PSM (Paper-1) IMPORTANT TOPICS PLUS PYQs (AKU, Bihar)

3rd Professional M.B.B.S. Part-I (2019-Batch onwards)

COMMUNITY MEDICINE (PSM) (Paper Code):- Paper I-201081 (N)

(Total Marks 100 marks)

Paper I shall contain questions from the following topics:-

1) Concepts of Preventive Medicine, Social Medicine, Public Health & Community

1. Medicine.
2) Evolution & Progress of Medicine 3) Social Factors relating to Health & Disease
3) Concepts of Health & Disease; Natural History of Disease; Disease causation.
4) Principals of Prevention & Control of Diseases.
5) General Epidemiology & Epidemiological Methods. Uses of Epidemiology
6) Elements of Biostatistics.
7) Study of various vaccines & Immunizations
8) Study of antiseptics & Dis-infection, Repellents & Sterilization.
9) Environment & health, Physical chemical & Biological Components of Man's Environment.
10) Water & purification; Air & Air pollution; Housing & Health; Wastes & wastes
2. Disposal
11) Sanitation of Village & Towns and Fairs & Festivals
12) Medical Entomology, Rodents & Insecticides.
13) Occupational and Industrial Health & Hygiene.
14) Nutrition, Dietetics & Food Hygiene,
15) Study of Food & Water borne Diseases.
16) Study of acute infectious respiratory diseases including eruptive fevers.
17) Investigation of Epidemic & study of other locally Endemic Diseases.
18) Any other latest & recent advances in the subject.

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 PSM (Paper-1) IMPORTANT TOPICS PLUS PYQs (AKU, Bihar)

Distribution of Marks (Total – 100)

Theory paper 60 Marks Internal Theory 10 Marks
Grand Viva(Oral) 05 Marks Internal Pract. 10 Marks
Log-book 15 Marks

Tentative Syllabus: [Park Ed. 26 Chapter 1, 2, 3, 4, 10, 11, 12, 13, 15 & 18]

I. Man And Medicine: Towards Health For All

II. Concept of Health And Disease
III. Principles of Epidemiology And Epidemiologic Methods
IV. Screening For Disease
V. Epidemiology of Acute Infectious Respiratory Diseases including Eruptive Fevers & Food
And Water-Borne diseases.
VI. Nutrition And Health
VII. Medicine And Social Sciences.
VIII. Environment And Health, Including Medical Entomology, Rodents & Insecticides.
IX. Hospital Waste Management
X. Occupational Health
XI. Elements of Biostatistics.

MAN AND MEDICINE; CONCEPT OF HEALTH AND DISEASE

i. Define Community Medicine

ii. Changing concept in Public health
iii. The Millennium Development Goals [2014]
iv. PQLI [2015]
v. Human Development Index (HDI) [2015,12, 2018]
vi. Define PQLI (Physical quality of life index). Differentiate from HDI (Human development
index)
vii. Health Development
viii. Classify indicators of Health and discuss in brief
ix. Enumerate the indicators of Health. Discuss two most important mortality indicators
x. DALY (Disability-adjusted life years) [2015, 2017]
xi. Epidemiological triad [2014]
xii. Multifactorial causation of disease [2015]
xiii. What do you understand by natural history of disease Discuss briefly how its knowledge
help us to prevent and control a disease in community?
xiv. Discuss natural history of disease. Describe Risk factors Risk groups and Iceberg of
disease.
xv. Iceberg phenomenon [2015, 2017]
xvi. Disease eradication. Differentiate it from disease elimination.
xvii. Differentiate Control and Eradication
xviii. Differentiate Monitoring and Surveillance
xix. Differentiate Monitoring and Evaluation [2014] (Ans: see Q-Banks p-84)

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xx. Discuss levels of prevention. Differentiate primordial and primary prevention [2015]
xxi. Differentiate secondary and tertiary prevention
xxii. Differentiate disability and handicap
xxiii. Rehabilitation
xxiv. Public health
xxv. Social factors in health & disease (2017)
xxvi. Spiritual dimension of health (2018)
xxvii. Human poverty index (2019

May Be Asked:

i. Define Health. Enumerate dimensions of health

ii. What do you mean by spectrum of health? Enumerate determinants of health
iii. Write components of positive health
iv. How will you measure the health of a community?
v. Discuss modes of intervention. Describe disability limitation and specific
protection
vi. Describe Sullivan's Index and how it is calculated?
vii. Explain risk factors and risk groups in disease
viii. Sentinel Surveillance
ix. Germ theory of disease
x. Primary health care and Health for All
xi. Primary health care: elements & principles. (2017)
xii. ICD (International classification of disease) (2018)
xiii. Role of emotions in health and diseases (2018)
xiv. Differentiate disease control and elimination

PRINCIPLES OF EPIDEMIOLOGY & EPIDEMIOLOGIC METHODS

i. Define Epidemiology. Enumerate various types of epidemiological studies.

Mention the uses of epidemiology [2012]
ii. Define Epidemiology. What are the reasons for studying epidemiology? [2013]
iii. Define epidemiology. Name different types of epidemiological methods and
write in brief about EXPERIMENTAL STUDY. (2017)
iv. Explain how epidemiology helps in prevention and control of infectious disease
in our community
v. Case fatality rate
vi. Proportional mortality rate
vii. Differentiate Incidence and Prevalence [2014]
viii. Point and period prevalence
ix. Enumerate the epidemiological studies. Describe various steps of case control
study [2015]
x. Case control studies: characteristics & steps (2014)
xi. Case control studies: sources of bias (2019)
xii. Describe merits and demerits of case control study
xiii. Enumerate the steps of descriptive studies [2013]

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xiv. Discuss in brief the cohort method of analytical epidemiology (Cohort study)
and derive relative and attributable risk in this method [2014]
xv. What is cohort ? What are the types of cohort? Briefly discuss the steps of a
cohort study. (2018)
xvi. What is cohort study? Write indications, types and elements of a cohort study
xvii. Differentiate Relative risk and Attributable risk [2011]
xviii. Relative risk and Attributable risk [2017]
xix. Differentiate Relative risk and Odds ratio (Cross-product ratio)
xx. What do you understand by Experimental epidemiology? Discuss briefly the
basic steps in conducting randomized controlled trials of a new antihypertensive
drug
xxi. Randomized controlled trials [2014]
xxii. Differentiate Spurious association and Indirect association
xxiii. Define Epidemic. Discuss steps of an epidemic investigations
xxiv. Define epidemic. Enumerate water-borne diseases and mention steps involved
in the investigation of epidemic due to gastroenteritis (2011]
xxv. Define epidemic. How will you investigate epidemic of typhoid? (2016)
xxvi. Differentiate Epidemic and endemic
xxvii. Differentiate point source epidemic & propagated epidemic
xxviii. Differentiate primary case and index case [2014]
xxix. Carriers
xxx. Vector
xxxi. Biological transmission of disease [2013]
xxxii. Droplet nuclei in disease transmission (2017)
xxxiii. Incubation period
xxxiv. Importance of the knowledge of the incubation period of a disease [2014]
xxxv. Differentiate incubation period and generation time
xxxvi. What is immunity? Describe various immunizing agents. Discuss adverse events
following immunization (Hazards of immunization)
xxxvii. Differentiate humoral and cellular immunity
xxxviii. Differentiate primary and secondary immune response
xxxix. Vaccine & immunoglobulin: difference (2016)
xl. Herd immunity [2012]
xli. Differentiate antisera and antibody
xlii. The Cold Chain [2015, 2015 S]
xliii. Ice-lined refrigerators (ILR) [2013]
xliv. Differentiate isolation and quarantine
xlv. Isolation and quarantine (2017)
xlvi. Differentiate UIP (Universal Immunization Programme) and EPI (Expanded
Programme on Immunization)
xlvii. Write National Immunization Schedule (NIS). Describe how the cold chain is
maintained from district to village level [2015]
xlviii. New vaccines in National Immunization Schedule (2017)

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xlix. A 2 years child is coming first time for immunisation. Prescribe full immunisation
schedule
l. Write note on-(a) Hepatitis B vaccine [2013], (b) Malaria vaccine [2015], (c) Salk
vaccine, (d) Measles vaccine, (e) BCG vaccine, (f) Prevention of hepatitis A, (g)
Intradermal rabies vaccination [2013]
li. Write note on--(a) Disease surveillance, (b) Blinding. (c) Pasteurization [2012].
(d) Autoclaving [2011]. (e) Ethylene oxide sterilization
lii. Table showing case control study of smoking and lung cancer:

Cases Contact
Smokers 33 55
Non-smokers 2 27
Find Relative risk and Odds ratio from table [2010]

SCREENING FOR DISEASE

i. Differentiate screening and diagnostic tests

ii. Define screening. Discuss types, uses and criteria for screening of disease. Write a note on
validity of screening test
iii. Uses of screening (2017)
iv. Criteria of a disease for which screening test is being considered [2014]
v. Differentiate sensitivity and specificity [2014]
vi. What is screening? Discuss basic criteria for selection disease for screening
vii. Predictivity of screening test
viii. Iceberg phenomenon of disease
ix. Calculate sensitivity and specificity of screening test showing diagnosis of brain tumours by EEG:
EEG Result Present Absent
Positive A 34 B 70,000
Negative C6 D 2,80,000
Sensitivity = A/(A+C)×100 = 34/(34+6)×100 = 34/40×100 = 85%
Specificity = D/(B+D)×100 = 280000/(280000 + 70000 = 280000/350000 = 80%

EPIDEMIOLOGY OF ACUTE INFECTIOUS RESPIRATORY DISEASES INCLUDING ERUPTIVE FEVERS AND

FOOD & WATER-BORNE DISEASES

i. Infection & infestation (2016)

ii. Prevention of Chickenpox [2014]
iii. Congenital Rubella Syndrome [2013]
iv. Differentiate Smallpox and Chickenpox
v. Enumerate eruptive fevers of epidemiological importance. Give detail
about epidemiology, prevention and control of measles
vi. Measles vaccine
vii. Discuss diagnostic criteria and management of different types of ARIS
as per severity of disease/stage
viii. Diagnosis of severe pneumonia in an infant less than 2 months of
age (2013)
ix. Describe the epidemiology and control measures of avian influenza

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x. Pandemic Influenza (H1N1)

xi. Use of chickenpox vaccine
xii. Discuss agent, factors and classification of Acute Respiratory Infections
in children. Discuss control measures of ARISs.
xiii. Differentiate antigenic shift and antigenic drift in influenza
xiv. Botulism [2014]
xv. Prevention of hepatitis [2013]
xvi. . Differentiate hepatitis A and hepatitis B
xvii. ORS
xviii. Pulse polio immunization
xix. IPV (2018)
xx. Prevention of SARS
xxi. DPT Immunization (2016)
xxii. Control of Cholera (2016)
xxiii. Opportunistic infections (2019)

May Be Asked:

i. How will you investigate an outbreak of meningococcal meningitis? Describe its control
and preventive methods
ii. WHO strategy for elimination of measles. Describe Koplik's spot and complications of
measles
iii. Epidemiological features of mumps
iv. Definition and management of pneumonia in under 5 children.
v. Epidemiological basis for eradication of smallpox
vi. Prevention of influenza
vii. Discuss polio eradication in the light of epidemiologica factors influencing poliomyelitis
viii. Oral polio vaccine. Mention its dose, schedule and it’s advantages.
ix. Write epidemiological features of typhoid fever. Mention control of typhoid carriers and
anti-typhoid vaccines
x. What is vaccine vial monitor (WM)?
xi. Home management of acute diarrhoea

NUTRITION AND HEALTH; MEDICINE AND SOCIAL SCIENCES

i. Describe the role of micronutrients in human health. Briefly write the methods of
assessment of nutritional status [2014]
ii. Kuppuswamy's Socioeconomic Status Scale (2014)
iii. Consumer Protection Act [2014]
iv. Technique of interview (2014)
v. Interviewing technique & communication (2017)
vi. Pasteurization of milk [2015'12]
vii. Reference protein and nutritive value of egg [2015]
viii. Vitamin A prophylaxis (2015)
ix. Vitamin A deficiency (2016)
x. Endemic dropsy [2015]

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xi. Epidemic dropsy (2012)

xii. Neurolathyrism/Lathyrism [2015,14]
xiii. Marasmus [2013]
xiv. Discuss vitamin A deficiency with respect to causes, manifestations and prevention. How
would you assess vit-A deficiency?
xv. What are micronutrients? Describe three reasons for which National Health Programme
running in India
xvi. Discuss nutritional profiles of cereals
xvii. Define RDA (Recommended Dietary Allowance). What are the attributes of balanced diet?
Describe the basis for proposing a balanced diet for pregnant & lactating woman
xviii. Prudent diet (Dietary goals)
xix. What are the major nutritional problems among pregnant mother and children in our
country? Mention the National nutritional programmes
xx. Enumerate different levels of prevention with their suitable modes of intervention. Describe
how will you apply these level of prevention in prevention of PEM (Protein Energy
Malnutrition) in community?
xxi. Protein Energy Malnutrition
xxii. Food surveillance
xxiii. Food fortification
xxiv. Adulteration of foods
xxv. Food standards
xxvi. Socio-economic status and health
xxvii. Community nutrition programmes. Write a note on Mid-day meal programme
xxviii. Define survey and its objective. Enumerate different methods of diet survey (Assessment
Methods) and methods you have adopted to assess nutritional status in family study
programme
xxix. Dietary survey (2016)
xxx. Write the steps of Nutritional Assessment (Diet family allotted to you [2009,11]
xxxi. Social defence [2009]
xxxii. Doctor-patient relationship [2012]
xxxiii. Personality traits [2012]
xxxiv. Various methods for measurement of quality of protein (2017)
xxxv. Types of family (2017)

May Be Asked:

i. Explain role of diet in various diseases. Add a note on diet and cancer
ii. Define malnutrition. Describe the causes and c/f of severe form of malnutrition. How will
you prevent malnutrition in children?
iii. What are the sociocultural factors contributing to PEM India? What measures Govt. of India
is taking to control malnutrition?
iv. Anthropometry
v. Nutritional Surveillance
vi. Food toxicants
vii. Who is an Indian reference man?

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viii. .Gomez' classification of PEM

ix. Nutritional anaemia: Causes, detrimental effects, preventive measures (2017)
x. Health benefits of iodized salt
xi. Endemic fluorosis
xii. Wealth index
xiii. What is poverty line? Write the BPL criteria for rural and urban areas

ENVIRONMENT AND HEALTH (Including Medical Entomology, Rodents And Insecticides) & HOSPITAL
WASTE MANAGEMENT

i. Chlorination of drinking water [2015]

ii. Mechanism of disinfection of water by chlorine gas [2014]
iii. Vital layer (Slow sand or Biological filters) [2013]
iv. Defluoridation of water [2012]
v. Differentiate shallow well and deep well
vi. Describe physical, chemical and bacteriological attributes of drinking water
vii. Milk-borne diseases
viii. Enumerate water, milk & food born diseases. Discuss in detail various lists and criteria of
drinking water quality. (2019)
ix. Classify water-borne diseases. How will you disinfect well water? [2010]
x. Enumerate various water-borne diseases. Describe their prevention and control at village
level [2011]
xi. What are water-borne diseases? Discuss management of diarrhoea in children below 5 years
at village level
xii. Household purification of water.
xiii. Microbiological pollutants of water
xiv. Total sanitary campaign [2012]
xv. Air pollution (2017)
xvi. Indicators of air pollution (2012)
xvii. Morbidities due to air pollution (2016)
xviii. Biological effect of radiation
xix. Hazards of radiation
xx. Global warming
xxi. What is sanitation barrier? Discuss methods of excreta disposal in unsewered area
xxii. Arthropod-borne diseases. Discuss approaches and strategies of control
xxiii. Difference between Anopheles and Culex mosquito xix.
xxiv. Habits of mosquitoes
xxv. Enumerate mosquito control measures
xxvi. Anti-larval measures [2015]
xxvii. Sandfly and public health importance. Discuss control of sandfly
xxviii. Differentiate hard ticks and soft ticks
xxix. Diseases spread by hard ticks [2014]
xxx. Synthetic organophosphate insecticides
xxxi. Segregation of biomedical waste [2014]
xxxii. Hazards of Biomedical waste management (2017)

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xxxiii. Methods of solid waste disposal [2012]

xxxiv. Write a note on Hospital Waste Management
xxxv. Describe collection and transportation of biomedical waste xxxi.
xxxvi. Autodisposable syringe
xxxvii. Soil waste disposal: methods (2012)

OCCUPATIONAL HEALTH

i. Ergonomics [2012]
ii. Pneumoconiosis [2008, 2016, 2017]
iii. Farmer's lung [2015]
iv. Silicosis [2015]
v. Asbestosis [2014, 15]
vi. Anthracosis or Coal-miners'lung [2013]
vii. Medical benefit provided under ESI Act [2014]
viii. Benefits given under ESI Act [2010]
ix. Extended sickness benefit
x. Maternity benefit [2013]
xi. Sickness Absenteeism [2014]
xii. Occupational cancer. Steps of prevention of occupation cancer
xiii. Medical measures of prevention of occupational diseases xiv. Occupational hazards of
agricultural workers

May Be Asked:

i. Classify occupational diseases. Describe the various measures for the prevention of
occupational diseases
ii. Enumerate the provisions under the Indian Factories Act

ELEMENTS OF BIOSTATISTICS

i. Measures of central tendency or Statistical Averages [2015, 14]

ii. Describe statistical averages
iii. Differentiate the mean and median
iv. Describe normal distribution
v. Normal curve [2013]
vi. Sampling techniques [2012]
vii. Sampling methods (2018)
viii. Standard error
ix. Differentiate standard deviation and standard error
x. Null hypothesis
xi. Differentiate Bar charts and Histogram [2014]
xii. Line diagram
xiii. Pie charts
xiv. Cumulative frequency diagram
xv. The diastolic BP of 10 people was 83, 85, 77, 73, 81, 79, 97, 77, 86 & 92. Find mean and
standard deviation.

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xvi. Standard deviation (2017)

xvii. Measures of dispersion (2018)
xviii. Census (2019)

DEMOGRAPHY AND FAMILY PLANNING

i. Stages of Demographic cycle. (2017)

ii. Hormonal contraceptives (2018)
iii. Demographic cycle (2019)

PREVENTIVE MEDICINE IN OBSTETRICS, PAEDIATRICS AND GERIATRICS

i. Growth chart (2017)

ii. Child trafficking (2018)
iii. Causes of Infant mortality in India (2019)

HEALTH PROGRAMS IN INDIA

i. Government policies of scheme of women empowerment (2019)

ii. What are micronutrients? Describe three reasons for which National Health Programme
running in India

HEALTH CARE OF THE COMMUNITY

i. FRU (p-997 26th Ed. Park)

GENETICS AND HEALTH

i. GENETIC ccounselling (2019)

•••

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