Community Medicine · Epidemiology of Communicable Diseases
1.The outreach workers of your Primary Health Centre (PHC) are reporting resistance to COVID-19 vaccination acceptance in a village due to vaccine misinformation by their religious leader. As the medical officer of the PHC how would you plan to ensure vaccine acceptance and build vaccine trust in the local community
2.A 35-year-old male, municipality worker visited a camp with productive cough since a month with intermittent fever. He reported evening rise of temperature on most days. His ‘spot sputum sample’ was collected, which on Ziehl-Neelsen stain showed reddish bacilli 2+. A portion of the sample was sent for nucleic acid amplification testing which showed that the micro-organism is present and it is sensitive to ‘Rif.’
3.Master Rohan is 3 year old child presenting to your primary health center with a three day history of fever, cough, runny nose and a rash that started on the face and spread to the rest of the body. The child’s mother reports that her son has not received any vaccinations, including the measles vaccine.
4.Ramesh, a 40-year-old man has been diagnosed to have pulmonary tuberculosis. His 7-year-old son is brought to you with history of cough. As the medical officer of PHC.
5.Mrs. Lalitha, a 25-year-old school teacher, had cough and fever for 3 weeks. She visited a practitioner who prescribed a course of antibiotics. As there was no improvement a chest X-ray was adviced which showed persistent right upper zone infiltrates, she was then diagnosed to have TB and was immediately started on INH, Ethambutol and Pyrazinamide in a combination available at the nearby pharmacy. She was irregular for two months because it was expensive. Since she felt better, she then stopped taking medicines. Three months later she was brought to casualty gasping for breath and died. In the meantime, her one-year-old child Preethi developed prolonged fever, vomiting and convulsions.
6.Raghu, a 53-year-old male residing in a slum presented to the Urban Primary Health Centre (UPHC) with symptoms of cough, chest pain and fever of 3 weeks duration. He is diagnosed as a case with recurrent episode of Tuberculosis. He weighs 68 kg.
7.Three cases of diphtheria are reported from your PHC area. How will you treat the above patients and control the situation
8.A family of 4 members 50year old man, wife aged 46years and their two children aged 22 year and 20year respectively had sudden onset of fever and dry cough since 5days, later followed by myalgia. H/o recent travel present. How would you like to investigate the case
9.A lady brings her 2 years old daughter to the urban health centre, stating that the girl had developed a fever and a peppery rash on her face. You examine and diagnose this as a case of measles. On inquiry, the mother states that she has migrated from a far-away state and her child has not received any immunizations. Answer the following: How will you plan the child immunization Outline health problems faced by migrants in an urban area. Describe the strategy for measles elimination in India Problems
10.Krishnan aged 28 years comes to the PHC with sputum positive tuberculosis. How would you categorize and treat him. What advices will you give to his family
11.Integrated disease surveillance project
12.A truck driver with HIV may have developed tuberculosis chest. What problems do you anticipate in the diagnosis and management of the case
13.Srikrishna a 36 years old man has been diagnosed to have pulmonary tuberculosis. His 5 years old daughter Neethu is brought to you with a history of cough. As the medical officer of the PHC, • How would you confirm the diagnosis of tuberculosis in the child • If diagnosed positive, what is the regimen that you would follow to treat the child • If negative, what are the next steps to be taken Problems
14.A man aged of fifty years comes to outpatient department with H/o cough, irregular fever, chest pain and at times hemoptysis for the past 2 months. Answer the following: ● What are the possible causes. ● How will you diagnose this case. ● State the method of managing the patient ● State the objective of the management Problems
15.A 3 years child was brought with fever and rashes on the body. The child was partially immunized. How will you diagnose and manage the case
1.A migrant labourer with HIV may have developed tuberculosis of chest. What problems do you anticipate in the diagnosis and treatment of this case
2.Discuss the home care management of diagnosed Covid-19 patients
1.Clinical features, laboratory diagnosis and anti-viral therapy in swine flu
2.Salient features of revised national tuberculosis control programme Differentiate between
3.Assessment and classification of acute respiratory infections in children under five years of age as per the current national programme
4.Drug resistant tuberculosis
5.Clinical features of the different stages of measles and complications of measles
6.Directly observed treatment short course plus in tuberculosis
1.Measles and Rubella
2.Small pox and chicken pox
3.Any two differences between measles and chickenpox
4.Cut offs for fast breathing in a child aged 18 months
5.List the medicines used to treat multidrug resistant tuberculosis
6.Any two contraindications for measles vaccine
7.BCG vaccination is essential in India
8.Eruptive phase between chickenpox and measles Substantiate your answer with reasons
9.Sometimes diagnosis of silicosis and tuberculosis becomes difficult List the following
10.Vitamin A prophylaxis during Measles rubella (MR) vaccination
11.Measles and chicken pox Substantiate your answer with reasons
12.First and second line drugs against tuberculosis
13.It was possible to eradicate smallpox globally
14.AIDS is reviving the old problem of tuberculosis
15.Vitamin A supplement is given to a child recovering from measles List the following
1.An example of a live attenuated vaccine is
2.Assertion: During COVID 19 Pandemic a 14-day quarantine period is applied to contacts
3.Assertion: The trend in mortality from tuberculosis in India showed a steady fall in the past years
4.How many samples of sputum are to be collected for microscopic examination of tuberculosis
5.In a day care centre a child was having measles. In the centre the children between the ages of 9-12 months can be protected against measles with measles vaccine, provided that this is given with in
6.In case of latent tuberculosis infection
7.Reeta did not report to the DOTS centre after her treatment was started at the nearby DOTS centre for two months. She is classified as a TB case of
8.The rapid diagnostic tools in tuberculosis is
9.The smartphone app that collects and analyzes information on vaccine stocks and temperatures in India is