Download VNSGU MBBS Third Year Part I 2023 April RAN 2206000103030104 Community Medicine Paper II Question Paper

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RAN-2206000103030104

Third MBBS (Part - I) Examination April - 2023

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Community Medicine: Paper - II (New Course)

? : / Instructions

(1) ? ? ? ? ? ? ? ?.

Fill up strictly the details of signs on your answer book

Name of the Examination:

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Third MBBS (Part - I)

Name of the Subject:

Community Medicine: Paper - II (New Course)

Subject Code No.: 2206000103030104

SECTION - I (Total marks = 20)

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Q. 1. Encircle correctly appropriate answer from following multiple choice questions (20 each of 1 mark) 20

1. Nuclear family is
   1. Husband, wife, independent children
   2. Husband, wife, dependent children
   3. Husband, wife, son
   4. None of above

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2. Kuppuswamy's scale is based on the following variables except
   1. Education
   2. Occupation
   3. Income
   4. Housing

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3. Consider the following:
   1. Night blindness
   2. Corneal xerosis
   3. Conjunctival xerosis
   4. Keratomalacia

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   What is the correct sequence of the above in the progress of clinical presentation of vitamin A deficiency blindness?
   1. 1-2-3-4
   2. 1-3-2-4
   3. 1-3-4-2
   4. 2-1-4-3

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4. Regarding the concentration of nutrients in the breast milk, the incorrect is:
   1. 3.5% fat
   2. Lower protein content than that of cow's milk
   3. 6.2% lactose
   4. High calcium supply by 100 ml as compared to cow's milk

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5. Highest amount of iron is seen in which of following pulse
   1. Horse gram
   2. Bengal gram
   3. Black Gram
   4. Soyabean

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6. Which of the following is the nodal ministry for ICDS programme?
   1. Ministry for Human Resource Development
   2. Ministry for Rural Development
   3. Ministry for woman and child development
   4. Ministry for Health and Family Welfare

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7. UNICEF provides all Except:
   1. Child nutrition
   2. Child health education
   3. Immunization
   4. Family planning

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8. Dust particle, in a industry is a:
   1. Biological hazards
   2. Chemical hazards
   3. Physical hazards
   4. Mechanical hazards

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9. Which of the following exposure carries the maximum risk of transmission of HIV-
   1. Sexual intercourse
   2. Blood transfusion
   3. Transplacental
   4. Needle prick

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10. Lower cut-off of BMI for overweight as recommended for Asian populations is:
    1. >18.5
    2. >20.5
    3. >23
    4. >24.9

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11. A school child is diagnosed to have chicken pox. He should be isolated from other school children till:
    1. The scabs fall off
    2. Two days after the scabs are formed
    3. Three days after the fever develops
    4. Five days after the development of pustules

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12. An 80 kg 50 years old gentleman is found to have BP of 135/80 mm of Hg. The most important step included in primary prevention of hypertension in this patient is to:
    1. Advise lipid profile
    2. Reduce weight
    3. Ensure patient compliance
    4. Take antihypertensive treatment

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13. The commonest morbidity in schools is:
    1. Dental Ailments
    2. Worm Infestations
    3. Malnutrition
    4. Skin Diseases

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14. Most persuasive and effective media system for communication is:
    1. Inter-personal Communication
    2. Mass Media Communication
    3. Social Media Communication
    4. Printed Media Communication

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15. Which of the following statements refers to propaganda?
    1. Develops individuality
    2. The process is behaviour centered
    3. Makes people think for themselves
    4. Appeals to emotion

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16. Composition of ORS which of the following is correct:
    1. Na+ 90 meq/L
    2. HCO3-10 meq/L
    3. K+ 20 meq/L
    4. Cl- 5 meq/L

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17. Prevention of drug dependence is based following approach
    1. Community approach
    2. Educational approach
    3. Legal approach
    4. All of the above

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18. Currently given regimen fo Bancroftian filariasis is
    1. DEC-6 mg/kg/day X 12 days
    2. DEC-18 mg/kg/day X 24 days
    3. DEC-12 mg/kg/day X 12 days
    4. DEC-24 mg/kg/day X 24 days

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19. A Female has presented with lower abdominal pain and vaginal discharge, which drug shall be given as per Syndromic approach?
    1. Cefixime, Metronidazole, clarithromycin
    2. Cefadroxyl, Metronidazole, clarithromycin
    3. Cefixime, Metronidazole, Doxycycline
    4. Cefixime, Metronidazole, Azithromycin

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20. Marriage between two heterzyygous individuals for same disorder is prevented by
    1. Retrospective Genetic counseling
    2. Legislation
    3. Mass health education
    4. Prospective Genetic counseling

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SECTION - II (Total marks = 40)

Q. 2. Write full question on following (Any 1 out of 2) 10

1. Describe epidemiological determinants, clinical profile, prevention and control of Dengue fever.
2. Describe sources, routes of spread and preventive measures of hospital acquired infection.

Q. 3. Write down short notes / your comments on the following statements (2 comments) (5 marks each) (Any 2 out of 3) 10

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1. Motivation model of health education is essential for behaviour change. - Justify the sentence with appropriate comments.
2. Food poisoning and cholera are clinically and epidemiologically different. - Justify the sentence with appropriate comments.
3. Postexposure prophylaxis after needle stick injury while treating suspected HIV affected individual.

Q. 4. Write in one or two line short questions (2 marks each) 20

1. Enlist control measures for measles outbreak.

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2. Enlist causes of mental ill health.
3. Enumerate factors associated with high risk of drug abuse.
4. Enlist four preventive actions for genetic diseases.
5. Explain the reason of observation of 7th April as world health day and mention the theme of world health day 2022.
6. Enlist four benefits of demonstration as group approach for health communication.

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7. Mention four cardinal features of leprosy.
8. Mention the schedule of routine and precaution dose for Covid vaccination.
9. Mention four key indicators to evaluate malaria elimination under NVBDCP programme.
10. Enlist four rights of patient while seeking healthcare.

SECTION - III (Total marks = 40)

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Q. 5. Write full question on following (Any 1 out of 2) 10

1. Describe the population strategy for prevention of coronary heart disease.
2. Describe measurement, types, prevention and control of undernutrition.

Q. 6. Write down short notes / your compare & contrast on following (2 comments) (5 marks each) (Any 2 out of 3) 10

1. Janani shishu suraksha yojna.

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2. Classify the minerals and describe Public health importance of fluorine and zinc.
3. Principles of case management under IMNCI.

Q. 7. Write Short notes on following (5 short notes of 4 marks each) (Any 5 out of 6) 20

1. Write preventive and control measures for infant mortality in India.
2. Briefly describe risk factors of breast cancer.

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3. Write preventive measures of radiation hazards in industry.
4. Prophylactic dose and regime for Iron and Folic Acid supplementation under anemia mukt bharat programme. (INIPI)
5. Write guidelines of choice of cooking oil to balance various fatty acids in diet.
6. Mention measures of primary Preventive health care for elderly.

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