#Kathmandu University

#BIRAT MEDICAL COLLEGE

Budhiganga-02, Tankisinuwari, Morang

Level: III MBBS (Batch: 2022)
Semester: 7th
Time: 2 hrs. 30 mins.
Date: March 17, 2026

Examination: Pre-University
Subject: Community Medicine
Marks: 50

#INSTRUCTION TO THE CANDIDATE

• Answer each section in a separate answer book.

• Write brief, relevant and legible answers.

• Illustrate your answer with well labeled diagrams where required.

• All questions are compulsory.

#SECTION ‘B’

#Short Answer Questions [6Q × 5 = 30 marks]

1. Prepare a tabulated summary of Multidrug Therapy (MDT) regimens including name of drugs, dosage, frequency, and duration as per national protocol for Paucibacillary (PB) and Multibacillary (MB) leprosy. [4+2=6]

2. Enlist core epidemiological studies. What is the importance of a Gantt chart? [3+3=6]

3. Differentiate between microeconomics and macroeconomics. List methods of health economic evaluation with examples. [2+4=6]

4. Describe the categories of dog bite and post-exposure prophylaxis as per national guidelines. [3+3=6]

5. Write the WHO theme 2025. Explain why WHO prioritizes this theme for global health action. Define GOBI-FFF and explain its significance in improving child health outcomes. [2+2+2=6]

#SECTION ‘C’

#Problem Based Questions / Modified Essay Questions [2Q × 10 = 20 marks]

#Problem–I

A 32-year-old woman from a riverside village presents with acute watery diarrhea and vomiting. Several neighbors have similar symptoms. The hand-pump water source is near an open drain and shows contamination.

a. What is the diagnosis and epidemiological triad? [2+2=4]
b. What are the clinical manifestations? [2]
c. Enlist prevention and control measures. [2]
d. What is WASH intervention? [2]

#Problem–II

A 24-year-old pregnant woman (24 weeks) complains of fatigue and pallor. Hemoglobin: 8.5 gm/dl.

a. What is the major nutritional disorder? [2]
b. Write the organogram of a Primary Health Care Center. [2]
c. What national nutrition programs and strategies address this problem in Nepal? [2]
d. According to NDHS 2022, what is the prevalence of this condition among women of reproductive age and what is the SDG 2030 target for its reduction? [2]
e. What are the roles of FCHVs in prevention and control? [2]