Dr.YSR University of Health Sciences Department of Community Medicine Final MBBS Part I Practical Examinations Feb 2024 Kumool Medical College,Kurnool Set-1 Epidemiological Exercises 1. A screening test was done for cervical cancer Results are given below. (10 M) & Screening test | Disease positive | Disease negative | _ Total PAP smear Positive 400 (a) 1506) 350 Negative 100(c) 4350 (@) 4450 Total 300 4500 3000 Calculate the following sensitivity, specificity. Predictive value of a positive test, Predictive value of a negative test. 2. Outbreak of Dengue was reported from the village of Kumool district. As a DMHO how do you investigate the outbreak and control and preventive measures to be taken. (10M) Statistical Exercises 3. Following are the weights of 10 medical students (10M) 60,40,50,56,48,64,72,38,80,76 Calculate measures of Dispersion. 4, A slum with a population of 40000 experienced an outbreak of cholera in 2012. 800 cases were recorded and there were 16 deaths due to cholera. There were 400 deaths due to all causes in that year calculate the following om) Cause specific death rate, Proportional mortality rate. ‘Crude death rate, Case fatality rate, aoge1A) A screening test Was done for cervical cancer Resulis ate given below: ‘Screening test PAP] Disease positive ‘Disease negative Total smear Positive 400 (a) 150 (b) 350 ‘Negative TOO (e) 4350 4450 Total SOO (are) 4500 (bis) 5000 Sensitivity of the test = a/atex100 = 400/500 100 = 80%, Specificity of the test = d/b+dX: ne 4350/4500 x 100 = 96.6% Predictive value of a positive test = a+b» 100 = 400/550 x100 = 72.72% Predictive value of a negative test = d/e+d* 100 =4350/4450 x100 =97.7% 2A) Dengue: Verification | Confirmation whether an outbreak or not Define the magnitude of area involved, time ,place and person Identify the sources of infection and transmission Find out the population at risk Search of other similar cases as soon as possible Data analysis Testing of hypothesis Reasonable hypothesis considered and weighed by comparing the attack rate Evaluation of ecological factors responsible. Further investigation of the case. Instructions about the disease and outbreak given to town people through mass media. ‘Management according to severity of disease. Care must be taken to the high risk individuals, | ‘Conduct surveys on high prevalence areas. VVV VV VV VV VY VY VvYY 3A) Weight of 10 Students = 60,40,50,56,48,64,72,38,80,76 Measures of Dispersion @) The Range = Maximum Value —Minimum Value, Minimum Value = 38b) Mean Deviation = Average of the deviation from Arithmetic Mean =Y(X-X)/n = 120/10 = 12 Mean = S84/10 = 584 [Scns Triihinelic Mean (0) | Deviation from the Mean(x-X) | X07 6 3a 6 156 a0 384 “184 338.56 30 sea a | 70.56 36 384 “24 3.16 a8 384 104 108.16 roy 384 56 3136 72 38.4 if 13.6 184.96 38 384 “204 A616 30 384 216 166.56 76 sea 176 309.76 Toul= 584 Total = 120 Total = 19344 =V1934.4/,_) =V1934.4/10-1 + 14.6 ¢) Standard Deviation = YE(X-X)? /n-1 4, Total population of slum in 2012 = 40,000 Total cholera Cases 800 | Total deaths duc to Cholera = 16 Total deaths = 400 8) Cases specific death rate = Total deaths due toa disease ina vearx 1000 ‘Mid year Population 16 / 40000 X 1000 = 0.4 b) Proportional Mortality Rate |= number of deaths from the specific disease in a vear_x 100 ‘Total deaths from all causes in that year © 16/400 X 100 = 4 \ i 2 ink mato eonDr.YSR University of Health Sciences Department of Community Medicine Final MBBS Part I Practical Examinations Feb 2024 Kumool Medical College,Kurnool 1 Ina PLLC with a population of 40,000, filarial survey was carried out. The following are the findings Population examined=10,000 Positive for MF alone (no signs/ symptoms) =300 Patients with only signs/symptoms=400 Patients with s/s + MF + yg=100 Calculate filarial disease rate, filarial endemicity rate, MF rate. (10M) 2. A study showed that among 140 mothers delivered leukemic babies, among them 120 were exposed to X- rays. This was compared with control of 160 mothers delivered normal babies, among them 10 were exposed to X-rays. 1, Construct 2x2 table, 2. What is the type of study? 3, Calculate exposure rates. 4, Calculate Odds ratio. ‘Comment on Odds ratio. (10M) | Exercises 3. Calculate measures of central tendency ofthe following data. 7,8,10;3,15,8,6,5,6,2.8 (om) 4, A village had a midyear population of 3,00,000 in the year 2020. During the year 2020, total number of live births recorded were 5000 and a total number of 2000 persons died due 10 various causes, Among the total deaths 800 died duc to tuberculosis. Calculate birth rate, ee ‘Se ale, proportional mortality rate and specific death rate due to tuberculosis,1A) Fitarial disease rate(FDR), = patients with s/s Jpopulation examined’ 100 = 4002100/10,000%100 = 5 per 100 population ') Filarial endemicity rate(FER) ~ patients with s/s 4 patients with MF yg, + patients with both s/s and MF+ ve/ population examined 100 ‘ =400+300+100/10,000100 =8 per 100 population ©)Micro filarial rate(MFR), =patients with MF +yg/ population examined *1 = 300+100/10,000%100 =4% 2p says Mother delivered | Control Mother | Total leukemic babies ; Exposed 120 10 130 Non Exposed | 20 150 2 = Total 140 1607 2a) Case Control Study 3a) Exposed Rates tl Cases = alaigx 100 = 120/140x100 = 85% | Control” = b/ bx 100 = 10/ 160.x 100 4a) Odds Ratio = ad = 120x150 ON oe be 20%10 i ‘onds ratio Js a measure oF strength of the association between thé Fisk Gactyr dnd ouiwome, Nis akey parameter in the analysis of ease control studies. AWAY2356678881015 ‘Middle Value = 7 i ©) Mode Most Repeated } riDr.YSR University of Health Sciences Department of Community Medi Final MBBS Part I Practical Examinations Feb 2024 Kurnool Medical College,Kurnool Set-3 Epidemiological Exercises 1. Ina PHC with a population of 30,000. 2000 blood smears were taken under active surveillance, 50 blood smears were found to be positive for plasmodium vivax, 10 positive for plasmodium falciparum, 8 positive for both. om) A. Calculate annual blood examination rate. B, Annual parasite incidence. C. Annual falciparum incidence. D. Slide positive rate. E. Slide falciparum rate. 2. Ina welfare hostel, medical officer identified many children are suffering from scabies. As a medical officer, how do you manage these cases and what measures do you advice? (10M) Statistical Exercises 3. Weights of twelve school children in the age group of 13 to 14 were recorded in KGs as followed 24,36,34,35,33,38,38,36,42,23,20,38 ‘Calculate measures of central tendency (10M) 4. Midyear population of a city in 2001 was 10,20,000, The following events occurred in the year 2001 Total live births=30,000 ‘Total number of still births =600 Maternal deaths=120 Total number of infant deaths = 200 Calculate and comment crude birth rate , still birth rate, maternal mortality ratio and infant mortality rate. (10 M) Tce“icin ae A* good seryb “a ‘ou eg oy belo bath erat nimi ‘dsidaadiniiaaba a- Avoid sharing of towels, clothes = Maintain personal hygiene -Avoid contact with seabies person = Health education reganting cause and prevention of scabies: 3A) Measure of central Tendency | . 1a) Mean ~24-36454+35433+38438136142423120038/12 = 33.08 me i if ail eTDr. YSR University of Health Suicnded i Departinent of Community Medicitie Final MBBS Part I Practical Examinations Feb 2024. Kurnool Medical College, Kurtiool Set-4 i Epi logical Exercises 1. 100-male adults of 20-60 years age who were consuming alcohol were followed for 1 year. 140 non alcoholics were taken as controls, Outcome is assessed for developing Cirshosis of Liver. 24 alcoholics were positive for cirrhosis & 6 non ‘alcoholics positive for cirrhosis. (10M). a. What type of study is this? te 'p. Calculate relative risk and comment ¢. Calculate attributable risk and comment. >A 10 Year old boy bitten by a street dog on back and fingers. How do you manage (ono ~~ 4, Following are the weights (KGs) of 10 medical students, (10 M) : 56,58,60,70,74,46,52,54,80,50 Calculate measures of Dispersion 4, Define incidence rate, There were 50 cholera cases in.a village with 8000 population in June 1988. 30 cases in July 1988 and 10 cases in ANUS 1988, Calculate the incidence rates for cach month and prevalence rate for the village, (0M)Set-d KEY [RD ‘Cohort Saidy ‘Cases (cirrhosis) Controls (non cirrhosis) | TOTAL ] ‘Alcoholics 24 a 76 b 100 i 6 c a 140 | Total 30 240, | 'b) Relative Risk Sa in exposed/ Incidence in non exposed (clea) = (24/100) (6/140) = 0.24/ 0.04 6 Alcoholics expose ae 6 times more risk of getting cirrhosis than non alcoholics. ©) Attributable risk “Incidence in exposed Incidence in non exposedx100/ Fecha Seed ~QAN100) — (6/140) x 100 (24/100) ' % Citchosis in alcoholics is due to consumption of | al 83. ot j 2A) Dog Bite — ny Aa Wy Key 2 7 aM i iui aN nny ay = ‘Category I~ Nibbling on skin, abrasion en i Per ; Puta Category I - Single / AOU E | contact wi Human immunoplobulia’s [ 1) Post exposure prophy] Intradermal » eer 01 mats 1" Intramuscular ~ op day 0,3,7,14,28 ~ Imi IM Dose. FED i leady vyaccatd nivale on day 02, stp o ts Jn immune compromised paticnts ~ slong with local treatment and jmmunoglobulin's gust be given tp cat II & Hil patients, "i 8) Control of dogs soreening and immunization of pet dogs Fogistration and licensing of pet dogs aud other domestig animals. | t “3A) Weight of 10 Students 56,58,60,70,74,46,52,54,80,50 Measures of Dispersion a) The Range = Masinniny Value -Mininum Value Maximum Value =80 Minimum Value = 46 Range = 80-46=34 1) Mean Deviation = Average of the deviation ftom Arithmetic Mean “(X20 /n = 88/10 = 8.8 Magn = 600/ 10 = 60 (& ‘Arithmetic Mean (X), 36 @ a 16 38 0 2 4 oo oo TA) 0 70 oo i Too 74 @ 196 i a6 oO 196 32 0 8 @ 34 00 lane ® 0 i 30 [2 Toul = 600 ©) Standard Deviation = VP(X-X)? fn 4A) Incidence sate snp, of new cases occuring ik dering! population dyring sgesitied psriow of time. Incidence rate -Ne-of new cases dura smecified wesioal * | 900, we ‘opulation at rigk Wis Incidence igo Je H9AKSO/H000H 199D¥0.28 pg AOYO ppHaign, Aiden rats in Jply 1988"30/7950 *1000 3.77 pet 4000 populationoT aT i /' r | j } ‘ ' i Dr. YSR University of Health beds r Department of Community Medicine Final MBBS Part I Phictical Exatinations Feb 2024) Kumool Medical mewn aT AL Sat 1. Results obtained after stent 10,000, i dorm Mies! stigar. The ‘screening level of blood sugar is 160 (dl and preval nee of disease isa%, the test was Positive in 240 people of whom 140 were known ito have disease. i Calculate sensitivity, epeeiteaya| ‘atti predictive val Ar of fae positives. oN) |) i hh PAU ith HAA) 2. There was an outbreak of Typhoid Enable n's medical hostel. Haw do you | investigate the outbreak and write briefly about p fl and control measures.(10M) "i i i sataatccee il i ; ih | Wh 3. Following are the weights 10 eae | Hi 34,40,46,50,36,38,40,46, WW Calculate measures ote Dispersi i 4. In atown with mid-year pop and 750 deaths in the first year of li ‘week after birth and 480 deaths in early neonatal, neonatal and anfant PALMA bul AGHA Hiinianaine Mee | sh a so ‘tla f whi within one eT ret1)Total Population screened =10000 Prevalence =2% = 2/100X10000= 200 Test Positive 240 Of which diseased =180 Disease present Disease Absent ‘Total ] [a @1s80 (0)240-180=60 240. 1 [Negative 20 9740 9760 | to — “200. Toon. Prevalence =Cases(ats) Total PopulationX 100 =180+C/10000x100 =200-180= d= Total population -(aakAS) 0000-(240+20) 0000-260, 9740 8) Sensitivity=a/a+eX100 =180/200x100 =90% b) Sorsifictyed/b+dx100 = _—«-9740/9800X100 = 99.38 CPPV =alatbX100 = 180/240X100 = 75% )% of false Positives=b/o+dx100 = 60/9800X100 = 0.612 2A) 2) Visit the area ¬ify the local authorities ') Verify the diagnosis ‘c) Detection of reservoir & control by carly diagnosis& treatment ‘Diagnosis ~can be done by wida} Baod.staghoulture i Treatment. Chloramphenicol 6” aly, for 14 days ‘isolation of all the cases &proper treatment of them ria ©) Disinfection of stools & urine by 5% eresol 4 iat 6)Follow up of cases till 3 bacteriologically ~yx smears occurs & ied 2 rs or discharge to prevent carrier state )Diagnosis & treatment of carriers by giving ampicillin & probenecid Ch al pues A by giving ampi pt cial ac lon, 4) prevention soil &water contamination 2) prevention of infection to gusgensublee by antityphoid vaccines & basin 3A) weights of 10 medical students q 1 '34;40,46,50,36,98 40,46,52,54 i Measures of Disperii #) The Range = Maximum Value -Minimum Value Maximum Value=54 Minimum Value 34 Range = 54-34 «20 hay fy ») Mean Deviption & Average ofthe dpyiatioy from Aritbmetig Man, HOS ma slow inesMagn = 440/10 = 44 Wehinkewa) | Atithmetic Mea» (X)] Deviation from. the Mean(x-%) | (xk a aa 10 100) a a 7 16 a 3 3 a $2 44 144 36 44 a @ 35 4 6 36 a2 45 z t 36 rr = 7 32 ry F ra 54 44 -10 100 Total= 440 Total = 64 Total =536 ©) Sundard Deviation= °SUX-X)? /n-t = ¥53610-1 =23-15/9 9.57 4A) i 1) Perinatal mortality rate = . ed ith X 1000 ‘Total no of live births in the year = 110+250/ 6050 X 1000 = 59.50 2). Early neonatal mortality rake = Neotel salen inde pest tare ina ie 1000 Total no of live births in the year = 250/ 6050 x1000 41,92 3) Neonatal mortality rate = Naa deaths within 28 days X 1000 Total no of live births in the year ya 7 AaCqRST ORR > 9.33 rane ayo Skea manana OMAN iit i i} } ! iy : Bydtedee | ‘ et Department of Community Medicine Final MBBS Part I Practical Examinations Feb W240 Kumool Medical College,Kuttiool ie pele id 4. Inaslum there is a square tank of 8 m1 water to be disinfected. Younekis test sho amount of bleaching powder required in /_ awell. y ile _ 2. Asa Medical officer of RHTC, Parl Briefly mention the control and1) Volume of water in square tank = L*B°H = 8*8*10*L000_(1 cubic meter = 10001) = 640000 tie, Amount of bleaching powder required 45S lit of water require = 12g of bleaching powder 1.¢,6" cup is the earliest cup showing blue eploux in Rocks apparatus , 642g =12g required to disinfect 455 lit of water 464000 lit??? Bleaching powder required??? Bleaching powder required = 12/455*640000 = 76800000/455 ‘Leg72em. kg 879¢m bleaching powder is required to disinfect tank steps of disinfection of a well a) Find the volume of water in a well b)Find the amount of bleaching powder required for disinfection ©) Dissolve bleaching powder in water 4) Delivery of chlorine solution into the well ©) Contact period 9 Qubotsliing ersenite test 2a ) Verification of disease 'b) Containment of malaria must be done, Stratification of problem &antimalaria activities must ‘be under taken ©) Active & passive surveillance is to be done ‘passive surveillance:- Blood smear is taken from all fever cases attending the OP treatment is given if smear is +ye iffnepative radical treatment is to be given Active surveillance:- Visit each bouse every fort night & enquire about fever ease in house at k that time, | any fever case since 15 days (including guest visitors) collect blood films - thick é:thin smear on same slide given presumptive treatment ~6Odmg, Af smear +yx, return to patient & provide radical treatment i i ‘Given appropriate treatment | presumptive RX:- To all suspected cases i day!:- chloroqurine6o0mg Single daxovoGowavdIAds Ing 2:- ehowaaucine 600m, 3;- shloroqurine3 00mg ‘ Radical RX:-To dingnosed eases after microsconie confirmation. Fe ae prea t 6p dally fo ay P, falciparum not required Wogasurino resistant Faleiparum >1 Hy iN Wy nhl HT \\\ Artesuinlé-abi let \ \ wt \\ Nant i Hh | | | | 8) wont eee 8111) 1) A Sod { Hh i Oey | fit I WE ou : 34010 | 3 344362=70/2=35 ©)Mode=Most frequent value Bey 42,44,28 36 HERA Bia | |I iDEXSR, University of Health Sciences Department of Community Medicine Final MBBS Part I Practical Examinations Feb 2024. Kurnool Medical College, Kurnool Set-7 1,A study was done to test the validity of western blot test to detect FIIV/AIDS infection. The ‘following results were obtained. (10M) Calculate sensitivity, specificity, positive predictive value, negative predictive value, “percentage of false positives &false negatives. 2. A circular well with 10 meters depth of water column with a diameter of 15 meters is to be disinfected “The Hogeask’s test showed blue discoloration in 4" cup. Calculate the amount of bleaching powder required to disinfect the well. Describe the steps of disinfecting the well. (10M) Stat 3. Calculate mean, median, mode for the following data (0M) 10,7,14,13,10,9,12,15,8,16,10, 4. Calculate the crude death rate, crude birth rate, infant mortality rate, matemal moctality ratio of a town whose midyear population is 20,00,000. Total number of | births in the year were 60,000. Total number of deaths were 16000. Number of infant deaths were 2400 and maternal deaths were 10. (10 M)Set. we] te] Todok test Disease present Disease absent Total Positive 85(a) 2015) 105, Negative 25(c) 80(d) 105 10 sensitivity ~a/atex100 =85/85+25 x 100 =77.27 Specificityed/d+ bx100 =80/80+20 x100 =80 positive predictive value= a/gth,x100 = 85/85+25x100 =80.95 negative predicti ive value = d/d+ex100 =80/80+25x100 =76.19 2A) Depth of well=10mtes Diameter(4) Radius =d/2=7.5 wi n Volume of well = arth x1000 = 3.14 x7.5 x7.5x 10.x1000 =1766250 Litres of water nx2gm of Bleaching powder required for 45SL water, 1766250 L Requires =1766250/455x 8(4x2) =31054.9gms 31054.9gms of Bleaching powder required to disinfect the well Steps of Disinfecting the well 4) Find the volume of water in a well )Find the amount of bleaching powder required for disinfection ©) Dissolve bleaching powder in water 4) Delivery of chlorine solution into the well ¢) Contact period 1) Qobotbidinn eraenitx test816110 3.A)a)Mean=10+7#14+13410+9+124 W 1127 b)Median=Middle value in ascending order 19,10,10,10,12,13,14,15,16 Median=10 ¢)Mode=Most repeated value =10 « population-20,00,000 4.A) Mi No. of live births-60,000 No. of deaths-16,000 No. of infant deaths-2400 1.Crude death rate= no. of deaths during the year/midyear population*1000 =16,000/20,00,000 x 1000 =8 2.Crude birth rate= No. of live births during the year/midyear population®1000 ie =60,000/20,00,000 x 1000 =30 3.Unfant mortality rate No. of infants deaths/no, of live births 1000 =2400 /60000x 1000 ; = 40 i 4.Maternal mortality ratio = Total No of matemal deaths x 0900 No of live births =100/60000 X 100000 = 166.6Dr. YSR University of Health Sciences Department of Community Medicine Final MBBS Part 1 Practical Examinations Feb 2024 Kumool Medical College,Kurnool Set-8 Epidemiological Ext Ss 1. There was an outbreak of acute diarrheal disease in village of Kurnool distriet. As a medical officer how do you investigate the outbreak and write about prevention and control measures to be taken? (10 M) : 7 2. Out of 482 OCP users, 27 developed Hypertensio 77 developed Hypertension. (10M) 1, Construct 2*2 table, ‘What is the type of study? Calculate Relative Risk and comment aleulate Attributable Risk and commer bab ff if Usa eR LA TMU abate 3. Weights (Kgs) of twelve schoo} children in the age group of 10 10, 12 were técorded in Kyy, asfollowed fi | ; 24,22,26,28,28,30,32,38,40,42,40,28 | | , Calculate measures of central tendency, (10M) \ fey \ 4. In atown with midyegt population of 50,000 f ital events pecuired, ator en de ate foetal deaths=40; carl al deaths = 65 Mh intamg dome 3p" eer Er oor UAL EAN SNS lculat on, bimth ray inka i maternal soln mi eoetetal ng de ' rate, ian aang ‘phatemnal | (0M)PTAA Beth KEY i il TA)Causes of Acute Dintthoedl Diseake - Staphylocoeent foud poidoning, tholera. > Verification of diagnosis by éliiieal exanitination it i dninplé of cates, > Notify the District Surveillance OtTieer, > Confirmation of diagnosis by sending stovl Va of ed 10 dase to district laboratory. > Confirmation of existenee ofan epidemic by comp og bhisac feequeney during the same period of previous years, Identify sources of drinking water, check. water Ith) fat tnierioloieat contattination. If piped water supply, check for possible leakage. ‘Ifa common | souree of water supply ‘has been identified, inform ayn otto se water for deinking purpases or for washing utensils ete, if they want to use int alin use after boiling, > Arrange alternate source of water, including. tankers if possible, if possible ehlorinate weater source distribute tables for dar Ar Shop b (er along with instructions: for its proper use, ifnecessary a tact Re Hi! snuthorities for water supply. > Notify health facilities and hospitals in ‘the een sure that adequate sup fies of ORS, IV Muids appropriate anti Nout r > Arrange health educational activities in the comm hygiene, recommended source prereale ee Lis me & health facilities where patient can be taken for treatment. el > Active case reporting should be cor ¥ > Atthe investigation, write a detail repo when: should be complete & convincing. regarding back ground, historical data fd methodology o of investigation. Analysis of data & control mea: t STE iy Wei ww ely Volume of well =arthX1000 _ BAAXT-SXTSXLOXLOO0 | 191766250 Litces of water neem ores powder re it ‘ 1760250 J reales =yT09290499X¥02) i 94058 96m j i 31054.9ems. efticubianedtie Js required o sist a i 5 Disinfect te yl 2) Fin tevin a ng wel ayaa the aerate powslengilned for disinfection |)¢) Dissolve bleaching powder in Water 4) Delivery of chlorine solution into the well ¢) Contact period 1D Qoboralidins asenite test 3) W "s of 13 to 14 age group children 24,28, 26,28,28,30,32,38,40,42,40,28 Total No of students =12 Measure of central Tendency a) Mean =Sum of all the observations/No of observations =Sum/n =24+22426+28+28+30432438440442440428/12 =384/12 —= 32 —— fiddle Value in Ascending Order(if' n=odd) Average of 2 middle value in Ascending order (if n=Even) = 28+30/2 = 58 /2=29 b)Median: ©)Mode=Most frequent value = 24,28,26,28,28,30,32,38,40,42,40,28 =28 4a) Mid Year Population =1,50,000 ‘Total live births=3200 Total deaths=1400 = Infant deaths=270 Maternal deaths=10 Late foetal deaths = 40 Early neonatal deaths = 65 )Cnude Birth Rate~Tolal No of Births x 1000 Mid-vear Population '200/1,50,000x1000 21.33 b) Crude death Rate~Total No of deaths x 1000 Yid-vear Population = 1400/1,50,000 x 1000 $9.33 €) Infant Mortality Rate= Infant deaths x1000 Total live baths = 270/320 x 1000a i i : i i 5 a e 2 = = ww & 2 2 iDr.YSR University of Health Sciences Department of Community Medicine Final MBBS Part I Practical Examinations Feb 2024 Kumool Medical College,Kurnool Set-9 Epidemiological Exercises 1. A-swimming pool having 100 m length, 60 m breadth with 10 m depth of water is to be disinfected. Hogtaek’s test shows blue colour in 4" cup. Calculate the bleaching: powder required to disinfect the swimming pool and what measures you advice for swimming pool sanitation 2. Spandanp2, 40 years old working in a cement factory presented with tingling & numbness & white patches on his body, which was noticed by him 6 months back. Examination revealed poorly defined, shining, hypopigmented patches which were symmetrically distributed on either side of the body. Peripheral nerves were thickened. &tender. Write diagnosis and management. (10 M) Statistical Exercises 3. A town had a midyear population of 1,60,000 in the year 1995. During the year 1995, total number of births were 5000 and total of 2240 persons died. Among the total deaths 400 died due to CVS diseases. Calculate crude birth rate and crude death rate, proportional mortality rate due to CVS and specific death rate due to CVS, (10 M) 4, Calculate mean and standard deviation with working mean method of following blood serum cholesterol levels of 10 subjects. 2A0,260,290,245,255,288,272,263,277,250.‘Set.9_KEY 1, Volume of swimming pool = L*B*H =100*60*10 (Heubie meter = 10001) = 6,00,00,000 liter Amount of bleaching powder required! 455 lit of water require = 8g of bleaching powder Loa" cup is the carliest cup showing blue ‘ealouc in herogks apparatus , A*2p Rg required to disinfect 455 lit of water 6,00,00,000 lige, =2?? Bleaching powder required??? LAV f {Hut Bleaching powder required = 8/455* 6,00,00,000 chet 2A ) Diagnosis- Multi Bacillary Lepro ‘ ei she peste nerve involvement) mi ‘Confirmation by pacterolatal examination orstl sllskin ‘nasal sect Treatment: ! As per WHO reinen-ntdeup sheropy(mlibaclay) h i Wi Rifampicin-600mg, once monthly under supervisi Dapson 100m daily, hat ane istered. al ill A "300m, ance monthly under sup : daily self-administered. Duration-MB blisters enh ean for 12 iri ina hls aa pie era Gat Nl a nee gd te ee 4A) Mean) Kin 2640010 -264 et i3S 364 a9 a0 285 cx] 0 Teale BSN 264 ot 77 72 264 ¥ a 263 264 “I i a7 264 iF} 169 250 264 “14 196 TOTAL Taz 26 SD=VY(R-RYn-d #271679!) 4/1 5211/9) | 57Dr. YSR University of Health Sciences Department of Community Medicine Final MBBS Part I Practical Examinations Feb 2024 Kumool Medical College,Kurnool 1. Smt. Badmanuna, 45 years old uneducated coolie was admitted to female tuberculosis ward with history of massive haemoptysis & progressive dyspnoea Gdays back. Her weight was Sikgs. She was found to be sputum positive case of tuberculosis. Not a known case of tuberculosis previously. Write the management of the case. (10M) 2. A screening test (PAP smear) was done for cervical cancer. Results are given below: Screening test Disease —__] Disease Total (positive) (negative) Positive 400 150 350 Negative 100 ‘| 4350 4450, | Total 300 F500 3000 | Calculate sensitivity, specificity of the tests. Also calculate positive and negative predictive values. (10M) Statistical Exercises 3. Respiratory rate of 10 patients is given to you. Find the Mean, Mean Deviation and Standard Deviation of Respiratory Bate_18,20,19,20,18,19,16,25,23,17. (10M) 4, Mid.year population of'2 lakhs were studied to reveal mortality and morbidity due to tuberculosis in 2012, Existing cases in the beginning of the year were 24, new cases during 2012 were 60, and deaths due to tuberculosis during the same year were 20, Calculate A. Incidence rate. B. Period prevalence rat C. Point prevalence rate as on 1* January 2012. 1D. Point prevalence rate as on 31" December 2012. (10M)~Chest X-1 In NTEP, for Adults — we give 2Months-intensive phase 4Months-continuous phas Helsoniazid (INH)-75mg R-Rifampicin-150mg_ ‘E-Ethambutol-275mg Daily dose fixed dose tion r ‘Her weight category falls under 50- ‘Daily four number of tablets9 23 10 7 Total | 195 Mean deviation 3A) Crude death rate = Supberote aid year population 7a0;000 ase = 14/1000 population per vear Proportional Mortality rate = Tt'tberof ate duet vse 4999 "Toat) number of oaths due to all cause wie “gaan! 100 = 18 Sperific death rate d/t CVS dee Rusber of deaths dus ta CVS disease durin We yeas Tid year population of toven 4A.) Total Poputation =2,00,000 Incidence 2015 601 ae W. TS 1B TS. Os OE 7 ae 193 oF aa Ts 5 a v3 76 153 a3 17H e 3B TSS 33 025 s 1s 33 TEs a 19S 623 wal PTS 1S cy ws ‘ean deviation = a ‘Standard Deviation = FRO [= VISE = a 3A) Crude death rate = E6mbet=ts = 228. * 1000 Ta0008 made ¥5a 43999 ‘Proportional Mortality rate = 7S=Usu=ee *100 128 Specific death rate dit CVS ds= 2 “Fa0008 = 75.1100 population wer year 4A ) Total Population »2,00,000 Incidence 2015 =60 Remaining Lie PPT 60-20 40 Deaths 2015 ~20 | Existing enses in ginning of ye 24 alcidence »No of new caseyTotal Population at riskX1000 762,00,000%1000 0.) byPeiod Prevalence No of cases in eT Popolation at skX 10) 4042042472, 00,0008100 = 0082 «) Point Prevalence of Jan -24/200,000X100= 0.012 {MN _W) Point Prevalence of 31 Deer4+24/2,00,000X100 0,032