2019 Scheme
Q.P. Code: 316001
Reg. no.: .....................
III Professional MBBS Part I Degree Regular/Supplementary Examinations
February 2025
Time: 3 Hours
Total Marks: 100
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
Draw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(1x20=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v are single response type questions
i. The number of daughters a new born girl will bear during her life time assuming fixed age specific
fertility and mortality rate, refers to which one of the following
c) Net reproduction rate
b) Gross reproduction rate
d) Total fertility rate
ii. The killing power of a disease is best expressed by
c) Secondary attack rate
b) Attack rate
d) Proportional mortality rate
iii. All the following are true regarding BCG vaccine except
c) Needs to be repeated if scar is not present
b) The strain used is Danish 1331
d) Newborns are given 0.05ml
iv. Particles _______in size reaches the alveoli and get deposited causing damage to the
a) 0.5 - 3
b) > 10
c) 5 ? 10
d) <0.1
a) The disease should be a public health problem
b) The disease should be vaccine preventable
c) There should be an acceptable and effective treatment
d) Facilities for confirming the diagnosis and for treatment should be available.
While checking the vaccine prior to routine immunization session at the PHC the intern checks the
vaccine vial monitor of OPV vaccine and notices that the colour of the inner square is darker than the
outer circle.
vi. What does it indicate
b) Vaccine is exposed to temperature above 80C over along period of time
c) Vaccine is contaminated
d) Vaccine is safe to use
vii. What is recommended action
c) Vaccine can be used within one hour
b) Put the vaccine back in ILR
d) Vaccine should be used immediately
viii. All the following are cold chain equipment's except
b) Walk in coolers
c) Walk in freezers
d) Refrigerators
ix. The smartphone app that collects and analyzes information on vaccine stocks and temperatures
a) Electronic Vaccine Intelligence Network (eVIN)
b) Automated Vaccine Intelligence Network (aVIN)
c) CoWIN (Covid Vaccine Intelligence Network)
d) Integrated Vaccine Intelligence Network (iVIN)
a) +2?C and +8?C
b) +8?C and +10?C
c) -2?C and -8?C
d) -8?C and -10?C
Question numbers xi-xv consist of two statements-Assertion (A) and Reason (R). Answer
these questions by selecting the appropriate options given below.
xi. Assertion: During COVID 19 Pandemic a 14-day quarantine period is applied to contacts
Reason: 14days is the median incubation period of COVID 19
c) A is true, but R is false
b) Both A and R are true but R is not the correct explanation of A
d) A is false, but R is true
xii. Assertion: Prevalence is used as indicator of Morbidity
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
Reason: Tuberculosis shows a cyclic trend
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A
xiv. Assertion: Mean, median and mode are the measure of Dispersion
Reason: Mean is affected by extreme values or outliers
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
d) A is false but R is true
xv. Assertion: Randomization eliminates selection bias
Reason: Randomization reduces potential for confounding
a) Both A and R are true and R is the correct explanation of A
b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
Question numbers xvi-xx are multiple response type questions. Read the statements and
mark the answers appropriately
1) National Air Quality Monitoring Programme in India is sponsored by Health and Family
Welfare Department
2) Air pollution index is an arbitrary index which takes into account one or more pollutants as a
measure of severity of pollution
4) The best indicators for air pollution are Sulphur dioxide, smoke and suspended particle
a) 1, 2 and 3 are correct
c) 1, 3 and 4 are correct
b) 2, 3 and 4 are correct
xvii. To reduce selection bias in case-control studies, it is recommended that
1) Population based designs are used
2) Different eligibility criteria are applied for selecting cases and controls
3) Both cases and controls undergo the same diagnostic procedures
a) 1 and 3 are correct
c) Only 2 is correct
b) 1 and 2 are correct
d) 1, 3 and 4 are correct
1) Disability adjusted life years (DALY)
2) HALE (Health ? Adjusted Life Expectancy)
3) Five year Survival rates
4) Human disability index
c) 1 and 2 are correct
b) 1, 2 and 3 are correct
d) 1, 3 and 4 are correct
xix. As per biomedical waste management rules in India all the following has be discarded in the
1) Urinary catheter
2) Intravenous tube
3) Discarded medicines
4) Human anatomical waste
c) 1, 3 and 4 are correct
b) 1 and 2 are correct
d) 3 and 4 are correct
xx. The purpose of the National List of Essential Medicines is to
2) Promote the rational use of medicines
3) Optimize the available health resources of a country
4) Identify the must know domain for the teaching and training of health care professionals
a) 1 and 2 are correct
b) 1,3 and 4 are correct
d) 1, 2, 3 and 4 are correct
(PTO)
Essays:
2. A manual labour working at construction presents with irritant cough, dyspnea on exertion and
tightness of chest. Chest x-ray showed ground glass opacities:
a) What is the probable diagnosis
b) Explain the medical measures for prevention of occupational diseases
there.
(1+3+6)
3. You are a PHC medical officer. Field workers report to you about 3 cases of watery diarrhea and
dehydration, one of which was severe and was referred. As a medical officer, how will you
(7+3)
Short Essays:
(6x6=36)
4. Describe the concept of web of causation in relation to coronary heart disease. Discuss the
5. As medical officer of PHC, you are required to organize health education programs for primordial
prevention of diabetes mellitus. How will you apply principles of health education in the health
education program
6. Explain the criteria of causation with suitable examples
used for malaria
8. Write in brief about Adverse events following immunization
9. Define bias, explain the various types of bias with suitable examples
Short Answers: (6x4=24)
11. Application of Kalamazoo consensus statement in doctor patient communication
12. Write in brief about lead time
13. Benefits to employee in the ESI Act
14. Discuss the role of a family in health and disease
**********************
Q.P. Code: 316001
Reg. no.: .....................
III Professional MBBS Part I Degree Regular/Supplementary Examinations
February 2025
--- Content provided by FirstRanker.com ---
Community Medicine Paper ITime: 3 Hours
Total Marks: 100
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
--- Content provided by FirstRanker.com ---
Answer all parts of a single question together ? Leave sufficient space between answersDraw table/diagrams/flow charts wherever necessary
1. Multiple Choice Questions
(1x20=20)
The MCQ questions (Q.No. i to Q.No. xx) shall be written in the space provided for answering MCQ
--- Content provided by FirstRanker.com ---
questions at page No. 51 of the answer book (the inner portion of the back cover page (PART III)).Responses for MCQs marked in any other part/page of the answer book will not be valued
Question numbers i-v are single response type questions
i. The number of daughters a new born girl will bear during her life time assuming fixed age specific
fertility and mortality rate, refers to which one of the following
--- Content provided by FirstRanker.com ---
a) Age specific fertility ratec) Net reproduction rate
b) Gross reproduction rate
d) Total fertility rate
ii. The killing power of a disease is best expressed by
--- Content provided by FirstRanker.com ---
a) Case fatality ratec) Secondary attack rate
b) Attack rate
d) Proportional mortality rate
iii. All the following are true regarding BCG vaccine except
--- Content provided by FirstRanker.com ---
a) Diluent used is Normal salinec) Needs to be repeated if scar is not present
b) The strain used is Danish 1331
d) Newborns are given 0.05ml
iv. Particles _______in size reaches the alveoli and get deposited causing damage to the
--- Content provided by FirstRanker.com ---
lungs, producing various types of pneumoconiosisa) 0.5 - 3
b) > 10
c) 5 ? 10
d) <0.1
--- Content provided by FirstRanker.com ---
v. The following consideration is NOT required to be taken while doing a screening programmea) The disease should be a public health problem
b) The disease should be vaccine preventable
c) There should be an acceptable and effective treatment
d) Facilities for confirming the diagnosis and for treatment should be available.
--- Content provided by FirstRanker.com ---
Question numbers vi-x are case scenario-based questionsWhile checking the vaccine prior to routine immunization session at the PHC the intern checks the
vaccine vial monitor of OPV vaccine and notices that the colour of the inner square is darker than the
outer circle.
vi. What does it indicate
--- Content provided by FirstRanker.com ---
a) Vaccine is expiredb) Vaccine is exposed to temperature above 80C over along period of time
c) Vaccine is contaminated
d) Vaccine is safe to use
vii. What is recommended action
--- Content provided by FirstRanker.com ---
a) Discard the vaccinec) Vaccine can be used within one hour
b) Put the vaccine back in ILR
d) Vaccine should be used immediately
viii. All the following are cold chain equipment's except
--- Content provided by FirstRanker.com ---
a) Vaccine Carrierb) Walk in coolers
c) Walk in freezers
d) Refrigerators
ix. The smartphone app that collects and analyzes information on vaccine stocks and temperatures
--- Content provided by FirstRanker.com ---
in India isa) Electronic Vaccine Intelligence Network (eVIN)
b) Automated Vaccine Intelligence Network (aVIN)
c) CoWIN (Covid Vaccine Intelligence Network)
d) Integrated Vaccine Intelligence Network (iVIN)
--- Content provided by FirstRanker.com ---
x. The Ice lined refrigerator at the PHC maintains a cabinet temperature betweena) +2?C and +8?C
b) +8?C and +10?C
c) -2?C and -8?C
d) -8?C and -10?C
--- Content provided by FirstRanker.com ---
(PTO)Question numbers xi-xv consist of two statements-Assertion (A) and Reason (R). Answer
these questions by selecting the appropriate options given below.
xi. Assertion: During COVID 19 Pandemic a 14-day quarantine period is applied to contacts
Reason: 14days is the median incubation period of COVID 19
--- Content provided by FirstRanker.com ---
a) Both A and R are true and R is the correct explanation of Ac) A is true, but R is false
b) Both A and R are true but R is not the correct explanation of A
d) A is false, but R is true
xii. Assertion: Prevalence is used as indicator of Morbidity
--- Content provided by FirstRanker.com ---
Reason: Prevalence includes only new casesa) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
--- Content provided by FirstRanker.com ---
xiii. Assertion: The trend in mortality from tuberculosis in India showed a steady fall in the past yearsReason: Tuberculosis shows a cyclic trend
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
b) Both A and R are true but R is not the correct explanation of A
--- Content provided by FirstRanker.com ---
d) A is false but R is truexiv. Assertion: Mean, median and mode are the measure of Dispersion
Reason: Mean is affected by extreme values or outliers
a) Both A and R are true and R is the correct explanation of A
c) A is true but R is false
--- Content provided by FirstRanker.com ---
b) Both A and R are true but R is not the correct explanation of Ad) A is false but R is true
xv. Assertion: Randomization eliminates selection bias
Reason: Randomization reduces potential for confounding
a) Both A and R are true and R is the correct explanation of A
--- Content provided by FirstRanker.com ---
c) A is true but R is falseb) Both A and R are true but R is not the correct explanation of A
d) A is false but R is true
Question numbers xvi-xx are multiple response type questions. Read the statements and
mark the answers appropriately
--- Content provided by FirstRanker.com ---
xvi. Air pollution is a major public problem in India1) National Air Quality Monitoring Programme in India is sponsored by Health and Family
Welfare Department
2) Air pollution index is an arbitrary index which takes into account one or more pollutants as a
measure of severity of pollution
--- Content provided by FirstRanker.com ---
3) The combination of smoke and fog is called as smog4) The best indicators for air pollution are Sulphur dioxide, smoke and suspended particle
a) 1, 2 and 3 are correct
c) 1, 3 and 4 are correct
b) 2, 3 and 4 are correct
--- Content provided by FirstRanker.com ---
d) 1, 2, 3 and 4 are correctxvii. To reduce selection bias in case-control studies, it is recommended that
1) Population based designs are used
2) Different eligibility criteria are applied for selecting cases and controls
3) Both cases and controls undergo the same diagnostic procedures
--- Content provided by FirstRanker.com ---
4) Avoid hospital based designa) 1 and 3 are correct
c) Only 2 is correct
b) 1 and 2 are correct
d) 1, 3 and 4 are correct
--- Content provided by FirstRanker.com ---
xviii. Which among the following are disability rates1) Disability adjusted life years (DALY)
2) HALE (Health ? Adjusted Life Expectancy)
3) Five year Survival rates
4) Human disability index
--- Content provided by FirstRanker.com ---
a) 1, 2, 3 and 4 are correctc) 1 and 2 are correct
b) 1, 2 and 3 are correct
d) 1, 3 and 4 are correct
xix. As per biomedical waste management rules in India all the following has be discarded in the
--- Content provided by FirstRanker.com ---
yellow colored container:1) Urinary catheter
2) Intravenous tube
3) Discarded medicines
4) Human anatomical waste
--- Content provided by FirstRanker.com ---
a) 1, 2 and 3 are correctc) 1, 3 and 4 are correct
b) 1 and 2 are correct
d) 3 and 4 are correct
xx. The purpose of the National List of Essential Medicines is to
--- Content provided by FirstRanker.com ---
1) Guide safe and effective treatment of priority disease conditions of a population2) Promote the rational use of medicines
3) Optimize the available health resources of a country
4) Identify the must know domain for the teaching and training of health care professionals
a) 1 and 2 are correct
--- Content provided by FirstRanker.com ---
c) 3 and 4 are correctb) 1,3 and 4 are correct
d) 1, 2, 3 and 4 are correct
(PTO)
Essays:
--- Content provided by FirstRanker.com ---
(2x10=20)2. A manual labour working at construction presents with irritant cough, dyspnea on exertion and
tightness of chest. Chest x-ray showed ground glass opacities:
a) What is the probable diagnosis
b) Explain the medical measures for prevention of occupational diseases
--- Content provided by FirstRanker.com ---
c) Explain engineering the measures to prevent the same among other labourer working overthere.
(1+3+6)
3. You are a PHC medical officer. Field workers report to you about 3 cases of watery diarrhea and
dehydration, one of which was severe and was referred. As a medical officer, how will you
--- Content provided by FirstRanker.com ---
investigate and control the situation. Comment on the Bacterial indicators of drinking water quality(7+3)
Short Essays:
(6x6=36)
4. Describe the concept of web of causation in relation to coronary heart disease. Discuss the
--- Content provided by FirstRanker.com ---
suitable measures of prevention and control with reference to risk factors5. As medical officer of PHC, you are required to organize health education programs for primordial
prevention of diabetes mellitus. How will you apply principles of health education in the health
education program
6. Explain the criteria of causation with suitable examples
--- Content provided by FirstRanker.com ---
7. Discuss the integrated vector control management, add a note on the various vector control toolsused for malaria
8. Write in brief about Adverse events following immunization
9. Define bias, explain the various types of bias with suitable examples
Short Answers: (6x4=24)
--- Content provided by FirstRanker.com ---
10. Define food fortification and give suitable examples11. Application of Kalamazoo consensus statement in doctor patient communication
12. Write in brief about lead time
13. Benefits to employee in the ESI Act
14. Discuss the role of a family in health and disease
--- Content provided by FirstRanker.com ---
15. Explain eugenics and euthenics with suitable examples**********************