DEPARTMENT OF COMMUNITY MEDICINE

NAGAPATTINAM MEDICAL COLLEGE

THIRD PROFESSIONAL YEAR MBBS PART-I

OBJECTIVE STRUCTURED PRACTICAL EXAMINATION [OSPE]- QUESTIONS

OSPE 1:

A 35 year old male patient presents with more than 8 skin patches for the past 6 months

duration without any peripheral nerve involvement. Patches are erythematous, anesthetic

without itching. Patches are present in both sides of the body.

a) Identify the condition and mention the cardinal signs (3 marks)

b) Write the treatment schedule (3 marks)

c) How long patient has to take treatment (1 mark)

d) How long the patient has to be kept under surveillance? (2 marks)

e) What is SPARSH Program? (1 mark)

OSPE 2:

A 20 Year old male patient came to the OPD with complaints of fever with chills and rigors

for past 3 days. He complaints of intense headache along with high grade fever. His blood

smear was found to be positive for malarial parasite.

a) What is the vector for malaria in rural and urban India? (1 mark)

b) Name the parameters used to measure malaria in eradication era? (3 marks)

c) Write the treatment for [Link] and [Link] malaria? (2 marks)

d) Write the components in Integrated vector Management in Malaria Elimination. (3 marks)

e) What is manmade malaria? (1 mark)

OSPE 3:

38 Years old, Maniammal residing in hilly area came with chief complaints of swelling in

front of the neck for past 3 years.

a) What is the daily requirement of iodine for adults? Mention the dietary sources of Iodine.

(2 marks)

b) What is the level of iodization fixed at the production and at the consumer level? (2 marks)

c) What is the sensitive indicator for environmental iodine deficiency? (1 mark)

d) Name any four disorders due to iodine deficiency? (2 marks)

e) Write the indicators for Epidemiological Assessment of Iodine Deficiency. (3 marks)

OSPE 4:

A 47 Year old male patient from Nagapattinam came with the chief complaints of swelling in

right lower limb, which is non pitting in nature and not subsided by elevation of limb for the

past 2 years.

a) What is the common vector for this disease in India? (2 marks)

b) Write the Mass drug regimen given for this condition. (2 marks)

c) Mention anti-larval measures and anti adult measures. (3 marks)

d) What is the sample size required for routine filarial surveys? (1 mark)

e) Mention the related National Programme and the diseases covered under it? (2 marks)
OSPE 5:

QUESTIONS:

a) Identify this Epidemiological tool and Name the person discovered this? (2 marks)

b) What are the uses of this epidemiological tool? (2 marks)

c) How does this helps to trace the source of infection? (2 marks)

d) Give two classic examples for place related diseases? (2 marks)

e) How John Snow proved Cholera is a vehicle borne disease? (2 marks)

OSPE 6:

QUESTIONS:

a) Name the diagram and mention the type of epidemic present here. (2 marks)

b) What are the main features of this type of epidemic? (2 marks)

c) Name any two uses of this figure? (2 marks)

d) What is median incubation period? (2 marks)

e) Give two examples of this type of epidemic? (2 marks)

OSPE 7:

A 5 yrs old child develops fever, back pain and rashes which are symmetrical. The rashes

appeared first in the trunk and then spread all over the body. The rashes are pleomorphic. His

sister also had suffered from the same disease 10 days before.

a) What is the probable diagnosis and the causative organism ? (1 mark)

b) Describe the rash? (3 marks)

c) What is the mode of transmission? (1 mark)

d) What is the secondary attack rate of this disease? (1 mark)

e) What are the complications of this disease? (3 marks)

f) Name the reactivation of this infection (1 mark)

OSPE 8:

A 3-year-old child from Uttar Pradesh was brought to the OPD with sudden weakness of both

his lower limbs following fever for 3 days. He finds difficulty to sit, and he is able to sit only

by supporting his hands. He has no history of trauma in near past. Regarding immunization

history, Mother says the child has been vaccinated from the nearby primary health centre

only up to the age of 6 months.

QUESTIONS:

a) Diagnose the above condition. (1 Mark)

b) What does THE SWITCH in above condition refer to and reasons for the same? (2 Marks)

c) Name the types of vaccines for this condition and write any two advantages of Oral

vaccine given to prevent the condition? (3 Marks)

d) What is IPPI? (2 Marks)

e) What are the indicators of AFP surveillance? (2 Marks)

OSPE 9:

A 25-year-old woman with 3 year old child has come for counselling regarding family

planning. On examination she is anemic and has Fibro-adenoma of breast.

a) Recommend the appropriate method of contraception. (2 Marks)

b) Write the methods of administration of chosen contraceptive. (2 Marks)

c) Write the Mechanism of action of chosen method. (2 Marks)

d) Give the reasons for choosing this method. (2 Marks)

e) Discuss the adverse effects of the chosen method. (2 Marks)

*
OSPE 10:

A patient came with the history of recurrent genital ulcers and was treated based on

syndromic approach in STD.

a) What is syndromic approach in STD? (2 Marks)

b) Name the symptoms used to classify the patient? (2 Marks)

c) If a male patient comes with urethral discharge, what type of kit to be prescribed? What

may be the cause? (2 Marks)

d) If a male patient comes with genital ulcer, What type of kit to be prescribed? What may be

the cause? (2 Marks)

e) If a male patient comes with H/O recurrent genital ulcer with and presence of vesicles,

what type of kit to be prescribed? What may be the cause? (2 Marks)

OSPE 11:

A 35 yrs old [Link] is working as a clerk in a office. He comes for general check-up.

His weight is 96kgs & height is 164cm. His physical examination reveals no abnormality.

a) Calculate and interpret the BMI for this patient. (2 Marks)

b) BMI – WHO classification. (2 Marks)

c) What are the other methods of obesity assessment? (2 Marks)

d) What are the complications of obesity? (2 Marks)

e) How will you advise him regarding diet and exercise? (2 Marks)
OSPE 12:

A 49 yrs old male patient who recently returned from Mumbai came with complaints of

prolonged fever for more than one month, chronic diarrhea, weight loss, persistent cough for

more than one month. On examination there was generalized lymphadenopathy. There were

white patches over the tongue.

a) What is your diagnosis? And how will you confirm your diagnosis? (2 Marks)

b) What are the routes of transmission of this disease? (2 Marks)

c) What are the common infections associated with this disease? (2 Marks)

d) How will you prevent the disease transmission? (3 Marks)

e) Name the programme related to this disease? (1 Mark)

OSPE 13:

45 years old Mr. Vinayagam, who is a known smoker, residing at Poravacherry has come to

outreach clinic with the complaints of fever, cough with expectoration and loss of weight for

one month. His sputum for AFB is 3+.

a) How will you classify this patient? (1 Mark)

b) How will you treat this patient (drugs, dosage, frequency and duration)? (3 Marks)

c) Name the drugs in BPaLM regimen? (2 Marks)

d) What is Nikshay Poshan Yojana? (2 Marks)

e) Name the drugs used for TB preventive treatment. (2 Marks)

OSPE 14:

A 10 year old boy gives history of stray dog bite. On examination, there are abrasions seen

over his left thigh.

a) How will you manage this case of dog bite in terms of local wound treatment? (2 Marks)

b) Explain the different categories in dog bite. (3 Marks)

c) Dose of Human Rabies Immunoglobulin. (1 Mark)

d) Write a note on Post exposure prophylaxis. (3 Marks)

e) Name two Rabies free area. (1 Mark)

OSPE 15:

25 yr old Mr. Ganesh who is a software engineer working in Chennai, comes with complaints

of easy fatigability, loss of weight and tiredness for the past 1 month. His father is a type II

DM patient. O/E his BMI is 31, fasting Blood sugar value is 120 mg %, Post prandial Blood

Sugar 135mg% and HbA1C 6 %.

a) What is the diagnosis? (1 Mark)

b) What are the NCD risk factors present in this patient? (2 Marks)

c) How will you manage this patient? (3 Marks)

d) Name microvascular complications of Diabetes Mellitus. (2 Marks)

e) Name macrovascular complications of Diabetes Mellitus. (2 Marks)

OSPE 16:

Mr. Baskar a 55 yr old clerk who is looking obese, presents with chest pain which is radiating

to his left arm & breathlessness, which is aggravated on exertion & sweating for the past 2

days. He is a known hypertensive patient for the past 5 yrs who is on irregular treatment.

ECG shows ST elevation.

a) What is the probable diagnosis? (1 Mark)

b) Identify the risk factors for the disease in this patient? (2 Marks)

c) Which level of prevention is applicable for this patient? (1 Mark)

d) Name antihypertensive drugs with common side effects? (3 Marks)

e) Name modifiable and non modifiable risk factors of this disease. (3 Marks)
OSPE 17:

Anganwadi worker provides the nonformal education to the children in ICDS centre located

nearby Vadugachery PHC.

a) What is the population norm for an ICDS centre? (3 Marks)

b) Who are the beneficiaries of ICDS centre? (3 Marks)

c) What are the services provided here? (3 Marks)

d) Who are the key persons in an ICDS centre? (1 Mark)

OSPE 18:

A 50 yr old coal mine worker from Mysore working for 10 yrs in that factory presents with

cough with expectoration, breathlessness and chest pain. The X-ray shows snow storm

appearance.

a) What is your diagnosis? (1 Mark)

b) What are the occupations which causes this condition? (2 Marks)

c) What are the factors which influence the occurrence of this condition? (2 Marks)

d) What are the measures to be taken to prevent this condition? (3 Marks)

e) What are the legislative measures (acts) available in India to promote occupational health?

(2 Marks)
OSPE 19:

Mr. Kumar, 47-year-old male, working in a cement factory presented with history of cough,

breathlessness and chest pain. On examination, he had cyanosis, clubbing and diffuse lung

signs. His X-ray chest showed “ground-glass” appearance in lower lung fields.

a) What is the probable diagnosis? (1 Mark)

b) What are the risk occupations? (3 Marks)

c) What are the complications of this disease? (3 Marks)

d) What are the preventive measures? (3 Marks)

OSPE 20:

A 5-year-old male child was brought to the casualty with c/o difficulty in breathing for past

three hours. Child had fever, sore throat and difficulty in swallowing for the past three days

for which she was given medications from the nearby hospital. On examination of the throat,

a greyish black membrane over the tonsils and posterior pharyngeal wall which bleeds on

attempt to remove was noted.

a) What is the diagnosis and what is the causative organism? (1 mark) What is the main mode

of transmission? (1 mark)

b) How will you manage this child? (2 marks)

c) What are the control measures to be taken to prevent further spread of the disease? (3

marks)

d) Is there any system to notify this case for taking public health measures? If yes, name

them? (1 mark)

e) What are the vaccines given under Universal Immunisation Programme for preventing the

above disease? (2 marks)