so is it audible everyone good so we'll be discussing all the previous year questions of your neat exams so the questions which are from important topics which are repeatedly asked it is throwing some light on all those questions see the question question number number one yes good see that question question number one which of the following vaccines do you recommend for a 10-year-old School child according to National immunization schedule this is the question which of the following vaccines will you recommend for a 10-year-old child according to National immunization schedule so the question is on NIS National immunization schedule so 10year old school child will get TD vaccine previously it was TT vaccine now we are getting TD vaccine TD first dose at 10 year TD second do at 16 years good TD second do at 16 years so the first do are 10 years and 16 years we given second dose so what was used before tetnus toxoid so if the mention 10y old the answer is TD vaccine study was conducted among two groups of people working in Anin D Factory for 20 years so they are dividing the set of workers into two groups working in factories the other workers were official workers were official workers of the same Factory so see the question the word risk is very important when the word risk comes it is incidence what is one more know for risk it is incidence the risk of getting like for example risk of developing cancer was assessed using existing records so the word records will be there exposed workers non-exposed workers exposed workers non-exposed workers so see the words properly exposed nonexposed usually they ask questions on occupational exposure usually they'll be asking questions on occupational exposure records the purpose of doing doing such a study is to save time and cost to save time and cost when you have incidents with you listen to the words properly when you are having incidence with you two things you can calculate mainly the incidence in exposed the incidence in non-exposed when you are dividing these two things incidence in exposed divided by incidence in non-exposed you'll be getting what ratio tell me very good you'll be getting what ratio risk ratio risk ratio so the study is not concurrent cohort study it is not a prospective cohort study it is not a concurrent cohort study it is nonconcurrent cohort study also known as what is one more name we have discussed the same example in the class you have given the example as Rubber and bladder carcinoma in your class notes if you can check in the exam question was almost similar to this analin D and official clerical workers it is retrospective cohort study retrospective cohort study the main advantage is Saving Time and cost in cohort study always remember we are comparing the incidence incidence in exposed and incidence in non-exposed we are calculating risk ratio but what about case control study tell me what about case control study what we'll be comparing in a case control study we are comparing the exposure pattern we are comparing the exposure pattern later when you compare the exposure pattern you'll be getting what ratio odds ratio yes very good ODS ratio so comparing the X exposure pattern and checking the ODS ratio that is what is very important that is what is very very important so the question when they mention history of exposure was taken in deceased and non- deceased individuals the exposure pattern was compared between two groups cases and controls then we are calculating then we are calculating risk ratio then we are calculating risk ratio that is odds ratio yes then we are calculating odds ratio the study become case control study now tell me if I start now 2024 if I go towards 2048 in the future if I'm staying with the individuals what is that study tell me good starting in 2024 2048 I'll be calculating risk ratio what is the study prospective cohort study prospective cohort study good if if I start from 2000 checking the records coming to 2024 means using records I'll be calculating risk ratio only what is this study using existing records like existing records I'll be calculating risk ratio only what is this study retrospective poort study good retrospective poort study but case control study is totally different you're comparing between two groups at a time there is no followup as such you take cases you take controls you check exposure pattern and you calculate odds ratio the words will be totally different this study is case control study this study is case control study good what is one more name for case control study what is one more name for case control study it is retrospective study very good it is retrospective study retrospective cohort is different the retrospective study is different if they mention the retrospective study then it is very basic case control study then it is very basic case control study so usually the words will be there like records risk and all if those two words come usually the answer is retrospective cohort study like what we have given to you what we have given to you cross-section is very simple at a time if you are doing and calculating prevalence now that is cross-sectional study that is cross-sectional study see the next question which of the following is the best parameter for assessing health status of a community indicator telling how good you are utilizing our services and all if this word is mentioned sensitive indicator for availability utilization health status and all this is the exact lines taken from which book P textbook there is no other answer for this other than this listen to the words properly there is no other answer the only answer for this question will be this line is taken directly from Park this line is taken directly from Park so they repeatedly ask this question your answer should be infant mortality rate your answer should be infant mortality rate infant mortality rate don't Mark maternal mortality ratio will be wrong this is the question which has been repeated in the exam usually so they're asking this question repeatedly and it is infant mortality rate in healthcare colbo plan was focused on it is very old plan it's very old question around 1950s the Columbo plan was planned different countries are involved in this so they won't ask ask this question again so don't worry but if you know it is good it is very long back there was a plan Columbo plan where all the countries are contributing together yes they will contribute for health also so in health sector because we are doctors the question was in healthcare the Columbo plan was focused on so what was colbo plan related to it was donating or giving Cal therapy units for hospitals initially it will help in radiotherapy So the colbo plan providing Cobalt Therapy Unit C for colbo plan C for Cobalt therapy units Who provided ctus if they ask who gave this again one more C the government of Canada there are different countries in the plan they help in development of different sectors in health sectors the Columbo plan the government of Canada was Distributing FAL therapy units to hospitals in our country so this is related to CT Cobalt therapy units potential years of life lost see the words properly potential years of life lost if they ask years of potential life lost or years of life Lost Years of potential life lost or years of life lost this is due to so tell me the answer you know the answer years of life lost due to premature death this will be the correct answer years of life lost due to premature death so this indicator is used in this indicator is used in which calculation tell me this indicator is used in y is used in what calculation daily calculation very good disability adjusted life years disability adjusted life years so dailies disability adjusted life years it will indicate burden of disease it will indicate burden of disease for example if I want to know burden of road traffic injuries example I'm telling burden of road traffic injuries if there is an individual because of road traffic accident there is loss of food I'm telling loss of foot the patient is living for 20 years with disability that will become years lived with disability patient is living with 20 years years lived with disability so the patient died could not attain that limit that limit is called as standard life expectancies so from which country we take standard life expectancy [Music] Japan so the patient could not attain that limit standard life expectancy so what will happen whatever the years he has lost is called as years of life lost due to death or premature death what is your answer now you'll correct the answer now you know the correct answer tell me it is due to death or premature death so what is your answer years of life lost due to death or premature death premature death because he could not attain the life expectancy patient could not reach that limit because that was the standard limit which is from Japan so standard life expectancy is used for calculating y don't make mistake it is not National life expectancy it is standard life expectancy we take from Japan Japanese life expectancy is taken as standard so we are adding two things yld D plus y that is dailies for this individual dailies lost in this individual like this we count for different individuals the amount of D lost dies is equal to y l + yld D years of life lost plus years lived with disability y plus yld d for this individual this will be the pattern for one more individual the pattern can be different then we count the overall burden of this disease then we compare two disease which is having more burden for example I'm telling there are two diseases there are two diseases X and Y because of x 80 daily is lost because of Y 20 daily is lost see the words properly because of x 80 daily is lost because of why 20 daily is lost if I'm asking question like this which is having more burden comparatively answer my question which is having more burden comparatively 80 or 20 so what is your answer comparing burden of two diseases if the mention this question to you 80 versus 20 they give questions like this 80 daily is lost 20 daily is lost so yes good which is having more burden which is having more burden disease X compared to disease y more the daily is lost more the daily is lost more the burden more the burden yes good so if they ask burden of disease see my words properly comparing burden of disease your answer should be dieses lost if they ask how good is the intervention effectiveness of any intervention so out of dieses and quales your answer should be quales gained the Intervention which is giving more qualies is better PO is gained by the intervention if they ask which is an indicator as of now for overall health status of the population overall positive health of population then your answer should be Health adjusted life expectancy Health adjusted life expectancy so when we have to choose what the keywords comes in between three things you make mistake if I'm asking how good is the country overall positive Health levels of the country if they ask such question your answer should be hail very good effectiveness of intervention quality is gained and burden of disease da is lost this is the way you should search for the keywords in the question you should always search for the keyword soam this word Progressive paralysis Progressive paralysis lower limb weakness fine financial means poverty so if this is the question spasticity so very easy question what we have discussed is due to which toxin Bo so qu consumption caser do consumption very easy question la saas la sativus so S for sativus S for spasticity remember like this paralysis the toxin will be B so how the stages how the disease will present with different stages you'll be knowing no stick one stick two stick and crawlers so they will be needing crawlers to move from place to place because of scissoring gate they cannot move from place to place no stick one stick two stick and crawlers at last they need crawlers to move from place to place so What vitamin can be used for prophylaxis you can remember the word c for crawling C for vitamin C vitamin C will help in prevention like it is primary level of prevention it is prophylactic measure which can be used for preventing neurol lism how neurol lism presents if they ask it is spasticity it is spasticity so the answer is neurol lism neural arism they'll mention the patient will be having weakness one stick two stick they'll be giving the history if they given whereas they will give the person like this spasticity paralysis so S for saas S for spasticity remember the words caser good so one while of pentavalent vaccine and two WS of Mr vacine is coming back to the clinic so they are opened provided that everything is fine date and time is mentioned cold chain is proper which of them will be used and which will be discarding so again it is as per open while policy now this as for open while policy so what is your answer yes good use pentavalent and discard Mr use pentavalent vaccine and you can discard Mr vaccine open well policy as of now what is the thing you should know any while which is opened you can use within 28 days can use within 28 days so date and time should be mentioned date and time should be mentioned open while policy means you can use it in the next session it is not applicable for it is not applicable for so remember British medical journal BCG meel are are Japanese sens of light is live because it is diluted so you see the words properly what I'm using not applicable for BCG measles are Mr and Japanese sense of light is live it is applicable for it is applicable for so write down r vak it is applicable J kill it is applicable because some states they have started using J kill also so should be knowing G kill it can be used in the next session it is liquid Rota because of multi-dose WS you can use it in the next session and any other WS no need to write anything else anything other than this TT Hepatitis B op ipv PCV like that it is applicable so now tell me r it is applicable or not see the words properly Rak I'm telling Rak it is applicable or not see the words properly yes sir it is applicable you can use it in the next session J kill is it applicable or not yes sir it is applicable you you can use it in the next session J live you cannot use it because it is diluted diluted with posate buffer salign so these are the things other than this and all those schedule Cas it is not applicable rabis it is not applicable because it is diluted and even low here it is not applicable because it is diluted so anything which you dilute it is not applicable why I'm not stressing covid Reus Ando because that is not a part of National schedule they're dealing with different diseases Co not applicable re is not applicable H are not applicable so this is the thing as of now open while policy so if possible try to make a note of it good see the next question see the next question see the next question Applied Nutrition program so this concept of Applied Nutrition program now so it is promoting School Gardens remember this is promoting School Gardens So within School they'll be growing their own vegetables fruits so School Gardens the seeds and manures for school health services under Applied Nutrition program the funding was given by UNICEF the funding was given by UNICEF so if they mention seeds and manuals word directly then your answer should be UNICEF so nutrition program it is for sustainability so the schools especially yes they started from African countries in India also be up some part of Southeast Asian countries yes we have started this concept of Applied Nutrition program seeds and maners so it is given by UNICEF it is given by UNICEF Asha worker is motivating women in urban area of madhya Pradesh women in urban area of madha Pradesh so what is this scheme called as yes good Jan suraka Yoga janani suraka Yoga what they want you to know is whether this madya Pradesh is low performing state or high performing state that is what they wanted to know that's it whether madya Pradesh is low performing state or high performing state so janaka is giving cash incentives for pregnants and Asha workers for pregnants and Asha workers so low performing States all the pregnants will be given incentives low performing State all the pregnants will be given incentives High performing State below poverty line BPL pregnants will be given incentives BPL pregnant will be given in incentives so if the question comes as of now it is irrespective of two things irrespective of age and irrespective of parity cach is given irrespective of age and parity so remember these two points age and parity so what are the low performing States what you know tell me important low performing States what you know you can remember like this very easily yes up utak mp chtis gar up utak mp chtis gar biar J now it is different states you can remember like this up utarak mp chattis biar jarh and the remaining four neonic will be Roa Rajasthan odisha Jammu Kashmir and Assam Roa roana total 10 low performing States total 10 low performing States you can remember like this up utarak was together MP chtis Gad was together biar jar was together the last is the neonic Roa Ro it's good looking good yes MP the question was on MP mad Pradesh urban area rural area urban area rural area urban area mother Asha mother Asha so low performing State urban area 1,000 rupes for mother 400 rupes for Asha worker 1,000 rupes for mother 400 rupes for Asha worker if I ask utar Pradesh rural area then what is your answer if I ask utar Pradesh rural area then what is your answer utar Pradesh rural area what is your answer good 1400 600 1400 600 they promoting more of rural areas they're promoting incentives more in rural areas comparatively because they want more deliveries from rural areas they want to increase Hospital deliveries from rural areas yes good they want to increase Hospital deliveries from rural areas keep the table so no need to worry about what if Asha becomes pregnant and all that person won't come like students will be asking sir what if Asha becomes not green tea and diabetes melus exposure and outcome exposure and outcome cohort study was undertaken so to study the risk cohort study was undertaken cohort study was undertaken so the green tea was the exposure diabetes was the outcome the risk ratio is 85 there just just giving the point estimate for you confidence estimate is not mentioned in the question the question becomes very easy they're not commenting on the significance also just point estimate is given risk ratio is less than one so there is less risk it will reduce the risk the question is not commenting on significance so nothing to worry about P value nothing to worry about confidence estimate just basic level of question if risk ratio is more than than one positive Association there is increased risk risk ratio less than one negative association negative association there is decreased risk and risk ratio is one if risk ratio is one there is no association risk ratio is one if they're asking then there is no Association so what my point good option b is the answer option b is the answer the patient is on tuberculosis treatment see the next question the patient is on tuberculosis treatment so sputum examination is done sputum examination is done after intensive phase and continuation phase so patient will be taking treatment for how many months 6 months intensive Phase 2 months continuation phase 4 months so the patient sputum examination was done after intensive phase and continuation phase both are negative both the samples are negative this is the question both the samples are negative so usually what will happen in the outcome you should know the difference difference between cure and completed usually we ask question like this if both the samples are negative it is treatment negative intensive phas results are negative treatment completion negative then it is cure then it is cure so if it is completed if I'm asking this word treatment completed when you can tell that the treatment completed how you can take the results intensive phase negative after continuation phase the sample results are not available the sample results are not available if this is the word given then it is treatment completed so failure followup and all not necessary now you're not using the words like relapse failure as such so for drug sensitive tuberculosis remember two words cure and completed let's keep it simple cure and completed so both the samples are negative both the samples are negative then the answer is treatment cure then the answer is treatment cure lifespan of Japanese women is 84.3 years okay that is the highest life expectancy they have the longest life expectancy so we are using this for measuring disease burden I think we have discussed this question indirectly already we we have discussed this question indirectly they have the highest life expectancy they have the highest life expectancy so we are using that as the standard life expectancy yes good standard life expectancy see my words properly standard life expectancy that is used in calculation of y l or yld D first answer my question already question indirectly discuss tell me good where I discuss standard life expectancy is used in uh standard life expectancy is used to calculate y l or yld d y l it is used for calculating y yes Y what is y here of Life lost due to premature death years of life lost due to premature death yes good don't make mistake very basic question I'm asking years of life lost due to premature death means what is the limit standard life expectancy which country we take standard life expectancy from Japan so that is used in calculation of dailies that is used in calculation of daily what is the formula for delas yes good y l + yld d y l+ yld d y l+ yld d so when you are adding these two things you'll be calculating D is lost due to a disease daily is lost due to a disease yes correct da is lost due to a disease which of the following is the most logical and cost effective approach for rabies control in urban areas again the question is directly from Park so the lines directly from Park so what is your answer yes correct what is your answer vaccination yes Mass vaccination and eliminate stray dogs Mass vaccination and eliminate stray dogs highight this word mass vaccination and eliminate stray dogs so there is one more thing which is very very important 0 by 30 initiative that is also related to rabies 0 by 30 initiated that is also related to Ries what is 0 by 30 if they ask it is to achieve zero deaths nobody should die due to rabies zero deaths by the year 2030 this is wh initiative yes good this is the initiative of wh they want to achieve zero mortality for rabes by which year answer my next question very good zero mortality by which year 0 by 30 0 by 30 it is zero mortality zero deaths by the year 2030 by the year 2030 this is wh initiative they'll ask this question 0 by 30 0 mortality so what is the best way of eliminating rebies especially or controlling Urban rebies if the mention questions like that then your answer should be this remove the stray dogs and mass vaccination of dog population Mass vaccination of dog population very good so Crush injury road traffic blood spills blood spills yes good then what is the disinfectant used so they are not mentioning like HIV patient and all if the HIV patient is mentioned fine then also the answer won't change much yes good what is the answer we're using sodium hypochloride solution so we have discussed all these things in the classes so sodium hypochloride solution what I say is the pneumonic midday meal now midday meal means first we mop then we use disinfectant then again we mop it so mop then disinfectant live it for around 10 to 15 minutes the disinfectant used as sodium hypochloride sodium hypochloride then again you mop it so what is the first step you'll be doing apply disinfectant or mop it what is the answer what is the first we have discussed all these pneumonics also midday maal now mob disinfect mob so what is the first step always absorbable tissue we have to mop it yes the mop will go into which bag tell me biomedical waste mop will go into which bag yellow bag yes good mop will go into yellow bag so remember the neonic midday M mop disinfect again you mop it again we throw it in yellow bag so this is the way how you are managing blood spill mercury spill they will ask short short question either they will ask blood spill or mercury spill that is what I have discussed in the classes also mercury spill there are two things very easy question they'll repeat this I'm asking bedside practice broken glass will be there the second thing is mercury will be there one is broken glass and Mercury broken glass will go into blue b broken glass will go into blue b and Mercury you'll be collecting using x-ray sheets or cardboard sheets x-ray or cardboard sheets and you'll be disposing it into a glass of water later they'll recycle it at bedside will be disposing into a glass of water this is how you collect yes good very good cardboard and water very good so broken glass will go into blow back broken glass will go into blow back this is how you manage bed side now blood spill mercury spill see words height for age less than two standard deviation means that score is less than to standard deviation so what it will indicate soan worker is taking the anthropometric measurements height for ages less than two standard deviation so what it will indicate so what is your answer very good stunting it is going in favor of chronic malnutrition so stunting wasting stunting wasting and underweight stunting wasting and underweight stunting is height for H stunting is height for H indicating chronic malnutrition chronic malnutrition good what is wasting weight for height weight for height indicating acute malnutrition acute malnutrition underweight is waight for age both acute and chronic malnutrition both acute and chronic malnutrition so if they ask angan body centers when you go to angan centers when they plot growth charts in angan centers now blue chart for boys pink chart for girls what they are plotting in angan centers what they are plotting if they ask what is your answer very good in angan centers we plot weight for age in centers we plot weight for age it will indicate both acute and chronic malnourishment acute and chronic malnourishment one more question on stunting what you should know is what is Mission 25 by 22 what is your answer one more question which is important for me what is Mission 25 by 22 so good if I'm using the words Mission 25 by 22 Mission 25 by 22 it is one of the Target under what it is one of the target which was supposed to be achieved under portion National nutrition mission mission 25 by 22 yes good Mission 25 by 22 to achieve the prevalence of stunting the prevalence of stunting should come down to 25% should come down to 25% by the year 2022 the prevalence of stunting should come down to 25% by the year 2022 this is Mission 25 by 22 under portion ofan related to stunting the prevalence should become 25% by the Year 20202 this was the target which is important for us Target kept in poran related to stunting this is called as Mission 25 by 22 so this is portion Aban not portion scheme portion is different that is M this is POR por por pradan portion now that is midday mail scheme one more name for Midday mail scheme is pradan portion so the air quality values are given 24th November if the values are more than 400 the values of air quality index is more than 400 usually we ask this question in between if I'm asking it will become very difficult usually we ask question the values more than 400 it is under severe category it is under severe category so it is based on air quality index air pollution index is different we don't ask question because we don't monitor air pollution index in our country it is more of air quality index what we check now so if it is more than 400 it is severe low a velocity is measured by so what is the instrument they're fond of this instrument usually they will be asking anomer and K thermometer the answer for this question will be K thermometer initially it was used for cooling power of the air initially it was used for cooling power of the air now it is used for air velocity now it is used for low air velocity if I'm asking one more question which is that one more instrument which can be used for air velocity what is your answer which is that one more instrument which is used for air velocity Animo we have four metallic cups now anomer anemometer is also used for air velocity Globe thermometer the difference what we take there is one thermometer inside and the outside now within the globe there is one thermometer outside here there is one thermometer Globe thermometer when you take the difference will indicate radiant heat x - Y what you do Globe thermometers will indicate radiant heat I this word globe thermometers will indicate radiant heat silver thermometer right Globe thermometer that is not necessary there is not a single question it is not mentioned in the textbooks also so it is just fill in options so nothing to worry Globe thermometer is for radiant heat so SI unit for brightness of light so Optics question so physics 12th standard you might have come across all this question so physics this level of physics is there in park textbook so they're asking questions so it is not your mistake also it is not the textbook mistake also they want you to know fine but it is very difficult to remember all these small small things that is also fine everything is fine fine there is nothing to worry if the question come if you know this table you'll get a correct answer the question comes if you know this table you'll get a correct answer so brightness of point source so when the candle is remember like this when the candle is burning now the brightness of point source when the candle is burning so that is where light starts so candle that is very important so it is Canda the unit is candala so what is your checking it is the intensity how it is the brightness is measured and we call the word as intensity how intensive burning is you remember like that that is where the point source it is burning then the flow of Light Flow flux that is Lumen you can see there is one Lumen like this where the light will flow remember like this there is one candle which is burning then the light will flow so if they ask S unit of flow of light then your answer is Lumen then your answer is Lumen the amount of light reaching the surface so if it is touching you remember like this illumination or illuminance when you're using Lux soap now and you're using Lux soap very old soap I might have not come across even in my childhood days I can remember I used Lux soap small small slope you used to have like if you go to a cricket match in between my mother like she used to keep that Lux soap I can remember that and I was like that brightness not glowing Lux amount of light reaching the surface it is Lux yes good when the Light reaches the surface when it is touching me then I'll be glowing like white white now cute cute underline this word the amount of light reemitted from the surface Lambert it's very difficult to recall so I'm making some stories or whatever you can tell so Candela Lumen Lux and Lambert so illuminance is different luminance is different so remember like this remember like this this question can be repeated in the exam yes sir this table can be repeated this can be asked in the exam so the question was on the initial thing if I'm telling 1 2 3 4 1 2 3 4 the question was on one so the SI unit of brightness of light the SI unit of brightness of light the answer is Candela see the next question fitis the swab was taken so the body fluid the swab was taken where will be disposing this swab that is a question where will be disposing this swab so fitis swab like the culture anything which is body fluids like you're exposing it to now it is infective already so easy question the answer is yellow bag answer is yellow bag so the ABS yes something which is infective so remember like yellow that is not a big thing to recall in the exam what they're asking is the anatomical waste usually generally I'm telling the anatomical waste human anatomical waste like fetus dead placenta or animal anatomical waste then remember the infective fluids like swab which is contaminated let we take the word c c for contaminated with blood and body fluids contaminated with blood and body fluids cotton cloth which is I'm telling cotton and cloth which is infect contaminated with blood and body fluids then comes anything which is cytotoxic anything which is cytotoxic cytotoxic waste chemical liquid chemical liquid M blood bags is very easy anything I told already I told blood and body fluid so blood bags so remember mainly these things e cement what I say anatomical waste contaminated cytotoxic chemical liquid blood bags and mask so what you'll be doing you'll be remembering each and everything in biomedical waste later when they ask easy question either you'll Mark yellow or you'll Mark red so you'll be playing an men in that in between that you'll be marking so remember the main things and if the examiner is asking these things mark it correctly so finish the game properly leg side ball leg side offside ball offside but blood bags are discarded so both the questions if they frame the question they will ask chemical liquid cytotoxic all these questions if they are asking contaminated or anatomical waste mask blood bag all this will go in which bag yellow bag yellow back if I'm asking trp just I'm telling tube rubber Plastics trp rating enough if I'm asking tube rubber Plastics where it will go tell me good tube rubber Plastics where it will go tube rubber plastic where it will go anything glouse contaminated also nothing to worry if it is glouse it is red contaminated or uncontaminated tube rubber Plastics it will go in red color yes good we go in red color extended sickness benefit under ESI act sickness benefit is different that is for 91 days my question is extended sickness benefit then it is 2 years so sickness benefit is for 91 days extended sickness benefit is for 2 years so it will cover 34 diseases it will cover 34 diseases right this word it will cover 34 diseases the patient is on mdrtb treatment if I'm asking question like this the patient is on treat treatment for mdrtb around 18 months of treatment for example the patient will get what benefit under ESI if they ask this question it is extended sickness benefit extended sickness benefit if the female wants to undergo tubectomy the female wants to undergo tubectomy yes then you will get what benefit under ESI scheme tell me the word exact what I want if the patient wants to undergo tuam the patient will get what enhanced sickness benefit see the words properly enhanced sickness benefit it is for sterilization purpose it is for sterilization how many days for male 7 days how many days for females 14 days f for female f for 14 so for vasectomy it is 7 days for cuom it is 14 days full wages they won't deduct anything it is full wage under enhanced sickness benefit if for female if for 14 for males 7 Days fine we'll take it underline this word Theo vect is 7 days for females at is 14 days full sterilization enhanced sickness benefit sustainable development goal see the words properly the next question is on STG sustainable development goal so as per sustainable development goals the target for maternal mortality ratio the target to be achieved under maternal mortality ratio so what is your answer the limit what they're asking the limit what they're asking so always remember three words matal mortality ratio Neal mortality rate and Andy mortality rate maternal mortality ratio should be less than 70 per 1 lakh Li birs less than 70 per 1 lakh liers neetal mortality rate should be 12 per 1,000 liers under five mortality rate should be 25 per th000 liers this word answer is option A don't make mistake in these three numbers Neal mortality rate MMR and under five mortality rate MMR should be less than 70 per 1 lakh life Neal mortality rate should be 12 under five mortality rate should be 25 under mortality rate should be 25 see the question next question is the variation in one sample can be compared with the variation in another sample see the question properly the variation in one sample can be compared with a variation in another sample another sample tell me what is this we have exact word in the notes when you want to compare variation between two samples compare variation of data between two samples compare variation of data between two samples so what is your answer it should be a unit less Dimension it should be a unit less Dimension it should always be unit less Dimension so what is your answer coefficient of variation remember the words properly coefficient of variation what is the formula for coefficient of variation standard deviation by mean into 100 very good standard deviation by mean into 100 if at all they frame this question listen height I want to check between males and females height if I want to check between males and females height if I want to check between males and females so see the words properly one side we have males the other side we have females one side they're giving an inch 160 in mean standard deviation is 16 in see the words properly standard deviation is 16 in but for females okay 150 again I'm telling in uh, 1500 CM 150 CM okay deviation is 150 cm now tell the amount of variation is equal because coefficient of variation when I'm calculating coefficient of variation when I'm calculating the variation is equal you can tell whether it is equal you can tell whether it is more or you can tell whether it is less even though the units are different see the relationship in between them 16 160 coefficient of variation is how much percent 10% the other side again you can tell it is 10% the relationship you can check but still even though the units are different you can tell whether it is more less or same using one parameter this will be the question what is that parameter which is not having any unit which is a unitless dimension so what is your answer coefficient of variation what is the answer coefficient of variation so always remember the words coefficient of variation is always used to compare variation of one variable between two samples or between two variables within one sample if I want to compare pulse and blood pressure of athletes if I want to compare whether pulse is varying more or blood pressure is varying more between two variables within a group of athletes cricketers for example what can be used to compare the variation this question is very important between two variables within one group if I'm asking then what is your answer C for comparison when the word C comes C for comparison C for coefficient of variation keep this question in mind because it is more practical stats what they're asking nowadays calculation part is very rarely asked what they will ask is application where you need to apply it clinically the difference between incidence in exposed minus incidence in nonexposed okay what is the answer what is the answer tell me good what is the answer I think we have discussed both the formulas in the class notes there is one more formula for this both the formulas you have discussed it is attributable risk also called as risk difference attributable risk also called as risk difference there are two formulas for attributable risk this formula can also be used you can express it in whole number so what are the three things you can calculate from cohort study tell me good what are the three things you can calculate from cohort study analysis I'm telling what is a pneumonic wrapping wrap risk ratio attributable risk very good attributable risk the third is population attributable risk population attributable risk population attributable risk the formula for risk ratio is dividing two things ratio incidence in exposed divided by incidence in non-exposed attributable Risk means you can use two formulas either you can use risk difference you can subtract two things you can subtract two things or you can use this formula where you want to express it in percentage attributable risk in proportion incidence in exposed minus nonexposed by Expose the whole thing into 100 if I want to express it in proportion then you can use this formula also but in place of exposed group if I change so in place of exposed group if I can put incidence in total population in place of exposed group if I can put incidence in total population then your formula will change incidence in total population minus incidence in nonexposed divided by incidence in total population this is the formula for population attributable risk this is the formula for population attributable risk so if I want to check how much Advantage I can give for the whole population if I can eliminate that risk factor that is population attributable risk how much I want how much the advantage I can give only for exposed group if I can remove that risk factor that is attributable risk so comparatively which is more important for public health if I want to arrange in sequence comparatively which is more important obviously population attributable risk will be more important because it is telling how much Advantage a population can get if I can remove that risk factor so this is the most important thing so the remember the pneumonic risk ratio is just the strength of Association there is no preventive component in that attributable risk can tell how much you can prevent the amount of disease which can be prevented in the exposed group only but for the whole population we are using this word population attributable risk population attributable risk so this question where the outcome is measured in monetary terms so indirectly this is the short question what they have sent so the outcome is measured in monetary terms so what is this the outcome is measured in monetary terms it is cost benefit analysis says the input output output is measured in monetary terms the benefit what you checking it is in monetary terms it is cost benefit analysis cost benefit analysis if the output is in results the output is in results number of deaths prevented number of children vaccinated number of deaths prevented number of childrens's vaccinated what is that cost Effectiveness analysis if I'm telling for every 10 Rupees invested how much debts you can prevent results what you are checking then it is cost effective analysis for 10 Rupees if I get 20 rupees then it is cost benefit analysis then it is cost benefit analysis network analysis you can tell the way how the events will go sequence of events network analysis to assess the SE sequence of activities we'll be making an arrow diagram for example part program evaluation and review technique is a type of network analysis correct program evaluation and review technique it's a type of network analysis correct ppbs now program budgeting system it is one of the way of doing budget they won't ask that question for you it is more of network analysis if I'm asking sequence of activities Arrow diagram then it is part program evaluation and review technique it is a type of network analysis cost benefit analysis cost Effectiveness analysis easy question where the output is different output is money then it is cost benefit output is results then it is cost Effectiveness analysis cost Effectiveness analysis if one variable is given you can find the another variable actually the question is fine there is an answer for this incomplete question but still I will take this question like this only yes then what is the answer if one variable is given you have to predict how much the other variable will change if I increase my salt intake if I increase my salt intake by 1 G if I increase my salt intake by 1 G yes good how much the another variable will change so exact word is there don't make mistake in this question it is regression it is regression Y is equal to a + b x y = a + b x y is dependent variable X is independent variable X is independent variable e is constant The Intercept B is regression coefficient B is regression coefficient so if I am taking the same example which I given the class like for example easy systolic blood pressure Salt inake after checking for correlation when there is correlation that is positive relationship increasing salt intake will increase systolic blood pressure after correlation the next thing what you do is regression see the words properly after checking for correlation we do Reg eration what type of correlation you be seeing tell me good salt intake and cystolic blood pressure what type of correlation you'll be seeing you'll be seeing positive correlation salt intake is increasing systolic blood pressure will also increase you'll be seeing positive correlation but the next thing what you should do is regression so the next thing what you should do is regression so if I'm telling this word for example a is constant if it is 10 B is regression coefficient 2 after doing regression we got these two values constant 10 regression coefficient is 2 now answer my question if I increase the salt intake by 1 G see this question properly if I increase if I increase the salt intake by 1 G how much my systolic blood pressure will change that you can easily predict this is the question predicting the amount of change in y with respect to X predicting the amount of change in y with respect to X if I increase the salt intake by 1 G you can substitute the value one here how much my y will change this will be the question how much my y will change so 12 mm of mercury so you can Cel the patient like salt intake by 1 G if you can increase your BP can change by this is the use of regression to predict the amount of change in y with respect to X so the to predict the amount of change in y with respect to X that is a use of regression very important very very important question prospective screening see this word prospective screening or you can take it as odd men out so prospective screening is done in case of which so prospective screening and prescriptive screening what is the main purpose what is the main difference what I discuss in the classes what is the main difference actually how to differentiate the words how to differentiate the words prescriptive screening yes and prospective screening prescriptive screening is usually for non-communicable diseases where the patient will have benefits it is mainly for own benefit prospective means we think ahead and next level of thinking will be doing prospective is for communicable diseases very good where others will get benefit others benefit so which is used for detection so is the main purpose is detection where where you detect non-communicable disease like cancer Etc I'm telling detection is for prescriptive screening yes very good so Disease Control if I want to check then it is prospective screening disase control if I want to check then it is prospective screening so now tell out of the available options to you out of the given options to you which is an example of prospective screen which is an example for prospective screening yes good immigrant screening that will be the answer thyroid papsmear diabetes all these are example for prescriptive screening so immigrants if I'm screening for any disease immigrants if I'm screening for any disease it will go under what prescriptive screening immigrant is prospective prescriptive right this word immigrants it is prospective prescript now tell the question if I screen covid in Travelers what type of screening if I screen covid in Travelers what type of screening covid and travelers what type of screening prospective screening okay good see the next question see the next question what is your answer just check one what I'm telling is just checking the relationship okay they're checking the relationship that is a keyword what I'm taking from the question records both the sides for COPD from hospital for cigarette sales they're checking from finance department so whatever the sales which has happened so it is an example for What study it is an example for what study why why it is ecological study answer is eological study but why it is eological study what is one more name for eological study correlational study yes very good one more name for ecological study is correlational study yes we'll be checking the correlation between two variables cigarette sales how much it happened and COPD cases cigarette sales in the city and COPD cases that taking yes good the it's more of yes what is the unit of analysis this is what I want not secondary data asset I want the unit of analysis the unit of analysis will be at population level or group level doing correlation by by checking the data at group level this is very important two words should be there correlation and doing the study at group level group level see the words government hospitals taxation so they're checking the correlation cigarette sales if it is increasing COPD cases will also increase City wise if you can check area wise also you can do positive correlation you can see positive correlation you can see H very good you should have this word unit of analysis the second word what is important is correlation what you'll be checking correlation what you be checking so if you can see cigarette sales in the city and the number of COPD cases admitted in that City Pune Mumbai Delhi Bangalore like that you can take Kolkata RCB or whatever so if you can go City wise I'm telling City wise I'm telling unit of analysis population or group the second thing what will be checking is the correlation part so it is ecological study it is ecological study you can be seeing yes positive correlation positive correlation the study was done to assess malnourishment among young children 100 in the total children like 30 are malist in this area 20 are malist in the other area if they're giving like this Mal nourishment proportions they're giving Mal nourishment proportion they're comparing yes good scatter plot fallacy everything you know very good now tell proportions you are comparing between two groups proportions you be comparing between two groups then what is your answer proportions will be comparing between two groups answer should be K Square test yes good when you are comparing the outcome as proportions two or more than two groups then you can use K Square test proportions you should remember two test one is two or more than two groups you'll be using K Square test very good you'll be using K Square test if I'm telling proportions one group before after intervention before after intervention so what is your answer proportions if you compare one group if you are checking before after intervention before it was 80% after intervention it is 20% like if I'm telling the proportion of obesity was 80% in a group after lifestyle modification the proportion of obesity is just 10% 80% 10% what is the answer proportions I'm asking yes good me test don't Mar for everything proportions proportions two or more than two groups Sky Square test one group before after it is mchn test sign test and all that is for that is for median what you compare now and sign Rank and later I'll give one table at last I'll give one table for test of significance don't worry at last I'll will give one table for I can't tell that joke in English is calling don't go she's calling don't go means Theon Square test make test some jokes if it is in Hindi I have to tell in Hindi only now if I tell in English it won't look good underline this word K Square test make test chief minister is the pneumonic tell me the pneumonic for proportions tell me the pneumonic for proportions K Square test MN test what is the neonic chief minister chief minister yes good chief minister where you use Monica mon project Monica Monica yes good Monica project where it was like Monica project Monica project is related to what monitoring the trends and determinants yes good monitoring the trends and determinants see the words Monica monitoring the trends and determinants for cardiovascular disease it is wh project it is wh project for monitoring the trends and determinants of cardiovascular diseases for cardiovascular diseases Monica probability of a person with positive test having disease see the words properly the test results are positive the chance of having disase what you're predicting so it is prediction so what type of prediction you making positive prediction or negative prediction so what is the answer for this what is the answer for this probability of a person with positive test having the disease so what is the answer test results are positive then you predicting whether the chance there is chance of having disease or not so what is the answer positive predictive value positive predictive value yes very good if I change the question probability of a person with negative test not having disease if I make the question Ulta probability of a person not like if the negative test not having disease means you're rolling out diagnostic power of exclusion you're doing first we did inclusion now we are excluding it then it becomes negative predictive value so diagnostic power of a test diagnostic power of a test one is for inclusion other for exclusion one is for inclusion the other is for exclusion yes good for inclusion it is positive predictive value for exclusion it is negative predictive value negative predictive value if I ask a question like this there is one screening test there is one screening test there is one screening test listen ability of a test to detect true positives then what is your answer ability ability of a test to detect true positives ability of a test to detect true positives so what is your answer sensitivity okay good ability of a test to detect true positives then it is sensitivity see the definition I'm telling definition is how it will come how you have to the answer that is my question ability of a test to detect true negatives if this is the word ability of a test to detect true negatives then it is specificity see the definition ability of a test to detect true negatives then it is specificity so the definition was asked but still if they how you calculate just basic thing what you're doing here in ppv and PV disease present absent 100 deceased 200 normal according to cold standard test how much your test will detect test detected not detected test detected not detected so out of 100 80 are detected this is true positives of a test sensitivity will be 80% not detected 20 false negatives of a test not detected false negatives in the same way the other side out of 200 180 through negatives remaining 20 false positives of a test so this is the table this is the table if I come like this vertically if I drag just I'm conis it based on the discussion session what we have if I come like this what you getting 80 by 100 sensitivity yes good if I catch this number and come like this what you'll be getting specificity that means if you go vertically you'll be getting sensitivity and specificity ability of a test to detect true positives ability of a test to detect true negatives in case if I'm going in a row mode if I go like this what I'll be getting 80 by 100 positive predictive value good if I catch this if I go like this negative predictive value negative predictive value so if I go in columns it is sensitivity specificity if I catch the same value if I go in rows Row one is positive predictive value row two is negative predictive value R to is negative predictive value yes good very good yes vertically horizontally in the class also we do this magician techniques H magicians will be doing like this we'll be having one clo they'll be doing like this 1 2 1 2 like thatch ppv n PV cross product ratio what is one more name for cross product ratio what is one more name for cross product ratio odds ratio odds ratio is calculated from case control study odds ratio is calculated from case control study like if there is a table like this cases and controls disase present this is absent this is case this is controls for example 100 cases 100 controls how many are exposed exposure smoking yes no out of 100 80 are exposed out of controls only 20 are exposed so this is the table case control study we'll be doing cases 100 controls 100 how many are exposed in case 80 how many are exposed in controls 20 then give the alphabets a b c d so odds of exposure within cases is a by C odds of exposure within controls is B by D just I'm making it in a concise way odds of exposure in cases it is e by C for controls it is B by D if you divide these two things ODS of exposure in cases divided by the odds of exposure and controls it is a by C divided by B by D you'll be getting a d by BC that is cross product ratio what you'll be getting is e by BC cross product ratio is calculated from case control study if it is more than one positive Association if it is less than one negative association yes good confounding factor is something which is associated with two things and it is distributed unequally between two groups then only it will cause distorted Association so for example confounding factor means if I'm telling like this coffee consumption is leading to lung cancer there is a study telling coffee is associated with lung cancer is it possible coffee can it cause lung cancer is it possible the study was proving an association between coffee and lung cancer is it possible no there is no Direct relationship but later when they found that in the study most of the coffee drinkers were also smokers not compulsory that if you take coffee you should smoke not like that most of the coffee drinkers were also smokers smoking was present in them and that is the reason why there was an association which was indirect confounding can lead to indirect Association indirect Association so smoking is the confounding Factor why it is confounding Factor tell me good first point what I'm asking yes very good shimo correct Aira very good coffee yes correct coffee smoking is the confounding Factor because it is associated with exposure and independent risk factor for the outcome repeat my words it is associated with exposure and independent risk factor for the outcome independent risk factor for the outcome it is distributed unequally between the two groups then it will cause distorted Association how to make it equal if I'm given a chance if I'm doing a case control study equal distribution you want to make how you can make for a case control study I'm asking different studies are there different things can be done for a case control study I'm asking for a case control study I'm asking how it can be done matching yes matching if you can do there will be group matching or individual matching which will help in equal distribution of that factor in between them so now it is unequal later you can make it equal got my point good in case control you can do matching there are so many ways of reducing confounding factors if I'm asking just write down the ways to reduce confounders just I'm giving the list just I'm giving the list to reduce confounders right one by one to reduce the effect of confounder you can do randomization you can do restriction you can do matching so these things can be done during study whatever the study depends on the study what you're doing these things can be done during study after study you can do two things when you analyze the results you can do stratification stratification can be done or you can also do subgroup analysis subgroup analysis can also be done so if they ask in detail after study what you'll be using if they mention these words they mention after study what you'll be using good so so now tell me during study three things can be done after study two things can be done if at all they ask the best for randomization the best for removing confounders I'm asking okay the best for removing confounders see the sequence properly stratified block randomization there is something called as stratified block randomiz ization that is better than stratified randomization that is better than stratified randomization and this stratified randomization is better than randomization you can go in sequence this is better than randomization so there is an McQ where stratified randomization and randomization was both in the option then your answer will be stratified randomization if stratified block randomization is there in the option then that will be the correct answer and that will be the correct answer this is the best 1 2 3 if you go in sequence to reduce the effect of confounding factor to reduce the effect of confounding Factor green color in a trage tell me good it will go like this now traffic signal red yellow green black this is how traffic signals when you go and send in a signal now it will be like this red yellow green then off black so green color will indicate ambulatory patients it will indicate ambulatory patients but highest priority is for red least priority is for black highest priority is for red least priority is for black life saving surgeries within 6 hours if I want then I go for red color tagging what I'll be doing highest priority is for red least is for black more born patients dead patients incidence of a disease with respect to time so exact words tell me incidence of disease with respect to time what you'll be using line diagram where x-axis will be time usually y AIS will be cases how the cases are increasing and decreasing with respect to time what is this called as trend of a disease what is this called as trend of a disas if I want to plot Trend Which diagram is preferred answer is line diagram what is the use of histogram we'll be having continuous bars now frequency distribution of continuous data frequency distribution of continuous data histogram scatter diagram is for correlation scatter diagram is for correlation bar chart is for qualitative data frequency distribution of qualitative data so now tell me out of this if I'm asking this question frequency distribution of quantitative data what you'll be using frequency distribution of quantitative continuous data what you'll be using tell me good frequency distribution of quantitative data histogram histogram good scatter diagram is for correlation qualitative data like male female India Pakistan Nepal like that or anything yes no if I'm telling then it is chart quantitive hisr good which is not an indicator related to malaria surveillance question there is nothing called as index we have incidence that is Parasite incidence or only falip parum cases you check falum incidence or blood examination rate which is an indicator to check new cases annual parasite incidence only falip parum cases falip parum incidence which is an indicator for operational efficiency out of this which is an indicator for operational efficiency out of this tell me good which is an indicator for operational efficiency out of this annual blood examination rate more than 10% it should be more than 10% the amount of slide collection what you'll be doing now so it is slides collected by population so it should be more than 10% it should be more than 10% so we express it in percentage we express it in percentage so tell me the cycle bird vector man if they ask this question bird vector man bird will be the reservoire bird will be the reservoire qlex will be the vector KX tronus will be the vector tronus will be the vector pix comes in between P will be the amplifier if P are involved P will be the amplifier cattle will attract the mosquitoes cattle will be the attractant Pi are the amplifiers cattle will attract the mosquito then if that mosquito is biting man man will be the dead end ho H getting entis man will be the dead end host developing entis that is the cycle which is related to Japanese entis Japanese entis the role of pig will be amplifier the pigs they never show symptoms remember this word PS are asymptomatic during amplification man will be the dead end host accidental dead and host vaccine contraindicated in pregnancy see means they're asking live vacine out of the given options your answer should be varis out of the given option your answer should be varis so indirectly they're asking which of the following is a live vacine which of the following is a live vaction not a personal protective equipment I think it's 2020 need pqs so I think it was asked in 2020 which is not a personal prot equipment so out of this goggles face shield CLS everything you are wearing that will come under personal protection lab codes it's not related to personal protection it will not come under personal protective equipment lab codes fine we look good for attendance and all you need this but personal protection it is not the thing so it's a matter of Pride agree paid T Test Now tell me the answer PA T test is used where PA test is used where quantitative data yes one group before after quantitative data one group before after we using pair T Test So Paid test is a type of parametric test or non-parametric test paid test is a type of parametric test or non-parametric test answer my question PA T Test is a type of parametric test or non-parametric test parametric test yes good parametric test will be used to compare mean values parametric test will be used to compare mean values so tell me the pneumonic for parametric test what we have discussed in the classes if it is there in the notes yes tell me good between two groups what test mean I'm telling between two groups what test one group before intervention after intervention what test more than two groups what test answer my question good between two groups we have student T Test also called as unpaired T Test student T Test also called as unpaired T Test what is one more name for student T Test unpaired T Test unpair T Test one group before intervention after intervention the same question mean value before intervention after intervention if you compare paired T Test hemoglobin was 10 G after intervention it is 14 G I want to check the statistical significance pair T Test more than two groups if I'm comparing the outcome variable more than two groups if I'm comparing an NOA test analysis of variance an NOA test these three are examples for parametric test where you'll be using them to compare mean values where we'll be using to compare mean values tell the neonic student T Test pair T Test an NOA test what is the neonic student T Test pair T Test in NOA test so it will be the pneumonic what will be the pneumonic Spa student T Test is also called as unpaired T Test or independent T Test two different groups group two different groups that is why it is unpaired T Test student T Test also called as independent T Test independent T Test one group before after it is paired T Test more than two groups it is in NOA more than two groups it is in NOA so I think this is the last question for uh this session so based on the allotted time uh we'll be taking this question now this this will be the last question paradoxical carrier paradoxical carriers very old question but what is paradoxical carrier and what is pseudo carrier paradoxical carrier is one carrier who gets infection from another carrier this is the question paradoxical carrier is one carrier who get infection from another carrier but if they ask this question there is one carrier carrying a virulent agent there is one carrier who is having a virulent agent what are those carriers called as what are those carriers called as pseudo carriers pseudo carriers so don't make mistake between two words one is paradoxical carrier one is par toxical carrier other is Pudo carrier if I'm asking this word the carrier is having an aent agent carrier is having an a virent agent then it is Pudo carrier but here the question is a carrier will get infection from another carrier who got infection from another carrier then it is called as Pudo carrier then it is called as paradoxical carrier highlight this word person who got infection from another carrier is called as paradoxical carrier usually we make mistake in these two things P for paradoxical P for pseudo carrier P for paradoxical P for Pudo carrier so total around 50 52 questions was supposed to be discussed and we have finished the session we have started at 8:00 almost so we tried to cover all the previous year topics in concise mode the main purpose was not making it too lengthy for you because it is more of a revision session the two question answer session making it more concise so fine based on the option person carrier it is fine you can take it option b is the correct answer option b is the correct answer based on the recall now based on the recall so all the best take care so anything you want to discuss now so there is nothing to worry now because there is nothing to lose also if you are not scored well in in C that has nothing to do with neat exam totally different things so just always keep one thing in the mind there is nothing to lose in life always everything is to gain because you have come so far now so just keep this word any day any time either you are in the floor either you are in the sky fine but always there is one more thing to gain always so there is nothing to lose so keep on gaining something have that hunger with you usually I'll be using the two words whenever I'm signing something nothing to lose and hunger for survival this is my words usually when I am writing something these two things usually it keeps me also pushing somewhere towards something like there is nothing called as Perfection there is always the way to improve there is always the scope for improvement just keep on doing something which is better than yesterday nothing to lose hunger for Sur I these two words which keeps me going always all the best any doubt you can insta me usually be using Instagram most of the times keep smiling the Raj shy Instagram can use it all the best take care sweet dreams all the best take care sweet dreams thank you so much so anything you can ask I'm having this problem so what will be the solution for that so I'm having this so can you help you can always text me in Instagram I'll be usually active so I'll be texting you back so whatever possible from my side whatever the solution we can do we can discuss and get one solution together now CU there is not always a Sol if there is no problem then there is no solution only so problem it's about how we deal with it the maturity now so just keep it simple there is nothing to lose have that hungness within you the universe will feed you if you are so hungry the universe will always Fe it's about The Hunger the more hunger you show the more thirst you show now the more you'll be fed that is what I want to say the more hunger you are showing the more you'll be fed it is more than enough means sir today if I'm my stomach is filled tomorrow no tomorrow also again the hunger will have that it is physiological thing now the word hunger is physiological there is nothing pathological in this so having that hunger to improve there is nothing wrong in that it's not about perfection it's about Improvement what I'm telling now you need to improve there is nothing there is no point to prove to anyone we not here to prove to anyone because everyone is unique in this so all the best what is that is what I want to say every year we are waiting for the so unless and until we get something like females yes we won in RCB this time we won females good say expired cytotoxic drugs yeah cytotoxic word it is yellow yellow color now when the word cytotoxic comes it is yellow color good you're taking too much of this word this name you're taking too seriously so you're typing everything in to good all the best all the best all the best so PDF I think I'll be giving I'll be checking this it is converting into PDF now the session is getting converted to PDF maybe I'll give it but it will take maximum 45 minutes to see the session in 2x mode if it is there class cytotoxic word if it is coming it is is yellow color it can be glass it can be anything the word cytotoxic comes now it is yellow color metotic I will not come across this word metotic now tic I know enzootic I know metotic have not come across this word you discuss with micro ology faculty if possible or else I will check this for metotic now what I know is tic enzootic as of now so have your dinner then we can uh discuss few things if you can ask me in Instagram also all the best take care so anything the results I'm not telling it will be good or bad whatever the results you just text me back sir I got this I'm happy I'm having this I'm happy like whatever whatever you want you can text me bye all the best Take Care thank you so much