According to the Community Based Assessment Checklist used under the National Programme for Prevention and Control of Non-Communicable Diseases, a person is considered to have a high risk of non-communicable diseases and requires prioritization for screening or referral when the score is:

1. A

   More than or equal to 4

2. B

   More than or equal to 5

3. C

   More than or equal to 6

4. D

   More than or equal to 7

Appeared in: NORCET-11 Prelims

Explanation

• CBAC score of 4 or more is the official threshold for high risk under NPCDCS.
• Individuals with score greater than or equal to 4 are prioritized for further screening or referral.
• This cut-off ensures early identification and management of NCDs in the community.

Why Other Options Were Wrong

• Option B: A threshold of 5 would miss individuals who are at risk but have a score of 4, which is the official cut-off.
• Option C: A threshold of 6 is above the recommended cut-off, leading to under-identification of high-risk individuals.
• Option D: A threshold of 7 is much higher than the recommended cut-off, resulting in very few being identified for referral.

Related Visual

Clinical Relevance

• Nursing practice connection: Use the key finding related to CBAC scoring threshold for high risk in NPCDCS to guide bedside assessment, documentation, and the next nursing action.
• CBAC scoring helps nurses and health workers identify high-risk individuals for NCDs in the community.
• Early referral based on the correct threshold reduces complications and improves outcomes.
• What if? If the threshold was set higher, many at-risk individuals would not be screened early, increasing disease burden.

How to Approach the Question

• Recall the standard CBAC cut-off for high risk in Indian NCD screening.
• Eliminate options with higher thresholds than the guideline.
• Select the option that matches the operational definition for high risk.
• Use knowledge of national protocols and community health nursing.

Concept Tested & Keywords

• Concept Tested: CBAC scoring threshold for high risk in NPCDCS
• Stem keywords: Community Based Assessment Checklist, National Programme for Prevention and Control of Non-Communicable Diseases, high risk, score, screening, referral
• Lead-in keywords: requires prioritization, score is
• Clinical cues: CBAC score cut-off determines who is prioritized for NCD screening and referral

Question ID

QiTFlGPbaNxwGBbnWFi2rB

Copy ID

Reference Book

E6 Parks TextBook of Preventive & Social Medicine part 1 — Subpart C (pp 404-604 of 604) p. 160-162