#KATHMANDU UNIVERSITY

#III MBBS University Examination (New Course)

#May/June 2026

Subject: Community Medicine
Level: MBBS
Marks: 50
Time: 2 hrs. 30 minutes
Date: May 28, 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 warning signs of cancer. Discuss the prevention and control methods for cervical cancer. [2+4=6]

2.Draw the disaster cycle and write briefly about the phases in disaster management. [6]

3.Explain the modes of transmission of HIV/AIDS. Discuss the prevention and control of HIV/AIDS in the community. [2+4=6]

4.What are high-risk pregnancies? Write briefly about the government strategies to improve maternal and child health. [2+4=6]

5.What is Health Management Information System (HMIS)? How does HMIS improve health care delivery? [3+3=6]

SECTION “C”

MEQ/PBQs [2Q × 10 = 20 Marks]

6. A 55-year-old man came to the Medicine OPD for a regular health check-up. He is a known case of hypertension for the last 5 years and is under medication. He is a smoker, and his Body Mass Index (BMI) is 32 kg/m². On examination, the blood pressure is 130/90 mmHg. Systemic examination revealed no abnormality.

a. What does the person’s BMI indicate? [1]

b.What investigations are indicated for this person to assess any complications associated with hypertension? [2]

c.Enumerate the risk factors for coronary heart disease. [3]

d.Write a brief note on the PEN program in Nepal for the control of NCDs. [4]

7.A man was found living in an isolated place away from the village and was brought to the health center. He said that he lives in isolation because of stigma and rejection by the community due to his health condition. On examination, it was found that he had deformed fingers and numerous anaesthetic skin lesions on his body.

a.What is the provisional diagnosis for this case? Justify your answer. [1]

b.What is the WHO classification for this disease? Write the basis for classification. [2]

c.Write briefly about the two types of reactions associated with this disease. [3]

d.Discuss the prevention and control strategies of the disease in context. [4]