#Kathmandu University
III MBBS University Examination (New Course)
January/February 2026
Level: MBBS
Subject: Community Medicine
Time: 2 hrs. 30 minutes
Marks: 50
Date: February 6, 2026
#INSTRUCTION TO THE CANDIDATE
Answer each section in a separate answer book.
Write brief, relevant and legible answers.
Illustrate your answer with well labelled diagrams wherever required.
All questions are compulsory.
#SECTION “B”
#Short Answer Questions [5Q × 6 = 30 marks]
1. List the common morbidity and mortality indicators of maternal and child health.
Write on the negative effects of violence against women on maternal and child health.
[3 + 3 = 6]
2. Discuss the epidemiology, prevention and risk factors related to occupational disease.
[6]
3. List the natural and man-made disasters. Explain the triage followed in disaster management.
[2 + 4 = 6]
4. Write briefly on different management methods based on behavioural science.
Explain any one of these methods in its role in improving health delivery system.
[3 + 3 = 6]
5. What is the impact of anti-genetic shift of influenzae virus on the population?
Write note on objectives of Early Warning and Reporting System (EWARS).
[3 + 3 = 6]
#SECTION “C”
#MEQ/PBQs [2Q × 10 = 20 marks]
6. In a health survey done in a metropolitan city of Nepal showed that non-communicable diseases (NCDs) were responsible for around 60% of the total annual deaths. It was found that multiple factors were responsible for the rise in the prevalence of NCDs.
a. List common NCDs leading to deaths in Nepal. [2]
b. Write in brief about the factors that have led to the rise in NCDs. [3]
c. Discuss the prevention of non-communicable diseases in community with special focus on high-risk strategy used in the preventing NCDs. [3]
d. What are the challenges faced in the control of NCDs? [2]
7. A 43-year-old male from Terai region developed sudden onset of high fever, intense headache, joint pain, retroorbital pain. Fever showed biphasic pattern. Consequently, he developed abdominal pain, persistent vomiting, mucosal bleeding and features of shock. On blood examination, haematocrit was raised.
a. What is your provisional diagnosis? [1]
b. What are the epidemiological determinants of the disease? [3]
c. What are the laboratory findings of this disease? [2]
d. Discuss the prevention and control of the disease in context. [4]
