Community Medicine (PSM) · Screening of Diseases and Health Concepts

A 52-year-old man attends the outpatient department for ear pain. As part of the consultation, the nurse records his blood pressure, which is found to be 168/104 mmHg on repeat measurement, leading to a new diagnosis of hypertension. Screening performed in this manner is termed:

  • A Mass screening
  • B Opportunistic (case-finding) screening
  • C Selective screening
  • D Multiphasic screening
Correct answer: B. Opportunistic (case-finding) screening

Explanation

Opportunistic screening or case-finding applies a screening test to patients who attend health facilities for unrelated complaints, exactly as here. Mass screening covers whole populations regardless of contact with services, selective screening targets defined high-risk groups, and multiphasic screening refers to simultaneous application of multiple tests to one individual. Case-finding is cost-effective in busy Indian outpatient settings because no additional outreach effort is required to reach the person.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

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