Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
IN
COMMUNITYMEDICINE
~ First Edition ~
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This book is dedicated to the Professors, Lecturers & Junior Lecturers who
inculcated the ABCs of the Medical Sciences in us, for they are gods who walk
amidst men.
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~ PREFACE ~
This question book was compiled with the intention of making questions of community
medicine readily accessible to students. We hope that this compilation will serve as a useful
resource for many future batches of medical students, preventing the hassle of collecting sets
of questions from ad hoc sources in preparation for examinations.
The art of answering questions at undergraduate level, especially in the medical sciences is
glaringly different from the Advanced Level Examination at the secondary educational level,
one has to attempt many a question before one can firmly grasp this art of answering.
Though this book contains a comprehensive collection of questions on community medicine ,
solely relying on this book will not be enough to achieve good results at the examinations.
Daily, diligent studying is essential in order to succeed in the pre-clinical sciences.
We launch this book as an entirely non-profit venture where all proceeds from this book will
be channeled to the Patient Outreach Fund maintained by the Faculty of Medicine in order to
support needy patients.
Wishing you the best of luck in your endeavors.
April 2015
Sathya G.-4
Thimal S.-4
Geethika C.-5
Chenuri R.-5
Duniya K.-5
Ammar J.-5
Dasuni W.-5
Kavita A.-5
Chathurika B-5
Thusitha C-5
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COMMUNITY MEDICINE
MCQs
cholera
Hepatitis A& B
Yellow fever
Paralytic polio
AIDS
Leprosy
3.Outbreak investigation;
a) should start after confirming
diagnosis
b) DDHS leads to the team
c) Done to strengthen the surveillance
at low level
d) Is done to calculate the relevant risk
e) Necessary to prepare the spot map
Dengue
TB
JE
Human Rabies
Neonatal tetanus
Malaria
Congenital rubella
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Measles
Rabies
Malaria
leprosy
Filariasis
Polio
Cholera el tor
AIDS
Yellow fever
Polio
Hepatitis B
Judicial reports
CCU
Insurance companies
HEB
FHB
Rabies Control
1. T/F regarding Rabies
a) Auto-plunger is used to vaccinate stray
dogs
b) Oral rabies vaccine is used to
vaccinate domestic dogs
c) Promotion of birth control is a control
method
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e)
80%
2) T/f regarding TB
a)
Is a leading killer in woman
b)
Southeast Asia has 40% of global TB
c)
1/3 of HIV infected deaths are due to
TB
d)
DOTS was introduced to SL in 2004
e)
Defaulter tracing is done to prevent
drug resistance TB
3) T/F regarding TB ;
a. 50% aids deaths are due to TB infection
b. Mostly affect the older population than
young population
c. All maternal deaths are less than TB
deaths among women
d. The most common cause of death in
European countries
e. Incidence rate for TB gives an idea about
the national problem of TB
TB control
1) Mantoux test
a)
Used in diagnosis of TB in adults
b)
If positive indicates TB bacillus
infection
c)
Useful in diagnosis of TB in children
d)
Useful in estimation of prevalence of
TB
e)
Not useful in estimating annual risk
of TB infection
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5) T/F regarding TB ;
a. Active case finding is done by national
TB control programme
b. If untreated 25 % of TB patients are
infective after 5years.
c. Resistant to MDT is reported in certain
parts of Sri Lanka.
d. It should be noticed to the MOH.
e. DOTS have lowered the defaulter rate
from treatment.
Measles control
1) Regarding measles;
a. It is infective for one week after appearing
of rash.
b. Vaccine is given to the thigh.
c. Measles vaccine is contraindicated in past
history of measles
d. Fever and rash are the main adverse
effects of measles vaccine
e. Cant be given with a live vaccine
Leprosy control
6) T/F regarding DOTS;
e. Mantoux test.
Filarial control
c. It is postponed in a baby born to sputum
positive mother.
d. Prevent TB meningitis.
e. Dose 0.1ml(neonatal)
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b)
Mass treatment is conducted
biannually, by administration of DEC
c)
Effects of vector control has varied
d)
Reduce disability due to
lymphedema
e)
AFC responsibility is carried out by
provincial health authority
2) T/F regarding fillarisis in SL
a) Central provinceis endemic for Ssl
b) Transmission is interrupted by annual
treatment with DEC and albendazole
c) Hydrocele repair by surgery will cause
for decrease in morbidity
d) Parasites live in lymphatic system for 46 years
e) DEC fortified salt given for prophylaxis
in endemic area
3)anti-filarial campaign includes
a)
b)
c)
d)
e)
JE control
a) Aedes albopictus is the vector found
in the rural areas
b) JE vaccine is incluses in EPI
c) Vaccination of pigs in an important
preventative method
d) Vectors breeds in paddy fields
e) Vaccination is carried out in junejuly months only
Dengue control
1)T/F regarding the dengue fever
a) It is a rural disease
b) An outbreak can be predicted by
metrological data
c) Regular vector surveys are conducted by
MOH
d) COMBI is the latest control strategy
e) Breteau index asses Aedesegypti
infection
2)T/F regarding dengue fever
a) Outbreaks can be predicted by
meteorological data
6)Regarding hep B in SL
a) SL is a low to moderate prevalent
country
b) Vaccine was included in EPI since
2003
c) May spread via water
d) Organ transplant of recipient are at
a higher risk of getting infected
e) Infants are infected via beast milk
f) Vaccine is not effective when given
to new born
g) Virus is destroyed by boiling 60C
for 20 mins
h) Vertical transmission is a
recognized way of transmission
Malaria control
1)T/F regarding malaria control program in
SL
a) Administrating primaquine to
pregnant women in malarial areas
b) Using Malathion impregnated bed
nets
c) Quarterly spraying of Malathion is
malarial areas
d) Using biological methods for vector
control
e) Community participation is used in
reducing breeding
2)the following are used for residual spray
in malaria areas
a)
b)
c)
d)
DDT
Malathion
Pyrethran
Fenitrothion
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e) Lambda-cylothrin
4)anti-malarial campaign
a) Premaquine is given for pregnant
mothers
b) Malathion impregnated nets are used
c) Malathion is sprayed quarterly in
malarial areas
d) Biological vector control is used
e) Community participation is carried
out to get rid of breeding places
Cancer control
1)T/F regarding CA
a) In sl breast cancer is the
commonest amongst females
b) Oesophagial carcinoma in the 3rd
commonest ca in both males and
females
c) Mortality Data available in cancer
register
d) 60% of cases are due to any form
of tobacco intake
e) Scerrning for CA is done at well
women clinic
2)regarding cancer control programme in
SL
a) Provision for training for health
staff
Oropharangeal CA
Breast CA
Colorectal CA
Prostate CA
Cervical CA
Females
>40 years
Urban areas
Low socio-economical background
Smokers
Diarrheal diseases
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a)
b)
c)
d)
e)
a)
b)
c)
d)
e)
BR
IMR
Number of home deliveries
Dependency ratio
Incidence of whooping cough among
children below 5years
a) Maintained by SPHM
b) All women between 15-39yrs are
included
c) Can be used to evaluate SPHM
d) Indicates types of birth
e) Can be used to identify the target
population for family planning
18. T/F;
a) Premature and LBW babies need high
dietary iron than normal
b) Infants start the life with high Zn stores
c) 2/3rds of the breast milk calcium is
stored in the body after intake by the
baby
d) Vitamin A cannot be utilized without
protein and vitamin C
a)
Occupational Health
1) Regarding occupational diseases;
a) Raynauds syndrome is common in
person working with vibration tools
b) Chronic dermatitis is a common skin
condition caused by nickel
c) Arsenic causes skin cancer
d) Cadmium is one of the most toxic
substance used in industries
e) Mercury causes behavioral changes
2) Regarding occupational diseases;
a) Mesothelioma is common in asbestos
workers
b) Hyperlipidemia can be caused by
carbon disulphide
c) Psychiatric symptoms occur by heavy
metals
d) Chromium is a cumulative poisoning
e) Acute carbon dioxide poisoning can
occur from exhaustion of fumes of
motor vehicles
3) Regarding the occupational diseases;
a) Major cause of mortality are
respiratory tract infections
b) Most vulnerable group include female
migrants
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lung
cancer
b. Asbestos industry
Bowel
cancer
c. Oil refinery
skin
cancer
d. Coal mining
leukemia
e. Rice milling
nasopharyngeal cancer
f.
g.
h.
i.
j.
Environmental health
1) Proper waste management includes
8)
a.
b.
c.
d.
e.
a)
b)
c)
d)
e)
Waste avoidance
Dumpling in selected locations
Re-cycling
Re-using
Burning in an open area with good
circulation
c.
Agrochemical cause water pollution
by increasing the nitrogen available for the
plankton in the water
d.
Dengue is classified as water born
disease
e.
Spraying agrochemicals may lead to
water pollution
Miscellaneous
1)Regarding healthy lifestyle
a.
Should start from adolescence
b.
Is successfully achieved through
community participation
c.
Is inevitable in persons leading
successful lives
d.
Has no effect on economy status of
the country
e.
Has no effect on reproductive life
2)Regarding stress
a.
b.
c.
d.
e.
Epidemiology
1) A cohort study differs from a casecontrol study as the former
a) Proceeds from effect to cause
b) Involves large number of subjects
c) Starts with the disease
d) Being useful for exploratory studies
e) Yields both relative and attribute
risks
e) Results by OR
5 5.1List 4 major nutritional problems in Sri Lanka and indicate the vulnerable groups of each problem
mentioned (30marks)
5.2 List the feeding recommendation for a young child from birth up to 2 years of age (30marks)
5.3 Discuss advantages and disadvantages of the thriposha programme in Sri Lanka (30 marks)
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Batch 02(F)
1 The incidence of Type 2 diabetes mellitus in Sri Lanka has increased to such an extent that it has
become a major problem of health
1.1 List the reasons for this situation (20 marks)
1.2 If you were a medical officer of health (MOH) what steps would you take to bring down the
incidence of this disease in your MOH area (80 marks)
2
3.1 Outline the antenatal care services provided through medical officer of health unit (25 marks)
3.2 Describe the role of public health staff in preventing infant deaths in the community (25 marks)
3.3 List the responsibly of a public health inspector with respect to school health programme (25
marks)
3.4 Describe the services provided through a well woman clinic (25 marks)
5.1 List the current activities carried out by the ministry of health to prevent and control iron
deficiency anaemia in Sri Lanka. (40 marks)
5.2 A medical officer of health (MOH) has observed that a 2 year old child is having a weight below
-32 in the Child Heath and Development Report (CHDR).Describe the action you as the MOH
would take to address this problem. (60 marks)
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Batch 03(F)
3.2 List the responsibilities of a public health inspector with respect to the school health
programme ( 25 marks)
3.3 Describe the role of the public health midwife in providing family planning services (25
marks)
3.4 Describe the services provided in a child welfare clinic (25 marks )
4
4.1 Define the term notification and list 5 notifiable diseases (30 marks)
4.2 Describe the processes notifying using a flow diagram (30 marks)
4.3 Outline the schedule of vaccines to be administered under the expanded programme of
immunization up to 2 years of age (40 marks)
5 5.1 Liist the common nutritional deficiency disorders in sri lanka , and the high risk groups for each
deficiency disorder (30 marks)
5.2 List the nutritional supplements given during antenatal care and give reasons for providing them.
5.3 Discuss the main reasons for protein-energy malnutrition amongst pre-school children in Sri
Lanka (40 marks)
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Batch 04(F)
1
1.1 as medical officer of health , describe the measures you would take to reduce the incidence of
ischemic heart disease in your area. (60 marks)
1.2 list the risk factors associated with road traffic accidents in Sri lanka (40 marks)
5.1 List the types of health hazards that could be encountered in a gament factory giving 2 examples
for each hazard mentioned (40 marks)
5.2 A high incidence of chronic back ache was reported in the accounts department of a privet
company, resulting in poor work performance of its employees. The factory management it keen to
work with MOH to overcome the problem If you are the MOH in the relevant area , briefly explain
your responsibilities and how would you provide a solution to the problem. (60 marks)
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