KUHS MBBS Community Medicine Previous Question Paper - August 2023 (304001 2010 Scheme)

304001Kerala University of Health Sciences · Community Medicine · 2023 · August · 2010 Scheme

Questions (18)

1.Mrs. Lalitha, a 25-year-old school teacher, had cough and fever for 3 weeks. She visited a practitioner who prescribed a course of antibiotics. As there was no improvement a chest X-ray was adviced which showed persistent right upper zone infiltrates, she was then diagnosed to have TB and was immediately started on INH, Ethambutol and Pyrazinamide in a combination available at the nearby pharmacy. She was irregular for two months because it was expensive. Since she felt better, she then stopped taking medicines. Three months later she was brought to casualty gasping for breath and died. In the meantime, her one-year-old child Preethi developed prolonged fever, vomiting and convulsions. a) List all the issues and consequences in the management of Mrs. Lalitha. b) What could have been done differently to tackle the issues and prevent these problems, what advise she should get considering her occupation to be a school teacher c) With a flow chart, elaborate the new diagnostic algorithm for detecting pulmonary tuberculosis under National TB Elimination program. d) What prevention strategies should have been taken for Preethi
10 Marks
2.The outreach workers of your Primary Health Centre (PHC) are reporting resistance to COVID-19 vaccination acceptance in a village due to vaccine misinformation by their religious leader. As the medical officer of the PHC how would you plan to ensure vaccine acceptance and build vaccine trust in the local community.
5 Marks
3.35 families were displaced from their households following heavy rain fall and flood to a temporary settlement in a Government LP school. You are the medical officer of the PHC in this area. a) What are the issues related to provision of safe water and hygiene, you would anticipate in this place. b) What are the measures you will suggest to the district health authority to implement in the settlement
5 Marks
4.Roles and responsibilities of Accredited Social Health Activist (ASHA)
4 Marks
5.Network analysis in health management.
4 Marks
6.Risk factors of Non Communicable diseases
4 Marks
7.Behavioral change communication
4 Marks
8.Syndromic management of genital ulcers at STI clinic
4 Marks
9.Differentiate between Man-made and Natural disaster.
2 Marks
10.Differentiate between High risk strategy and Mass prevention strategy in primary prevention of Non- Communicable diseases.
2 Marks
11.Differentiate between Monitoring and Evaluation.
2 Marks
12.Substantiate your answer with reasons for Health education is the vaccine for prevention of road traffic injuries.
2 Marks
13.Substantiate your answer with reasons for Weekly and not daily iron and folic acid supplementation for adolescents under anemia mukht bharat.
2 Marks
14.Segregation of biomedical waste using different colour codes
2 Marks
15.Occupational hazards among agricultural workers.
2 Marks
16.Functions of World Health Organization (WHO)
2 Marks
17.Barriers for health communication.
2 Marks
18.Conditional cash transfer schemes for pregnant mothers under National health mission.
2 Marks

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