Download KUHS (Kerala University of Health Sciences) A Bachelor of Medicine, Bachelor of Surgery (MBBS) 3rd Year (Third Year) 2010 Scheme 304001 August 2023 Community Medicine Paper II Previous Question Paper || KUHS MBBS third year question papers
2010 Scheme
Q.P. Code: 304001
Reg. no.: .....................
Third Professional MBBS (Part I) Degree Supplementary Examinations
August 2023
Community Medicine - Paper II
Time: 3 Hours
Total Marks: 60
Answer all questions to the point neatly and legibly ? Do not leave any blank pages between answers ?
Indicate the question number correctly for the answer in the margin space
Answer all parts of a single question together ? Leave sufficient space between answers
Draw diagrams wherever necessary
Essay:
(10)
1. Mrs. Lalitha, a 25-year-old school teacher, had cough and fever for 3 weeks. She visited a
practitioner who prescribed a course of antibiotics. As there was no improvement a chest
X-ray was adviced which showed persistent right upper zone infiltrates, she was then
diagnosed to have TB and was immediately started on INH, Ethambutol and
Pyrazinamide in a combination available at the nearby pharmacy. She was irregular for
two months because it was expensive. Since she felt better, she then stopped taking
medicines. Three months later she was brought to casualty gasping for breath and died.
In the meantime, her one-year-old child Preethi developed prolonged fever, vomiting and
convulsions.
a) List all the issues and consequences in the management of Mrs. Lalitha.
b) What could have been done differently to tackle the issues and prevent these
problems, what advise she should get considering her occupation to be a school
teacher
c) With a flow chart, elaborate the new diagnostic algorithm for detecting pulmonary
tuberculosis under National TB Elimination program.
d) What prevention strategies should have been taken for Preethi
(2+2+4+2)
Problems:
(2x5=10)
2. The outreach workers of your Primary Health Centre (PHC) are reporting resistance to
COVID-19 vaccination acceptance in a village due to vaccine misinformation by their
religious leader. As the medical officer of the PHC how would you plan to ensure vaccine
acceptance and build vaccine trust in the local community.
3. 35 families were displaced from their households following heavy rain fall and flood to a
temporary settlement in a Government LP school. You are the medical officer of the PHC
in this area.
a) What are the issues related to provision of safe water and hygiene, you would
anticipate in this place.
b) What are the measures you will suggest to the district health authority to implement
in the settlement
(PTO)
Short answer Question:
(5x4=20)
4. Roles and responsibilities of Accredited Social Health Activist (ASHA)
5. Network analysis in health management.
6. Risk factors of Non Communicable diseases
7. Behavioral change communication
8. Syndromic management of genital ulcers at STI clinic
Differentiate between:
(3x2=6)
9. Man-made and Natural disaster.
10. High risk strategy and Mass prevention strategy in primary prevention of Non-
Communicable diseases.
11. Monitoring and Evaluation.
Substantiate your answer with reasons:
(2x2=4)
12. Health education is the vaccine for prevention of road traffic injuries.
13. Weekly and not daily iron and folic acid supplementation for adolescents under anemia
mukht bharat.
List the following:
(5x2=10)
14. Segregation of biomedical waste using different colour codes
15. Occupational hazards among agricultural workers.
16. Functions of World Health Organization (WHO)
17. Barriers for health communication.
18. Conditional cash transfer schemes for pregnant mothers under National health mission.
******************
This post was last modified on 18 November 2023