgery rate improvement, ophthalmic manpower training, and eye care infrastructure.\"},\n {id:117,stem:'After attending a birthday party, around 50 students reported loose stools, fever and vomiting. This outbreak can be identified as what type of outbreak?',correct:'Common point source only',options:['Propagated only','Common point source only','Common source continuous','Both propagated and common point source'],exp:'Birthday party food poisoning: ~50 people from one event, simultaneous onset = COMMON SOURCE POINT EPIDEMIC. Single contaminated food vehicle at a defined event, all cases within one incubation period. Propagated: successive generations. Continuous: plateau of cases.'},\n {id:118,stem:'Which of the following vaccines are given through the intramuscular route?\\n1. BCG vaccine\\n2. Hepatitis B vaccine\\n3. Pentavalent vaccine\\n4. Inactivated Polio vaccine',correct:'2, 3 and 4',options:['2, 3 and 4','1, 2 and 3','1, 2 and 4','1, 3 and 4'],exp:'Intramuscular vaccines: Hepatitis B (2), Pentavalent\/DPT (3), Inactivated Polio Vaccine (4). BCG (1) is given INTRADERMALLY into the left upper arm. Statements 2, 3 and 4 correct.'},\n {id:119,stem:'Covaxin is a\/an',correct:'Inactivated whole virus vaccine',options:['Live attenuated vaccine','Inactivated whole virus vaccine','Protein subunit vaccine','Nucleic acid vaccine'],exp:'Covaxin (BBV152, Bharat Biotech + ICMR-NIV) = INACTIVATED WHOLE VIRUS vaccine \u2014 grown in BSL-3 facility, inactivated with beta-propiolactone, adjuvanted with Alum + CpG. Covishield = viral vector vaccine. Pfizer\/Moderna = mRNA (nucleic acid) vaccines.'},\n {id:120,stem:'Which of the following agencies are playing a key role in running of the \"COVAX\" initiative against COVID-19?\\n1. GAVI, the Vaccine Alliance\\n2. World Health Organisation (WHO)\\n3. Ford Foundation\\n4. Coalition for Epidemic Preparedness Innovations (CEPI)',correct:'1, 2 and 4',options:['1, 2 and 3','1, 3 and 4','1, 2 and 4','2, 3 and 4'],exp:\"COVAX co-led by: GAVI (1), WHO (2), and CEPI (4). Ford Foundation is a philanthropic organisation NOT part of COVAX leadership (3 incorrect). UNICEF manages procurement and delivery logistics. Statements 1, 2 and 4 correct.\"}\n ];\n\n const LETTERS=['A','B','C','D'];\n let userAnswers={},answered=0,shuffledOpts={};\n let timerRunning=false,timerRemaining=TIMER_SECS,timerInterval=null,graceInterval=null,quizSubmitted=false;\n\n function shuffle(arr){const a=arr.slice();for(let i=a.length-1;i>0;i--){const j=Math.floor(Math.random()*(i+1));[a[i],a[j]]=[a[j],a[i]];}return a;}\n function fmtTime(s){const m=Math.floor(s\/60),sec=s%60;return(m<10?'0':'')+m+':'+(sec<10?'0':'')+sec;}\n function startTimer(){\n if(timerRunning||quizSubmitted)return;timerRunning=true;\n const btn=document.getElementById(NS+'-timer-btn');\n btn.textContent='\u23f1 '+fmtTime(timerRemaining);btn.classList.add('running');\n document.getElementById(NS+'-timer-item').classList.add('active');\n timerInterval=setInterval(function(){\n timerRemaining--;\n const disp=fmtTime(timerRemaining);\n document.getElementById(NS+'-timer-display').textContent=disp;\n document.getElementById(NS+'-timer-btn').textContent='\u23f1 '+disp;\n if(timerRemaining<=300)document.getElementById(NS+'-timer-item').classList.add('warning');\n if(timerRemaining<=0){clearInterval(timerInterval);timerInterval=null;triggerGrace();}\n },1000);\n }\n function stopTimer(){if(timerInterval){clearInterval(timerInterval);timerInterval=null;}timerRunning=false;}\n function triggerGrace(){\n if(quizSubmitted)return;let count=GRACE_SECS;\n document.getElementById(NS+'-grace-count').textContent=count;\n document.getElementById(NS+'-grace').classList.add('show');\n graceInterval=setInterval(function(){count--;document.getElementById(NS+'-grace-count').textContent=count;if(count<=0){clearInterval(graceInterval);graceInterval=null;dismissGrace();showScore();}},1000);\n }\n function dismissGrace(){document.getElementById(NS+'-grace').classList.remove('show');if(graceInterval){clearInterval(graceInterval);graceInterval=null;}}\n function updateStats(){\n const c=Object.values(userAnswers).filter(v=>v==='correct').length;\n const w=Object.values(userAnswers).filter(v=>v==='wrong').length;\n const net=(c*4)-w;\n document.getElementById(NS+'-sc').textContent=c;document.getElementById(NS+'-sw').textContent=w;\n document.getElementById(NS+'-sr').textContent=TOTAL-answered;\n document.getElementById(NS+'-sn').textContent=net>=0?'+'+net:net;\n document.getElementById(NS+'-sm').textContent=MAX;\n document.getElementById(NS+'-fill').style.width=(answered\/TOTAL*100)+'%';\n }\n function pick(qid,oi){\n if(userAnswers[qid]!==undefined||quizSubmitted)return;\n const q=QUESTIONS.find(x=>x.id===qid);\n const opts=shuffledOpts[qid],correct=opts[oi]===q.correct;\n userAnswers[qid]=correct?'correct':'wrong';answered++;\n opts.forEach(function(o,i){\n const el=document.getElementById(NS+'-o'+qid+'-'+i);\n if(o===q.correct)el.classList.add('cq-correct','cq-locked');\n else if(i===oi)el.classList.add('cq-wrong','cq-locked');\n else el.classList.add('cq-dimmed','cq-locked');\n });\n document.getElementById(NS+'-n'+qid).classList.add(correct?'ans-c':'ans-w');\n document.getElementById(NS+'-exp'+qid).style.display='block';\n updateStats();\n }\n function build(){\n const container=document.getElementById(NS+'-questions');\n container.innerHTML='';userAnswers={};answered=0;shuffledOpts={};\n quizSubmitted=false;timerRunning=false;timerRemaining=TIMER_SECS;\n stopTimer();dismissGrace();\n document.getElementById(NS+'-score').style.display='none';\n document.getElementById(NS+'-timer-item').classList.remove('active','warning');\n const btn=document.getElementById(NS+'-timer-btn');\n btn.textContent='\u23f1 Start Timed Mode';btn.classList.remove('running');\n document.getElementById(NS+'-timer-display').textContent=fmtTime(TIMER_SECS);\n updateStats();\n QUESTIONS.forEach(function(q){\n const opts=shuffle(q.options);shuffledOpts[q.id]=opts;\n const card=document.createElement('div');card.className='cq-card';\n card.innerHTML='<div class=\"cq-qhead\"><div class=\"cq-qnum\" id=\"'+NS+'-n'+q.id+'\">'+q.id+'<\/div><div class=\"cq-qtext\">'+q.stem.replace(\/\\n\/g,'<br>')+'<\/div><\/div>'+\n '<div class=\"cq-options\" id=\"'+NS+'-opts'+q.id+'\">'+\n opts.map((o,i)=>'<div class=\"cq-opt\" id=\"'+NS+'-o'+q.id+'-'+i+'\" role=\"button\" tabindex=\"0\"><span class=\"cq-opt-letter\">'+LETTERS[i]+'<\/span><span class=\"cq-opt-text\">'+o+'<\/span><\/div>').join('')+\n '<\/div><div class=\"cq-explanation\" id=\"'+NS+'-exp'+q.id+'\"><div class=\"cq-exp-label\">Explanation<\/div>'+q.exp+'<\/div>';\n container.appendChild(card);\n opts.forEach((_,i)=>document.getElementById(NS+'-o'+q.id+'-'+i).addEventListener('click',()=>pick(q.id,i)));\n });\n }\n function showScore(){\n if(quizSubmitted)return;quizSubmitted=true;stopTimer();\n document.getElementById(NS+'-timer-btn').textContent='\u23f1 Submitted';\n document.getElementById(NS+'-timer-btn').classList.remove('running');\n const c=Object.values(userAnswers).filter(v=>v==='correct').length;\n const w=Object.values(userAnswers).filter(v=>v==='wrong').length;\n const s=TOTAL-answered,net=(c*4)-w,pct=Math.max(0,Math.round((net\/MAX)*100)),disp=Math.min(100,Math.max(0,pct));\n document.getElementById(NS+'-ring').style.background='conic-gradient(var(--teal) '+disp+'%,var(--line) 0%)';\n document.getElementById(NS+'-ring-pct').textContent=pct+'%';\n document.getElementById(NS+'-net-line').textContent='Net Score: '+net+' \/ '+MAX;\n document.getElementById(NS+'-verdict').textContent=pct>=80?'Excellent \u2014 well above the qualifying threshold.':pct>=60?'Good attempt \u2014 consolidate the weaker areas.':pct>=40?'Fair \u2014 systematic revision of these topics is recommended.':'Needs significant revision across these topics.';\n document.getElementById(NS+'-ct-c').textContent='\u2705 '+c+' Correct';\n document.getElementById(NS+'-ct-w').textContent='\u274c '+w+' Wrong';\n document.getElementById(NS+'-ct-s').textContent='\u23ed '+s+' Skipped';\n const sc=document.getElementById(NS+'-score');sc.style.display='block';sc.scrollIntoView({behavior:'smooth',block:'center'});\n }\n function init(){\n document.getElementById(NS+'-grace-now').addEventListener('click',()=>{dismissGrace();showScore();});\n document.getElementById(NS+'-timer-btn').addEventListener('click',()=>{if(!timerRunning&&!quizSubmitted)startTimer();});\n document.getElementById(NS+'-submit').addEventListener('click',showScore);\n document.getElementById(NS+'-retry').addEventListener('click',()=>{build();window.scrollTo({top:0,behavior:'smooth'});});\n new IntersectionObserver(entries=>{\n document.getElementById(NS+'-statusbar').classList.toggle('visible',!entries[0].isIntersecting);\n },{threshold:0}).observe(document.getElementById(NS+'-sentinel'));\n build();updateStats();\n }\n if(document.readyState==='loading'){document.addEventListener('DOMContentLoaded',init);}else{init();}\n})();\n<\/script>\n<\/body>\n<\/html>\n\n\n","protected":false},"excerpt":{"rendered":"<p>CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120) \u23f1 40:00 \u2705 0 \u274c 0 \u23f3 40 left Net 0 \/ 160 Time's Up! Submitting in 10 Submit Now Combined Medical Services Examination 2021Paper II \u00b7 Part 3 Preventive & Social Medicine Questions 81 \u2013 120 Options reshuffled \u23f1 Start Timed Mode Submit Answers 0%score Your Result \u21ba Retry Quiz<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-36608","post","type-post","status-publish","format-standard","hentry","category-cms"],"yoast_head":"\n<title>CMS 2021 P2 Part-3 PSM - atsixty<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CMS 2021 P2 Part-3 PSM - atsixty\" \/>\n<meta property=\"og:description\" content=\"CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120) \u23f1 40:00 \u2705 0 \u274c 0 \u23f3 40 left Net 0 \/ 160 Time's Up! Submitting in 10 Submit Now Combined Medical Services Examination 2021Paper II \u00b7 Part 3 Preventive & Social Medicine Questions 81 \u2013 120 Options reshuffled \u23f1 Start Timed Mode Submit Answers 0%score Your Result \u21ba Retry Quiz\" \/>\n<meta property=\"og:url\" content=\"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/\" \/>\n<meta property=\"og:site_name\" content=\"atsixty\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-18T08:09:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-19T18:27:34+00:00\" \/>\n<meta name=\"author\" content=\"Avi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Avi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\"},\"author\":{\"name\":\"Avi\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"headline\":\"CMS 2021 P2 Part-3 PSM\",\"datePublished\":\"2026-04-18T08:09:59+00:00\",\"dateModified\":\"2026-04-19T18:27:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\"},\"wordCount\":53,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"articleSection\":[\"CMS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\",\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\",\"name\":\"CMS 2021 P2 Part-3 PSM - atsixty\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\"},\"datePublished\":\"2026-04-18T08:09:59+00:00\",\"dateModified\":\"2026-04-19T18:27:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/atsixty.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CMS 2021 P2 Part-3 PSM\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\",\"url\":\"https:\\\/\\\/atsixty.com\\\/\",\"name\":\"At Sixty\",\"description\":\"The Option Taken\",\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/atsixty.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\",\"name\":\"Avi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"url\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"contentUrl\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"width\":200,\"height\":200,\"caption\":\"Avi\"},\"logo\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\"},\"sameAs\":[\"https:\\\/\\\/atsixty.com\"],\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/author\\\/avinaux\\\/\"}]}<\/script>\n","yoast_head_json":{"title":"CMS 2021 P2 Part-3 PSM - atsixty","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","og_locale":"en_US","og_type":"article","og_title":"CMS 2021 P2 Part-3 PSM - atsixty","og_description":"CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120) \u23f1 40:00 \u2705 0 \u274c 0 \u23f3 40 left Net 0 \/ 160 Time's Up! Submitting in 10 Submit Now Combined Medical Services Examination 2021Paper II \u00b7 Part 3 Preventive & Social Medicine Questions 81 \u2013 120 Options reshuffled \u23f1 Start Timed Mode Submit Answers 0%score Your Result \u21ba Retry Quiz","og_url":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","og_site_name":"atsixty","article_published_time":"2026-04-18T08:09:59+00:00","article_modified_time":"2026-04-19T18:27:34+00:00","author":"Avi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Avi","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#article","isPartOf":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/"},"author":{"name":"Avi","@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"headline":"CMS 2021 P2 Part-3 PSM","datePublished":"2026-04-18T08:09:59+00:00","dateModified":"2026-04-19T18:27:34+00:00","mainEntityOfPage":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/"},"wordCount":53,"commentCount":0,"publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"articleSection":["CMS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","url":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","name":"CMS 2021 P2 Part-3 PSM - atsixty","isPartOf":{"@id":"https:\/\/atsixty.com\/#website"},"datePublished":"2026-04-18T08:09:59+00:00","dateModified":"2026-04-19T18:27:34+00:00","breadcrumb":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/atsixty.com\/"},{"@type":"ListItem","position":2,"name":"CMS 2021 P2 Part-3 PSM"}]},{"@type":"WebSite","@id":"https:\/\/atsixty.com\/#website","url":"https:\/\/atsixty.com\/","name":"At Sixty","description":"The Option Taken","publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/atsixty.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d","name":"Avi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","url":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","contentUrl":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","width":200,"height":200,"caption":"Avi"},"logo":{"@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png"},"sameAs":["https:\/\/atsixty.com"],"url":"https:\/\/atsixty.com\/index.php\/author\/avinaux\/"}]}},"_links":{"self":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/comments?post=36608"}],"version-history":[{"count":4,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36608\/revisions"}],"predecessor-version":[{"id":36631,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36608\/revisions\/36631"}],"wp:attachment":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/media?parent=36608"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/categories?post=36608"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/tags?post=36608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}

{"id":36608,"date":"2026-04-18T13:39:59","date_gmt":"2026-04-18T08:09:59","guid":{"rendered":"https:\/\/atsixty.com\/?p=36608"},"modified":"2026-04-19T23:57:34","modified_gmt":"2026-04-19T18:27:34","slug":"cms-2021-p2-part-3-psm","status":"publish","type":"post","link":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","title":{"rendered":"CMS 2021 P2 Part-3 PSM"},"content":{"rendered":"\n\n\n\n\n\n\n\nCMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120)<\/title>\n<link href=\"https:\/\/fonts.googleapis.com\/css2?family=Playfair+Display:wght@600;700&family=Source+Serif+4:ital,wght@0,300;0,400;0,600;1,400&display=swap\" rel=\"stylesheet\">\n<style>\n#cms21p2c *,#cms21p2c *::before,#cms21p2c *::after{box-sizing:border-box;margin:0;padding:0}\n#cms21p2c{--ter:#C0603A;--ter-light:#e8825f;--ter-pale:#fdf1ec;--teal:#2A7A6F;--teal-light:#3da394;--teal-pale:#eaf4f3;--ink:#1a1a1a;--ink-mid:#444;--ink-soft:#777;--line:#e0d8d4;--bg:#fdfaf8;--white:#ffffff;--correct:#1e6f46;--correct-bg:#eaf7ef;--correct-border:#43a047;--wrong:#b83232;--wrong-bg:#fdf0f0;--wrong-border:#e53935;--radius:10px;font-family:'Source Serif 4',Georgia,serif;font-size:16px;color:var(--ink);background:var(--bg);line-height:1.7;padding:0 0 48px}\n#cms21p2c .cq-sentinel{height:1px}\n#cms21p2c .cq-statusbar{position:fixed;top:0;left:0;right:0;z-index:99999;background:var(--white);border-bottom:2px solid var(--line);border-left:4px solid var(--ter);box-shadow:0 2px 12px rgba(0,0,0,0.11);opacity:0;pointer-events:none;transform:translateY(-110%);transition:opacity 0.22s ease,transform 0.22s ease}\n#cms21p2c .cq-statusbar.visible{opacity:1;pointer-events:auto;transform:translateY(0)}\n#cms21p2c .cq-sb-stats{display:flex;align-items:center;padding:0.38rem 0.7rem;font-size:0.73rem;color:var(--ink-soft)}\n#cms21p2c .cq-sb-item{display:flex;align-items:center;gap:0.18rem;padding:0.1rem 0.5rem;border-right:1px solid var(--line);white-space:nowrap;line-height:1}\n#cms21p2c .cq-sb-item:last-child{border-right:none}\n#cms21p2c .cq-sb-item strong{color:var(--ink);font-size:0.8rem;font-weight:700}\n#cms21p2c .cq-sb-sep{flex:1}\n#cms21p2c .cq-sb-progress{height:4px;background:var(--line);overflow:hidden}\n#cms21p2c .cq-sb-fill{height:100%;background:linear-gradient(90deg,var(--ter),var(--teal));width:0%;transition:width 0.4s ease}\n#cms21p2c .cq-timer-item{display:none;align-items:center;gap:0.18rem;padding:0.1rem 0.5rem;border-right:1px solid var(--line);white-space:nowrap;line-height:1;font-size:0.73rem}\n#cms21p2c .cq-timer-item.active{display:flex}\n#cms21p2c .cq-timer-item strong{font-size:0.8rem;font-weight:700;color:var(--teal);font-variant-numeric:tabular-nums}\n#cms21p2c .cq-timer-item.warning strong{color:var(--wrong)}\n#cms21p2c .cq-grace{display:none;position:fixed;top:0;right:0;bottom:0;left:0;z-index:999999;background:rgba(0,0,0,0.55);align-items:center;justify-content:center}\n#cms21p2c .cq-grace.show{display:flex}\n#cms21p2c .cq-grace-box{background:var(--white);border-radius:12px;border-top:5px solid var(--wrong);padding:32px 28px;text-align:center;max-width:320px;width:90%;box-shadow:0 8px 40px rgba(0,0,0,0.25)}\n#cms21p2c .cq-grace-box h3{font-family:'Playfair Display',serif;font-size:1.2rem;color:var(--wrong);margin-bottom:10px}\n#cms21p2c .cq-grace-box p{font-size:0.88rem;color:var(--ink-mid);margin-bottom:18px;line-height:1.55}\n#cms21p2c .cq-grace-count{font-family:'Playfair Display',serif;font-size:2.8rem;font-weight:700;color:var(--wrong);line-height:1;margin-bottom:18px}\n#cms21p2c .cq-grace-btn{background:var(--wrong);color:#fff;border:none;border-radius:8px;padding:10px 24px;font-family:'Playfair Display',serif;font-size:0.95rem;font-weight:700;cursor:pointer;transition:background 0.2s}\n#cms21p2c .cq-grace-btn:hover{background:#c62828}\n#cms21p2c .cq-header{background:var(--teal);color:var(--white);padding:28px 24px 22px;text-align:center}\n#cms21p2c .cq-header h1{font-family:'Playfair Display',serif;font-size:1.45rem;font-weight:700;letter-spacing:0.01em;line-height:1.3}\n#cms21p2c .cq-header p{font-size:0.85rem;opacity:0.85;margin-top:6px;font-style:italic}\n#cms21p2c .cq-meta{display:flex;justify-content:center;gap:16px;margin-top:14px;flex-wrap:wrap;align-items:center}\n#cms21p2c .cq-badge{background:rgba(255,255,255,0.15);border:1px solid rgba(255,255,255,0.3);border-radius:20px;padding:4px 14px;font-size:0.78rem;letter-spacing:0.03em}\n#cms21p2c .cq-timer-btn{background:transparent;border:1.5px solid rgba(255,255,255,0.7);color:var(--white);border-radius:20px;padding:4px 14px;font-family:'Source Serif 4',serif;font-size:0.78rem;cursor:pointer;letter-spacing:0.03em;transition:background 0.2s;display:flex;align-items:center;gap:6px}\n#cms21p2c .cq-timer-btn:hover{background:rgba(255,255,255,0.15)}\n#cms21p2c .cq-timer-btn.running{background:rgba(255,255,255,0.2);border-color:var(--white)}\n#cms21p2c .cq-body{max-width:760px;margin:0 auto;padding:0 16px}\n#cms21p2c .cq-card{background:var(--white);border:1px solid var(--line);border-radius:var(--radius);margin:24px 0;overflow:hidden;transition:box-shadow 0.2s}\n#cms21p2c .cq-card:hover{box-shadow:0 2px 12px rgba(192,96,58,0.1)}\n#cms21p2c .cq-qhead{background:var(--ter-pale);border-bottom:1px solid var(--line);padding:14px 18px;display:flex;gap:12px;align-items:flex-start}\n#cms21p2c .cq-qnum{flex-shrink:0;width:26px;height:26px;border-radius:50%;background:var(--ter);color:#fff;font-size:0.72rem;font-weight:700;display:flex;align-items:center;justify-content:center;margin-top:2px;transition:background 0.2s}\n#cms21p2c .cq-qnum.ans-c{background:var(--correct-border)}\n#cms21p2c .cq-qnum.ans-w{background:var(--wrong-border)}\n#cms21p2c .cq-qtext{font-size:0.93rem;color:var(--ink);line-height:1.65}\n#cms21p2c .cq-options{padding:14px 18px;display:flex;flex-direction:column;gap:8px}\n#cms21p2c .cq-opt{display:flex;align-items:flex-start;gap:10px;padding:10px 14px;border:1.5px solid var(--line);border-radius:8px;cursor:pointer;transition:border-color 0.15s,background 0.15s;background:var(--white);-webkit-tap-highlight-color:transparent}\n#cms21p2c .cq-opt:hover:not(.cq-locked){border-color:var(--teal);background:var(--teal-pale)}\n#cms21p2c .cq-opt-letter{flex-shrink:0;width:20px;height:20px;border-radius:50%;border:1.5px solid var(--line);display:flex;align-items:center;justify-content:center;font-size:0.65rem;font-weight:700;color:var(--ink-soft);transition:all 0.15s;margin-top:1px}\n#cms21p2c .cq-opt-text{font-size:0.89rem;color:var(--ink-mid);line-height:1.55}\n#cms21p2c .cq-opt.cq-correct{border-color:var(--correct-border);background:var(--correct-bg);cursor:default}\n#cms21p2c .cq-opt.cq-correct .cq-opt-letter{background:var(--correct-border);border-color:var(--correct-border);color:#fff}\n#cms21p2c .cq-opt.cq-correct .cq-opt-text{color:var(--correct);font-weight:600}\n#cms21p2c .cq-opt.cq-wrong{border-color:var(--wrong-border);background:var(--wrong-bg);cursor:default}\n#cms21p2c .cq-opt.cq-wrong .cq-opt-letter{background:var(--wrong-border);border-color:var(--wrong-border);color:#fff}\n#cms21p2c .cq-opt.cq-wrong .cq-opt-text{color:var(--wrong)}\n#cms21p2c .cq-opt.cq-dimmed{opacity:0.42;cursor:default}\n#cms21p2c .cq-opt.cq-locked{cursor:default}\n#cms21p2c .cq-explanation{display:none;background:var(--teal-pale);border-top:1px solid #b2d8d3;padding:10px 18px 12px;font-size:0.82rem;color:#1a4f49;line-height:1.62}\n#cms21p2c .cq-exp-label{font-size:0.7rem;font-weight:700;letter-spacing:0.08em;text-transform:uppercase;color:var(--teal);margin-bottom:4px}\n#cms21p2c .cq-submit-wrap{text-align:center;padding:28px 16px 8px}\n#cms21p2c .cq-btn{background:var(--teal);color:var(--white);border:none;border-radius:8px;padding:13px 36px;font-family:'Playfair Display',serif;font-size:1rem;font-weight:700;cursor:pointer;letter-spacing:0.02em;transition:background 0.2s,transform 0.1s}\n#cms21p2c .cq-btn:hover{background:var(--teal-light)}\n#cms21p2c .cq-btn:active{transform:scale(0.98)}\n#cms21p2c .cq-score{display:none;background:var(--white);border:2px solid var(--teal);border-radius:var(--radius);margin:28px 0 0;padding:28px 24px;text-align:center}\n#cms21p2c .cq-score-ring{width:110px;height:110px;border-radius:50%;background:conic-gradient(var(--teal) 0%,var(--line) 0%);display:flex;align-items:center;justify-content:center;margin:0 auto 20px;position:relative}\n#cms21p2c .cq-score-ring::before{content:'';position:absolute;width:86px;height:86px;border-radius:50%;background:var(--white)}\n#cms21p2c .cq-ring-inner{position:relative;display:flex;flex-direction:column;align-items:center;line-height:1.2}\n#cms21p2c .cq-ring-pct{font-family:'Playfair Display',serif;font-size:1.3rem;font-weight:700;color:var(--teal)}\n#cms21p2c .cq-ring-sub{font-size:0.6rem;color:var(--ink-soft);text-transform:uppercase;letter-spacing:0.05em}\n#cms21p2c .cq-score h2{font-family:'Playfair Display',serif;font-size:1.2rem;color:var(--ink);margin-bottom:8px}\n#cms21p2c .cq-net-line{font-size:1rem;color:var(--teal);font-weight:600;margin-bottom:6px}\n#cms21p2c .cq-verdict{font-size:0.85rem;color:var(--ink-soft);margin-bottom:20px}\n#cms21p2c .cq-score-bands{display:flex;justify-content:center;gap:10px;flex-wrap:wrap;font-size:0.8rem}\n#cms21p2c .cq-band{padding:4px 12px;border-radius:16px;font-weight:600}\n#cms21p2c .cq-band-c{background:var(--correct-bg);color:var(--correct)}\n#cms21p2c .cq-band-w{background:var(--wrong-bg);color:var(--wrong)}\n#cms21p2c .cq-band-s{background:var(--teal-pale);color:var(--teal)}\n#cms21p2c .cq-retry-btn{margin-top:22px;background:transparent;border:2px solid var(--teal);color:var(--teal);border-radius:8px;padding:10px 28px;font-family:'Playfair Display',serif;font-size:0.95rem;font-weight:700;cursor:pointer;transition:background 0.2s,color 0.2s}\n#cms21p2c .cq-retry-btn:hover{background:var(--teal);color:var(--white)}\n@media(max-width:480px){#cms21p2c .cq-header h1{font-size:1.15rem}#cms21p2c .cq-qtext{font-size:0.88rem}#cms21p2c .cq-opt-text{font-size:0.84rem}}\n<\/style>\n<\/head>\n<body>\n<div id=\"cms21p2c\">\n <div class=\"cq-sentinel\" id=\"cms21p2c-sentinel\"><\/div>\n <div class=\"cq-statusbar\" id=\"cms21p2c-statusbar\">\n <div class=\"cq-sb-stats\">\n <div class=\"cq-timer-item\" id=\"cms21p2c-timer-item\">\u23f1 <strong id=\"cms21p2c-timer-display\">40:00<\/strong><\/div>\n <div class=\"cq-sb-item\">\u2705 <strong id=\"cms21p2c-sc\">0<\/strong><\/div>\n <div class=\"cq-sb-item\">\u274c <strong id=\"cms21p2c-sw\">0<\/strong><\/div>\n <div class=\"cq-sb-item\">\u23f3 <strong id=\"cms21p2c-sr\">40<\/strong> left<\/div>\n <div class=\"cq-sb-sep\"><\/div>\n <div class=\"cq-sb-item\">Net <strong id=\"cms21p2c-sn\">0<\/strong> \/ <strong id=\"cms21p2c-sm\">160<\/strong><\/div>\n <\/div>\n <div class=\"cq-sb-progress\"><div class=\"cq-sb-fill\" id=\"cms21p2c-fill\"><\/div><\/div>\n <\/div>\n <div class=\"cq-grace\" id=\"cms21p2c-grace\">\n <div class=\"cq-grace-box\">\n <h3>Time's Up!<\/h3><p>Submitting in<\/p>\n <div class=\"cq-grace-count\" id=\"cms21p2c-grace-count\">10<\/div>\n <button class=\"cq-grace-btn\" id=\"cms21p2c-grace-now\">Submit Now<\/button>\n <\/div>\n <\/div>\n <div class=\"cq-header\">\n <h1>Combined Medical Services Examination 2021<br>Paper II \u00b7 Part 3<\/h1>\n <p>Preventive & Social Medicine<\/p>\n <div class=\"cq-meta\">\n <span class=\"cq-badge\">Questions 81 \u2013 120<\/span>\n <span class=\"cq-badge\">Options reshuffled<\/span>\n <button class=\"cq-timer-btn\" id=\"cms21p2c-timer-btn\">\u23f1 Start Timed Mode<\/button>\n <\/div>\n <\/div>\n <div class=\"cq-body\">\n <div id=\"cms21p2c-questions\"><\/div>\n <div class=\"cq-submit-wrap\"><button class=\"cq-btn\" id=\"cms21p2c-submit\">Submit Answers<\/button><\/div>\n <div class=\"cq-score\" id=\"cms21p2c-score\">\n <div class=\"cq-score-ring\" id=\"cms21p2c-ring\"><div class=\"cq-ring-inner\"><span class=\"cq-ring-pct\" id=\"cms21p2c-ring-pct\">0%<\/span><span class=\"cq-ring-sub\">score<\/span><\/div><\/div>\n <h2>Your Result<\/h2>\n <div class=\"cq-net-line\" id=\"cms21p2c-net-line\"><\/div>\n <div class=\"cq-verdict\" id=\"cms21p2c-verdict\"><\/div>\n <div class=\"cq-score-bands\">\n <span class=\"cq-band cq-band-c\" id=\"cms21p2c-ct-c\"><\/span>\n <span class=\"cq-band cq-band-w\" id=\"cms21p2c-ct-w\"><\/span>\n <span class=\"cq-band cq-band-s\" id=\"cms21p2c-ct-s\"><\/span>\n <\/div>\n <button class=\"cq-retry-btn\" id=\"cms21p2c-retry\">\u21ba Retry Quiz<\/button>\n <\/div>\n <\/div>\n<\/div>\n<script>\n(function(){\n 'use strict';\n const NS='cms21p2c',TOTAL=40,MAX=160,TIMER_SECS=2400,GRACE_SECS=10;\n const QUESTIONS=[\n {id:81,stem:'The life expectancy at birth for a country A is 64 years. The minimum and maximum values of life expectancy are 20 years and 86 years respectively. As part of Human Development Index (HDI), what is the Life Expectancy Index for the country A?',correct:'0.667',options:['0.512','0.667','0.744','0.970'],exp:'HDI Life Expectancy Index = (Actual \u2212 Min) \/ (Max \u2212 Min) = (64\u221220)\/(86\u221220) = 44\/66 = 0.667.'},\n {id:82,stem:'Which of the following indicators stand consolidated in Physical Quality of Life Index (PQLI)?\\n1. Infant mortality\\n2. Life expectancy at age one\\n3. Per capita income\\n4. Literacy',correct:'1, 2 and 4',options:['1, 2 and 3','1, 3 and 4','1, 2 and 4','2, 3 and 4'],exp:'PQLI (Morris, 1979): Infant Mortality Rate (1), Life Expectancy at age ONE \u2014 not birth (2), and Adult Literacy Rate (4). Per capita income is NOT included \u2014 PQLI measures quality-of-life outcomes, not economic inputs. Statements 1, 2 and 4 correct.'},\n {id:83,stem:'Consider the following staff: 1. Medical Officer, 2. Pharmacist, 3. Anaesthetist, 4. Health Educator. Of them, who are routinely posted to a PHC?',correct:'1, 2 and 4',options:['1, 2 and 3','1, 3 and 4','1, 2 and 4','2, 3 and 4'],exp:'Routine PHC staff (IPHS): Medical Officer (1), Pharmacist (2), Health Educator (4). Anaesthetist is NOT routinely posted at PHC \u2014 available at CHC\/FRU level. Statements 1, 2 and 4 correct.'},\n {id:84,stem:'Which one of the following management techniques helps in standardising the methods of performing jobs?',correct:'Work Sampling',options:['Systems Analysis','Decision Making','Work Sampling','Personnel Management'],exp:'Work Sampling (Activity Sampling) standardises job methods by observing and recording work activities at random time intervals \u2014 identifies inefficiencies and establishes standard times. More practical than continuous time-motion study.'},\n {id:85,stem:'STDs are transmitted by',correct:'Direct contact',options:['Direct contact','Droplet infection','Contact with soil','Vector borne'],exp:'STDs are transmitted by DIRECT CONTACT \u2014 direct mucous membrane to mucous membrane contact, skin-to-skin with infected lesions, or contact with infected body fluids during sexual activity. Not by droplets, soil, or vectors.'},\n {id:86,stem:'Under the International Health Regulations which of the following diseases are notifiable by the National Health Authority to the WHO?\\n1. Cholera\\n2. Plague\\n3. Klebsiella pneumonia\\n4. Yellow fever',correct:'1, 2 and 4',options:['1, 2 and 3','1, 2 and 4','1, 3 and 4','2, 3 and 4'],exp:'IHR 2005 mandatory notifications to WHO: Cholera (1), Plague (2), Yellow fever (4), and Smallpox. Klebsiella pneumoniae is a common nosocomial bacterium \u2014 NOT a mandatorily notifiable disease under IHR. Statements 1, 2 and 4 correct.'},\n {id:87,stem:'In which one of the following study designs, the unit of study involves populations rather than individuals?',correct:'Ecological studies',options:['Ecological studies','Cross-sectional studies','Case-control studies','Cohort studies'],exp:'Ecological studies use populations\/groups as the unit of analysis \u2014 correlating aggregate disease rates with aggregate exposure levels. All other listed designs use the individual as the unit of study. Main limitation: ecological fallacy.'},\n {id:88,stem:'The following table shows mortality figures among hazardous industry workers:\\nAge 25-34: National death rate 2.0\/1000, Worker population 3000, Observed deaths 8\\nAge 35-44: National death rate 3.5\/1000, Worker population 2000, Observed deaths 9\\nAge 45-54: National death rate 6.0\/1000, Worker population 2000, Observed deaths 13\\nWhat is the Standardized Mortality Ratio (SMR)?',correct:'120',options:['100','110','120','130'],exp:'Expected deaths = (2.0\/1000\u00d73000)+(3.5\/1000\u00d72000)+(6.0\/1000\u00d72000) = 6+7+12 = 25. Observed = 8+9+13 = 30. SMR = (30\/25)\u00d7100 = 120. SMR>100 = higher mortality than national average.'},\n {id:89,stem:'Which one of the following best explains the relationship among Prevalence (P), Incidence (I) and Duration (D) of a disease given the assumption that the population is stable?',correct:'P = I x D',options:['I = P x D','D = P x I','I = P + D','P = I x D'],exp:'In a stable endemic disease: P = I \u00d7 D (Prevalence = Incidence \u00d7 average Duration). Chronic diseases with long duration have high prevalence despite modest incidence. Fundamental epidemiological relationship guiding resource allocation.'},\n {id:90,stem:'A new test for COVID-19 gave: Disease Present: Test Positive=60, Test Negative=100. Disease Absent: Test Positive=40, Test Negative=1800. What is the sensitivity of the test?',correct:'37.5%',options:['20.5%','37.5%','60%','97%'],exp:'Sensitivity = TP\/(TP+FN) = 60\/(60+100) = 60\/160 = 37.5%. Specificity = 1800\/1840 = 97.8%. Poor sensitivity (misses 62.5% of true cases) but high specificity \u2014 suitable as a confirmatory test, not a screening test.'},\n {id:91,stem:'The blood glucose level of 5 individuals was 110, 94, 102, 98, 96.\\n1. The range is 16\\n2. The median is 98\\n3. The standard deviation is root 10\\nWhich of the above statements are correct?',correct:'1 and 2 only',options:['1 and 2 only','2 and 3 only','1 and 3 only','1, 2 and 3'],exp:'Range = 110\u221294 = 16 (1 correct). Sorted: 94,96,98,102,110 \u2014 median = 98 (2 correct). Mean=100; population SD=\u221a32 \u22485.66; sample SD=\u221a40 \u22486.32; neither equals \u221a10. Statement 3 FALSE. Statements 1 and 2 correct.'},\n {id:92,stem:'Which of the following are true about measles?\\n1. It is highly infectious in the phase following the appearance of rash\\n2. Infection usually confers lifelong immunity\\n3. It has a low secondary attack rate',correct:'2 only',options:['1 and 2','2 and 3','1 and 3','2 only'],exp:'Measles: most infectious during PRODROMAL phase, 4 days BEFORE the rash \u2014 NOT following it (1 FALSE). Natural infection confers lifelong immunity (2 TRUE). Secondary attack rate is ~90% \u2014 one of the HIGHEST of any infection (3 FALSE). Only statement 2 is correct.'},\n {id:93,stem:'Which of the following drugs should be avoided in first-line ART regimens because of its well recognised metabolic toxicities?',correct:'Stavudine (d4T)',options:['Zidovudine (AZT)','Stavudine (d4T)','Tenofovir (TDF)','Lamivudine (3TC)'],exp:'Stavudine (d4T) causes peripheral neuropathy, irreversible lipoatrophy, life-threatening lactic acidosis, and lipodystrophy \u2014 most severe metabolic toxicity profile among ARVs. WHO phased out d4T globally. Current first line: TDF+3TC+DTG.'},\n {id:94,stem:'The recommended dose of cotrimoxazole for treatment of pneumonia in a child weighing 16 kg is',correct:'Two paediatric tablets twice a day',options:['One paediatric tablet twice a day','Two paediatric tablets twice a day','Three paediatric tablets twice a day','Four paediatric tablets twice a day'],exp:'WHO\/IMNCI weight-band dosing: 10\u201319 kg = 2 paediatric tablets twice daily. Child weighing 16 kg: 2 paediatric tablets (each TMP 20mg + SMX 100mg) twice daily for 5 days.'},\n {id:95,stem:'Hepatitis B vaccine administered at birth is',correct:'A monovalent vaccine of Hepatitis B',options:['A pentavalent vaccine','A combined vaccine of inactivated Polio and Hepatitis B','A monovalent vaccine of Hepatitis B','A fixed combination vaccine of Hib, Hepatitis A and Hepatitis B'],exp:'HepB at birth under UIP = MONOVALENT HepB given within 24 hours to prevent vertical transmission. Subsequent doses given as Pentavalent (DPT+HepB+Hib) at 6, 10, 14 weeks. The birth dose is a separate monovalent injection.'},\n {id:96,stem:'The classical triad of congenital defects in Congenital Rubella Syndrome include which of the following?\\n1. Hydrocephalus\\n2. Deafness\\n3. Cardiac malformations\\n4. Cataract',correct:'2, 3 and 4',options:['1, 2 and 3','1, 2 and 4','1, 3 and 4','2, 3 and 4'],exp:'CRS classic triad: Deafness (sensorineural, most common ~60\u201375%), Cardiac malformations (PDA, pulmonary artery stenosis), Cataracts (pearly white). Hydrocephalus is NOT part of CRS \u2014 associated with CMV, toxoplasmosis, or Zika (1 false). Statements 2, 3 and 4 correct.'},\n {id:97,stem:'Which of the following are correct in respect of Diphtheria?\\n1. The incubation period is 14 to 28 days\\n2. Diphtheria antitoxin is used in treatment of cases\\n3. It is one of the diseases protected by the Pentavalent vaccine in National Program',correct:'2 and 3 only',options:['1 and 2 only','2 and 3 only','1 and 3 only','1, 2 and 3'],exp:'Diphtheria: incubation = 2\u20135 days, NOT 14\u201328 days (1 FALSE). Diphtheria antitoxin is the specific treatment neutralising exotoxin (2 correct). DPT in Pentavalent protects against diphtheria (3 correct). Statements 2 and 3 correct.'},\n {id:98,stem:'A person has a dog-bite on uncovered skin of right leg with a minor abrasion without bleeding. Which statements about management are correct?\\n1. The bite should be taken as a category I contact\\n2. The bite requires local treatment of the wound\\n3. The person requires immediate vaccination\\n4. The person requires immediate administration of rabies immunoglobulin',correct:'2 and 3 only',options:['1 and 2','2 and 3 only','3 and 4 only','2, 3 and 4'],exp:'Minor abrasion without bleeding on uncovered skin = WHO Category II (NOT Category I \u2014 statement 1 false). Category II: wound washing (2 correct) + anti-rabies vaccination (3 correct). RIG is for Category III only (deep bites, face, mucous membranes). Statements 2 and 3 correct.'},\n {id:99,stem:'Consider the following stages of modern sewage treatment:\\n1. Use of Grit chamber\\n2. Use of Primary sedimentation tank\\n3. Screening\\n4. Use of Sludge digester\\nWhat would be the correct sequence?',correct:'3 to 1 to 2 to 4',options:['3 to 2 to 1 to 4','2 to 3 to 4 to 1','3 to 1 to 2 to 4','4 to 2 to 1 to 3'],exp:'Sewage treatment sequence: Screening (3) removes large solids \u2192 Grit chamber (1) removes grit\/sand \u2192 Primary sedimentation tank (2) settles suspended solids \u2192 Sludge digester (4) handles settled sludge anaerobically. Correct sequence: 3\u21921\u21922\u21924.'},\n {id:100,stem:'A vital layer, also known as \"Schmutzdecke\" is seen in which one of the following?',correct:'Slow sand filter',options:['Air filter','Rapid sand filter','Slow sand filter','Reverse osmosis filter'],exp:'Schmutzdecke (\"biological mat\") forms on the surface of a SLOW SAND FILTER \u2014 a gelatinous layer of algae, bacteria, and protozoa providing 99.9% bacterial removal including Giardia and Cryptosporidium cysts. Rapid sand filters rely on chemical coagulation, not biological action.'},\n {id:101,stem:'A 25-year-old woman is a sedentary worker and lactating mother with a 3-month-old child. Which one is the best approximation of her energy requirement in kilocalories per day?',correct:'2500 kcal\/d',options:['1500 kcal\/d','2250 kcal\/d','2500 kcal\/d','2830 kcal\/d'],exp:'Sedentary woman baseline ~1900 kcal\/day + lactation addition ~500\u2013600 kcal\/day = ~2450\u20132500 kcal\/day. ICMR RDA for sedentary lactating woman approaches 2450 kcal. Best approximation from options: 2500 kcal\/day.'},\n {id:102,stem:'The amount of iron lost per 28 day cycle in menstruating women is',correct:'12.5 mg',options:['5.5 mg','8.5 mg','12.5 mg','15.5 mg'],exp:'Iron lost per 28-day cycle: standard ICMR\/WHO figure = approximately 12.5 mg (based on average blood loss ~25 mL \u00d7 0.5 mg Fe\/mL). This forms the basis for the higher recommended dietary iron intake in premenopausal women.'},\n {id:103,stem:'The most sensitive indicator of environmental iodine deficiency is',correct:'Urinary iodine excretion',options:['Prevalence of goitre','Prevalence of neonatal hypothyroidism','Prevalence of cretinism','Urinary iodine excretion'],exp:'Urinary Iodine Excretion (UIE) is the most sensitive indicator of environmental iodine deficiency \u2014 reflects current intake, detects changes within days. Median UIE <100 mcg\/L indicates deficiency. Goitre prevalence reflects long-term chronic deficiency.'},\n {id:104,stem:'Insulin Resistance Syndrome (Syndrome X) is associated with which of the following?\\n1. Type 2 Diabetes Mellitus\\n2. Hyperinsulinaemia\\n3. Dyslipidaemia\\n4. Hypercalcaemia',correct:'1, 2 and 3',options:['1, 2 and 3','1, 2 and 4','1, 3 and 4','2, 3 and 4'],exp:'Metabolic Syndrome components: Type 2 DM (1), Hyperinsulinaemia (2), Dyslipidaemia \u2014 hypertriglyceridaemia + low HDL (3), Hypertension, Central obesity. HYPERCALCAEMIA is NOT a component (4 false). Statements 1, 2 and 3 correct.'},\n {id:105,stem:'The \"DASH diet\" is a lifestyle modification for management of which of these conditions?',correct:'Hypertension',options:['Cancer','Diabetes','Anemia','Hypertension'],exp:'DASH diet (Dietary Approaches to Stop Hypertension): specifically designed for hypertension. Emphasises fruits, vegetables, whole grains, low-fat dairy; reduces sodium, saturated fats, red meat. Reduces systolic BP by 8\u201314 mmHg \u2014 comparable to drug monotherapy.'},\n {id:106,stem:'Which one of the following is a famous large prospective study that helped establish risk factors for coronary heart disease?',correct:'Framingham study',options:['Adelaide study','Birmingham study','Framingham study','Pittsburg study'],exp:'Framingham Heart Study (Massachusetts, 1948 onwards): established the concept and major risk factors for CHD \u2014 hypertension, hypercholesterolaemia, smoking, diabetes, obesity. Term \"risk factor\" largely coined here. Framingham Risk Score used globally for 10-year cardiovascular risk calculation.'},\n {id:107,stem:'Which of the following statements regarding lead poisoning are correct?\\n1. Lead poisoning is also called plumbism\\n2. Basophilic stippling of red blood cells is seen\\n3. Progressive massive fibrosis of lungs is seen\\n4. Coproporphyrin in urine (CPU) is a useful screening test',correct:'1, 2 and 4',options:['1, 2 and 3','1, 2 and 4','2, 3 and 4','1, 3 and 4'],exp:\"Lead poisoning = Plumbism (1 correct). Basophilic stippling of RBCs is a classic haematological sign (2 correct). Coproporphyrin in urine is a sensitive screening test (4 correct). Progressive Massive Fibrosis = coal workers' pneumoconiosis, NOT lead (3 FALSE). Statements 1, 2 and 4 correct.\"},\n {id:108,stem:'Of the following international agencies, which agency has been assisting India in development of friendly models of sanitization?',correct:'DANIDA (Danish Development Agency)',options:['SIDA (Swedish International Development Agency)','DANIDA (Danish Development Agency)','Ford Foundation','CARE (Cooperative for Assistance and Relief Everywhere)'],exp:'DANIDA (Danish International Development Agency) has specifically partnered with India for the National Programme for Control of Blindness \u2014 supporting cataract surgery scale-up, ophthalmic training, and eye care infrastructure across multiple states.'},\n {id:109,stem:'Which one among the following was used for measuring economic status of households, in the National Family Health Survey-III (NFHS-III)?',correct:'Wealth index',options:[\"Kuppuswamy's scale\",'Pareek scale','Lifestyle index','Wealth index'],exp:'NFHS-III (2005\u201306) used the WEALTH INDEX \u2014 a composite measure constructed via principal component analysis from household assets, housing characteristics, and land ownership. Kuppuswamy scale: urban SES. Pareek scale: rural SES.'},\n {id:110,stem:'In a town with one lakh population there are 2500 live births. There were 75 neonatal deaths, 200 deaths before age one, and 300 deaths before age three. Which statements regarding IMR are correct?\\n1. The denominator is 1,00,000\\n2. The IMR of the town is higher than the current national average of IMR for India\\n3. The numerator is the number of children dying before the age of one month\\n4. The IMR of the town is 80 per 1000 live births',correct:'2 and 4 only',options:['2 only','2 and 4 only','1 and 3 only','1, 2 and 4'],exp:'IMR = deaths under 1 year \/ live births \u00d7 1000 = 200\/2500 \u00d7 1000 = 80\/1000 (4 correct). Denominator = live births (2500), not total population (1 false). Numerator = under-1-year deaths (200), not neonatal deaths (3 false). India national IMR \u224828\u201330 \u2014 town IMR of 80 is HIGHER (2 correct). Statements 2 and 4 correct.'},\n {id:111,stem:'The voluntary scheme under which any obstetrics and gynaecology specialist, lady doctor\/MBBS doctor can volunteer themselves for providing safe motherhood service is called',correct:'Vande Mataram Scheme',options:['Ayushman Bharat Scheme','Mamta Scheme','Janani Suraksha Scheme','Vande Mataram Scheme'],exp:'Vande Mataram Scheme (2004, MoHFW): voluntary scheme where O&G specialists, lady doctors, and MBBS doctors register to provide free\/subsidised safe motherhood services (ANC, delivery, PNC) in underserved areas.'},\n {id:112,stem:'A 2-year-old child has never been vaccinated. As per the Universal Immunization Program, which among the following vaccines will be administered on the first visit?\\n1. BCG vaccine\\n2. DPT-1 vaccine\\n3. Hepatitis B vaccine\\n4. Measles vaccine',correct:'1, 2 and 4',options:['1 and 3','2 only','1, 2 and 4','2 and 4 only'],exp:'Unvaccinated 2-year-old catch-up: BCG if <5 years with no scar (1 correct), DPT-1\/Pentavalent-1 to start primary series (2 correct), Measles as child is >9 months and missed scheduled dose (4 correct). HepB under UIP is given as part of Pentavalent \u2014 not as separate monovalent at age 2. Statements 1, 2 and 4 correct.'},\n {id:113,stem:'Consider the following statements:\\nStatement-1: In the National Immunization Program, BCG vaccine is given only on the left upper arm\\nStatement-2: This is done to maintain uniformity and for helping surveyors in verifying receipt of the vaccine\\nWhich one of the following is correct?',correct:'Both Statement-1 and Statement-2 are correct and Statement-2 is the correct explanation for Statement-1',options:['Both Statement-1 and Statement-2 are correct and Statement-2 is the correct explanation for Statement-1','Both Statement-1 and Statement-2 are correct and Statement-2 is not the correct explanation for Statement-1','Statement-1 is true but Statement-2 is false','Statement-1 is false but Statement-2 is true'],exp:'Statement 1 TRUE: BCG in NIP is given only on the LEFT upper arm. Statement 2 TRUE: standardised to maintain uniformity and allow surveyors to verify vaccination by checking the left arm scar \u2014 this IS the correct explanation for Statement 1.'},\n {id:114,stem:'You visit an industry to audit benefits under the Employees State Insurance Act. Which of the following benefits should be available?\\n1. Medical benefit\\n2. Sickness benefit\\n3. Funeral expenses\\n4. Rehabilitation allowance',correct:'1, 2, 3 and 4',options:['1 and 3 only','2 and 4 only','1, 2 and 3 only','1, 2, 3 and 4'],exp:'ESI Act 1948 provides: Medical benefit (1), Sickness benefit \u2014 cash during certified sickness (2), Funeral expenses \u2014 lump sum (3), Rehabilitation allowance (4). All four are genuine ESI entitlements. Answer: 1, 2, 3 and 4.'},\n {id:115,stem:'Among the following intra-uterine contraceptive devices, which of the following are included in second generation IUDs?\\n1. Lippes Loop\\n2. Copper T-200\\n3. LNG-20 (Mirena)\\n4. Copper-T-380 A',correct:'2 and 4 only',options:['2 only','4 only','1, 2, 3 and 4','2 and 4 only'],exp:'IUD generations: 1st (inert) = Lippes Loop. 2nd (copper-bearing) = Copper T-200 (2) and Copper T-380A (4). 3rd (hormonal) = LNG-20\/Mirena (3). Second-generation IUDs = Copper T-200 and Copper T-380A only. Answer: 2 and 4.'},\n {id:116,stem:\"DANIDA, the international aid agency of Denmark, is known for its assistance to which one of India's National Health Programmes?\",correct:'National Blindness Control Programme',options:['National AIDS Control Programme','National Blindness Control Programme','National Tuberculosis Control Programme','National Deafness Control Programme'],exp:\"DANIDA is specifically associated with India's National Programme for Control of Blindness and Visual Impairment (NPCBVI) \u2014 supporting cataract surgery rate improvement, ophthalmic manpower training, and eye care infrastructure.\"},\n {id:117,stem:'After attending a birthday party, around 50 students reported loose stools, fever and vomiting. This outbreak can be identified as what type of outbreak?',correct:'Common point source only',options:['Propagated only','Common point source only','Common source continuous','Both propagated and common point source'],exp:'Birthday party food poisoning: ~50 people from one event, simultaneous onset = COMMON SOURCE POINT EPIDEMIC. Single contaminated food vehicle at a defined event, all cases within one incubation period. Propagated: successive generations. Continuous: plateau of cases.'},\n {id:118,stem:'Which of the following vaccines are given through the intramuscular route?\\n1. BCG vaccine\\n2. Hepatitis B vaccine\\n3. Pentavalent vaccine\\n4. Inactivated Polio vaccine',correct:'2, 3 and 4',options:['2, 3 and 4','1, 2 and 3','1, 2 and 4','1, 3 and 4'],exp:'Intramuscular vaccines: Hepatitis B (2), Pentavalent\/DPT (3), Inactivated Polio Vaccine (4). BCG (1) is given INTRADERMALLY into the left upper arm. Statements 2, 3 and 4 correct.'},\n {id:119,stem:'Covaxin is a\/an',correct:'Inactivated whole virus vaccine',options:['Live attenuated vaccine','Inactivated whole virus vaccine','Protein subunit vaccine','Nucleic acid vaccine'],exp:'Covaxin (BBV152, Bharat Biotech + ICMR-NIV) = INACTIVATED WHOLE VIRUS vaccine \u2014 grown in BSL-3 facility, inactivated with beta-propiolactone, adjuvanted with Alum + CpG. Covishield = viral vector vaccine. Pfizer\/Moderna = mRNA (nucleic acid) vaccines.'},\n {id:120,stem:'Which of the following agencies are playing a key role in running of the \"COVAX\" initiative against COVID-19?\\n1. GAVI, the Vaccine Alliance\\n2. World Health Organisation (WHO)\\n3. Ford Foundation\\n4. Coalition for Epidemic Preparedness Innovations (CEPI)',correct:'1, 2 and 4',options:['1, 2 and 3','1, 3 and 4','1, 2 and 4','2, 3 and 4'],exp:\"COVAX co-led by: GAVI (1), WHO (2), and CEPI (4). Ford Foundation is a philanthropic organisation NOT part of COVAX leadership (3 incorrect). UNICEF manages procurement and delivery logistics. Statements 1, 2 and 4 correct.\"}\n ];\n\n const LETTERS=['A','B','C','D'];\n let userAnswers={},answered=0,shuffledOpts={};\n let timerRunning=false,timerRemaining=TIMER_SECS,timerInterval=null,graceInterval=null,quizSubmitted=false;\n\n function shuffle(arr){const a=arr.slice();for(let i=a.length-1;i>0;i--){const j=Math.floor(Math.random()*(i+1));[a[i],a[j]]=[a[j],a[i]];}return a;}\n function fmtTime(s){const m=Math.floor(s\/60),sec=s%60;return(m<10?'0':'')+m+':'+(sec<10?'0':'')+sec;}\n function startTimer(){\n if(timerRunning||quizSubmitted)return;timerRunning=true;\n const btn=document.getElementById(NS+'-timer-btn');\n btn.textContent='\u23f1 '+fmtTime(timerRemaining);btn.classList.add('running');\n document.getElementById(NS+'-timer-item').classList.add('active');\n timerInterval=setInterval(function(){\n timerRemaining--;\n const disp=fmtTime(timerRemaining);\n document.getElementById(NS+'-timer-display').textContent=disp;\n document.getElementById(NS+'-timer-btn').textContent='\u23f1 '+disp;\n if(timerRemaining<=300)document.getElementById(NS+'-timer-item').classList.add('warning');\n if(timerRemaining<=0){clearInterval(timerInterval);timerInterval=null;triggerGrace();}\n },1000);\n }\n function stopTimer(){if(timerInterval){clearInterval(timerInterval);timerInterval=null;}timerRunning=false;}\n function triggerGrace(){\n if(quizSubmitted)return;let count=GRACE_SECS;\n document.getElementById(NS+'-grace-count').textContent=count;\n document.getElementById(NS+'-grace').classList.add('show');\n graceInterval=setInterval(function(){count--;document.getElementById(NS+'-grace-count').textContent=count;if(count<=0){clearInterval(graceInterval);graceInterval=null;dismissGrace();showScore();}},1000);\n }\n function dismissGrace(){document.getElementById(NS+'-grace').classList.remove('show');if(graceInterval){clearInterval(graceInterval);graceInterval=null;}}\n function updateStats(){\n const c=Object.values(userAnswers).filter(v=>v==='correct').length;\n const w=Object.values(userAnswers).filter(v=>v==='wrong').length;\n const net=(c*4)-w;\n document.getElementById(NS+'-sc').textContent=c;document.getElementById(NS+'-sw').textContent=w;\n document.getElementById(NS+'-sr').textContent=TOTAL-answered;\n document.getElementById(NS+'-sn').textContent=net>=0?'+'+net:net;\n document.getElementById(NS+'-sm').textContent=MAX;\n document.getElementById(NS+'-fill').style.width=(answered\/TOTAL*100)+'%';\n }\n function pick(qid,oi){\n if(userAnswers[qid]!==undefined||quizSubmitted)return;\n const q=QUESTIONS.find(x=>x.id===qid);\n const opts=shuffledOpts[qid],correct=opts[oi]===q.correct;\n userAnswers[qid]=correct?'correct':'wrong';answered++;\n opts.forEach(function(o,i){\n const el=document.getElementById(NS+'-o'+qid+'-'+i);\n if(o===q.correct)el.classList.add('cq-correct','cq-locked');\n else if(i===oi)el.classList.add('cq-wrong','cq-locked');\n else el.classList.add('cq-dimmed','cq-locked');\n });\n document.getElementById(NS+'-n'+qid).classList.add(correct?'ans-c':'ans-w');\n document.getElementById(NS+'-exp'+qid).style.display='block';\n updateStats();\n }\n function build(){\n const container=document.getElementById(NS+'-questions');\n container.innerHTML='';userAnswers={};answered=0;shuffledOpts={};\n quizSubmitted=false;timerRunning=false;timerRemaining=TIMER_SECS;\n stopTimer();dismissGrace();\n document.getElementById(NS+'-score').style.display='none';\n document.getElementById(NS+'-timer-item').classList.remove('active','warning');\n const btn=document.getElementById(NS+'-timer-btn');\n btn.textContent='\u23f1 Start Timed Mode';btn.classList.remove('running');\n document.getElementById(NS+'-timer-display').textContent=fmtTime(TIMER_SECS);\n updateStats();\n QUESTIONS.forEach(function(q){\n const opts=shuffle(q.options);shuffledOpts[q.id]=opts;\n const card=document.createElement('div');card.className='cq-card';\n card.innerHTML='<div class=\"cq-qhead\"><div class=\"cq-qnum\" id=\"'+NS+'-n'+q.id+'\">'+q.id+'<\/div><div class=\"cq-qtext\">'+q.stem.replace(\/\\n\/g,'<br>')+'<\/div><\/div>'+\n '<div class=\"cq-options\" id=\"'+NS+'-opts'+q.id+'\">'+\n opts.map((o,i)=>'<div class=\"cq-opt\" id=\"'+NS+'-o'+q.id+'-'+i+'\" role=\"button\" tabindex=\"0\"><span class=\"cq-opt-letter\">'+LETTERS[i]+'<\/span><span class=\"cq-opt-text\">'+o+'<\/span><\/div>').join('')+\n '<\/div><div class=\"cq-explanation\" id=\"'+NS+'-exp'+q.id+'\"><div class=\"cq-exp-label\">Explanation<\/div>'+q.exp+'<\/div>';\n container.appendChild(card);\n opts.forEach((_,i)=>document.getElementById(NS+'-o'+q.id+'-'+i).addEventListener('click',()=>pick(q.id,i)));\n });\n }\n function showScore(){\n if(quizSubmitted)return;quizSubmitted=true;stopTimer();\n document.getElementById(NS+'-timer-btn').textContent='\u23f1 Submitted';\n document.getElementById(NS+'-timer-btn').classList.remove('running');\n const c=Object.values(userAnswers).filter(v=>v==='correct').length;\n const w=Object.values(userAnswers).filter(v=>v==='wrong').length;\n const s=TOTAL-answered,net=(c*4)-w,pct=Math.max(0,Math.round((net\/MAX)*100)),disp=Math.min(100,Math.max(0,pct));\n document.getElementById(NS+'-ring').style.background='conic-gradient(var(--teal) '+disp+'%,var(--line) 0%)';\n document.getElementById(NS+'-ring-pct').textContent=pct+'%';\n document.getElementById(NS+'-net-line').textContent='Net Score: '+net+' \/ '+MAX;\n document.getElementById(NS+'-verdict').textContent=pct>=80?'Excellent \u2014 well above the qualifying threshold.':pct>=60?'Good attempt \u2014 consolidate the weaker areas.':pct>=40?'Fair \u2014 systematic revision of these topics is recommended.':'Needs significant revision across these topics.';\n document.getElementById(NS+'-ct-c').textContent='\u2705 '+c+' Correct';\n document.getElementById(NS+'-ct-w').textContent='\u274c '+w+' Wrong';\n document.getElementById(NS+'-ct-s').textContent='\u23ed '+s+' Skipped';\n const sc=document.getElementById(NS+'-score');sc.style.display='block';sc.scrollIntoView({behavior:'smooth',block:'center'});\n }\n function init(){\n document.getElementById(NS+'-grace-now').addEventListener('click',()=>{dismissGrace();showScore();});\n document.getElementById(NS+'-timer-btn').addEventListener('click',()=>{if(!timerRunning&&!quizSubmitted)startTimer();});\n document.getElementById(NS+'-submit').addEventListener('click',showScore);\n document.getElementById(NS+'-retry').addEventListener('click',()=>{build();window.scrollTo({top:0,behavior:'smooth'});});\n new IntersectionObserver(entries=>{\n document.getElementById(NS+'-statusbar').classList.toggle('visible',!entries[0].isIntersecting);\n },{threshold:0}).observe(document.getElementById(NS+'-sentinel'));\n build();updateStats();\n }\n if(document.readyState==='loading'){document.addEventListener('DOMContentLoaded',init);}else{init();}\n})();\n<\/script>\n<\/body>\n<\/html>\n\n\n","protected":false},"excerpt":{"rendered":"<p>CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120) \u23f1 40:00 \u2705 0 \u274c 0 \u23f3 40 left Net 0 \/ 160 Time's Up! Submitting in 10 Submit Now Combined Medical Services Examination 2021Paper II \u00b7 Part 3 Preventive & Social Medicine Questions 81 \u2013 120 Options reshuffled \u23f1 Start Timed Mode Submit Answers 0%score Your Result \u21ba Retry Quiz<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"neve_meta_sidebar":"","neve_meta_container":"","neve_meta_enable_content_width":"","neve_meta_content_width":0,"neve_meta_title_alignment":"","neve_meta_author_avatar":"","neve_post_elements_order":"","neve_meta_disable_header":"","neve_meta_disable_footer":"","neve_meta_disable_title":"","footnotes":""},"categories":[18],"tags":[],"class_list":["post-36608","post","type-post","status-publish","format-standard","hentry","category-cms"],"yoast_head":"\n<title>CMS 2021 P2 Part-3 PSM - atsixty<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"CMS 2021 P2 Part-3 PSM - atsixty\" \/>\n<meta property=\"og:description\" content=\"CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120) \u23f1 40:00 \u2705 0 \u274c 0 \u23f3 40 left Net 0 \/ 160 Time's Up! Submitting in 10 Submit Now Combined Medical Services Examination 2021Paper II \u00b7 Part 3 Preventive & Social Medicine Questions 81 \u2013 120 Options reshuffled \u23f1 Start Timed Mode Submit Answers 0%score Your Result \u21ba Retry Quiz\" \/>\n<meta property=\"og:url\" content=\"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/\" \/>\n<meta property=\"og:site_name\" content=\"atsixty\" \/>\n<meta property=\"article:published_time\" content=\"2026-04-18T08:09:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2026-04-19T18:27:34+00:00\" \/>\n<meta name=\"author\" content=\"Avi\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Avi\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\"},\"author\":{\"name\":\"Avi\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"headline\":\"CMS 2021 P2 Part-3 PSM\",\"datePublished\":\"2026-04-18T08:09:59+00:00\",\"dateModified\":\"2026-04-19T18:27:34+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\"},\"wordCount\":53,\"commentCount\":0,\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"articleSection\":[\"CMS\"],\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"CommentAction\",\"name\":\"Comment\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#respond\"]}]},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\",\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\",\"name\":\"CMS 2021 P2 Part-3 PSM - atsixty\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\"},\"datePublished\":\"2026-04-18T08:09:59+00:00\",\"dateModified\":\"2026-04-19T18:27:34+00:00\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/\"]}]},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/2026\\\/04\\\/18\\\/cms-2021-p2-part-3-psm\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/atsixty.com\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"CMS 2021 P2 Part-3 PSM\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/#website\",\"url\":\"https:\\\/\\\/atsixty.com\\\/\",\"name\":\"At Sixty\",\"description\":\"The Option Taken\",\"publisher\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/atsixty.com\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/atsixty.com\\\/#\\\/schema\\\/person\\\/cf65e7ac7d8226d95c0bdf1036f7951d\",\"name\":\"Avi\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"url\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"contentUrl\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\",\"width\":200,\"height\":200,\"caption\":\"Avi\"},\"logo\":{\"@id\":\"https:\\\/\\\/atsixty.com\\\/wp-content\\\/uploads\\\/2025\\\/08\\\/logo-agency.png\"},\"sameAs\":[\"https:\\\/\\\/atsixty.com\"],\"url\":\"https:\\\/\\\/atsixty.com\\\/index.php\\\/author\\\/avinaux\\\/\"}]}<\/script>\n","yoast_head_json":{"title":"CMS 2021 P2 Part-3 PSM - atsixty","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","og_locale":"en_US","og_type":"article","og_title":"CMS 2021 P2 Part-3 PSM - atsixty","og_description":"CMS 2021 Paper II \u2013 Part 3 (Q81\u2013Q120) \u23f1 40:00 \u2705 0 \u274c 0 \u23f3 40 left Net 0 \/ 160 Time's Up! Submitting in 10 Submit Now Combined Medical Services Examination 2021Paper II \u00b7 Part 3 Preventive & Social Medicine Questions 81 \u2013 120 Options reshuffled \u23f1 Start Timed Mode Submit Answers 0%score Your Result \u21ba Retry Quiz","og_url":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","og_site_name":"atsixty","article_published_time":"2026-04-18T08:09:59+00:00","article_modified_time":"2026-04-19T18:27:34+00:00","author":"Avi","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Avi","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#article","isPartOf":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/"},"author":{"name":"Avi","@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"headline":"CMS 2021 P2 Part-3 PSM","datePublished":"2026-04-18T08:09:59+00:00","dateModified":"2026-04-19T18:27:34+00:00","mainEntityOfPage":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/"},"wordCount":53,"commentCount":0,"publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"articleSection":["CMS"],"inLanguage":"en-US","potentialAction":[{"@type":"CommentAction","name":"Comment","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#respond"]}]},{"@type":"WebPage","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","url":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/","name":"CMS 2021 P2 Part-3 PSM - atsixty","isPartOf":{"@id":"https:\/\/atsixty.com\/#website"},"datePublished":"2026-04-18T08:09:59+00:00","dateModified":"2026-04-19T18:27:34+00:00","breadcrumb":{"@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/"]}]},{"@type":"BreadcrumbList","@id":"https:\/\/atsixty.com\/index.php\/2026\/04\/18\/cms-2021-p2-part-3-psm\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/atsixty.com\/"},{"@type":"ListItem","position":2,"name":"CMS 2021 P2 Part-3 PSM"}]},{"@type":"WebSite","@id":"https:\/\/atsixty.com\/#website","url":"https:\/\/atsixty.com\/","name":"At Sixty","description":"The Option Taken","publisher":{"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/atsixty.com\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/atsixty.com\/#\/schema\/person\/cf65e7ac7d8226d95c0bdf1036f7951d","name":"Avi","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","url":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","contentUrl":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png","width":200,"height":200,"caption":"Avi"},"logo":{"@id":"https:\/\/atsixty.com\/wp-content\/uploads\/2025\/08\/logo-agency.png"},"sameAs":["https:\/\/atsixty.com"],"url":"https:\/\/atsixty.com\/index.php\/author\/avinaux\/"}]}},"_links":{"self":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36608","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/comments?post=36608"}],"version-history":[{"count":4,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36608\/revisions"}],"predecessor-version":[{"id":36631,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/posts\/36608\/revisions\/36631"}],"wp:attachment":[{"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/media?parent=36608"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/categories?post=36608"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/atsixty.com\/index.php\/wp-json\/wp\/v2\/tags?post=36608"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}