Download Diplomate of National Board (DNB) 2020 June Social And Preventive Medicine Paper I Question Paper
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
SOCIAL AND PREVENTIVE MEDICINE
PAPER-I
Time: 3 hours
SPM/J/20/45/I
Max. Marks:100
Important Instructions:
Attempt al questions in order.
Each question carries 10 marks.
Read the question careful y and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space.
Answer al the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. a) Explain with suitable examples the role of various cultural factors in health
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and disease with special focus on maternal and child health related issues.
b) Write a note on Poverty Line and its public health significance in our
country.
2. a) Discuss with examples the uses of Epidemiology in support of Public
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Health.
b) Mathematical Models for Infectious Diseases: Types, role of assumptions,
uses, principles of good practice in model ing ? in the context of SARS-
nCoV2.
3.
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a) Briefly describe the ROC curve.
b) Interpret the results of Test A, B, C from above given figure of ROC curve.
c) What are the biases that can affect the ROC curve results?
P.T.O
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
FINAL EXAM
NATIONAL BOARD OF EXAMINATIONS
JUNE 2020
SOCIAL AND PREVENTIVE MEDICINE
PAPER-I
4. a) A study compared post-operative infection rates in a standard surgical
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procedure with those for a new procedure. The study protocol claimed that
roughly equal numbers of patients from 10 preoperative assessment clinics
were to be randomly al ocated to undergo either the new treatment or the
standard procedure. Make a flow diagram of the type of study described
here?
b) In each clinic, the first 20 patients received the new treatment, while the
next 20 patients were al ocated the standard procedure. Critical y review
on this al ocation procedure.
c) The results of the study showed that 24 out of 100 patients who underwent
the standard procedure developed infection, while 16 out of 100 patients
who received the new procedure developed infection. Calculate an
appropriate measure of risk for these results and draw inferences.
5. a) Characteristics of health indicators.
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b) Enumerate the morbidity indicators and their application.
6. You are working as Medical Officer in-charge of a Primary Health Centre,
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which organizes a vaccination session every Wednesday. One day, after
vaccination, a child returns back with severe local reaction at the site of
injection. You categorized it as an Adverse Event Fol owing Immunization
(AEFI) and started investigation.
a) What are the points that would characterize this case as an AEFI?
b) What are the possible types of Adverse Events Fol owing Immunization that
the child may have had based on cause specific categorization according
to WHO?
c) For conducting an investigation of this AEFI, what steps should be
fol owed?
d) What are the actions to be taken in each of these steps during
investigations?
7. a) Briefly describe Changing concepts in Public Health.
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b) Define the term Social Pathology and Social Therapy with suitable
examples.
8. a) Types of Epidemics.
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b) Epidemic curve.
c) Median incubation period.
d) Secular trend.
9. a) Public health strategies to influence determinants of health care seeking
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behavior.
b) Efficiency and Equity in the context of Universal Health Coverage (UHC).
10. a) Dif erences between Screening and Diagnostic Tests.
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b) Explain the assessment of the `Validity (accuracy) of a Screening Test'
using a suitable example comparing a screening test with a gold standard.
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POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE
EXAMINATION HALL.
This post was last modified on 31 July 2021