National Urban Health Mission (NUHM) MCQs With Answer

National Urban Health Mission (NUHM) MCQs With Answer — This concise, focused introduction helps B. Pharm students understand NUHM fundamentals, program components, and relevance to pharmacy practice. NUHM addresses urban health needs of the urban poor by strengthening primary health care through Urban Primary Health Centres (UPHCs), outreach, community participation, and public‑private partnerships. Key areas include maternal and child health, immunization, TB and NCD control, family planning, drug supply management, rational drug use, cold chain logistics, and monitoring through HMIS. Pharmacists and pharmacy students must grasp procurement, essential medicines lists, quality assurance, pharmacovigilance, and rational dispensing under NUHM. Now let’s test your knowledge with 30 MCQs on this topic.

Q1. What is the primary aim of the National Urban Health Mission (NUHM)?

• To provide free tertiary care in private hospitals
• To improve health service access and outcomes for the urban poor
• To replace state health systems with NGOs
• To fund only medical research in urban areas

Correct Answer: To improve health service access and outcomes for the urban poor

Q2. NUHM is implemented as part of which national program framework?

• National Rural Health Mission (NRHM)
• National Health Mission (NHM)
• National AIDS Control Programme (NACP)
• Pradhan Mantri Jan Arogya Yojana (PM-JAY)

Correct Answer: National Health Mission (NHM)

Q3. Which of the following facility types is a core service delivery unit under NUHM?

• Urban Primary Health Centre (UPHC)
• District Medical Research Centre (DMRC)
• Rural Health Sub-centre
• Urban Super Specialty Centre

Correct Answer: Urban Primary Health Centre (UPHC)

Q4. Mahila Arogya Samiti (MAS) in NUHM primarily represents which of the following?

• A state-level regulatory body
• A community level women’s health committee
• A private hospital association
• An urban pharmaceutical distributor

Correct Answer: A community level women’s health committee

Q5. Which NUHM activity directly involves pharmacists and pharmacy students in ensuring medicine availability?

• Outreach education on sanitation only
• Cold chain handling for vaccine‑only storage
• Essential medicines procurement and supply chain management
• Construction of health infrastructure

Correct Answer: Essential medicines procurement and supply chain management

Q6. Under NUHM, rational drug use training is most important for which reason for B. Pharm students?

• To increase OTC sales in urban markets
• To promote evidence‑based prescribing and reduce antimicrobial resistance
• To encourage self-medication among urban poor
• To limit pharmacists’ role to dispensing without counselling

Correct Answer: To promote evidence‑based prescribing and reduce antimicrobial resistance

Q7. Which monitoring system is commonly used to track NUHM services and indicators?

• Health Management Information System (HMIS)
• Educational Management Information System (EMIS)
• Transport Management Information System (TMIS)
• Financial Accounting System (FAS)

Correct Answer: Health Management Information System (HMIS)

Q8. A key NUHM strategy to reach slum populations is:

• Establishing mobile outreach and community health volunteers
• Building only tertiary hospitals in city centers
• Replacing public vendors with multinational pharma companies
• Focusing only on non-communicable diseases

Correct Answer: Establishing mobile outreach and community health volunteers

Q9. Which NUHM component directly addresses cold chain and immunization management?

• Urban sanitation drives
• Vaccine logistics and cold chain at UPHCs
• Construction of private clinics
• Elimination of essential drug lists

Correct Answer: Vaccine logistics and cold chain at UPHCs

Q10. For pharmacy students, pharmacovigilance under NUHM is important to:

• Monitor adverse drug reactions in the urban population
• Promote use of traditional remedies only
• Encourage polypharmacy without reporting
• Increase antibiotic prescription indiscriminately

Correct Answer: Monitor adverse drug reactions in the urban population

Q11. Which service is typically NOT a responsibility of a UPHC under NUHM?

• Basic curative services and dispensing essential medicines
• Referral linkage to higher centers
• Super-specialty surgery like open-heart surgery
• Maternal and child health services

Correct Answer: Super-specialty surgery like open-heart surgery

Q12. Public-private partnership (PPP) in NUHM is intended to:

• Exclude NGOs from service delivery
• Leverage private sector capacity to expand urban health coverage
• Privatize all UPHCs
• Limit community participation

Correct Answer: Leverage private sector capacity to expand urban health coverage

Q13. Which indicator would best measure NUHM’s success in maternal health?

• Number of private pharmacies opened
• Proportion of institutional deliveries among urban poor
• Number of social media health campaigns
• Number of luxury hospitals built

Correct Answer: Proportion of institutional deliveries among urban poor

Q14. Under NUHM, which cadre often performs community-level outreach in urban settings?

• Urban community health volunteers or ASHA-like workers
• Only specialised surgeons
• Exclusive private sector marketing teams
• International consultants only

Correct Answer: Urban community health volunteers or ASHA-like workers

Q15. An essential medicines list (EML) under NUHM helps to:

• Limit treatment options to a single brand
• Ensure standardized, cost-effective medicine availability at UPHCs
• Promote expensive imported drugs only
• Remove antibiotics from basic care

Correct Answer: Ensure standardized, cost-effective medicine availability at UPHCs

Q16. Which NUHM activity most directly reduces medication errors at the UPHC?

• Proper dispensing labels, counselling and adherence support
• Allowing non-qualified staff to prescribe medicines
• Removing patient records from UPHCs
• Eliminating drug storage temperature monitoring

Correct Answer: Proper dispensing labels, counselling and adherence support

Q17. How does NUHM address non-communicable diseases (NCDs) in urban populations?

• By ignoring NCDs and focusing only on infectious diseases
• Through screening, early diagnosis, health promotion, and referral at UPHCs
• By providing only surgical interventions
• By solely funding tertiary care for NCDs

Correct Answer: Through screening, early diagnosis, health promotion, and referral at UPHCs

Q18. Which of the following is a crucial cold chain responsibility relevant for pharmacists under NUHM?

• Monitoring vaccine storage temperatures and expiry dates
• Mixing vaccines with other drugs for storage
• Storing all medicines at the same room temperature without segregation
• Discarding temperature monitoring devices

Correct Answer: Monitoring vaccine storage temperatures and expiry dates

Q19. What role do B. Pharm students/ graduates typically play in NUHM implementation at primary care level?

• Provide community-level pharmaceutical services, ensure rational dispensing and manage supply chains
• Perform only surgical procedures
• Function exclusively as political representatives
• Replace community health volunteers for outreach counseling

Correct Answer: Provide community-level pharmaceutical services, ensure rational dispensing and manage supply chains

Q20. Which NUHM intervention helps control urban TB cases effectively?

• Active case finding, DOTS linkage, and drug adherence support at UPHCs
• Only offering private market TB drugs without supervision
• Stopping BCG vaccination entirely
• Referring all TB cases abroad

Correct Answer: Active case finding, DOTS linkage, and drug adherence support at UPHCs

Q21. Which mechanism improves quality assurance of medicines under NUHM?

• Random sampling and testing, procurement from approved suppliers
• Procuring from cheapest unverified local sellers only
• Allowing expired stock to remain in circulation
• Eliminating record-keeping for drug batches

Correct Answer: Random sampling and testing, procurement from approved suppliers

Q22. Which NUHM element ensures community feedback and accountability for urban health services?

• Community monitoring and grievance redressal mechanisms
• Complete secrecy of service data
• Exclusive decision-making by private funders
• Ignoring community suggestions

Correct Answer: Community monitoring and grievance redressal mechanisms

Q23. In the context of NUHM, an effective referral system should do which of the following?

• Provide clear pathways from UPHCs to higher centers with feedback loops
• Direct all patients to private tertiary hospitals without coordination
• Discourage referrals to public facilities
• Replace UPHC services entirely

Correct Answer: Provide clear pathways from UPHCs to higher centers with feedback loops

Q24. Which NUHM activity most directly contributes to reducing irrational antibiotic use?

• Training prescribers on standard treatment guidelines and monitoring antibiotic use
• Providing antibiotics without prescription
• Removing antimicrobial stewardship programmes
• Advertising antibiotics as cure-alls

Correct Answer: Training prescribers on standard treatment guidelines and monitoring antibiotic use

Q25. Which documentation is essential at UPHC pharmacy for safe medicine management under NUHM?

• Stock registers, temperature logs, expiry monitoring and prescription records
• Only verbal notes with no records
• Personal pharmacy owner diaries only
• No documentation required to speed service

Correct Answer: Stock registers, temperature logs, expiry monitoring and prescription records

Q26. NUHM’s approach to adolescent health in urban areas typically includes:

• Health education, counselling, and access to contraception and STI services
• Excluding adolescents from all services
• Only promoting sports activities without health services
• Providing only cosmetic services

Correct Answer: Health education, counselling, and access to contraception and STI services

Q27. Which financing aspect is characteristic of NUHM implementation?

• Joint central and state financing under NHM guidelines
• Entirely donor-funded with no government involvement
• Only municipal corporations fund the mission
• Financing only through private insurance premiums

Correct Answer: Joint central and state financing under NHM guidelines

Q28. Why is health information (data) analysis important for NUHM pharmacists?

• To forecast medicine needs, prevent stockouts and guide rational use
• To hide medicine consumption from authorities
• To increase arbitrary procurement without need assessment
• To eliminate record-based decision making

Correct Answer: To forecast medicine needs, prevent stockouts and guide rational use

Q29. In urban slum settings NUHM gives priority to which of the following service integrations?

• Integration of primary care with water, sanitation, nutrition and social services
• Segregation of health from other social determinants
• Focusing solely on cosmetic health camps
• Restricting services to high-income urban residents

Correct Answer: Integration of primary care with water, sanitation, nutrition and social services

Q30. A pharmacist at a UPHC notices an adverse event following immunization (AEFI). Under NUHM, the correct immediate action is:

• Report the AEFI through HMIS/pharmacovigilance channels and provide appropriate medical care
• Ignore the event and continue vaccination without reporting
• Destroy all vaccine records and hide the event
• Recommend all future patients avoid vaccination without investigation

Correct Answer: Report the AEFI through HMIS/pharmacovigilance channels and provide appropriate medical care

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