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M.B.B.S. UNIVERSITY EXAM

QUESTION NO. 1

Each Question Carries 12 marks

1. Describe ‘Hand Hygiene’ and ‘Respiratory Hygiene’. [4 marks]

Describe the appropriate use of personal protective measures. [4 marks]
Describe safe injection practices. [4 marks]

2. As a Medical Supervisor, how will you assess a community health center regarding its
practices of biomedical waste handling? [12 marks]

3. Write a balanced diet for a family of (a) moderately working adult male, (b) moderately
working pregnant female and (c) 5-year-old child. [12 marks]

4. Write a balanced diet for a family of (a) moderately working man, (b) moderately
working woman (c) 5-year-old child and (d) 4-month-old child. [12 marks]

5. As a Medical Officer of a PHC, how will you assess the nutritional status of the people of
different age groups residing in a village? [12 marks]

6. Describe, with diagram, the functioning of the water treatment plant in Mandya. [12
marks]

7. As a Medical Officer of a PHC, how will you arrange and conduct a health check-up
camp in a government primary school. [6 marks]
What health education program will you do for the teachers? [3 marks]
What health education program will you do for the students? [3 marks]

8. As a Medical Officer of a PHC, how will you arrange and conduct a health education
program regarding [a] Tuberculosis [b] First Aid. [6 marks each]

9. The mother of a new born child wants to know the details of the vaccines that her baby
will receive. Write the name, type, dose, route & schedule of the vaccines that the baby
will receive in its first year of life. [12 marks]

10. As a medical officer of a PHC with 30,000 population and a birth rate of 20/1000; how
much vaccines will you indent for one year? [12 marks]

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M.B.B.S. UNIVERSITY EXAM
 QUESTION NO. 2

Each Question Carries 12 marks

1. A 2-year-old girl from a slum comes with maculo-papular rash, which started on the neck
and progressed to the arms.
What is your diagnosis? [2 marks]
What treatment should be given? [4 marks]
As a medical officer what steps will take towards the prevention and control of the
disease? [6 marks]

2. A 3-year-old girl is brought to your PHC with cough & fever. You have diagnosed it as
Acute Respiratory Infection. How will you classify and treat the condition? [12 marks]

3. A few people from a village have come to your PHC with complaints of diarrhea. As a
medical officer how will you treat the cases and what steps will you take towards the
prevention and control of the outbreak? [12 marks]

4. Four cases of enteric fever have been diagnosed in MIMS hostel.

As the medical officer how will you treat the cases? [3 marks]
How will trace the source of infection? [3 marks]
What steps will you take towards the prevention and control of such outbreaks? [6 marks]

5. An 8-year-old boy is brought to your PHC complaining of dog bite 8 hours ago. There
was bleeding at the site of bite.
How do you treat the case? [8 marks]
On examination, it is found that the boy has PEM.
Enumerate the advice you will give. [4 marks]

6. Five out of 150 in a residential school complain of itching in the web of their fingers. The
itching gets worse at nights. Examination reveals follicular lesions.
What is your diagnosis? [2 marks]
How will treat the cases? [4 marks]
As a medical officer what steps will take towards the prevention and control of the
disease? [8 marks]

7. A lorry driver complains of low-grade fever and diarrhea for more than a month. You
suspect that he might be HIV positive.
Describe, in detail, the course of action you will take as a PHC medical officer. [12
marks]

8. A policeman comes to your PHC with complaints of ulcer on his genitals. There are no
lab facilities in your PHC to diagnose the case. Describe, in detail, the course of action
you will take as a PHC medical officer. [12 marks]

9. A female commercial sex worker comes to your PHC with complaints of vaginal
discharge. There are no lab facilities in your PHC to diagnose the case. Describe, in
detail, the course of action you will take as a PHC medical officer. [12 marks]
10. A 50-year-old woman comes to your PHC for screening of various non-communicable
diseases. Describe the diseases that you will screen and advise for screening along with
the methods of screening. [12 marks]

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M.B.B.S. UNIVERSITY EXAM

QUESTION NO. 3

Each Question Carries 12 marks

1. Srirangapatna town has a population of 1,00,000. The number of tuberculosis patients on
01 Jan 2022 was 180. Between 01 Jan 2022 and 31 Dec 2022, 40 new TB cases were
detected, 20 were declared as cured and 10 persons died due to TB.
Calculate the
(a) Point prevalence on 01 Jan 2022
(b) Incidence
(c) Period Prevalence
(d) Point prevalence on 31 Dec 2022 [3 marks each]

2. Mandya has a population of 2,00,000. A total of 4,000 were born in 2022.

Of the total 1400 who died in 2022, 30 were children aged less than 5 years.
Calculate the
(a) Crude Death Rate
(b) Specific death rate of Under 5 children
(c) Proportional Death Rate of Under 5 children
(d) Child Death Rate [3 marks each]

3. A cohort study was conducted to determine the association between alcohol consumption
and liver disease. Of the 2000 who consumed alcohol 200 had liver disease. Of the 3000
who did not consume alcohol 100 had liver disease. The prevalence of liver disease in the
population is 7%.
Calculate and write the inference of
(a) Relative Risk
(b) Attributable Risk
(c) Population Attributable Risk
(d) Odds ratio (if it were a case-control study) [3 marks each]

4. A new test to diagnose Covid was used. Of the 2000 who had Covid, 1800 were tested as
positive. Of the 3000 who did not have Covid, 100 were tested as positive.
Calculate and write the inference of
(a) Sensitivity of the test
(b) Specificity of the test
(c) Positive Predictive Value of the test
(d) Negative Predictive Value of the test
(e) Validity [2 marks
each]

5. Pandupura CHC area has 60,000 population. 30,050 were males. 16,000 were aged less
than 15 years. 5,000 were aged more than 65 years.
Age and birth data of 2022 are as follows
Age Female Population No. of live births
15-19 2500 125
20-24 2400 480
25-29 2300 230
30-34 2200 220
35-39 2100 105
40-44 2000 100
 Calculate the
(a) Sex Ratio [2 marks]
(b) Dependency Ratio [2 marks]
(c) General Fertility Rate [2 marks]
(d) Total Fertility Rate [4 marks]

6. Calculate Mean, Median, Mode, Range and Standard Deviation for the following pulse rate
of the following 20 individuals: 62, 74, 80, 59, 65, 73, 78, 86, 64, 68, 75, 80, 68, 66, 74,
76, 70, 76, 74, 72.

7. The age of the mothers at the time of giving birth to their first child is as follows
Age (years) 20 21 22 23 24 25 26 Total
No. of births 10 15 20 25 20 10 5 115
Calculate Mean, Median, Mode, Range and Standard Deviation

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M.B.B.S. UNIVERSITY EXAM

QUESTION NO. 4

Each Question Carries 12 marks

01. The following table gives the results of Obese and Hypertensive. Is there any
significant association between obesity and hypertension (Use 1% level of
significance, critical value is 6.63)
 Hypertensive Normotensive Total
Obese 40 160 200
Not Obese 10 190 200
Total 50 350 400

02. Calculate Mean, Median, Mode, Range and Standard Deviation for the following
pulse rate of 20 individuals.

62, 74, 80, 59, 65, 73, 78, 86, 64, 68,
75, 80, 68, 66, 74, 76, 70, 76, 74, 72.

03. It is required to test the hypothesis that on an average Punjabis are taller than
175cms. For this 60 Punjabis are randomly selected and their heights are
measured. If the mean height is 178 cms and standard deviation is 3.8cms. what
is your conclusion ( use 1% level of significance)

04. It is known that IQ of boys has S.D. 10 and that IQ of girls has S.D. 12. Mean IQ of
145 randomly selected boys is 94 and mean IQ of 160 randomly selected girls is 91.
Can we conclude that on an average, boys and girls have the same IQ?

05. In an experiment on immunization of cattle against TB, the following results were
obtained.
Total number of cattle: 140
Number of cattle inoculated: 90
Number of cattle contracting TB: 60
Number of Inoculated cattle contracting TB: 24
Examine whether inoculation and contract of TB are independent
(Use 1% level of significance, critical value is 6.63)

06. A study of systolic blood pressure of a randomly selected group of 44 diabetics and
another group of 48 persons who are not diabetic gave the following results

Diabetic Non Diabetic

Sample Size 44 48
Mean SBP 164 138
SD of SBP 22 14

Test whether the average systolic blood pressure of the diabetics is greater than that of
those who are not diabetic. Conduct the test at 1% level of significance.

07. The population of Mandya as per 1st March, 2011, was 2,75,000 and as per 1st
March , 2021 , census was 3,42,000. Calculate the midyear population in 2022
by using the Arithmetical Progression. A total of 2250 deaths and 6450 births in
a town in the year 2022. Calculate Crude Death Rate and Crude Birth Rate for
the year 2022
08. Among 180 educated youths 38 were smokers, among 142 uneducated youths
88 were smokers. Test whether the proportion of smokers is more among the
uneducated

09. The following data gives the frequency distribution of age of 120 children. Calculate
Mean, Median, Mode and Standard Deviation for the following data

Age (years) 8 9 10 11 12 13 14 Total

Number of Children 13 23 26 24 20 12 02 120

10. The mid-year population of a town is 90,000, in the

Live births : 2200
Infants deaths : 152
Infant’s deaths within 28 days : 80
Deaths : 900
Maternal deaths : 12
Deaths due to TB : 90
Calculate Crude birth rate, Crude death Rate, Neo Natal Mortality Rate,
Maternal Mortality Rate, Infant Death Rate, and Cause specific death Rate.

11. 3000 Smokers and 2000 Non-smokers were followed up. Lung cancer developed in
210 Smokers and 50 Non-smokers. Find the Relative risk, Attributable risk for Lung
cancer in Smokers. Test the association between smoking and Cancer and comment on
this.