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(Pages: 2+2 + 1) Name:........................
Reg. No................
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FINAL M.B.B.S. DEGREE EXAMINATION, MARCH 2011
Part I
COMMUNITY MEDICINE INCLUDING HUMANITIES-Paper I
Time: Three Hours Maximum: 60 Marks
Answer all questions.
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Answer Sections A and B in separate answer-books.
MCQs should be answered first in the response sheet provided.
Section A
I. Multiple Choice Questions. (20 x ½ = 10 marks)
Single response type-20 (separate sheet attached).
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II. Match the following: (6 x ½ = 3 marks)
Single response type-6 (separate sheet attached).
III. Draw and label :
1. Epidemic curve. 2. Rule of halves. (2 x 1 = 2 marks)
IV. Write briefly on :
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1. Multifactorial causation. 2. Serial interval.
3. Point prevalence. 4. Relative risk.
5. Monitoring. (5 x 1 = 5 marks)
V. Write short notes on :
1. Congenital rubella syndrome.
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2. Categorisation of TB in RNTCP.
3. Strategies for Polio Eradication.
4. Reservoir of infection in typhoid.
5. Intradermal regimen in rabies vaccination. (5 x 2 = 10 marks)
Section B
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VI. Read this paragraph and answer the following:-
Divakaran a 50 year old farmer came to the PHC with fever, headache, yellowish discoloration of urine and body ache of 5 days duration. On examination, conjunctival suffusion and hepatomegaly was observed.
1. How will you investigate?
2. What is the most probable diagnosis?
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3. Describe the epidemiological determinants of this disease.
4. What are the preventive and control measures? (1+1+4+4= 10 marks)
VII. Write briefly on :
1. Biochemical oxygen demand.
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2. Characteristics of occupational cancer.
3. Break point chlorination.
4. Stratified random sampling.
5. Broca index.
6. Types of ventilation.
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7. Chandler's index.
8. Contact tracing.
9. Anthropozoonosis.
10. Cyclo propagative transmission. (10 x 1 = 10 marks)
VIII. Write short notes on :
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1. Sanitary well.
2. Histogram.
3. Monitoring of air-pollution.
4. Controlled tipping.
5. Flea indices. (5x2 = 10 marks)
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COMMUNITY MEDICINE INCLUDING HUMANITIES-Paper I
I. MULTIPLE CHOICE QUESTIONS
Note:-(1) Do not write anything on the question paper.
(2) Write your register number on the answer-sheet provided.
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(3) Select the appropriate answer and encircle the alphabet against each question in the answer-sheet provided.
(4) In the answer-sheet enter the total number of your answers in the appropriate box provided.
(5) Each question carries ½ mark.
1. Which is a disease subjected to International Health Regulations?
(A) Cholera. (B) Typhoid.
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(C) Chickenpox. (D) Measles.
2. Endophilism refers to mosquito and its :
(A) Choice of breeding place. (B) Preference for human blood.
(C) Indoor resting habit. (D) Preference for bite inside house.
3. Which is a measure of operational efficiency in Malaria ?
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(A) APL (B) ABER
(C) AFI. (D) S
4. Common Incubation period of rabies in man :
(A) 10-15 days. (B) 3-8 weeks.
(C) 3-6 months. (D) 6-12 months.
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5. The prophylactic dose of human tetanus immunoglobulin :
(A) 4000 u. (B) 1000 u.
(C) 2000 u. (D) 250 u.
6. Project MONICA is involved for:
(A) Monitoring of CAD. (B) Health education.
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(C) Provision of acute coronary care. (D) Preventing risk factors for CAD.
7. Multifactorial causation was proposed by:
(A) John Snow. (B) Edwin Chadwick.
(C) Petenkofer. (D) Lemuel Shettuck.
8. Which is not an indicator in PQLI?
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(A) IMR. (B) Life expectancy at age one.
(C) Life expectancy at birth. (D) Literacy.
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9. Method for identifying missing cases is:
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(A) Monitoring. (B) Surveillance.
(C) Evaluation. (D) Sentinel surveillance.
10. To prevent epidemic spread of diphtheria, herd immunity should be at least ________ %.
(A) 50. (B) 70.
(C) 80. (D) 90.
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11. Ratio of incidence among exposed to incidence among non-exposed is ________ risk.
(A) Relative. (B) Attributable.
(C) Population attributable. (D) None.
12. Proportion of clinical cases resulting in severe clinical manifestation is:
(A) Infectivity. (B) Pathogenicity.
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(C) Virulence. (D) None.
13. Screening is ________ prevention.
(A) Primary. (B) Secondary.
(C) Tertiary. (D) Primordial.
14. Dead end infection is seen in:
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(A) Rabies. (B) Bubonic plague.
(C) Tetanus. (D) All.
15. Number of ice packs used in vaccine carrier :
(A) 2. (B) 4.
(C) 6.
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16. Disinfection of water by chlorine is an example of ________ disinfection.
(A) Concurrent. (B) Terminal.
(C) Prophylactic. (D) None.
17. Cheapest of all disinfectants :
(A) Bleaching powder. (B) Lime.
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(C) Cetrimide. (D) Savlon.
18. Advantage gained by screening :
(A) Lead time. (B) Yield.
(C) Predictive value. (D) Likelihood ratio.
19. Cost effective form of screening is ________ screening.
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(A) Mass. (B) Selective.
(C) Multiphasic. (D) None.
20. WHO declared that smallpox had been eradicated in:
(A) April 1977. (B) May 1975.
(C) July 1975. (D) May 1980.
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(20×½= 10 marks)
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