#Kathmandu University — University Examination

May/June 2025

Level: MBBS
Exam: II MBBS
Paper: X – Community Medicine
Time: 2 hours 30 minutes
Full Marks: 50
Date: June 13, 2025

#Instructions to the Candidate

• Answer each section in a separate answer book.
• Write brief, relevant and legible answers.
• Illustrate your answer with well-labeled diagrams wherever required.
• All questions are compulsory.

#SECTION “B” — Short Answer Questions

1. Define Medical Sociology. Write the role of family in health and disease. Write the cultural factors that affect health and disease. [1+2+2=5]

2. What are the major nutrition problems of Nepal? Write the signs and symptoms of Marasmus. How will you control Marasmus in the community? [1+2+2=5]

3. Answer in brief: [2+3=5]
a. Fertility determinants
b. Sanitary methods of refuse disposal

4. Define fever. What are the types of fever? Write the types of fever observed in different types of Malaria fever. [1+2+2=5]

5. What is popularly spoken of as the “Alma-Ata Declaration”? How has that influenced public health? [2+3=5]

6. Short answer: [3+2=5]
a. Tools of measurement in epidemiology
b. Strength of association in cohort study

#SECTION “C” — Problem Based Questions

#Problem I

7. A 33-year-old male working abroad felt sick and returned to Nepal for health checkup. He complains of unexplained weight loss and chronic diarrhoea for 2 months. On physical examination he had generalized lymphadenopathy and oral thrush.

a. What is your provisional diagnosis? [1]
b. Elaborate the different clinical stages of this disease. [4]
c. Mention different investigations for diagnosis of this disease. [2]
d. Write the prevention and control of the disease in the community. [3]

#Problem II

8. A 4-year-old male child was brought to a health center with fever, cough, running nose and redness of eyes. Fever started 4 days back. On examination bluish-white spots were seen on buccal mucosa opposite upper molars. Immunization status unknown.

a. What is your probable diagnosis? [1]
b. What do you understand by the term “pathognomonic”? What is the pathognomonic sign of the disease? [1]
c. List the complications of the disease. [2]
d. Explain the clinical stages in the natural history of the disease. [3]
e. Design prevention and control strategy for the disease in the community. [3]