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MTMC PY III PART I 2023 (I Sessional Exams) Answer Sheet

Student Name: MANAWI . KABI

Roll Number: 235501046

Course: Bachelor of Medicine, Bachelor of Surgery

Year/Sem: Year 3

Subject Name: Community Medicine-Theory

Exam Date: 19-Jan-2026

Feedback submitted by student.

 [Link] : 1) Score
A rural district in India has reported a sharp rise in diabetes cases over the past year, with 100 newly diagnosed patients, many of whom already present with complications such as
nephropathy. Answer the following:

1A) List any two key differences between Type 1 and Type 2 Diabetes Mellitus. (2 marks)

1B) State four ideal criteria for a screening test. Correlate each criterion with the use of random blood glucose testing as a screening tool for diabetes in community settings. (2 + 2

1C) Mention the diagnostic plasma glucose levels (in mg/dL) for diabetes mellitus as per standard guidelines:

i) Fasting plasma glucose (1 Mark)

ii) 2-hour plasma glucose after 75 g oral glucose load (OGTT) (1 mark)

1D) Briefly describe self care in Diabetes (2 marks)

 [Link] : 2) Score
A 45 year old female residing in slum comes to the urban health centre with symptoms of cough and fever for past 3 weeks with 3kg weight loss in past two months. She weighs 50
diagnosed as a case of Pulmonary Tuberculosis with rifampicin resistance. (4+2+4)

2A) Prescribe the Bedaquiline containing oral regimen (BPaLM )for this patient.

2B) Discuss if any preventive therapy is required for any of the family member.

2C) Describe the new initiative "NIKHSHAY".

 [Link] : 3A) Score
During an occupational health survey in a manufacturing factory, the medical team identifies 10 cases of chronic lung disease among 50 welders regularly exposed to welding fume
to only 2 cases among 100 office staff with no such exposure. To assess the association between exposure and disease, an epidemiological analysis is required. Answer the followin

i) Construct a 2x2 contingency table to establish the relationship between exposure (welders vs. office staff) and outcome (presence vs. absence of lung disease). Label all rows, co
cells appropriately. (2 marks)

ii) Calculate the odds ratio based on the table. Interpret its meaning in the context of this occupational exposure scenario. (2 marks)
 [Link] : 3B) Score
A tribal man of Meghalaya has fever with chills, slide shows P. vivax. As per NVBDCP, outline the treatment protocol. (4 marks)
 [Link] : 3C) Score
During routine household contact tracing under the National Tuberculosis Elimination Programme (NTEP), a 28-year-old female household contact of a newly diagnosed sputum-p
pulmonary TB patient is found to be asymptomatic. Her IGRA (Interferon-Gamma Release Assay) test is positive, but chest X-ray shows no active disease. Answer the following:

3A) State the NTEP recommendation regarding chemoprophylaxis (preventive treatment) for this contact. (1 mark)

3B) Analyze the role and rationale of providing chemoprophylaxis in this situation, including:

i) Who is eligible under NTEP guidelines,

ii) The preferred regimen, and

iii) The expected public health benefit. (3 marks)

 [Link] : 3D) Score
In a patient with hypertension, discuss the secondary prevention strategies under national guidelines. (4 marks)
 [Link] : 3E) Score
Describe the various phases of Demographic cycle. (4 marks)
 [Link] : 3F) Score
During an assessment visit to a rural Primary Health Centre (PHC), the medical officer notes that the facility is serving a population of approximately 30,000. To ensure quality ser
the district health team decides to review the human resources against the current norms. Answer the following:

i) As per the Indian Public Health Standards (IPHS) guidelines for a Primary Health Centre serving a plains area population of 30,000, enumerate the essential (mandatory) medica
positions (including number and type). (1 mark)

ii) Enumerate any six key supporting/ para-medical staff positions (including number where specified) as per IPHS for the same PHC. (3 mark)
 [Link] : 3G) Score
Briefly explain lead time bias in the context of screening programs and illustrate how it might apply to the proposed cervical cancer screening initiative. (4 marks)
 [Link] : 3H) Score
Discuss couple protection rate and its public health significance. (4 marks)
 [Link] : 3I) Score
A 35-year-old male from a rural community is diagnosed with multibacillary leprosy under the National Leprosy Eradication Programme (NLEP). During examination, he is found
of sensation in both hands and a chronic ulcer on the right foot. The medical officer needs to assess his disability status to plan appropriate management and rehabilitation. Answer

i) Describe the WHO grading of disability in leprosy, clearly stating the criteria for Grade 0, Grade 1, and Grade 2 disability. (3 marks)

ii) In the above scenario, what is the disability grade for the patient? Justify your answer briefly. (1 mark)
 [Link] : 3J) Score
Discuss health problems of geriatrics with preventive strategies. (4 marks)
 [Link] : 3K) Score
Define Annual Parasite Index (API). Mention how the Indian districts are classified based on API. (1+3)
 [Link] : 3L) Score
A 12-year-old child from a rural area presents to the Primary Health Centre (PHC) with complaints of joint pain, fever, and shortness of breath. On examination, the doctor suspect
rheumatic fever, which could lead to rheumatic heart disease (RHD) if not managed promptly. An echocardiogram is planned to confirm valvular involvement. Answer the followi

i) Enumerate any four major criteria for the diagnosis of acute rheumatic fever (which predisposes to RHD) as per the modified Jones criteria. (2 marks)

ii) Enumerate any two minor criteria for the diagnosis of acute rheumatic fever as per the modified Jones criteria. (2 marks)
 [Link] : 3M) Score
A Primary Health Centre (PHC) in a rural area is conducting a Village Health and Nutrition Day (VHND). The ANM and ASHA are counseling families on anemia prevention und
Mukt Bharat programme. Answer the following:

i) List the six target population groups under the Anemia Mukt Bharat programme. (2 marks)

ii) For any four of the above groups, mention the specific prophylactic Iron and Folic Acid (IFA) supplementation intervention (including formulation, dose, and frequency) provid
programme. (2 marks)
 [Link] : 3N) Score
A mother of 3 year old child having diarrhea comes to you. The child has mild dehydration. You prescribe ORS to the child. She asks you whether should she give coconut water to
during diarrhea episode. In context of the above situation answer the following question.

i) State Yes or No ,whether the child should be allowed to have coconut water during episode of diarrhea. Justify your answer.(0.5+0.5 mark)

ii) Mention the full form of ORS, its osmolarity and its composition (0.5+0.5+1 mark).

iii) Describe the role of zinc in diarrhea and mention the dose that the child in the scenario above should be prescribed. (1 mark)
 [Link] : 3O) Score
Enumerate the steps of conducting a Randomised Control Trial and briefly describe Blinding. (2+2marks)
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