Download MBBS KUHS Third Year 2011 March Community Medicine Paper I Question Paper

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C 14876 (Pages : 2 + 2 + 1) Name.

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FINAL M.B.B.S. DEGREE EXAMINATION, MARCH 2011

Part I

COMMUNITY MEDICINE INCLUDING HUMANITIES—Paper 1

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.

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(2 X 1 =2 marks)

IV. Write briefly on :

1. Multifactorial causation.
2. Serial interval.
3. Point prevalence.

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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)

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Section B

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)

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VIII. Write short notes on :

1. Sanitary well.
2. Histogram.
3. Monitoring of air-pollution.
4. Controlled tipping.

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(5 x 2 = 10 marks)

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C 14876

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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.

(3) Select the appropriate answer and encircle the alphabet against each question in the answer-sheet provided.

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(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 ?
   1. Cholera.
   2. Typhoid.
   3. Chickenpox.

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   4. Measles.
2. Endophilism refers to mosquito and its :
   1. Choice of breeding place.
   2. Preference for human blood.
   3. Indoor resting habit.

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   4. Preference for bite inside house.
3. Which a measure of operational efficiency in Malaria?
   1. API
   2. ABER.
   3. AFI

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   4. SPR.
4. Common Incubation period of rabies in man :
   1. 10-15 days.
   2. 3-8 weeks.
   3. 3-6 months.

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   4. 6-12 months.
5. The prophylactic dose of human tetanus immunoglobulin :
   1. 4000 u.
   2. 1000 u.
   3. 2000 u.

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   4. 250 u.
6. Project MONICA is involved for :
   1. Monitoring of CAD.
   2. Health education.
   3. Provision of acute coronary care.

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   4. Preventing risk factors for CAD.
7. Multifactorial causation was proposed by :
   1. John Snow.
   2. Edwin Chadwick.
   3. Pettenkofer.

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   4. Lemuel Shattuck.
8. Which is not an indicator in PQLI ?
   1. IMR.
   2. Life expectancy at age one.
   3. Life expectancy at birth

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   4. Literacy
9. Method for identifying missing cases is :
   1. Monitoring.
   2. Surveillance.
   3. Evaluation.

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   4. Sentinel surveillance.
10. To prevent epidemic spread of diphtheria, herd immunity should be at least ——— %.
    1. 50.
    2. 70.
    3. 80

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    4. 90.
11. Ratio of incidence among exposed to incidence among non-exposed is ——-—— risk.
    1. Relative.
    2. Attributable.
    3. Population attributable.

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    4. None.
12. Proportion of clinical cases resulting in severe clinical manifestation is :
    1. Infectivity.
    2. Pathogenicity.
    3. Virulence.

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    4. None.
13. Screening is ——— prevention.
    1. Primary.
    2. Secondary.
    3. Tertiary.

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    4. Primordial.
14. Dead end infection is seen in :
    1. Rabies.
    2. Bubonic plague.
    3. Tetanus.

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    4. All.
15. Number of ice packs used in vaccine carrier :
    1. 2.
    2. 4.
    3. 6.

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    4. 8.
16. Disinfection of water by chlorine is an example of ———-— disinfection.
    1. Concurrent.
    2. Terminal.
    3. Prophylactic.

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    4. None.
17. Cheapest of all disinfectants :
    1. Bleaching powder.
    2. Lime.
    3. Cetrimide.

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    4. Savlon.
18. Advantage gained by screening :
    1. Lead time.
    2. Yield.
    3. Predictive value.

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    4. Likelihood ratio.
19. Cost effective form of screening is — - Screening.
    1. Mass.
    2. Selective.
    3. Multiphasic.

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    4. None.
20. WHO declared that smallpox had been eradicated in :
    1. April 1977.
    2. May 1975.
    3. July 1975.

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    4. May 1980.

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