Com Med Compiled

COLLEGE OF MEDICAL SCIENCES
DEPARTMENT OF COMMUNITY
MEDICINE
BHARATPUR, CHITWAN, NEPAL

COMMUNITY MEDICINE
PAPER - X
PREPARED BY :
1. DR. NARESH MANANDHAR
2. MRS. MEERA PRASAI
3. DR. TRIPTI PAL RAMAN
4. DR. SRIJANA PANTHI
5. DR. DIPENDRA KHATIWADA
Lecture Topics for I MBBS
1. BASIC CONCEPT [MODULE: HISTORY OF MEDICINE AND CONCEPT OF
HEALTH]
a) History of Medicine
b) Primitive Medicine, Indian Medicine, Chinese Medicine: History, development and
contributions
c) Greek, Roman and Egyptian Medicine: History, development and contributions
d) Dawn of scientific Medicine
e) Modern Medicine/Medical Revolution- Changing concept, modernization,
development
f) Healthcare Revolution
g) Medical Ethics/ Eugenics
h) Health and Dimensions of health: Definition and Introduction to health, various
dimensions and their brief explanations
i) Modes of Intervention: Health promotion, specific protection, Early diagnosis and
treatment, disability limitation and rehabilitation
j) Determinants of health: Biological, Environmental, socio-economic, etc.
k) Epidemiological Triad/Theories of disease causation: Introduction, agents, host and
Environment, germ theory of disease, Multifactorial causation, web of causation
l) Natural History of disease: Introduction, Pre-pathogenic, Pathogenic stages
m) Risk factors: Concept and control of disease, spectrum of disease, iceberg phenomena,
disease control, elimination and eradication.
n) Level of prevention: Primordial, Primary, Secondary and Tertiary level prevention.
o) Modes of Intervention: Health promotion, specific protection, Early diagnosis and
treatment, disability limitation and rehabilitation
p) Indicators of health: Mortality, Morbidity, Disability, Nutritional status, etc.
q) Health for All- Goals and targets: Introduction, objectives, strategies
r) Primary healthcare: Definition, components, function, services
s) Millennium Development Goals in context of Nepal: Brief introduction, goals, and
health related goals and targets.
t) National health policy of Nepal: Brief summary, History and acts, current health
policies, strategies and implementation
u) Population Medicine: Hygiene, Public health, Preventive medicine, Social medicine,
Community medicine
v) Socio-cultural aspects of healthcare in Nepal
2. AUTONOMIC NERVOUS YSTEM/MUSCULOSKELETAL/INTEGUMENTARY
[MODULE: NUTRITION-I & II, ENVIRONMENTAL SCIENCE-I, IOSTATISTICS]
a) Classification of Food- Macronutrients- Carbohydrate/Fat/Protein- Sources, daily

requirement, planning
b) Micronutrients: Vitamins- water soluble, fat-soluble.
c) Minerals- Various minerals, sources, daily requirements, deficiency
d) Balanced diet: Definition, planning of balance diet for medical students, pregnant
women, lactating women
e) Nutritional Assessment: Various Methods-Clinical examination, Anthropometry,
Biochemical evaluation, Functional assessment, Assessment of dietary intake, Vital and
health statistics, Ecological studies
f) Nutritional Problems in Nepal: Common problems, Problem statement, prevention and
treatment
g) Deficiency Disorder-Vit A: Definition, Problem statement, manifestations, treatment
and prevention
h) Iodine Deficiency Disorder: Definition, Problem statement, manifestations, treatment
and prevention
i) Iron Deficiency: Definition, Problem statement, manifestations, treatment and
prevention
j) Zinc Deficiency: Definition, manifestations, treatment and prevention
k) Protein Energy Malnutrition-I: Kwashiorkor
l) Protein Energy Malnutrition-II: Marasmus
m) Water Soluble Vitamins: Vitamins A, D, E, K- Sources, requirement, prevention and
treatment
n) Fat Soluble Vitamins- Vitamins B groups, Vit. C- Sources, requirement, prevention and
treatment
o) Food hygiene/Food borne disease/Milk borne disease- Sources of infection,
Pasteurization
p) Food Toxicants- Adulteration and fortification/ Epidemic dropsy
q) Introduction to Environmental health: Definitions, Components of environment and
environmental hazards, sources of environment pollution, risk factors, impact on health,
prevention
r) Water: Sources, types, quality, water borne disease
s) Water Purification-I: Methods of purification-Small scale- Boiling, filtration,
chlorination, Large scale- Rapid sand filter, Slow sand filter
t) Solid and waste disposal- Waste management, types, Methods- Sewage, sullage and
sludge
u) Excreta disposal- Methods and types
v) Housing- Criteria,
w) Biostatistics-I: Origin and development, definition, uses
x) Biostatistics-II: Data collection- types of data, Methods, presentations- Bar diagram,
graph charts
y) Biostatistics-III: Measure of central tendency- Mean, mode, Median-Merits, Demerits
z) Biostatistics-IV: Measure of dispersion- Range, Quartile deviation, Mean deviation,
Standard deviation-Merits and Demerits
3. CARDIO-VASCULAR/HAEMOTOPOIETIC SYSTEM [ MODULE:

DEMOGRAPHY, HEALTH EDUCATION, EPIDEMIOLOGY-I]
a) Introduction of Demography- Definition of Demography, Demographic Cycle,

population, transition theory, Age and sex-wise distribution of people.
b) Determinants of Fertility- population pyramid, Sex ratio, Dependency ratio
c) Measures of Fertility- CBR, ASFR,GFR,TFR,GRR,NRR, Vital statistics, sources and
uses
d) Health Education- Introduction and objectives, Principles
e) Health Education- Health education VS Propaganda, Audio-Visual aids for individual
and mass
f) Health Education- Information, education and communication
g) Health Education-Planning and Practices
h) Health Education-Evaluation of Health education
i) Epidemiology- Definition, types, uses
j) Epidemiology- Descriptive epidemiology-Times/place and person distribution
4. RESPIRATORY SYSTEM [MODULE: ENVIRONMENTAL SCIENCES-II]

a) Air Pollution-I: Composition, Sources, Pollutants, Monitoring, Effects
b) Air Pollution-II: Ventilation, types of ventilation, lighting
c) Noise Pollution- Sources, Effects, Control
d) Radiation Hazards- Sources, Types, Effects, Protection
e) Medical Entomology- Introduction, Arthropods of Medical Importance, Arthropods
Diseases
f) Mosquito- Classification, Life cycles, Diseases Transmission, Prevention and Control
g) Housefly- Diseases Transmission, Prevention and Control
h) Sand fly and Fleas- Disease Transmission, Prevention and Control
i) Tick, Mites and Bugs- Disease Transmission, Prevention and Control
j) Lice, Cyclops- Disease Transmission, Prevention and Control
Lecture Topics for II MBBS
1. GASTROINTESTINAL SYSTEM [MODULE: SOCIOLOGY AND COMMUNITY
DIAGNOSIS]
a) Sociology: Definition and History-Medical sociology, Medical social worker, Concepts,
difference between society and community
b) Family: Family life cycle and stress, types and functions
c) Family in health and disease: Child rearing, socialization, personality development,
care of dependents, broken family and problems in family
d) Cultural factors in health and disease: Causative factors-supernatural beliefs, mother
and child health, environmental sanitation, personal habits, sex and marriage
e) Social organization and socio-economic status- Structure of society, social mobility,
Kuppuswamy scale
f) Community Diagnosis : Definition, Importance, Needs, Prioritization, Survey and
important information,
g) Community Diagnosis: social mapping, methodology, difference between community
diagnosis and clinical diagnosis,
h) Community participation- Definition, Degree of participation, Johari window
2. RENAL/ENDOCRINE SYSTEM[MODULE: FAMILY MEDICINE]

a) Fever/Acute Respiratory Infection: Introduction, causative agent, transmission,
sign/symptoms, prevention and control
b) Chronic Obstructive Pulmonary Disease/Asthma: Introduction, risk factors,
c) Pneumonia/Rubella: Introduction, causative agent, transmission, sign/symptoms,
prevention and control
d) Mumps: Introduction, causative agent, transmission, sign/symptoms, prevention and
control
e) Diphtheria/Pertusis: Introduction, causative agent, transmission, sign/symptoms,
f) Chickenpox: Introduction, causative agent, transmission, sign/symptoms, prevention and
control
g) Tuberculosis: Introduction, causative agent, risk factors, transmission, sign/symptoms,
h) Measles: Introduction, causative agent, transmission, sign/symptoms, prevention and
control
i) HIV/AIDS: Introduction, causative agent, risk factors, transmission, sign/symptoms,
j) Diarrhoea: Introduction, causative agent, transmission, sign/symptoms, prevention and
control
3. REPRODUCTIVE SYSTEM [MODULE: EPIDEMIOLOGY-II]
a) Epidemiology- I: Modes of disease transmission, classification, susceptibility host

b) Epidemiology-II: Case control study- Definition, basic steps, Odd ratio, Bias,
advantages and disadvantages
c) Epidemiology- III: Cohort study- Definition, study elements, relative risk, attributable
risk, advantages and disadvantages, difference between case control and cohort
d) Epidemiology-IV: Randomized controlled trial and Non-randomized controlled trial-
Types, basic steps
e) Epidemiology-V: Screening test- Definition, types, criteria, diagnostic tests and
difference between diagnostic and screening test
4. CENTRAL NERVOUS SYSTEM AND SPECIAL SENSE [MODULE:

BEHAVIOURAL SCIENCES AND INTEGRATED MANAGEMENT OF
CHILDHOOD ILLNESS]
a) Behavioral sciences: Introduction, definitions, causes of different behavior,
Learning- types- Cognitive, Affective, Psychomotor
b) Attitude- Opinions and beliefs, Interest
c) Puberty and Adolescent- Growth and Development, Changes and Problems
d) Behavior problems-I: Common behavior problems in adolescents and children
e) Behavior problems-II: Drug abuse
f) Behavior problems-III: Alcoholism
g) Juvenile Delinquency, Battered baby syndrome
h) Counseling- Introduction and types of counseling
i) Sexual behavior (Developmental changes in adolescent and problems
j) Integrated Management of Maternal and childhood Illness (1st)- History, strategy,
Diseases (Measles/Malaria)
k) Integrated Management of Maternal and childhood Illness (2nd)- Diseases-
ARI/Diarrhea/Malnutrition
PRACTICAL TOPICS for I & II MBBS
Biostatistics
Introduction of Practical classes- Variable, frequency, construction of Frequency

table
Presentation-I (Histogram, Frequency polygon/Frequency curve/ Line graph)
Presentation-II (Simple/Multiple/ Component-Bar diagrams/Pie-chart
Calculation of Mean, Mode, Median for Individual series
Calculation of Mean, Mode, Median for Discrete series
Calculation of Mean, Mode, Median for Continuous series
Calculation of Range, Mean Deviation, Standard Deviation for Individual series
Calculation of Range, Mean Deviation, Standard Deviation for Discrete series
Calculation of Range, Mean Deviation, Standard Deviation for Continuous series
Demography
Calculation of Mortality Rates- Crude Death Rate, Infant Mortality Rate, Neonatal
Mortality Rate, Post-Neonatal Mortality Rate, Peri-Natal Mortality Rate, Maternal
Mortality Rate, Child Mortality Rate, Under Five Mortality Rate
Calculation of Fertility Rates- Crude Birth Rate, General Fertility Rate, Age Specific
Fertility Rate, Total Fertility Rate, Gross Reproduction Rate, Net Reproduction Rate
Epidemiology
Calculations of Morbidity Rates- Incidence Rate, Prevalence Rate, Attack Rate,

Secondary Attack Rate, Odds Ration, Relative Risk, Attributable Risk, Sensitivity,
Specificity, Case Fatality Rate, Standardization: Direct & Indirect Methods.
Nutrition
Calculation of Body Mass Index, Balance Diet
Environmental Science
Disinfection of Well water- Chlorination, Horrocks Test

List of Spotters
Nutrition- Cereals, Pulses, Beans, Egg, Fruits, dry fruits, jaggery, seasonal vegetables,
oil, photographs and models of various nutritional deficiency diseases
Environmental science- Models of various types of filtration, water source, excreta
disposal, insecticides and disinfectants
Entomology slides and photographs- Types of Mosquitoes-egg, larvae, pupa, adult;
Sandfly, Rat Flea, Bug, Lice, Cyclops, Tick, Mite
Biostatistics- Photographs of different types of diagrams and charts
Textbook
1. Parks Textbook of Preventive and Social Medicine, K. Park, 22nd Edition, 2013,
Banarasidas Bhanot, Jabalpur, India.
Reference books
1. Social and Preventive Medicine, Gupta and Mahajan, Latest Edition
2. Methods in Biostatistics, BK Mahajan, Latest Edition
3. Social and Preventive Medicine, JS Mathur.
4. Community Diagnosis Manual, Dr. Cynthia Hale, Ishowar B Shrestha, Archana
Bhattacharya, Health Learning Materials Centre, IOM, Maharajgunj
5. Text book of Health Education (Philosophy and Principles), Hari Bhakta Pradhan,
Educational Resources for Health, Kathmandu, Nepal
6. Quest for health, 2014, Hemang Dixit, Makalu Publisher, Kathmandu, Nepal
IMBBS
PROFORMA FOR PREPARATION OF TEACHING SCHEDULE
IST MBBS
1. NAME OF THE DEPARTMENT : COMMUNITY MEDICINE
2. NAME OF THE SYSTEM : BASIC CONCEPT
[History of Medicine and concept of health]
3. NAME OF THE FACULTY MEMBER: Visiting faculty
DATE/DAY THEORY TOPIC PRACTCAL TOPIC

Primitive Medicine, Indian Medicine, Chinese
Medicine: History, development and
contributions
Dawn of scientific Medicine
Healthcare Revolution
Medical Ethics/ Eugenics
Epidemiological Triad/Theories of disease
causation: Introduction, agents, host and
Environment, germ theory of disease,
Multifactorial causation, web of causation
Natural History of disease: Introduction, Pre-
pathogenic, Pathogenic stages
Risk factors: Concept and control of disease,
spectrum of disease, iceberg phenomena,
disease control, elimination and eradication.
National health policy of Nepal: Brief
summary, History and acts, current health
policies, strategies and implementation
Population Medicine: Hygiene, Public health,
Preventive medicine, Social medicine,
Community medicine
Revision
I MBBS
3. NAME OF THE FACULTY MEMBER: Dr. Naresh Manandhar

Indicators of health: Mortality, Morbidity,
Disability, Nutritional status, etc.
Introduction of Practical in
Community Medicine, Definition of
-
variable, frequency, frequency
table.
- Introduction of Practical in
table.
table.
table.
IST MBBS
3. NAME OF THE FACULTY MEMBER: Mr. Meera Prasai

Socio-cultural aspects of healthcare in Nepal
I MBBS
3. NAME OF THE FACULTY MEMBER: Dr. Dipendra Khatiwada

Greek, Roman and Egyptian Medicine:
History, development and contributions
Modern Medicine/Medical Revolution-
Changing concept, modernization,
development
Health and Dimensions of health: Definition
and Introduction to health, various
dimensions and their brief explanations
Determinants of health: Biological,
Environmental, socio-economic, etc.
Level of prevention: Primordial, Primary,
Secondary and Tertiary level prevention.
Modes of Intervention: Health promotion,
specific protection, Early diagnosis and
treatment, disability limitation and
rehabilitation
Health for All- Goals and targets:
Introduction, objectives, strategies
Primary healthcare: Definition, components,
function, services
Millennium Development Goals in context of
Nepal: Brief introduction, goals, and health
related goals and targets.
Revision
Department of Com.Med
I MBBS - Basic Concept [Modulels: History of Medicine, Concept of Health]

S.A.Qs
Q.No. 1. Define health. What are the dimensions of health? Explain any two.
[Park 22 Edition Pg-13]
Q.No. 2. What are the determinants of health ? Describe briefly any two of them.
Q.No. 3.What are the indicators of health?
Q.No. 4. Describe the level of prevention?
Q.No. 5.Explain the mode of intervention with suitable example.
[Park 22 Edition 40]
Q.No. 6. Discuss briefly about Epidemiological Triad.
Q.No. 7. Why Hippocrates is known as father of medicine?
Q.No. 8.Discuss about the evolution of modern medicine?
Q.No. 9. Explain the natural history of disease with example.
Q.No.10.Define primary health care (PHC). What are the components of PHC?
[Park 22 Edition Pg 28]

I MBBS - Basic Concept [Modules: History of Medicine, Concept of Health]
MCQ's:-
1. Disease was first related to environment by
a. Hippocrates b. Dr. Robert Kochs
c. Pettenkofer d. Attery
2. All of the following are components of Epidemiological Triad EXCEPT:
a. Agent b. Host
c. Health Education d. Environment
3. The etiological concept that can be applied to non-communicable diseases like heart disease is:
a. Germ theory b. Miasmic theory
c. Supernatural theory d. Risk factor theory
4.The intervention that can be effective in the pre-pathogenesis phase of a disease is:
a. Early diagnosis and treatment b. Specific protection
c. Disability limitation d. Rehabilitation
5. The standard of living measured by
a. Education, Employment, Food b. Education, Literacy, Knowledge
c. Education, Mortality, Health Care d. Education, Happiness, Drug Addiction
6. Physical Quality of Life is measured by a composite index from the following indicators
a. Crude death rate, Education, Life expectancy at birth
b. Crude birth rate, housing and life expectancy at age 5.
c. Perinatal mortality, Occupation and life expectancy at age 1
d. Infant mortality rate, Literacy rate and life expectancy at age one
7. Human Development Index is a composite index composing of 3 dimensions
a. Happiness, Knowledge and Social Status
b. Happiness, Knowledge and Position
c. Longevity, Knowledge and Social Status
d. Longevity, Knowledge and Income

8. One of the most sensitive indicators of health status is
a. Crude birth rate

b. Crude death rate
c. Infant Mortality rate
d. Perinatal Mortality
9.The iceberg phenomenon of disease refers to
a. The diseases are more in cold weather
b. The distribution of sub clinical and clinical case with most case being hidden and sub clinical.
c. The distribution of sub clinical and clinical case with most cases being clinical and known to
everybody.
d. The ability of disease to smash through the defenses like an iceberg
10. Sullivans index is obtain by
a. Subtracting duration of bed disability from life expectancy
b. Subtracting duration of bed disability from age
c. Adding duration of bed disability from life expectancy
d. Adding duration of bed disability from age
11. Which of the following is NOT mortality indicator?
a. Crude death rate b. Infant mortality rate
c. Case fatality rate d. Life expectancy
12. Which of the following is known as "Father of Public health"?
a. Tuberculosis b. Cholera
c. John Snow d. Louis Pasteur
13. Who is known as 'First True Epidemiologist' in history of medicine?
a. John Snow b. Hippocrates
c. James Lind d. Joseph Lister
14. Early diagnose & treatment comes

a. Primordial preventions b. Primary prevention
c. Secondary preventions d. Tertiary prevention
15. The first famous Indian surgeon is under
a. Atreya b. Susruta
c. Charaka d. Nagarjuna
16. The four human theory of causation is described in
a. Ancient Indian medicine b. Ancient Egyptian Medicine
c. Ancient Greek Medicine d. Ancient Mesopotamian Medicine
17. Health for all slogan is given by WHO in the year
a. 1947 b. 1977
c. 1997 d. 2007
18. Which factor is not included in the estimation of Physical Quality of life Index?
a. Infant Mortality b. Life expectancy at age one
c. Literacy d. Annual Income
19. The most important risk factor in causation of Myocardial infarction is
a. Lack of exercise b. Diabetes
c. Alcohol d. Smoking
20. Maternal mortality means
a. No. of women dying in a year per 1000 women
b. No. of women dying in a year per 1000 married women
c. No. of women dying in a year per 1000 pregnant women
d. No. of women dying in a year per 1000 population
21. Primodial level of prevention is
a. Early diagnosis and prompt treatment
b. Health promotion and specific protection
c. Rehabilitation
d. Prevention of emergency risk factors
22. Iceberg phenomenon of disease is not shown by
a. Rabies b. Leprosy
c. Tuberculosis d. Diabetes
23. Epidemiological Triad explains
a. Concept of disease b. Indicator of Health
c. Concept of causation d. Concept of Health
24. Which Millennium Development Goal (MDG) is not directly related to health?
a. Improve maternal Health b. Gender equality & woman empowerment
c. Reduce child mortality d. Combat HIV/AIDS, Malaria and other diseases
25.WHO day is celebrated on?
a. 1st December b. 31st May
c. 7th April d. 8th May
26.'Silent Epidemic' of the century is:
a. Coronary artery disease b. Chronic liver disease
c. Chronic obstructive lung disease d. Alzheimer's disease
27. Natural history of disease is best studies by:
a. Cross sectional studies b. RCT
c. Case-control study d. Cohort study
28. Disease elimination means:
a. Cure of disease b. Preventing the transmission totally
c. Eradication of the vector d. Complete termination of infective organism
29. A person who has lost his foot in an accident and is not able to walk is an example of:
a. Disease b. Disability
c. Impairment d. Handicap
30. Secondary level of prevention include all of the following except:
a. Health screening for Diabetes Mellitus b. Case finding for Falciparum Malaria
c. Contact tracing for STIs d. Reconstructive Surgery

I MBBS

2. NAME OF THE SYSTEM : ANS/Musculoskeletal/Integumentary
[Nutrition-I & II, Environmental Science-I,
Biostatistics]
3. NAME OF THE FACULTY MEMBER: Visiting Faculty

Classification of Food- Macronutrients-
Carbohydrate/Fat/Protein- Sources, daily
requirement, planning
Balanced diet: Definition, planning of balance diet
for medical students, pregnant women, lactating
women
Defeciency Disorder-Vit A: Definition, Problem
statement, manifestations, treatment and
prevention
Iron Deficiency: Definition, Problem statement,

manifestations, treatment and prevention
Zinc Deficiency: Definition, manifestations,
treatment and prevention
Water Soluble Vitamins: Vitamins A, D,E,K-
Sources, requirement, prevention and treatment
Fat Soluble Vitamins- Vitamins B groups, Vit. C-
Sources, requirement, prevention and treatment
Food Toxicants- Adulteration and fortification/
Epidemic dropsy
Introduction to Environmental health:
Definitions, Components of environment and
environmental hazards, sources of environment
pollution, risk factors, impact on health,
prevention
Solid and waste disposal- Waste management,
types, Methods- Sewage, sullage and sludge
Excreta disposal- Methods and types
Housing- Criteria, Ventilation, lighting

I MBBS

Biostatistics]

Biostatistics-I: Origin and development,
definition, uses
Biostatistics-II: Data collection- types of data,
Methods, presentations- Bar diagram, graph
charts
Biostatistics-III: Measure of central tendency-
Mean, mode, Median-Merits, Demerits
Biostatistics-IV: Measure of dispersion- Range,
Quartile deviation, Mean deviation, Standard
deviation-Merits and Demerits
- Presentation: Simple, Multiple,
Component bar diagrams, Pie
chart
chart
chart
chart

I MBBS

Biostatistics]

Micronutrients: Vitamins- water soluble, fat-
soluble.
Minerals- Various minerals, sources, daily
requirements, deficiency
Nutritional Assessment-I: Various Methods-
Clinical examination, Anthropometry, Biochemical
evaluation, Functional assessment, Assessment of
dietary intake, Vital and health statistics,
Ecological studies
Iodine Deficiency Disorder: Definition, Problem
statement, manifestations, treatment and
prevention
Protein Energy Malnutrition-I: Kwashiorkor
Protein Energy Malnutrition-II: Marasmus
Nutritional Problems in Nepal: Common

problems, Problem statement, prevention and
treatment
Food hygiene/Food borne disease/Milk borne
disease- Sources of infection, Pasteurization
Water: Sources, types, quality, water borne
disease
Water Purification-I: Methods of purification-
Small scale- Boiling, filtration, chlorination, Large
scale- Rapid sand filter, Slow sand filter
Community Medicine- I MBBS

Musculoskeletal system/ANS/Integumentary system
[Module: Nutrition-I & II and Environmental sciences-I, Biostatistics]
1. What is the difference between food and nutrition? Describe the prevention of scurvy in the
community.(Park 22/E page no. 562)
2. Explain the ocular manifestations of Vitamin A deficiency. Discuss about its prevention and control
in the community. .(Park 22/E page no.569)
3. Define Balance diet. Describe the Balance diet for the medical student of age 20 years. .(Park 22/E
page no. 591)
4. Enumerate the common nutritional deficiency disorders in Nepal. Describe protein energy
malnutrition in Nepal. .(Park 22/E page no.592)
5. What are the nutritional deficiency diseases? Describe the prevention and control of Iron deficiency
disease. .(Park 22/E page no. 596)
6. What are the nutritional deficiency diseases? Describe the prevention and control of Iodine deficiency
disease. .(Park 22/E page no. 597)
7. Enumerate milk-borne disease in Nepal and the characteristic feature of milk-borne epidemic. .(Park
22/E page no. 607,699)
8. What are the differences between fortification and enrichment of food and its importance. .(Park 22/E
page no. 611)
9. Briefly discuss Epidemic dropsy. .(Park 22/E page no. 610)
10. What are the types of water purification? Briefly discuss on any one method on small scale. .(Park
22/E page no. 660)
11. Define safe water. Enumerate the sources of water. Describe the process of chlorination of water.
.(Park 22/E page no. 655-663)
12. What do you understand by the term Sewage, Sullage, and Sludge? Enumerate common faeco-oral
disease in Nepal. .(Park 22/E page no.707 )
13. What are the basic principles of housing? Discuss the impact of bad housing on health. .(Park 22/E
page no.696)
14. What are the water-borne diseases? How will you prevent them in the community?
(Park 22/E page no.659)
15. Define Biostatistics. What are the uses of Biostatistics in medical sciences?
(BK Mahajan 6/E page no.3-5)
16. What are the measures of Central Tendency? Describe with suitable example.
(BK Mahajan 6/E page no.36)
17. What are the measures of Dispersion? Describe with suitable example. (BK Mahajan 6/E page no.63)
18. What are the differences between Histogram and Simple bar diagram? .( BK Mahajan 6/E page
no.20/30)
MCQ
1. Which of the following is not a macronutrient?
a) Essential amino acid b) Iron
c) Essential fatty acid d) Glucose
2. Which of the following food is accepted as reference protein?

a) Humans milk b) Cows milk
c) Hens egg d) Soybean
3. Which vitamin is loss during polishing of rice?

a) Carotene b) Thiamine
c) Cyanocobalamin d) Ascorbic Acid
4. Toxin present in lathyrus sativus seed is

a) Sanguinarine b) Fusarium
c) Beta-oxalyl-amino-alanine (BOAA) d) Pyrrolizidine
5. All the following are food fortifications except

a) Iodization of salt b) Addition of vitamin A and D to vanaspati ghee
c) Addition of color to saccharin d) Addition of iron to wheat flour
6. All of the following are essential amino acids (EAA) except

a) Leucine b) Isoleucine
c) Lysine d) Glycine
7. Purest form of water available in nature is from

a) Springs b) Ponds
c) Rain d) Lakes
8. Solid waste arising from the preparation, cooking and consumption of food is known as
a) Litter b) Rubbish
c) Refuse d) Garbage
9. Oxidation pond is a method used for

a) Solid waste disposal b) Sewage treatment
c) Water purification d) Sullage disposal
10. Trickling filter is used in

a) Primary treatment of sewage b) Secondary treatment of sewage
c) Oxidation pond d) sewage farming
11. Which of the following is not an essential fatty acid (EFA)?

a) Linoleic acid b) Linolenic acid
c) Stearic acid d) Arachidonic acid
12. The dose of vitamin A capsule given to children 1-5 years of age for prevention against nutritional
blindness is
a) 50,000 IU b) 1 lakh IU
c) 2 lakh IU d) none of the above
13. Flanky paint dermatosis is a sign of

a) Marasmus b) Kwashiorkor
c) Iron deficiency anemia d) Vit. A deficiency
14. Which of the following is considered an adequate water supply/head/day?

a) 50-100 L b) 150 200 L
c) 200-250 L d) 100-150 L
15. Vit. D is found maximum in

a) Fish fat b) Milk
c) Egg d) Cod-liver oil
16. Zinc deficiency is common in children from developing countries due to all of the following except
a) Less consumption of animal food b) High dietary phytate content
c) High incidence of intestinal parasitosis d) Frequent diarrhoea episode
17. Which of the following minerals cannot be completely supplemented by diet in pregnancy?
a) Calcium b) Iron
c) Zinc d) Phosphorus
18. The highest quantities of vitamin c is found in

a) Orange b) Cabbage
c) Indian Gooseberry d) Guava
19. The feature of hypervitaminosis A is

a) Alopecia b) Anorexia
c) Pseudotumour cerebri d) All of the above
20. The daily fat requirement should be what proportion of total daily energy intake?
a) 10% b) 20%
c) 15% d) 30%
21. Which one of the following method is used for estimation of chlorine demand of water
a) Chlorometer b) Horrocks apparatus
c) Berkfield filter d) Double pot method
22. The highest percentage of polyunsaturated fatty acids are present in

a) Groundnut Oil b) Soyabean Oil
c) Margarine d) Palm Oil
23. Histogram is used to describe

a) Quantitative data of a group of patient
b) Qualitative data of a group of patient
c) Data collected on nominal scale
d) Data collected on ordinary scale
24. Under national programme for the prevention of nutritional blindness a child in the age group of 6 to
11 months is a given a mega dose of vit-A equal to
a) 50,000 IU b) 1,00,000 IU
c) 1,50,000 IU d) 2,00,000 IU
25. Deficit in weight for Height in 3 years old child indicates
a) Acute Malnutrition b) Chronic Malnutrition
c) Concomitant Acute & chronic d) Underweight
26. A 24 years old primigravida with weight 57kg visits antenatal clinic during her second trimester of
pregnancy seeking dietary advice. She should be advised.
a) No extra kcal b) additional intake of 650 kcal.
c) Additional intake of 500 kcal d) additional intake of 300 kcal
27. Which one of the following pulses has the highest content of Iron
a) Bengal gram b) Black gram
c) Red gram d) Soyabean
28. Weight of an Nepali reference women is

a) 45 kg b) 50 kg
c) 55 kg d) 60 kg
29. Additional daily energy requirement during the first 6 months for lactating women is
a) 350 kcal b) 450 kcal
c) 550 kcal d) 650 kcal
30. The protein content of rice for 100 gms is

a) 4 to 5 gms b) 6 to 8 gms
c) 9 to 10 gms d) 11 to 12 gm
31. Additional daily energy requirement during the first 6 months for lactating women is
a) 350 k cal b) 450 k cal
c) 550 k cal d) 650 k cal
32. Deficit in weight for height in 3 years old child indicates

a) Acute malnutrition b) Chronic malnutrition
c) Concomitant acute & chronic d) Underweight
33. Casals Necklace is seen is deficiency of

a) Vitamin A b) Vitamin B3
c) Vitamin B6 d) Vitamin D
34. Action of slow sand filter depends upon

a) Size of sand particles b) Sand compactness
c) Superficial layer d) Zoogleal layer
35. Chlorination of water helps in:

a) Destroys some taste and odor producing constituents
b) Controls the growth of algae
c) Helps in coagulation
d) All of the above
36. The residual germicidal effect for disinfecting water present in:
a) Ozonation b) Chlorination
c) Ultraviolet d)All of the above.
37. Sullage consists of :

a) Solid vegetable waste matter b) Inorganic waste
c) Waste containing human excreta d)Waste water from Kitchen
38. Under National Nutrition Program, the correct age for vitamin A supplementation is
a) 1 months to 6 month b) 6 months to 1 year
c) 6 months to 5 year d) 5 year to 9 year
39. The toxic agent of epidemic dropsy" is

a) BOAA b) Sangunarine
c) Ergot alkaloids d) Pyrrolizidine alkahoid
40. Which of the following nutrition programme is associated with ministry of education in Nepal?
a) Vitamin A prophylaxis b) Iron and Folic acid distribution
c) Iodine Deficiency Disorder d) Balposhan Karyakram
41. The 40th percentile of n observation is:

a) (2n)/5 b) 2/(5n)
c) (4n)/5 d) 4/(5n)
42. Iodine content in house-hold salt should be:

a) 5 ppm b) 10ppm
c) 15 ppm d) 20 ppm
43. Iodine content in salt should be at factory level.
a) 40 ppm b) 50 ppm
c) 60 ppm d) 70 ppm
44. Mean, Mode and Median are:

a) Measures of dispersion b) Measures association between two variables
c) Test of significance d) Measures of central tendency
45. Median of the following data: 10, 9, 8, 8, 7 will be

a) 8.75 b) 8
c) 9 d) 10
46. Following are the measures of central tendency except:
a) Mean b) Median
c) Mean deviation d) Mode
47. Following are the measures of dispersion except:
a) Range b) Arithmetic Mean

c) Mean deviation d) Standard deviation
48. The weight in Kg of following at birth : 2, 2.5, 3, 2.5, 3 Mean is
a) 2 b) 2.5
b) 3 d) 2.6
49. The weight in Kg of infant at birth : 2, 2.5, 3, 2.5, 3 Median is
a)2 b) 2.5
b) 3 d) 2.6
50. The number of patient visited the OPD in a week is 10, 8, 12, 14, 12, 10. The mean number of patient
is:
a) 8 b) 10
c) 11 d) 12
51. The number of patient visited the OPD in a week is 10, 8, 12, 14, 12, 10 Median is:
a) 8 b) 10
c) 11 d) 12
52. The number of member of 10 families in a community are 5, 6, 8, 6, 7, 6, 8, 6, 8, 5. The mode is
a) 5 b) 6
b) 7 d) 8
53. The Bar diagram is

a)One dimension b)Two dimension
c)Three dimension c)All of above
54. Pie diagram is

a) One dimension b) Two dimension
c) Three dimension d) All of above
IST MBBS

2. NAME OF THE SYSTEM : CVS/HAEMOTOPOIETIC
[Demography, Health Education,
Epidemiology-I]
3. NAME OF THE FACULTY MEMBER: DR. NARESH MANANDHAR

Introduction of Demography- Definition of
Demography, Demographic Cycle,
population, transition theory, Age and sex-
wise distribution of people.
Determinants of Fertility- population
pyramid, Sex ratio, Dependency ratio
Measures of Fertility- CBR,
ASFR,GFR,TFR,GRR,NRR, Vital statistics,
sources and uses
- Presentation-I (Histogram, Frequency
polygon/Frequency curve/ Line graph)
I MBBS

Epidemiology-I]
3. NAME OF THE FACULTY MEMBER: MRS. MEERA PRASAI

Health Education- Introduction and objectives,
Principles
Health Education- Health education VS
Propaganda, Audio-Visual aids for individual
and mass
Health Education- Information, education and
communication
Health Education-Planning and Practices
Health Education-Evaluation of Health
education
IST MBBS

Epidemiology-I

Epidemiology-Definition,
types, uses
Epidemiology- Descriptive
epidemiology-Times/place and
person distribution
- Presentation-II (Simple/Multiple/
Component-Bar diagrams/Pie-chart
- Presentation-II(Simple/Multiple/
I MBBS - Hematopoietic/Cardiovascular System [Modulels:Epidemiology-I, Demography,
Health education)
S.A.Qs
Q.No. 1. What are the stages of Demographic Cycle?
Q.No. 2. What are the determinants of fertility? Briefly discuss any two determinants.
Q.No. 3. What are the measures of fertility ? Briefly discuss any two measures of fertility
Q.No. 4. Discuss population pyramid of Nepal.
Q.No. 5. Define Epidemiology. What are the different types of epidemiological studies?
[Park 22 Edition Pg-50/65]
Q.No. 6. What do you understand by descriptive epidemiology? Briefly discuss any one distribution of
study.
Q.No. 7. Write the differences between health education and propaganda.
[Park 22 Edition Pg-802/Table 1]
Q.No. 8. What are the different methods of health education?
Q.No. 9. What are the different methods of communication in health education?
Q.No.10. How will you plan the health education program?[Park 22 Edition Pg-809]
I MBBS - Hematopoietic/Cardiovascular System [Modulels:Epidemiology-I, Demography,
Health education)
MCQ's
1 . In which stage of demographic cycle lies Nepal at present?
a) 1st stage b) 2nd stage
c) 3rd stage d) 4th stage
2. Population growth rate of Nepal for the year 2011 is
a) 1.2 b) 1.35
c) 1.65 d) 2.1
3. Demographic gap is maximum in
a) Early 1st stage b) Late 2nd stage
c) Late 3rd stage d) Early 4th stage
4. Demographic process does not include
a) Fertility b) Morbidity
c) Mortality d) Social Mobility
5. The population of Nepal according to 2011 census is
a) 24.5 million b) 18.4 million
c) 26.4 million d) 30.0 million
6. In health education Comprehension means

a) Repetition of message b) Level of understanding
c) Awake the desire of learning d) To make active involvement of people.
7. All of the following are observational studies except
a) Ecological studies b) Longitudinal studies
c) Cross sectional studies d) Community trials

8. Natural growth rate is given by
a) CBR - CDR b) CBR + CDR
c) CBR /CDR d) CDR x CBR
9. Total fertility rate of Nepal for year 2011 is
a) 2.6 b) 3.1
c) 2.1 d) 3.6
10. The gross reproduction rate is number of child born by a women during her reproductive age of
a) Female Child b)Male Child
c)Both Male And Female D)None
11. Population growth will be stationary if the net reproduction rate is
a) Zero b) One
c) Two d) Three
12. The crude birth rate per 1000 mid year population of Nepal for the year 2010 is
a) 10 b) 20
c) 28 d) 36
13. In second stage of demographic cycle
a) Birth rate > death rate b) Birth rate = death rate
c) Birth rate < death rate d) None of above
14. Demography is the study of
a) Change in population b) Composition of population
c) Distribution of population d) All of the above

15. Net Reproduction Rate (NRR) will be equal to 1 if contraceptive prevalence rate is
a) 30% b) 40%
c) 50% d) > 60%
16. TFR is the average no. of ....child born by a woman in her reproductive age
a) Boy b) Girl
c) Both d) None of the above
17. The population pyramid of developing country have
a) Broad base, not bulge at middle and not tapering end
b) Broad base, t bulge at middle and t tapering end
c) Narrow base, not bulge at middle and not tapering end
d) Narrow base, not bulge at middle and not tapering end
18. Under 15 years age population of Nepal for the 2010 is
a) 25% b) 30%
c) 37% d) 42%
19. The determinants of fertility are except
a) Age at marriage b) Family planning
c) Life expectancy d) Education
20. Which country has the highest CBR in the world at present
a) Nigeria b) Niger
c) Nepal d) Saudi Arabia
21. Descriptive studies are investigation of
a) Individuals b) Couples
c) Family d) Population
22. Propagated epidemics include
a) Person to person b) Arthropod vector
c) Animal reservoir d) All of above
23. Epidemic curve in point source epidemic usually have
a) Many peaks b) One peak
c) No peak d) Two peaks
24. All of the following disease show seasonal trend except
a) Measles b) Cerebro-spinal meningitis
c) Hypertension d) Varicella
25. Non infectious diseases showing seasonal trend except
a) Malignancy b) Hay fever
c) Snake bite d) Sun stroke
26. A prostitute may be source of one of the out break
a) Diarrhoea b) Typhoid
c) Gonorrhoea d) Dengue
27.The following disease have shown upward trend in developed countries except
a) Polio b) Coronary heart disease
c) Lung cancer d) Diabetics
28. Cancer of oral cavity is common in
a) Japan b) India
c) China d) USA
29. Urban areas suffers more from these diseases than rural areas except
a)Mental diseases b) Lung cancer
C) Cardiovascular disease d) Transmitted helminths
30. Inner and outer city variation of disease frequency are best studied with aid of
a) Atlas b) Charts
c) Spot map d) None
31. John snow of England did investigation on
a) Hepatitis b) Cholera
c) Malaria d) Polio
32. Mortality rate for married men as compared unmarried men is
a) Low b) High
c) Very high d) No effect
33 .Longitudinal studies are useful to

a) Study natural history of disease b) Identify risk factors of disease
c) Find out incidence rate d) All of above
34. Principle of health education includes all except
a). Participation b). Motivation
c) Reinforcement d) Punishment
35. All of the following are approaches to health education except
a). Service approach b). Regulatory approach
c). Health education approach d.) Mass media

36. All of the following can be done with individual as a unit except
a. Drug administration b. Vaccination
c. Health education d. Case report
37. Which of the following statements refers to propaganda?
a. Appeals to emotion b. Develops individuality
c. The process of behavior centered d. Makes people think for themselves
38. Health education charts serially flashed to the group as the talk is being given is called as
a. Flannel graph b. Flip charts
c. Flash cards d. Exhibition charts
39. Learning in health education should start from
a) Complicate to simple b) Unknown to known
c) Particular to general d) Difficult to easy
40. Media for mass method of health education is all except
a) Newspaper b) Symposium
c) Television d) Radio
41. Audio-visual aid means
a) Models b) Tape recorder
c) Cinema d) Radio
42. Comprehension in the principle of health education means
a) To know the housing condition of people

b) To know the business & income of the people
c) To know the nutritional level/status of people
d) To know the understanding level and use of simple language to the people
43. Local leaders are important to use in health education program because
a) He is head of the village

b) He brings budget for the program
c) Easily accessible to the people & he understand needs of people
d) Provide political support to the program.
44. One motivated person may spread motivation throughout a group, So it is . Process.
a) Contagious b) Transmitting
c) Communicable d) Non of the above
45. Flow of information from sender to receiver and again from audience to sender is
a) Health education b) Feed back
c) Interpersonal d) All of the above
46. Non verbal communication means passing of message without
a) Smile b) Words
c) Any gesture d) Body movement
47. Communication skills in health education are
a) Speaking b) Reading and writing
c) Reasoning d) All of above
48. Two way communication is
a) Participatory b) Socratic
c) Active and democratic d) All of the above

IST MBBS

2. NAME OF THE SYSTEM : RESPIRATORY SYSTEM
[Environmental sciences-II]
3. NAME OF THE FACULTY MEMBER : Visiting Faculty

Air Pollution-I: Composition,
Sources,Pollutants, Monitoring, Effects
Air Pollution-II:Ventilation, types of
ventilation, lighting
Noise Pollution-Sources, Effects, Control
Radiation Hazards- Sources, Types,
Effects, Protection
Medical Entomology- Introduction,
Arthropods of Medical Importance,
Arthropods Diseases
Mosquito- Classification, Life cycles,
Diseases Transmission, Prevention and
Control
Housefly- Diseases Transmission,
Prevention and Control
Sandfly and Fleas- Disease Transmission,
Tick, Mites and Bugs- Disease
Transmission, Prevention and Control
Lice, Cyclops- Disease Transmission,
IST MBBS

2. NAME OF THE SYSTEM : RESPIRATORY SYSTEM
3. NAME OF THE FACULTY MEMBER : Dr. Dipendra /Dr. Tripti
DATE/DAY THEORY TOPIC PRACTICAL TOPIC

Entomology slides- Life cycle of Mosquitoes, Sandfly, Rat
Flea, Bug, Lice, Cyclops, Tick, Mite
I MBBS - Respiratory System
MCQ's- ( Enviromnet science, Entomology)
S.A.Qs
Q.No. 1. What is noise pollution? Enumerates its impact on health?
Q.No. 2. Mention the different types of radiation? How will you minimize and prevent the radiation
hazard?
Q.No. 3.Briefly discuss on biological affects of radiation?
Q.No. 4. What are the sources of indoor air pollution? what are the impact of indoor air pollution on
heath.
Q.No. 5. what are the sources of outdoor air pollution? what are the impact of outdoor air pollution on
heath.
[Park 22 Edition 683]
Q.No. 6. What are the sources of air pollution ? Describe briefly its preventive measures.
Q.No. 7. Classify the arthropods of medical importance . Discuss the preventive and control measures
on disease transmitted by them.
Q.No. 8. What are the insect borne protozoa diseases. Briefly discuss the integrated vector control
methods.
Q.No. 9. What are the disease transmitted by mosquito? Briefly describe the lifecycle of anopheles
mosquito.
Q.No.10.What are the disease transmitted by sand fly? what are the preventive and control measures of
it? [Park 22 Edition 712]
I MBBS - Respiratory System
MCQ's- ( Enviromnet science, Entomology)
1. DDT is a
a) Stomach poison b) Contact poison
c) Fumigant d) None of above
2. Disease transmitted by sand fly are all except
a) Kalazar b) Relapsing fever
c) Oriental Sore d) Bartonellosis
3. Breeding place of sand fly is
a) Stagnant water b) Cracks and crevics
c) Cow dung Heaps d) Garbage dumps
4. Rat flea transmits all of the following except
a) Bubonic plague b) Salmonellosis
c) Hymenolepis diminuta d) Murine typhus
5. Zinc phosphide is
a. Larvicide b. Insecticide
c. Rodenticide d. All of the above
6. Soiling Index is an indicator of
a. Air Pollution b. Water pollution
c. Soil Pollution d. None of the above
7. Auditory fatigue occurs at
a. 2000Hz b. 3000Hz
c. 4000Hz d.8000Hz
8. Unit of radiation observed is
a. Roentgen b. Curie
c. Gray d. Bequerrel
9. Thickness of lead apron to prevent radiation exposure is
a. 0.1mm b. 0.5mm
c. 1mm d. 2mm
10. The most Sensitive index of recent transmission of Malaria in the community.
a. Spleen rate b. Infant parasite rate
c. Slide positive rate d. Animal Parasite Incidence
11. All of the following statements about Mosquito are true except
a. It is a definite host in Malaria

b. It is a definite host in Filaria
c. Its life cycle is completed with in 3 weeks
d. The female mosquito can travel up to 3 kms.
12.Most of the Malaria infections in Nepal are caused by
a. Plasmodium Ovale b. P.Vivax
c. P. Malaria d. P.falciparum
13.Malaria is not found in altitude more than
a. 1000 meters b. 2000 meters
c. 4000 meters d. 8000 meters
14.The Species of the Malaria parasite that has the widest geographic distribution
throughout the world is
a. P.Vivex b. P.Falciparum
c. P. malariae d. P. Ovale
15. Scabies is transmitted by
a. Mites b. Tick
c. Louse d.Rat flea
16. Aedes mosquito transmits the following disease:
a. yellow fever b. dengue fever
c. Chikungunya fever d. Japanese encephalitis
17.Normal life span of mosquito is:
a. 2-3 days b. 5-7 days
c. 8-34 days d.3-4 months
18.Whispering produce a sound of:
a. 20-30dB b.30-40dB
c. 40-50dB d.50-60dB
19. The 'acceptable' noise level is:
a. 85 dB b. 90dB
c. 95dB d.100dB
20.Psychrometer is used to measure:
a. Humidity b. Air velocity
c. Room temperature d. Radiant heat
21. Indoor pollution does not cause:
a. Chronic lung disease b. Pregnancy problem
c. Childhood pneumonia d. Neuro-development problem

22. Kata thermometer measures:
a. Air temperature only
b. Air temperature and humidity
c. Air temperature humidity and air movement
d. None of the above
23. The best indicator of level of air pollution is:
a.H 2 b.CO 2
c.N 2 d.SO 2
24. C0 2 in air is measured by:
a. Manometer b. Hygrometer
c. Kiffer test d. None
25. In indoor air pollution, carbon monoxide is produced by:
a. Combustion equipment b. Stove
c. Gas heater d. All of above
26.The permissible dose of man made radiation should not exceed:
a. 3 rads per year b.5 rads per year
c. 8 rads per year d.10 rads per year
27. unit of absorbed radiation is :
a. Roentegen b. Rad
c. Rem d. Siever
28.Lice is not the vector of:
a. Relapsing fever b. Q fever
c. Trench fever d. Epidemic typhus

29. Which of the following flies does not bite:
a. Sand fly b. House fly
c. Black fly d. Tse-Tse fly
30.Hard tick is the vector of all the flowing diseases except:
a. Relapsing fever b. KFD
c. Indian tick typhus d.Tularaemis

IIMBBS
IIND MBBS
1. NAME OF THE DEPARTMENT : COM. MEDICINE

2. NAME OF THE SYSTEM : GI SYSTEM
[Sociology and Community Diagnosis]
DATE/DAY THEORY TOPIC PRACTICAL

TOPIC
Sociology: Definition and History-Medical
sociology, Medical social worker, Concepts,
difference between society and community
Family: Family life cycle and stress, types and
functions
Family in health and disease: Child rearing,
socialization, personality development, care of
dependents, broken family and problems in
family
Cultural factors in health and disease:
Causative factors-supernatural beliefs, mother
and child health, environmental sanitation,
personal habits, sex and marriage
Social organization and socio-economic status-
Structure of society, social mobility,
Kuppuswamy scale
IIND MBBS


TOPIC
Community Diagnosis :Definition, Importance,
Needs, Prioritization, Survey and important
information,
Community Diagnosis: social mapping,
methodology, difference between community
diagnosis and clinical diagnosis,
Community participation- Definition, Degree

of participation, Johari window
Revision
Revision
IIND MBBS


TOPIC
- Calculation of
Mean, Median
and Mode for
individual series
- Calculation of
Mean, Median
and Mode for
individual series
- Calculation of
Mean, Median
and Mode for
individual series
- Calculation of
Mean, Median
and Mode for
individual series
Community Medicine- II MBBS
GI and Hepatobiliar system [Module: Sociology and Community Diagnosis]
SAQ
1. What is community and its characteristics? (K.Park 22 Edition Pg: 639)
2. What is a family and what are the types of it? (K.Park 22 Edition Pg: 635)
3. What is a problem family? What are the impacts seen to the children of such family? (K.Park
22 Edition Pg: 637)
4. Briefly discuss role of family in child rearing? (K.Park 22 Edition Pg: 636)
5. Cultural factors is responsible in health and disease, How environmental sanitation can play
role to cause bad health? (K.Park 22 Edition Pg: 637)
6. Briefly discuss Empowerment of women for social improvement. (K.Park 22 Edition Pg: )
7. Briefly discuss on importance of social science in health. (K.Park 22 Edition Pg: 637)
8. Discuss on medical social worker. (K.Park 22 Edition Pg: 637)
9. Discuss briefly Community Participation is one of the best approach to improve community
health . (K.Park 22 Edition Pg: 637)
10. Briefly discuss on Community Diagnosis as a base line survey. (K.Park 22 Edition Pg:
637)
11. Briefly discuss on Prioritization in Community Diagnosis. (K.Park 22 Edition Pg: 637)
12. Briefly discuss on methodology of Community Diagnosis. (K.Park 22 Edition Pg: 637)
GI and Hepatobiliar system [Module: Sociology and Community Diagnosis]
MCQ
1. Sociology is the study of

a. Human relationship
b. Human behavior
c. Both
d. None
2. Socially acquired learned behavior is
a. Custom
b. Culture
c. Habit
d. Attitude
3. Acculturation means:
a. Culture contact
b. Study of the various cultures
c. Cultural history of health and disease
d. None of the above
4. Social pathology is
a. Change in disease pattern due to change in lifestyle
b. Study of social problems which cause disease in population
c. Conflicts arising from new opportunities in transitional societies
d. Study of human relationships and behaviour
5. Following are the measures used in Kuppaswamy classification except

a. Education
b. Occupation
c. Income
d. Life expectancy
6. Felt need in community diagnosis is

a. Need experience by observer
b. Need felt by health observer
c. Need felt by community people
d. Need felt by people and observer
7. Objective of Community Diagnosis is all except
a. Provide treatment to community people
b. To define existing problems
c. To determine available resources
d. To set priorities for planning
8. A Comprehensive assessment of entire community in relation to physical, social and

biological environment is
a. Community Participation
b. Community Survey
c. Community diagnosis
d. Community Treatment
9. Following is the type of family except

a. Nuclear family
b. Joint family
c. Three generation
d. Four generation
10. Nuclear family consists of

a. Husband, wife and son
b. Husband, wife and dependent children
c. Husband and wife only
d. Father, mother, husband and wife
11. Medical social work first began in

a. Washington
b. London
c. Rome
d. Geneva
12. Matriarchal family is

a. Authority vested on father
b. Authority vested on mother
c. Both
d. Authority vested on grandfather
13. Broken family is
a. Parents are unable to meet the minimum needs of the children
b. Where parents are separated
c. Parents working and living in two different places
d. Always conflict between parents
14. Advantage of joint family is all except

a. Property is held in common
b. Authority is vested in senior membrane
c. Union is strength
d. Husband wife relation is more intimate
15. The secret of national health lies in the homes of the people, this statement is given by:
a. Rene Sand
b. John Ryle
c. Florence Nightingale
d. Edwin Chadwick
IIND MBBS
2. NAME OF THE SYSTEM : RENAL/ENDOCRINE
[Family Medicine]

TOPIC
Day 1 Fever/ARI: Introduction, causative agent,
transmission, sign/symptoms, prevention and
control
Day 1 COPD/Asthma: Introduction, risk factors,
Day 1 Pneumonia/Rubella: Introduction, causative
agent, transmission, sign/symptoms, prevention
and control
Day 1 Mumps: Introduction, causative agent,
control
Day 1 Diphtheria/Pertusis: Introduction, causative
agent, transmission, sign/symptoms, prevention
and control
Day 2 Chickenpox: Introduction, causative agent,
control
Day 2 Tuberculosis: Introduction, causative agent, risk
factors, transmission, sign/symptoms, prevention
and control
Day 2 Measles: Introduction, causative agent,
control
Day 2 HIV/AIDS: Introduction, causative agent, risk
factors, transmission, sign/symptoms, prevention
and control
Day 2 Diarrhoea: Introduction, causative agent,
control
IIND MBBS
2. NAME OF THE SYSTEM : RENAL/ENDOCRINE
[Family Medicine]

TOPIC
Day 1 - Calculation of
range, mean
deviation and
standard
deviation for
individual series
range, mean
deviation and
standard
deviation for
individual series
range, mean
deviation and
standard
deviation for
individual series
range, mean
deviation and
standard
deviation for
individual series
Community Medicine-MBBS II
Renal Electrolyte/Endocrine/Metabolism [Module: Family Medicine]
SAQs
1. What is the role of family physician in a community? (K.park.22nd edi, P:9)

2. Explain the case tools for Pulmonary Tuberculosis, prevention and control of Pulmonary
3. Tuberculosis in community. (K.park.22nd edi, p:178)
4. Explain the clinical features of Rubella. Briefly explain about the congenital rubella syndrome.
(K.park.22nd edi, p:142) ?(
5. Write down the clinical features of measles?( K.park.22nd edi, p:139)
6. Write down the classification of Pneumonia according to WHO? ?( K.park.22nd edi, p:161)
7. What is the Pleomorphism in Chicken pox? What are the complication in chicken pox? ?(
K.park.22nd edi, p:136/7)
8. Write down the diagnosis of AIDS according to WHO case definition? ?( K.park.22nd edi, p:122)
9. Describe clinical features and complication of Mumps? ?( K.park.22nd edi, p:139)
10. Define Diarrhoea? Write down the causative agent to cause diarrhea?(K.park.22nd edi, p:203)
Community Medicine-MBBS II
Renal Electrolyte/Endocrine/Metabolism [Module: Family Medicine]
MCQs
1. Which of the following is not a bactericidal drug?
a) Rifampicin b) Isoniazid
c) Streptomycin d) Ethambutol
2. Which of the following drugs is not included in the ARI control programme
a) Cotrimoxazole b) Cefotaxime
c) Ampicillin d) Chloramphenicol
3. According to WHO, all of the following are major criteria for AIDS except
a) Weight Loss More Than 10% b) Fever For More Than 1 Month
c) Diarrhoea d) Persistent cough for more than 1 month
4. Which of the following is the least common complication of measles?

a) Diarrhoea b) Pneumonia
c) Otitis media d) SSPE
5. By WHO best criteria for TB diagnosis is

a) Sputum +ve b) Chest pain
c) Cough 3 weeks d) X-ray finding
6. True regarding pertussis is all except

a) It is associated with an inspiratory whoop.
b) It is a droplet injection
c) Parapertussis causes more severe disease than pertussis
d) Pneumonia is most common complication
7. Which of the following is the reservoir of measles?

a) Man b) Soil
c) Formites d) Monkey
8. In an infant of less than 1 month, it is considered as Pneumonia, if breathing rate is more than
a) 40/mt. b) 50/mt.
c) 60/mt. d) 70/mt.
9. Which of the following statements is false about the epidemiological determinant of Measles ?
a) Measles virus survives outside the human body for 5 days
b) Carrier are important sources of infection
c) Secondary attack rate is less than that of rubella
d) Incidence of Measles is more in Males
10. Which of the following statements is true about the BCG Vaccination ?
a) Distilled Water is used as diluents for BCG Vaccine
b) The site of injection should be cleaned thoroughly with the spirit
c) Mantoux test becomes positive after 48 hrs of vaccines
d) WHO recommend Danish 1331 strain for vaccine production.
11. In Tuberculosis treatment the daily dose of streptomycin is

a) 0.5gm/day b) 0.75gm/day
c) 1.5gm/day d) 2gm/day
12. Sunken eyes is a features of

a) Measles b) Mild dehydration
c) Tuberculosis d) Severe dehydration
13. Which of the following is the less common complication of Measles

a) Diarrhoea b) Pneumonia
c) Otitis Media d) SubacuteSclerosing Pan Enceplitis
14. TORCH infections are associated with

a) Abortions b) Still births
c) Congenital malformations d) All the above
15. The drug of choice for treating Cholera in pregnant women is

a) Tetracycline b) Doxycycline
c) Furozolidine d) Cotrimozole
16. Which of the following types of viral Hepatitis infection in pregnancy the MMR is the highest?
a) Hepatitis-A b) Hep-B
c) Hep-C d) Hep-E
17. Incubation period of German measles is

a) Less than 1 week b) 1 to 2 weeks
c) 2 to 3 weeks d) 3 to 4 weeks
18. The followings are the complication of Mumps except
a) Oopharitis b) Pancreatitis
c) Hepatitis d) Meningo-encephalitis
19. The DPT vaccine should be preserved at

a) Subzero temperature b) 4 to 8c
c) 10 to 14c d) At body temperature
20. Incubation period of Whooping Cough is

a) Less than 7 days b) 7 to 14 days
c) 14 to 21 days d) 21 to 28 days
21. Dosage of BCG vaccine

a) 0.1ml b) 0.05ml
c) 0.75ml d) 1ml
22. The Best method of control for HIV/AIDS

a) Health education b) Prompt treatment
c) Isolation of the patient d) Vaccination
23. For scabies control, the following is the drug of choice

a)Penicillin b)Tetracycline
c) Benzyle Benzoate d) Phenol application.
24. Which is not the first line drug in TB treatment?

a) Rifampicin b) Streptomycin
c) Isoniazide d) Ofloxacin
25. HIV is a
a) Double stranded RNA virus b) Double stranded DNA virus
c) Single stranded RNA virus d) Single stranded RNA virus
26. Where do you look for Kopliks spot

a) Hard palate b) Tongue
c) Buccal Mucosa d) Lips

27. Which of the following sexually transmitted disease may cause infertility
a) HIV b) Chlamydia
c) Genital warts d) Syphilis
28. Which is the most common cause of Diarrhoea in infants

a) E.Coli b) Rota virus
c) Salmonella d) Adeno virus
29. Global eradication of Small pox was certified by WHO in

a) April, 1977 b) May, 1979
c) May, 1980 d) May, 1981
30. Which of the following statement is incorrect in reduction for Measles virus?
a) Only One Serotype Is Known
b) Cannot Survive Out Side Human Body
c) Retains infectivity when stored at subzero temperature
d) Cannot be grown in cell culture.
31. Diagnostic criteria for Measles include all of the following except
a) Severe prodromal symptoms b) Kopliks spots
c) Rising 1gm antibodies in paired sera d)Leukocytosis
32. Both active and passive immunization should be given simultaneously in all except
a) Tetanus b) Rabies
c) Measles d) Hepatitis B
33. A 2 years old female child was brought to a PHC with a history of cough and fever for 4 days with
inability to drink for last 12 hours. On examination, the child was having weight of 5kgs and respiratory
rate of 45 breaths per minute with fever As per National Acute Respiratory infection (ARI) control
program the child will be classified as suffering from.
a) No Pneumonia b) Pneumonia
c) Severe Pneumonia d) Very severe Pneumonia
34. According to WHO, all of the following are major criteria for AIDS except
a) Weight Loss >10% b) Fever For > 1 Month
c) Diarrhoea d) Persistent cough for > 1 month
35. Commonest mode of HIV transmission in Nepal

a) Blood Transfusion b) Hetrosexual
c) Unsafe Infection Practices d) Mother To Child

36. All of the following are characteristics of the Chickenpox rash except
a) Rash occurs in crops b) Is antripetal in distribution
c) pleomorphism is present d) Scabs are infectious
37. Which of the following drugs is not included in the ARI control programme
a) Cotrimoxazole b) Cefotaxime
c) Ampicillin d) Chloramphenicol
II MBBS

2. NAME OF THE SYSTEM : REPRODUCTIVE SYSTEM
[Epidemiology-II]

Day 1 Epidemiology- I: Modes of disease
transmission, classification,
susceptibility host
Day 1 Epidemiology-II: Case control study-
Definition, basic steps, Odd ratio,
Bias, advantages and disadvantages
Day 1 Epidemiology- III: Cohort study-
Definition, study elements, relative
risk, attributable risk, advantages
and disadvantages, difference
between case control and cohort
Day 1 Epidemiology-IV: Randomized
controlled trial and Non-randomized
controlled trial- Types, basic steps
II MBBS

2. NAME OF THE SYSTEM : REPRODUCTIVE SYSTEM
[Epidemiology-II]

Day 1 Epidemiology-V: Screening test-
Definition, types, criteria,
diagnostic tests and difference
between diagnostic and
screening test
Day 1 Calculation of Mean, Median and
Mode for group series
Reproductive System[Module: EpidemiologyII]
SAQ
1. Define Epidemiology. Explain in brief any one of the analytical studies.. (Park 22 Edition pg67)
2. Explain the different mode of disease transmission with suitable examples. (Park 22 Edition
pg98)
3. List the difference between screening and diagnostic test.(Park 22 Edition pg127)
4. Define screening test. Explain the diseased test criteria for screening. (Park 22 Edition pg129)
5. What are the aims of epidemiology? Discuss the steps of case control study.
(Park 22 Edition pg60)
6. What are the types of epidemiological studies? Discuss the steps of cohort study.
(Park 22 Edition pg73)
7. Explain the concept of lead-time in screening with the help of figure. Discuss briefly the type of
screening test. (Park 22 Edition p129)
8. Define epidemic. Briefly discuss the steps of investigation of an epidemic.. (Park 22 Edition
pg89)
9. Define relative risk and attributable risks. Which of these two risks measures the strength of
association between the cause and effect.(Park 22 Edition pg75)
10. Describe epidemiological methods. Discuss the criteria to establish casual association with
suitable example.(Park 22 Edition pg84)
11. Discuss major or biases encountered in case control studies. Describe one method to control bias
due to confounding.(Park 22 Edition pg71)
12. Write advantage and disadvantage of case control studies. (Park 22 Edition pg71)
13. Write advantage and disadvantage of cohort studies.(Park 22 Edition pg71)
14. Design a randomized control trail for a newly discovered anti- helminthic in a group of school
children. (Park 22 Edition pg78)
15. Write down the biases in different epidemiological study design and describe method to minimize
them. (Park 22 Edition pg71)
Reproductive System [Module: Epidemiology II]
MCQ
1. Descriptive studies are investigation of
a) Individuals b) Couples
c) Family d) Population
2. Propagated epidemics include

a) Person to person b) Arthropod vector
c) Animal reservoir d) All of above
3. Epidemic curve in point source epidemic usually have

a) Many peaks b) One peak
c) No peak d) Two peaks
4. All of the following disease show seasonal trend except

a) Measles b) Cerebra spinal meningitis
c) Hypertension d) Varicella
5. Non infectious diseases showing seasonal trend except

a) Malignancy b) Hay fever
c) Snake bite d) Sun stroke
6. A prostitute may be source of one of the out break

a) Diarrhea b) Typhoid
c) Gonorrhea d) Dengue
7. The following disease have shown upward trend in developed countries except
a) Polio b) Coronary heart disease
c) Lung cancer d) Diabetics
8. Cancer of oral cavity is common in

a) Japan b) India
c) China d) USA
9. Urban areas suffers more from these diseases than rural areas except
a) Mental diseases b) Lung cancer
c) Cardio vascular disease d) Transmitted helminthes

10. John show of England did investigation on
a) Hepatitis b) Cholera
c) Malaria d) Polio
11. Mortality rate for married men as compared unmarried men is

a) Low b) High
c) Normal d) None of the above
12. Cigarette smoking causes lung cancer is a

a) Complete hypothesis b) Incomplete hypothesis
c) Both d) None
13. Disease load is measured in terms of all of the following except

a) Mortality b) Morbidity
c) Disability d) Poverty
14. Cross section study provides valuable information about

a) Disease prevalence b) Natural history of disease
c) Disease incidence d) All of above
15. All of the following are observational studies except

a) Ecological studies b) Longitudinal studies
c) Cross sectional studies d) Community trials
16. All of the following help reduce bias except

a. Blinding b) Randomization
c. Ethical consideration d) Matching
17. The ratio between the incidence of the disease among exposed and non-exposed is called
a) Causal risk b) Relative Risk
c) Attributable risk d) Odd Ratio
18. A study compared 150 children with a particular disease with 300 disease free children to
examine past experiences that may contribute to the development of the illness. What kind of
study is this?
a) Cohort b) Controlled Clinical Trial
c) Case Series d) Case Control
19. Matching is done for removal of

a) Bias b) Known Confounding
c) Unknown Confounding d) Known Confounding + Unknown Confounding

20. All of the following are advantages of a case control study except
a) Useful in rare disease b) Relative risk can be calculated
c) Odd ratio can be calculated d) Cost effective and inexpensive
21. Several studies have shown that 85% of cases of lung cancer are due to cigarette smoking only.
It is a measure of
a) Incidence rate b) Relative risk
c) Attributable risk d) Odd ratio
22. False about odd ratio

a) It is always positive b) It can be 0.3
c) It can be 3.0 d) It is always >1
23. Which of the following is the advantages of cohort studies

a) Useful in rare disease b) Relative risk can be calculated
c) Odd ratio can be calculated d) Inexpensive
24. Case control study is used for study of

a) Common disease b) Uncommon disease
c) Rare disease d) Unknown disease
25. Incidence is determined by

a) Prospective study b) Case control study
c) Cross sectional study d) Retrospective study
26. True about case control study is

a) Proceed from effect to cause b) Proceed from cause to effect
c) Incidence can be calculated d) Case has to be followed for long time
IIND MBBS

2. NAME OF THE SYSTEM : CNS AND SPECIAL SENSE
[Behavioural sciences and IMCI]
3. NAME OF THE FACULTY MEMBER: DR. NARESH MANANDHAR

- Calculation of demographic indicators
(CBR,CDR,IMR,NMR,MMR)
Calculation of demographic indicators
-
- Standardization
1. Direct
2. Indirect
- Standardization
1. Direct
2. Indirect
- Standardization
1. Direct
2. Indirect
- Standardization
1. Direct
2. Indirect
- Calculation of BMI/Bleaching powder for
disinfection of Well water/Horrocks test
IIND MBBS


Behavioral sciences:
Introduction, definitions, causes
of different behavior, Learning-
types- Cognitive, Affective,
Psychomotor
Attitude- Opinions and beliefs,
Interest
Puberty and Adolescent- Growth
and Development, Changes and
Problems
Behavior problems-I: Common
behavior problems in adolescents
and children
Behavior problems-II: Drug
abuse
Behavior problems-III:
Alcoholism
Counseling- Introduction and
types of counseling
IIND MBBS

3. NAME OF THE FACULTY MEMBER: DR. DIPENDRA KHATIWADA

Sexual behavior (Developmental
changes in adolescent and problems
Juvenile Delinquency, Battered baby

syndrome
IIND MBBS


Integrated Management of Maternal
and childhood Illness(1st)- History,
strategy, Diseases (Measles/Malaria)
Integrated Management of Maternal

and childhood Illness(2nd)- Diseases-
ARI/Diarrhea/Malnutrition
Department of Community Medicine- II MBBS
CNS system [Module: Behaviour Sciences/ IMCI]
SAQ
1. What do you mean by mental retardation? How will you categorize mental retardation? [Park
22 edition pg-538]
2. What do you understand by juvenile delinquency? How will you prevent it? [Park 22 edition
pg-540]
3. What do you understand by battered baby syndrome? How will you prevent it? [Park 22
edition pg-540]
4. What changes occur during the puberty and adolescent? [Park 22 edition pg-53]
5. What are the different type of learning? Explain any one briefly? [Park 22 edition pg-538]
6. What is counseling? What are the objective of counseling? [Park 22 edition pg-538]
7. What do you mean by community based integrated management of childhood illness? what
are the strategy taken by Nepal government in CB-IMCI? [Park 22 edition pg-532]
8. What are the diseases under IMCI? what is the role of female community health volunteer in
those diseases? [Annual report 2069/2070 pg-20]
9. What are the strategies for control of protein-energy malnutrition in IMCI program? [Annual
report 2069/2070 pg-22]
10. Write the management of severe pneumonia. [Park 22 edition pg-163]

Department of Community Medicine- II MBBS
CNS system [Module: Behaviour Sciences/ IMCI]
MCQ
1. Pattern of interrelationships between persons in a society is known as
a. Socialism b. Socialization
c. Social structure d. Medical sociology
2. 'Learned behaviour which is socially acquired' is known as

a. customs b. acculturation
c. standard of living d. culture
3. An organized group of people with social relationship

a. community b. association
c. society d. family
4. What is the age of boy for Juvenile Delinquency?

a.15 b. 16
c. 17 d. 18
5. What is the age of girl for Juvenile Delinquency?

a.15 b. 16
c. 17 d. 18
6. Most common condition seen in Battered baby syndrome is

a. Mental retardation b. Growth retardation
c. Malnutrition d. Depression
7. Juvenile Delinquency is commonly seen in

a. Boys b. Girls
c. Both equal d. None
8. Juvenile age group is

a. Below 16 b. Below 17
c. Below18 d. Below 19
9. A person with an IQ of 55 is
a. Mild mental retardation b. Moderate mental retardation
c. Severe mental retardation d. Profound mental retardation
10. IQ is calculated by
a. Mental age /chronological age x 100
b. Mental age - chronological age x 100
c. Mental age /mental age x 100
d. Chronological age - mental age x 100
11. Inner subjective thought of a person towards an individual or a sitution is best described as:
a. Attitude b. Value
c. Belief d. Opinion
12. Learned behaviour which is permanent and consistent, but liable to change is
a. Cultural belief b. Attitude
c. Knowledge d. Practice
13. Mild mental retradation is an IQ of

a.50-70 b.30-40
c.70-80 d. below 25 .
14. A 5 year old boy passed 18 loose stools in last 24 hours and vomited twice in last 4 hours.
He is irritable but drinking fluids. The optional therapy for this child is
a) IItravenous fluid
b) Oral Rehydration therapy
c) Intravenous fluid initially for 4 hrs followed by oral fluids.
d) Plain water add libitun
15. In an infant of less than 1 month, it is considered as Pneumonia, if breathing rate is more
than
a) 40 beats/min. b) 50 beats/min.
c) 60 beats/min. d) 70 beats/min.
16. Which of the following is the reservoir for Measles?

a) Man b) Soil
c) Forties d) Monkey
17. True about Trisodium citrate in ORS
a) Increases self life b) Nutrition
c) Cheaper d) Tastier
18. Measles vaccine is not given before

a) 9 months b) 12 months
c) 15 months d) 18 months
19.The freshly prepared ORS should not be used after

a) 6 hrs b) 12 hrs
c) 18 hrs d) 24 hrs
20. IMCI includes all except

a) Tetanus b)ARI
c) Measles d) Malaria
21. Mid arm circumference is constant during

a) 0-6 months b) 1-5 years
c) 5-10 years d) 10 years
22. Road to health card or the growth chart was first designed by
a) Edwin Chadwick b) David Morley
c) C. Gopalan d) C.E. Winlow
23. Zinc is given in diarrhea

a) To control diarrhea b) to eliminate organism
c) Reduce frequency d) prevent recurrence
24. 12 years old Nishan did not need to be told that he had failed his exams. On returning home
he could guess by the looks on his father's face and his posture, what his result was. This is
an example of:
a. Involvement of visual modality b. Non-verbal communication
c. Extra sensory perception (ESP) d. Facial cues
25. With regards to counseling, the best statement is:

a. It is done by trained counselors.
b. It is about giving the best possible advice
c. It involves empathy and compassion
d. It is technique to help people help themselves by increasing self understanding
26. Behavioural modification involves:
a. solving problems through insight
b. Bringing behavior under stimulus control
c. Demonstrating learning in the absence of reinforcement
d. Application of learning principles to change behavior
27. A father scolds his son when he hits his little sister. The son stops hitting the sister. This
change in the child's behavior is a result of:
a. Punishment b. Negative reinforcement
c. Positive reinforcement d. Shaping
28. The best example of verbal communication skill is

a. Good vocabulary b. Competence in presentation
c. Fluent speech d. Participate in training and research
29. Culture:
a. Is the outcome of the architectural part of our environment
b. Is the outcome of the man-made part of our environment
c. Is an isolated view of the world
d. Comprises of beliefs which produce an unacceptable view of the society.
30. Which of the following ethical issues from the foremost part of Hippocratic oath:
a. Confidentiality b. Sexual boundaries
c. Doctor's right d. Advertising
I MBBS
Basic Concept (Module: Human & Medicine and concept of

Health
Q. No. Key Q. No. Key
1 a 16 a
2 c 17 c
3 d 18 d
4 a 19 a
5 d 20 c
6 d 21 d
7 c 22 b
8 b 23 c
9 a 24 b
10 c 25 c
11 d 26 d
12 d 27 d
13 b 28 b
14 c 29 d
15 d 30 d
I MBBS
Auto Nervous System and Maskulo-skeletan System (Nutrition, Environment

Science, Biostatistics)
Q. No. Key Q. No. Key Q. No. Key

1 b 21 b 41 a
2 c 22 b 42 c
3 b 23 b 43 b
4 c 24 b 44 d
5 c 25 d 45 b
6 d 26 d 46 c
7 c 27 d 47 b
8 d 28 d 48 d
9 b 29 c 49 b
10 b 30 b 50 c
11 c 31 c 51 c
12 c 32 d 52 b
13 b 33 b 53 a
14 b 34 d 54 b
15 d 35 d
16 c 36 d
17 37 d
18 c 38 c
19 d 39 b
20 d 40 d
I MBBS
Cardiovascular System (Module: Epidemiology, Demography & Health Education)
Q.No. Key Q.No. Key Q.No. Key

1 c 21 a 41 C
2 b 22 a 42 D
3 b 23 b 43 C
4 b 24 c 44 A
5 c 25 a 45 B
6 d 26 c 46 B
7 a 27 a 47 D
8 a 28 b 48 a
9 a 29 d
10 a 30 c
11 b 31 b
12 c 32 a
13 a 33 d
14 d 34 d
15 d 35 a
16 c 36 d
17 a 37 A
18 c 38 C
19 c 39 C
20 b 40 b
I MBBS
Respiratory System (Module: Environmental Science-I, Entomology)
Q. No. Key Q. No. Key

1 b 16 d
2 a 17 c
3 b 18 a
4 b 19 a
5 d 20 a
6 a 21 d
7 c 22 c
8 b 23 d
9 b 24 c
10 d 25 d
11 b 26 a
12 d 27 b
13 b 28 b
14 b 29 b
15 a 30 a
II MBBS
Gastro-intestinal system (Module: Sociology & Community Diagnosis)
Q.No. Key
1 c
2 b
3 a
4 b
5 d
6 a
7 a
8 c
9 d
10 a
11 b
12 b
13 b
14 b
15 c
II MBBS
Renal & Endocrine System ( Module: Family Medicine)
Q.No. Key Q.No. Key

1 b 21 b
2 b 22 a
3 d 23 c
4 d 24 d
5 a 25 c
6 c 26 c
7 a 27 b
8 c 28 b
9 d 29 c
10 c 30 d
11 d 31 c
12 d 32 c
13 d 33 a
14 c 34 d
15 c 35 c
16 d 36 a
17 c 37 d
18 c
19 d
20 b
II MBBS
Reproductive System (Epidemiology-II)
Q.No. Key Q.No. Key

1 a 16 d
2 a 17 d
3 b 18 a
4 c 19 b
5 a 20 b
6 c 21 b
7 a 22 d
8 b 23 a
9 b 24 b
10 b 25 c
11 b 26 d
12 b 27 b
13 a 28 c
14 d 29 a
15 a 30 a
II MBBS
Central nervous system [Behaviour Science/IMCI]
Q.No. Key Q.No. Key

1 c 16 a
2 d 17 c
3 c 18 a
4 d 19 d
5 b 20 a
6 a 21 b
7 a 22 b
8 c 23 c
9 a 24 b
10 a 25 d
11 c 26 d
12 a 27 a
13 a 28 b
14 b 29 b
15 c 30 a

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COLLEGE OF MEDICAL SCIENCES

BHARATPUR, CHITWAN, NEPAL

a) Classification of Food- Macronutrients- Carbohydrate/Fat/Protein- Sources, daily

3. CARDIO-VASCULAR/HAEMOTOPOIETIC SYSTEM [ MODULE:

a) Introduction of Demography- Definition of Demography, Demographic Cycle,

4. RESPIRATORY SYSTEM [MODULE: ENVIRONMENTAL SCIENCES-II]

2. RENAL/ENDOCRINE SYSTEM[MODULE: FAMILY MEDICINE]

a) Epidemiology- I: Modes of disease transmission, classification, susceptibility host

4. CENTRAL NERVOUS SYSTEM AND SPECIAL SENSE [MODULE:

Introduction of Practical classes- Variable, frequency, construction of Frequency

Calculations of Morbidity Rates- Incidence Rate, Prevalence Rate, Attack Rate,

Calculation of Body Mass Index, Balance Diet

Disinfection of Well water- Chlorination, Horrocks Test

1. NAME OF THE DEPARTMENT : COMMUNITY MEDICINE

2. NAME OF THE SYSTEM : BASIC CONCEPT

[History of Medicine and concept of health]

3. NAME OF THE FACULTY MEMBER: Visiting faculty

DATE/DAY THEORY TOPIC PRACTCAL TOPIC

1. NAME OF THE DEPARTMENT : COMMUNITY MEDICINE

2. NAME OF THE SYSTEM : BASIC CONCEPT

[History of Medicine and concept of health]

3. NAME OF THE FACULTY MEMBER: Dr. Naresh Manandhar

DATE/DAY THEORY TOPIC PRACTCAL TOPIC

1. NAME OF THE DEPARTMENT : COMMUNITY MEDICINE

2. NAME OF THE SYSTEM : BASIC CONCEPT

[History of Medicine and concept of health]

3. NAME OF THE FACULTY MEMBER: Mr. Meera Prasai

DATE/DAY THEORY TOPIC PRACTCAL TOPIC

1. NAME OF THE DEPARTMENT : COMMUNITY MEDICINE

2. NAME OF THE SYSTEM : BASIC CONCEPT

[History of Medicine and concept of health]

3. NAME OF THE FACULTY MEMBER: Dr. Dipendra Khatiwada

DATE/DAY THEORY TOPIC PRACTCAL TOPIC

I MBBS - Basic Concept [Modulels: History of Medicine, Concept of Health]

[Park 22 Edition Pg-13]

[Park 22 Edition Pg-17]

Q.No. 3.What are the indicators of health?

[Park 22 Edition Pg-22]

Q.No. 4. Describe the level of prevention?

[Park 22 Edition Pg-39]

Q.No. 5.Explain the mode of intervention with suitable example.

[Park 22 Edition 40]

Q.No. 6. Discuss briefly about Epidemiological Triad.

[Park 22 Edition Pg-31]

Q.No. 7. Why Hippocrates is known as father of medicine?

[Park 22 Edition Pg-3]

Q.No. 8.Discuss about the evolution of modern medicine?

[Park 22 Edition Pg-6]

Q.No. 9. Explain the natural history of disease with example.

[Park 22 Edition Pg-32]

[Park 22 Edition Pg 28]

a. Hippocrates b. Dr. Robert Kochs

2. All of the following are components of Epidemiological Triad EXCEPT:

c. Health Education d. Environment

a. Germ theory b. Miasmic theory

c. Supernatural theory d. Risk factor theory

a. Early diagnosis and treatment b. Specific protection

c. Disability limitation d. Rehabilitation

5. The standard of living measured by

a. Education, Employment, Food b. Education, Literacy, Knowledge

c. Education, Mortality, Health Care d. Education, Happiness, Drug Addiction

a. Crude death rate, Education, Life expectancy at birth

b. Crude birth rate, housing and life expectancy at age 5.