COLLEGE OF MEDICAL SCIENCES, TEACHING HOSPITAL BHARATPUR, CHITWAN

Name :................................................................................................Roll No:.................................................. Code : 1

Level: MBBS (VII semester) Exam: Send up
Subject: COM. Medicine
Time : 30 min
Date: 11. 05.2018 Full mark: 30
Section ‘A’
Multiple Choice Questions
Four alternatives are given for each question. You are required to fill the most appropriate numbered circle completely in
Section “A” of the given answer sheet. Return this question paper along with answer sheet.
1. Prevalence of TB infection in a community is estimated by:
a. Tuberculin Test
b. Sputum culture
c. Chest X-ray
d. Sputum Microscopy
2. The following disease have shown upward trend in developed countries, except:
a. Polio
b. Coronary heart disease
c. Lung cancer
d. Diabetes
3. Most common complication of Mumps in children is:
a. Pneumonia
b. Aseptic Meningitis
c. Pancreatitis
d. Encephalitis
4. Useful screening test for lead toxicity is measurement of:
a. Coproporphyrin in urine
b. Amino-levulinic acid in urine
c. Lead in blood
d. Lead in urine
5. Following are the non-modifiable risk factors for hypertension, except:
a. Age
b. Sex
c. Diet
d. Ethnicity
6. Which of the following is age independent indicator of malnutrition?
a. Underweight
b. Stunting
c. Wasting
d. MUAC
7. Which of the following does not indicate poor nutrition in children?
a. Low birth weight
b. Infection
c. Hb > 11gm%
d. Malnutrition
8. SAFE strategy include all the following, except:
a. Screening
b. Antiobiotics
c. Face washing
d. Environmental improvement
9. A 5 years old child passed 18 times loose stools in last 24 hours and vomited twice in last 4 hours. He is
irritable but drinking fluids. The optimal therapy for this child is:
a. Intravenous fluids
b. Oral rehydration therapy
c. Intravenous fluid initially for 4 hours followed by oral fluids
d. Plain water add libitum
10. All are true about chickenpox, except:
a. Crusts contains live virus
b. Pleomorphic rashes seen
c. Centripetal in distribution
d. Rapid progression from macule to vesicle
11. Which of the following is not a socio-pathological factor associated with mental health illness?
a. Emotional stress
b. Frustration
c. Endocrine disorder
d. Anxiety
12.Malaria is not found in altitude more than:
a. 1000 meters
b. 2000 meters
c. 4000 meters
d. 8000 meters
13. PERT is a type of:
a. Input-Output analysis
b. System Analysis
c. Network Analysis
d. Research technique
14. Which one of the following is a quantitative method of health management ?
a. Cost effective analysis
b. Human Resource Management
c. Communication Management
d. Supportive supervision and leadership
15. Main principles of primary health care includes all, except:
a. Equitable distribution
b. Community Participation
c. Modern Technology
d. Intersectoral Co-ordination
16. The total number of FCHVs in Nepal is about:
a. 32,538
b. 42, 845
c. 51, 416
d. 61,324
17. World Health Day is observed every year on:
a. January 11
b. April 7
c. June 5
d. December 1
18. The new updated National Health Policy of Nepal was released on:
a. 1991
b. 2001
c. 2010
d. 2014
19. Arrange the following phases of Disaster Cycle in a logical sequence:
a. Disaster Impact-Mitigation- Rehabilitation-Response
b. Mitigation-Rehabilitation-Disaster Impact-Response
c. Response-Disaster Impact-Mitigation-Rehabilitation
d. Disaster Impact-Response-Rehabilitation-Mitigation
20. The risk factor for Stroke is all, except:
a. Hypertension
b. Hyperlipidemia
c. Hyperthyroidism
d. Cardiac abnormalities
21. The different types of bias in research are all, except:
a. Selection bias
b. Recall bias
c. Participant bias
d. Interviewer’s bias
22. Phobia is exaggerated or unnecessary form of:
a. Anxiety
b. Anger
c. Fear
d. Love
23. Which type of sample can be used to isolate Polio virus at the earliest:
a. Blood
b. Stool
c. Throat swab
d. CSF
24. First line drug in Kalazar used in Nepal is :
a. Amhotericin B
b. Miltefosine
c. Pentamidine Isthionate
d. Sodium Stibogluconate
25. The most Sensitive index of recent transmission of Malaria in the community:
a. Spleen rate
b. Infant parasite rate
c. Slide positive rate
d. Animal Parasite Incidence
26. DEC is used extensively in the chemotherapy for Filariasis. It is most effective against:
a. Microfilariae
b. Adult worm
c. Infective first stage larva
d. Infective second stage larva
27. Both active and passive immunization should be given simultaneously in all, except:
a. Tetanus
b. Rabies
c. Measles
d. Hepatitis B
28. Leprosy and Tuberculosis are best prevented by:
a. Chemo prophylaxis
b. Early diagnosis and treatment
c. Health education
d. Immuno prophylaxis
29. A child with Pertussis should be isolated for:
a. 1-2 weeks
b. 2-4 weeks
c. 3-4 weeks
d. 4-6 week
30. Malaria during pregnancy may cause:
a. Intrauterine death of foetus
b. Premature labour
c. Abortion
d. Congenital anomalies
 COLLEGE OF MEDICAL SCIENCES, TEACHING HOSPITAL BHARATPUR
2018
Level: MBBS (VII semester) Exam: Send up
Subject: Community Medicine
Time : 2 hr 30 mins.
Date: 11.05.2018 Full mark: 50

INSTRUCTION TO THE CANDIDATE

 Write brief, relevant and legible answers.
 Illustrate your answer with well labeled diagrams wherever required.
 All questions are compulsory.
.......................................................................................................................................................................................... ......
Section 'B'
Short Answer Questions [6x5=30]

1. Define International Health. Discuss briefly the role of WHO and UNICEF in improving global health.
[1+3+2=6]

2. What are the high risk groups for Diabetes? Write in brief about its prevention and control in the
community. [3+3=6]

3. What is emergency contraception? Mention the conditions for which legal abortion is permissible in
Nepal. [3+3=6]
4. Explain the planning cycle and enumerate the qualities of a good plan. [3+3=6]
5. a. What are the components of Mental health services? [3]
b. Describe ‘Response’ in Disaster Management. [3]
Section 'C'
Problem Based Question [2x10=20]

Problem –I

6. A person working in mica mines for 15 years comes to Medicine OPD with cough, dyspnea on exertion
and pain in chest. X-ray chest showed snow-storm appearance in the lung field.
a. What will be the provisional diagnosis of the case? [1]
b. How will confirm the diagnosis? [1]
c. How will you manage the case? [2]
d. What are the preventing measures the workers can adopt to minimize the exposure? [3]
e. Outline the three measures required for the prevention of such diseases. [3]

Problem –II

7. Krishna Bahadur, 25 years old, truck driver by occupation came to COMSTH with complaints of severe
diarrhoea for more than one month along with prolonged fever, followed by severe weight reduction.
Laboratory investigations were done and he was diagnosed to be suffering from AIDS.
a. What is the WHO case definition for AIDS surveillance? [4]
b. Write the epidemiological impact of the disease on tuberculosis patient. [2]
c. What are the preventive and control measures of HIV-AIDS in Nepal? [4]