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QN 1: Ms. Tamang, a 52-year female from Sunsari presented with irritant cough, dyspnoea, and chest pain. She had 15 years of exposure in the cement industry. Her chest X-ray shows snow storm appearance. Community physician diagnosed her as a case of Silicosis. |
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a. List different types of Pneumoconiosis with its causative agent. |
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b. What are different medical and non-medical measures of prevention and control of occupational diseases? |
2.5 |
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c. Why PPE use is important in the prevention of occupational diseases? |
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d. Write down the roles and responsibilities of Community Physician to the prevention and control of occupational diseases. |
3 |
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QN 2: GGHH initiative has launched a new strategy to manage health care waste at a new Medical College & Teaching Hospital of Nepal. They planned to start the latest technology for health care waste management. |
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| a. List 3R of Health care waste management. | 2 |
| b. Draw a composition of health care waste of Nepal. | 3 |
| c. What is the estimated health care waste generation in Nepal (Kg/Person/Day)? | 1 |
| d. What are different types of disposal techniques | 2 |
| e. What is the ideal temperature for the incineration process? | 1 |
| f. Which one is the latest and best technique for new medical college? | 1 |
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| QN 3 The first-year student of a Medical College and Teaching Hospital went to a nearby community for their community diagnosis program. | |
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a. What are the possible health indicators applied in this community diagnosis program? |
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b. Draw of epidemiological triad and iceberg of disease of Tuberculosis separately. |
3 |
| c. List are principlest and elements of primary health care. | 2 |
| d. List are goals of SDG. | 2 |
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| QN 4 MBBS students went to Simariya Community for their Family Health Exercise. They asked for nutritional assessment of that community. | |
| a. What is nutritional assessment? | 2 |
| b. Write down seven methods of nutritional assessment. | 3 |
| c. What is Shakir’s tape? Write down its use with interpretation. | 3 |
| d. What are the total days in one dietary cycle? | 2 |
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| Qn 5 A mother of 4 year female child came to Pediatric OPD with complaint that her child has difficult to see at the night. She is her fourth child who lacks care and attention of the mother | |
| a. What is the diagnosis of the child? | 2 |
| b.Enlist the spectrum of this condition. | 2.5 |
| c.What are the preventive measures his family can take? | 2.5 |
| d.What are the measures taken by government to prevent this condition? | 3 |
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| QN 6 Pakalai Rai is a three-year child from Sakma who was brought by her mother to Tankisinuwari Health Post with the complaints that she often fell down during late evening while playing around with friends. She had been weaned at an early age and the food she was receiving contained only rice and potato. On an examination, a grayish white patch was noticed on both sclera. | |
| a. What is the probable diagnosis? | 1 |
| b. How will you manage such a client? | 2 |
| c.How can similar conditions be prevented in other children? | 3 |
| d.How Tankisinuwari Health Post manage this public health problem? | 2 |
| e. Bal Vita is given in which age of life? | 1 |
| f.What is extended breastfeeding? | 1 |
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| BMCTH student went for a school health program at Bal Secondary School, Biratnagar. They assessed the physical, mental and social wellbeing of school children. They reported morbidities in 20% of the students. | |
| Mention the steps of organizing a school health program. | 2 |
| What are the behaviors of the school children that need to be observed? | 2 |
| How will you assess the immunization status of the school children? | 2 |
| List the different risks of childhood obesity. | 2 |
| What are the factors that need to be addressed for a healthy school environment? | 2 |
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| During Family Health Exercise, students were asked for the nutrition assessment of their assigned family. They reported deficiency of different nutrients. There were few cases of Diabetes Mellitus and Hypertension. | |
| What are the social determinants of malnutrition? | 2 |
| What are the different medical and non-medical intervention measures of Hypertension? | 2 |
| Mention the steps of nutrition assessment focusing on 24-hour recall method. | 4 |
| What is your suggestion for nutrition management of Diabetes Mellitus? | 2 |
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