2019 Scheme
Q.P. Code: 317001
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
(20x1=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. In a day care centre a child was having measles. In the centre the children between the ages of 9-12
months can be protected against measles with measles vaccine, provided that this is given with in
b) 3 days of exposure
c) 5 days of exposure
d) 7 days of exposure
ii. Supplementary Nutrition under ICDS (Integrated Child Development Services is given to all the following
a) Children below 6 years
c) Lactating Mother
b) Pregnant
d) Women (15-45 years)
blindness, from corneal scarring. The most likely cause of this complication is deficiency of:
a) Vitamin K
b) Vitamin D
c) Vitamin A
iv. After finishing 28-pill packet of Oral Contraceptive Pills next packet should be started on:
a) Very next day
c) Day 5 of menstruation
b) Day 2 of menstruation
v. Classical triad of Congenital rubella syndrome includes all the following except
a) Deafness
b) Hydrocephalus
c) Cataract
Question numbers vi-x are case scenario-based questions
A forty year old security guard presented to emergency department with the complaint of dog bite on his left
leg. On examination there are multiple bite marks on the leg with bleeding
vi. What is the category of animal bite wound in this patient
b) Category II
c) Category III
d) Category IV
vii. Which of the following is not recommended
b) Give the first dose of PEP with ARV (Anti rabies vaccine)
c) Infiltration of the wound with ARV (Anti rabies vaccine)
d) Start antibiotics
viii. Which of the following statement is not true regarding care of rabies wound
b) If the patient present late after exposure the wound has to be washed
c) Suturing of the wound should be avoided.
d) If suturing is needed in lacerated wounds thermal cauterization is to be done
ix. Which of the following is not an indication for post exposure prophylaxis of Rabies
c) Bite by cat
b) Bite by a vaccinated dog
d) Drinking milk from a rabies infected animal
x. Calculate the dose of ERIG for this patient if the weight of the individual is 55 Kg
b) 550 IU
c) 1100 IU
d) 1000 IU
Question numbers xi-xv consist of two statements-Assertion (A) and Reason (R). Answer these
xi. Assertion: Short course supplementation with zinc is recommended for every child suffering from diarrhea
Reason: As zinc supplementation significantly reduces the severity and duration of diarrhoea in children
less than 5 years of age.
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
(PTO)
Reason: Nipah virus can sometimes cause serious illness among humans.
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
xiii. Assertion: ASHA workers is an Accredited Social Health Activist
Reason: ASHA workers needs to have a degree in medico social work s
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
xiv. Assertion: A country's surveillance system needs to be sensitive enough to detect at least one case of
AFP for every 100 000 children under 15 years even in the absence of polio
Reason: As one case of AFP per100 000 children under 15 years is the criteria for elimination of polio
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
xv. Assertion: The best time to give HPV vaccination is between 9-13 years
HPV.
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
Question numbers xvi-xx are multiple response type questions. Read the statements and mark the
answers appropriately
xvi. National Mental health survey in India showed that
1) Nearly 150 million Indians aged 13 and above are likely to be suffering from one or more mental health
2) Mental health problems are comparatively more prevalent in rural areas.
3) Less than 2% has severe mental illness like psychosis or bipolar disorder.
4) The economic impact of mental health disorders is huge.
a) 1, 2, 3 and 4 are correct
b) 1, 2 and 4 are correct
d) 2, 3 and 4 are correct
xvii. Which of the following are RIGHTLY matched?
1) Kalamazoo consensu
s
2) Rule of halve
s
: Hypertensio
3) Corpulence inde
x
: Fertility measur
e
c) 1 and 3 are corre
ct
b) 1 and 2 are correct
d) 2 and 3 are correc
xviii. What is the recommended timings to insert an IUCD (Intra Uterine Contraceptive Devise
)
1) Within seven days of the beginning of last menstrual period or anytime during the menstrual cycle
2) Immediatel
3) More than 6 weeks post partum
.
4) After one week post partum
.
ct
c) 1, 2 and
3 are correc
t
, 2 and 4 are corre
ct
d) 1, 3 an
d 4 are corr
xix. Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission
.
1) For promoting institutional deliver
y
.
3) Women are provided with absolutely free and no expense delivery, including caesarean sectio
n
4) The Yojana has identified Accredited Social Health Activist (ASHA) as an effective link between the
a) 1 and 2 are corre
ct
c) 1, 2 and
3 are correc
b) 1
, 2 and 4 are corre
ct
d) 1 and 4 are correc
xx. A pregnant woma
n is tested positive HIV what is the recommendation as per PPTCT (prevention of
parent to child transmission
)
T
2) The duration of Nevirapine prophylaxis to HIV exposed infant should be minimum of 4 weeks
3) Early cord clamping during labor is advise
d
d
a) 1 and 2 are corre
ct
c) 1, 3 and 4 are correc
b) 1 and 3 are corre
ct
d) 1, 2 and 3 are correc
t
)
Essays:
(2x10=20)
intermittent fever. He reported evening rise of temperature on most days. His `spot sputum sample' was
collected, which on Ziehl-Neelsen stain showed reddish bacilli 2+. A portion of the sample was sent for
nucleic acid amplification testing which showed that the micro-organism is present and it is sensitive to
`Rif.'
b) Write the management plan for this individual assuming his weight to be 55 kg.
c) What are the advices to be given to reduce further transmission of the disease.
d) He lives with 30-year-old wife and two sons aged 9 years and 4 years. How would you ensure that the
disease is not spread to these family members.
(1+3+2+2+2)
3. Discuss in detail about the health problems of the elderly. What is healthy ageing. Add a note on voluntary
organizations working for the care of elderly.
(6+2+2)
(6x6=36)
4. A primigravid mother at 4 months of amenorrhea has Hemoglobin of 9 g/dL. How would you manage the
situation
5. Enumerate hazards of smoking, add a note on the provisions under COTPA (Cigarette and Other Tobacco
6. A male trucker presents with history of urethral discharge, explain the syndromic management of Urethral
discharge
7. Write in brief about rule of halves in hypertension
8. Explain steps in health planning with the help of `planning cycle.'
Short Answers:
(6x4=24)
10. Write briefly about the functions of WHO
11. Enumerate rickettsial disease and their vectors
13. The concept of fiduciary duty in medicine
14. What is Vaccine derived polio virus (VDPV), explain the types of VDPV
15. Write in brief about HIV sentinel surveillance
**********************
Q.P. Code: 317001
Reg. no.: .....................
III Professional MBBS Part I Degree Regular/Supplementary Examinations
February 2025
--- Content provided by FirstRanker.com ---
Community Medicine Paper IITime: 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
(20x1=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. In a day care centre a child was having measles. In the centre the children between the ages of 9-12
months can be protected against measles with measles vaccine, provided that this is given with in
--- Content provided by FirstRanker.com ---
a) 1 day of exposureb) 3 days of exposure
c) 5 days of exposure
d) 7 days of exposure
ii. Supplementary Nutrition under ICDS (Integrated Child Development Services is given to all the following
--- Content provided by FirstRanker.com ---
EXCEPTa) Children below 6 years
c) Lactating Mother
b) Pregnant
d) Women (15-45 years)
--- Content provided by FirstRanker.com ---
iii. After an epidemic of measles in a village near Taxilla, 2 children reported with history of weight loss andblindness, from corneal scarring. The most likely cause of this complication is deficiency of:
a) Vitamin K
b) Vitamin D
c) Vitamin A
--- Content provided by FirstRanker.com ---
d) Vitamin Civ. After finishing 28-pill packet of Oral Contraceptive Pills next packet should be started on:
a) Very next day
c) Day 5 of menstruation
b) Day 2 of menstruation
--- Content provided by FirstRanker.com ---
d) Day 7 of menstruationv. Classical triad of Congenital rubella syndrome includes all the following except
a) Deafness
b) Hydrocephalus
c) Cataract
--- Content provided by FirstRanker.com ---
d) Congenital heart diseaseQuestion numbers vi-x are case scenario-based questions
A forty year old security guard presented to emergency department with the complaint of dog bite on his left
leg. On examination there are multiple bite marks on the leg with bleeding
vi. What is the category of animal bite wound in this patient
--- Content provided by FirstRanker.com ---
a) Category Ib) Category II
c) Category III
d) Category IV
vii. Which of the following is not recommended
--- Content provided by FirstRanker.com ---
a) Wash the wound thoroughlyb) Give the first dose of PEP with ARV (Anti rabies vaccine)
c) Infiltration of the wound with ARV (Anti rabies vaccine)
d) Start antibiotics
viii. Which of the following statement is not true regarding care of rabies wound
--- Content provided by FirstRanker.com ---
a) Wash the wound with running tap water for at least 15 minutesb) If the patient present late after exposure the wound has to be washed
c) Suturing of the wound should be avoided.
d) If suturing is needed in lacerated wounds thermal cauterization is to be done
ix. Which of the following is not an indication for post exposure prophylaxis of Rabies
--- Content provided by FirstRanker.com ---
a) Unprovoked bite by a dogc) Bite by cat
b) Bite by a vaccinated dog
d) Drinking milk from a rabies infected animal
x. Calculate the dose of ERIG for this patient if the weight of the individual is 55 Kg
--- Content provided by FirstRanker.com ---
a) 2200 IUb) 550 IU
c) 1100 IU
d) 1000 IU
Question numbers xi-xv consist of two statements-Assertion (A) and Reason (R). Answer these
--- Content provided by FirstRanker.com ---
questions by selecting the appropriate options given below.xi. Assertion: Short course supplementation with zinc is recommended for every child suffering from diarrhea
Reason: As zinc supplementation significantly reduces the severity and duration of diarrhoea in children
less than 5 years of age.
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
(PTO)
--- Content provided by FirstRanker.com ---
xii. Assertion: Nipah virus is an emerging infectious diseaseReason: Nipah virus can sometimes cause serious illness among humans.
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 truexiii. Assertion: ASHA workers is an Accredited Social Health Activist
Reason: ASHA workers needs to have a degree in medico social work s
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
xiv. Assertion: A country's surveillance system needs to be sensitive enough to detect at least one case of
AFP for every 100 000 children under 15 years even in the absence of polio
Reason: As one case of AFP per100 000 children under 15 years is the criteria for elimination of polio
--- 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
xv. Assertion: The best time to give HPV vaccination is between 9-13 years
--- Content provided by FirstRanker.com ---
Reason: For the HPV vaccine to work best, it is very important to get all doses before being exposed toHPV.
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 trueQuestion numbers xvi-xx are multiple response type questions. Read the statements and mark the
answers appropriately
xvi. National Mental health survey in India showed that
1) Nearly 150 million Indians aged 13 and above are likely to be suffering from one or more mental health
--- Content provided by FirstRanker.com ---
problems.2) Mental health problems are comparatively more prevalent in rural areas.
3) Less than 2% has severe mental illness like psychosis or bipolar disorder.
4) The economic impact of mental health disorders is huge.
a) 1, 2, 3 and 4 are correct
--- Content provided by FirstRanker.com ---
c) 1, 3 and 4 are correctb) 1, 2 and 4 are correct
d) 2, 3 and 4 are correct
xvii. Which of the following are RIGHTLY matched?
1) Kalamazoo consensu
--- Content provided by FirstRanker.com ---
s : Communication skills
2) Rule of halve
s
: Hypertensio
--- Content provided by FirstRanker.com ---
n3) Corpulence inde
x
: Fertility measur
e
--- Content provided by FirstRanker.com ---
a) 1, 2 and 3 are correctc) 1 and 3 are corre
ct
b) 1 and 2 are correct
d) 2 and 3 are correc
--- Content provided by FirstRanker.com ---
txviii. What is the recommended timings to insert an IUCD (Intra Uterine Contraceptive Devise
)
1) Within seven days of the beginning of last menstrual period or anytime during the menstrual cycle
2) Immediatel
--- Content provided by FirstRanker.com ---
y or within 48 hours after delivery3) More than 6 weeks post partum
.
4) After one week post partum
.
--- Content provided by FirstRanker.com ---
a) 1 and 2 are correct
c) 1, 2 and
3 are correc
t
--- Content provided by FirstRanker.com ---
b) 1, 2 and 4 are corre
ct
d) 1, 3 an
d 4 are corr
--- Content provided by FirstRanker.com ---
ectxix. Janani Suraksha Yojana (JSY) is a safe motherhood intervention under the National Health Mission
.
1) For promoting institutional deliver
y
--- Content provided by FirstRanker.com ---
2) Integrates cash assistance with delivery and post-delivery care.
3) Women are provided with absolutely free and no expense delivery, including caesarean sectio
n
4) The Yojana has identified Accredited Social Health Activist (ASHA) as an effective link between the
--- Content provided by FirstRanker.com ---
government and pregnant women.a) 1 and 2 are corre
ct
c) 1, 2 and
3 are correc
--- Content provided by FirstRanker.com ---
tb) 1
, 2 and 4 are corre
ct
d) 1 and 4 are correc
--- Content provided by FirstRanker.com ---
txx. A pregnant woma
n is tested positive HIV what is the recommendation as per PPTCT (prevention of
parent to child transmission
)
--- Content provided by FirstRanker.com ---
1) The Woman should be initiated on a triple drug ART
2) The duration of Nevirapine prophylaxis to HIV exposed infant should be minimum of 4 weeks
3) Early cord clamping during labor is advise
d
--- Content provided by FirstRanker.com ---
4) EBF (Exclusive Breast Feeding) for the first 6 months of life is recommended
a) 1 and 2 are corre
ct
c) 1, 3 and 4 are correc
--- Content provided by FirstRanker.com ---
tb) 1 and 3 are corre
ct
d) 1, 2 and 3 are correc
t
--- Content provided by FirstRanker.com ---
(PTO)
Essays:
(2x10=20)
--- Content provided by FirstRanker.com ---
2. A 35-year-old male, municipality worker visited a camp with productive cough since a month withintermittent fever. He reported evening rise of temperature on most days. His `spot sputum sample' was
collected, which on Ziehl-Neelsen stain showed reddish bacilli 2+. A portion of the sample was sent for
nucleic acid amplification testing which showed that the micro-organism is present and it is sensitive to
`Rif.'
--- Content provided by FirstRanker.com ---
a) What is your diagnosis.b) Write the management plan for this individual assuming his weight to be 55 kg.
c) What are the advices to be given to reduce further transmission of the disease.
d) He lives with 30-year-old wife and two sons aged 9 years and 4 years. How would you ensure that the
disease is not spread to these family members.
--- Content provided by FirstRanker.com ---
e) Write about immuno-prophylaxis available against the disease.(1+3+2+2+2)
3. Discuss in detail about the health problems of the elderly. What is healthy ageing. Add a note on voluntary
organizations working for the care of elderly.
(6+2+2)
--- Content provided by FirstRanker.com ---
Short Essays:(6x6=36)
4. A primigravid mother at 4 months of amenorrhea has Hemoglobin of 9 g/dL. How would you manage the
situation
5. Enumerate hazards of smoking, add a note on the provisions under COTPA (Cigarette and Other Tobacco
--- Content provided by FirstRanker.com ---
Products Act)6. A male trucker presents with history of urethral discharge, explain the syndromic management of Urethral
discharge
7. Write in brief about rule of halves in hypertension
8. Explain steps in health planning with the help of `planning cycle.'
--- Content provided by FirstRanker.com ---
9. Write in brief about the disaster cycle, add a note on disaster mitigationShort Answers:
(6x4=24)
10. Write briefly about the functions of WHO
11. Enumerate rickettsial disease and their vectors
--- Content provided by FirstRanker.com ---
12. Write in brief about Cancer registries13. The concept of fiduciary duty in medicine
14. What is Vaccine derived polio virus (VDPV), explain the types of VDPV
15. Write in brief about HIV sentinel surveillance
**********************
--- Content provided by FirstRanker.com ---