[MBBS 0325] MARCH 2025 Sub. Code :6074
M.B.B.S. DEGREE EXAMINATION
(For the candidates admitted from the Academic Year 2019-2020, 2020-2021 & 2021-2022)
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THIRD PROFESSIONAL PART ? I ? SUPPLEMENTARY - CBME
PAPER II ? COMMUNITY MEDICINE
Q.P. Code: 526074
Time: Three hours Maximum: 100 Marks (80 Theory + 20MCQs)
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Answer all the QuestionsI. Essay:
(2 x 15 = 30)
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(3+6+6)
1. In a PHC, Maternal Mortality Ratio (MMR) was found to be higher than the
Tamil Nadu state average. As a PHC medical Officer, you were given a task to
reduce the MMR.
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a) Define Maternal Mortality Rate and Maternal Mortality Ratio.b) Discuss the various possible determinants of maternal Mortality and
c) Plan for the measures to reduce the MMR in your PHC area.
(5+5+5)
2. During family survey in a rural area of population of 100000, it was found that
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25% were in the age group of 0-14years, 15% in the age group ofabove 65 years and 60% were in the age group 15-64years.
a) Calculate the total dependency ratio, young age dependency ratio and old
age dependency ratio.
b) Discuss the various health problems of the elderly.
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c) What are the life style modifications you will suggest for healthy ageing?II. Write Short notes on: (10 x 5 = 50)
1. Discuss about the prevention and control measures of Covid - 19.
2. Define fiduciary duty. Give examples of boundary crossing and violation in
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doctor patient relationship.3. Define Juvenile delinquency. Explain its causes and prevention.
4. Rashtriya Bal Swasthya Karyakram.
5. Post exposure prophylaxis in Human rabies.
6. Discuss Eugenics and Euthenics.
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7. Explain the elements of evaluation of health services.8. As a PHC medical officer, you are going to the field for giving awareness on
breastfeeding to postnatal mothers.
a) Illustrate the communication process for the above scenario.
b) What are the barriers of communication?
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9. Define Demography. Describe the demographic cycle.10. Discuss the newer initiatives in delivery of Family Planning services.
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