#Kathmandu University
#BIRAT MEDICAL COLLEGE
Budhiganga-02, Tankisinwari, Morang
Level: III MBBS (Batch: 2022)
Semester: 6th
Examination: End-Semester
Subject: Community Medicine
Time: 2 hrs. 30 mins.
Marks: 50
Date: December 15, 2025
#INSTRUCTION TO THE CANDIDATE
Answer each section in a separate answer book.
Write brief, relevant and legible answers.
Illustrate your answers with well-labeled diagrams where required.
All questions are compulsory.
#SECTION ‘B’
#Short Answer Questions [5Q × 6 = 30 marks]
1. Write the epidemiological triad of Cholera. Describe the clinical manifestation of Cholera. Enlist the prevention and control measure of Cholera.
(2 + 2 + 2 = 6)
2. Describe epidemiological triad of Kala-azar. Enlist the types & clinical feature of Kala-azar. Mention the prevention & control measure of Kala-azar.
(2 + 2 + 2 = 6)
3. Mention any two guiding principles and any three objectives of the National Mental Health Strategy and Action Plan, 2077.
(1 + 2 + 3 = 6)
4. What are three different ways toxic chemical in industries act to cause occupational hazards? Mention with examples and their preventive measures.
(2 + 2 + 2 = 6)
5. Define diarrhea. Classify diarrhea based on CB-IMNCI. Mention the steps for the management of diarrhea with severe dehydration according to Plan-C.
(1 + 2 + 3 = 6)
#SECTION ‘C’
#Problem Based Questions / Modified Essay Questions
[2Q × 10 = 20 marks]
#Problem-I
A 20-year-old male came to the PHC in Budhiganga rural municipality with history of dog-bite the previous day. He reported that the stray dog was seen frequently in the locality. On examination, the bite was seen on the left leg with tears on the clothing. There was some bleeding seen as well. His general condition was fair although he appeared apprehensive.
a. Describe the WHO recommended post-exposure prophylaxis for this young male. [3]
b. Describe why modern cell culture rabies vaccines are preferred rather than nerve tissue vaccines. [2]
c. Mention the advantage of the intradermal rabies vaccination. [2]
d. Elaborate the role of the “one health approach” in the prevention and control of Rabies. [3]
#Problem-II
A 32-year-old school teacher in your community has been experiencing persistent sadness, loss of interest in daily activities, occasional irritability, and difficulty concentrating for the past 3 months. Her family reports she has trouble sleeping and sometimes feels anxious in social situations. She has never sought mental health services before.
a. What steps would you take to screen and assess this patient for common mental disorders in the community setting? [3]
b. Name a few community-based organizations that help reduce stigma and improve access to mental health care? How are they helping to reduce this problem? [2 + 2 = 4]
c. How can community-based organizations help reduce stigma and improve access to mental health care? [3]
