#Kathmandu University
#BIRAT MEDICAL COLLEGE
Budhiganga-02, Tankisinwari, Morang
Level: III MBBS (Batch: 2022)
Semester: 7th
Examination: Mid-Semester
Subject: Community Medicine
Time: 2 hrs. 30 mins.
Marks: 50
Date: January 09, 2026
#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 [5Q × 6 = 30 marks]
1. Define a SMART objective in research, enumerate the types of research objectives, and list the components of the FINER criteria for a research question.
(2 + 2 + 2 = 6)
2. Enumerate the core epidemiological study designs and explain any two common biases encountered in case-control studies.
(4 + 2 = 6)
3. Describe why WHO prioritizes the theme of World Health Day 2025 for global health action. Define the GOBI-FFF campaign and explain the significance of each component in improving child health outcomes.
(3 + 3 = 6)
4. Enlist the management techniques based on quantitative methods. Define network analysis and explain its use in public health research.
(3 + 3 = 6)
5. Define hazard and risk with suitable examples. What preventive measures minimize hazards in industries and factories?
(2 + 4 = 6)
#SECTION ‘C’
#Problem Based Questions / Modified Essay Questions
[2Q × 10 = 20 marks]
#Problem-I
Ramesh works in a soap factory and handles chemicals daily. He has itching, redness, and dryness over hands that worsen during work and improve when away from it.
a. Identify the occupational condition affecting Ramesh. [1]
b. Explain the role of personal protective equipment in preventing this condition. [3]
c. Name two international organizations involved in industrial safety and describe their roles. [2 + 2 = 4]
d. What compensation is Ramesh entitled to as per Nepal’s Labor Act? [2]
#Problem-II
A 2-year-old child presents with cough, fast breathing, and loose stools for 2 days. The child appears ill.
a. List three danger signs of a sick child (2 months–5 years). [3]
b. What are the respiratory rate cut-offs for fast breathing in the following age groups? [3]
0–2 months
2–12 months
12–59 months
c. Differentiate between ORS and ReSoMal composition. [2]
d. Explain the importance of adding zinc in diarrhea treatment. [2]