Dr. NTR UNIVERSITY OF HEALTH SCIENCES: A.P.

: VIJAYAWADA -
520 008

GUIDELINES FOR THE SCHEME OF UNIVERSITY EXAMINATION

Community Medicine
Competencies: The learner must demonstrate:
1. Understanding of physical, social, psychological, economic and environmental
determinants of health and disease,
2. Ability to recognize and manage common health problems including physical,
emotional and social aspects at individual family and community level in the
context of National Health Programmes.
3. Ability to Implement and monitor National Health Programmes in the primary
care setting.
4. Knowledge of maternal and child wellness as they apply to national health care
priorities and programmes,
5. Ability to recognize, investigate, report, plan and manage community health
problems including malnutrition and emergencies.

GOAL
The broad goal of teaching in Community Medicine is to prepare the student to
function effectively as a community physician and an efficient public health leader.

OBJECTIVES
At the end of the course, the student should be able to:

1) Understand the concepts of health and disease describe the levels of prevention
and modes of intervention.
2) Describe the epidemiological methods and apply appropriate epidemiological
methods to study and manage communicable and non-communicable diseases
in the hospital and community situations.
3) Define vital statistics and describe the various methods that are used to collect
data, apply bio-statistical methods and techniques to make inferences and
describe the health information systems.
4) Outline the demographic pattern of the country and appreciate the roles of the
individual, family, community and socio-cultural milieu in health and disease.
5) Diagnose and manage maternal and child health problems and advise couples
and the community on the family planning methods available.
 6) Describe the methods of nutritional assessment to diagnose and manage
common nutritional problems at the individual and community levels.
7) Enunciate the principles and elements of primary health care, describe the
organization and functions of the health care team at Primary Health Centre,
Community Health Centre and District levels.
8) Describe and evaluate the various National Health Programmes with particular
emphasis on maternal and child health programmes, family welfare and
population control, communicable and non communicable disease prevention
and its implementation in the community.
9) Describe the importance of water and sanitation in human health; identify and
investigate the environmental and occupational hazards, disaster, disease
outbreak and apply management techniques for their control.
10)Describe the principles and practice of health education and to apply appropriate
communication skills to bring about behavioural change in the community.
11)Capacity to plan and implement the measures for disaster.

Skills:-
1) At the end of the course, the student shall be able to make use of The principles
and practice of medicine in hospital and community settings and familiarization
with elementary practices.
2) Use the Art of communication with patients including history taking and medico
social work.
3) Use epidemiology as a scientific tool to make rational decisions relevant to
community and individual patient intervention.
4) Collect, analyse, interpret and present simple community and hospital base data.
5) Diagnose and manage common health problems and emergencies at the
individual, family and community levels keeping in mind the existing health care
resources and in the context of the prevailing socio-culture beliefs.
6) Diagnose and manage common nutritional problems at the individual and
community level.
7) Plan, implement and evaluate a health education programme with skill to use
simple audio-visual aids.
 8) Interact with other members of the health care team and participate in the
organization of health care services and implementation of national health
programmes.

Integration: The teaching should be aligned and integrated horizontally and vertically
in order to allow the learner to understand the impact of environment, society and
national health priorities as they relate to the promotion of health and prevention and
cure of disease.

CBME COMMUNITY MEDICINE SYLLABUS

COMPETENCY
TOPICS

Concept of Health & Disease

CM 1.1 Define & Describe Concept of Health .

Define Health& Describe The Concept of Holistic health ,
Describe The Concept ofSpirutual health, Define & Describe
CM1.2 Relativeness of health,Determinants of health
Describe the charecterstics of agent,host&environmental
CM1.3 factors in health & Disease& Multifactorial Etiology of disease

CM1.4 Describe & discuss the natural history of disease

Describe the application of interventions at various levels of
CM1.5 prevention
Describe and discuss the concepts,the principles of health
promotion and education IEC and BCC- behaviour change
CM1.6 communication

CM1.7 Enumerate and describe health indicators

Describe the demographic profile of India and discuss its
CM1.8 impact of health
Demonstrate the role of effective communication skills in
CM1.9 health in a simulated environment
Describe the important aspects of the doctor-patient
CM1.10 relationship in a simulated environment
 Relationship of social and behavioral to health & disease
Describe the steps and perform clinico-social cultural and
CM 2.1 demographic assessment of the individual, family and
community
Describe family types,its role in health and disease
Demonstrate in simulated environment the correct
CM2.2
assessment of socio-economic status Describe social and
cultural factors in health
Describe and demonstrate in a simulated environment the
CM2.3 assessment of barriers to good health and health-seeking
behaviour
Describe socialpsychology, community behaviour and
CM2.4 community relationship and their impact on health and
disease
describe poverty and socialsecurity measures and its
CM2.5
relationship to health and disease

Environmental Health Problems

describe health hazards of water
CM 3.1 pollution,soilpollution,airpollution,noise pollution and
radiation pollution
Describe the concepts of safe and wholesome water, water
CM 3.2 purification processes,water quality standards, concept of
water conservation and rain water harvesting
Describe the etiology and basis of water born
CM 3.3
disease(jaundice/hepatitis/diarrhoeal diseases)
Describe the concepts of solid waste human excreta and
CM 3.4
sewage disposal
Describe the standards of housing and effect of housing on
CM 3.5
health
Describe the role of vectors in transmission /causation of
CM 3.6 diseases Discuss national vector borne disease control
programme
Identify and describe the identifying features and life cycle
CM 3.7 ofvectors of public health importance and their control
measures
Describe mode of action and application cycle of common
CM 3.8
rodenticides and insecticides

Principles of health promotion & education

Describe various methods of health education with their
CM 4.1 advantages and limitations,social marketing programme - a
method of health education
Describe the methods of organizing health promotion and
CM 4.2 education activities at individual,family and community
settings,concept and method of health councelling
 Demonstrate and describe steps in evaluation of health
CM 4.3
promotion and education programme

Nutrition
Describe common sources of various nutrients and special
CM 5.1 nutritional requirements according to age,sex activity and
physiological conditions
Describe and demonstrate correct methods of perfoming a
CM 5.2 nutritional assessment of individuals,families and
community by using the appropriate method
Define and describe common nutrtion -related healtyh
CM 5.3 disorders including macro-protein energy malnutrition(PEM),
micro-iron,vit-A,iodine,Zn and their control and management
Plan and recommend a suitable diet for individual and
CM 5.4 families based on local availability of foods and economic
status,etc., in a simulated environment
Describe principles of nutrition rehablitation,nutrition
CM 5.5 education in the context of socio-cultural factors,methods of
nutritional surveillance
Enumerate and discuss important nantional nutritional
CM 5.6 programmes,Discuss the national nutritional
policies,Integrated child development service(ICDS)scheme
CM 5.7 Describe food hygiene

Describe and discuss the effects of additives and

CM 5.8
adulteration,
Describe and discuss importance and methods of food
CM 5.8
fortification

Basic statistics & its Applications

CM.6.1 Describe &Discuss Frequenccy distribution

CM.6.1 Formulate a research question for a study

CM6.2 Describe and discuss classification statistical data,

Describe and discuss principles & demonstrate the methods

CM6.2
of collection of data
Describe and discuss analysis,interpretation,and
CM6.2
presentation of statistical data
Descrribe and discuss, demonstrate the application of
CM6.3
elementary statistical methods,
Describe measures of central tendency and measures of
CM6.3
dispersion
Discuss & demonstrate common sampling techniques,test of
CM6.4
significance in various study designs
 Epidemiology

Define epidemiology,&describe&enumerate the priniciples

CM7.1
,concepts and uses of epidemiology
Enumerate ,describe and discuss the modes of transmission
CM7.2
of communicable diseases
Enumerate ,describe and discuss the measures for
CM7.2
prevention and control of communicable diseases
Enumerate ,describe and discuss the modes of transmission
CM7.2
of non-communicable diseases
Enumerate ,describe and discuss the measures for
CM7.2
prevention and control of non-communicable diseases
Enumerate ,Describe and discuss the sorces of
CM7.3
epidemiological data
Define ,calculate and interpret morbidity indicators and
CM7.4
mortality indicators ,based on given set if data
Enumerate,define,describe,discuss epidemiological study
CM7.5
designs

CM7.6 Enumerate and evaluate need of screening tests

Describe and demonstrate steps in the investigation of an
CM7.7 epidemic of communicable disease and the principles of
control measures
Describe the principles of association , causation and biases
CM7.8
in epidemilogical studies
Describe and demonstrate appilcation of computers in
CM7.9
epidemiology

Epidemiology
Describe and discuss the epidemiology and control measures
CM8.1 including the use of essential laboratory tests at the primary
care level of communicable diseases
Describe and discuss the epidemiology and control measures
including the use of essential laboratory tests at the primary
CM8.2
care level of non-communicable
diseases(DM,HTN,Stroke,obesity and cancer etc.,)
Enumerate and describe disease specific National health
CM8.3 programmes including their prevention and treatment of a
case
Describe the principles and enumerate the measures to
CM8.4
control a disease epidemic
Describe and discuss the principles of planning for disease at
CM8.5 community level bearing in mind the public health
importance of the disease
Describe and discuss the implementing and evaluating
CM8.5
control measures for disease at community level bearing in
 mind the public health importance of the disease

Educate and train health workers in disease surveillance ,

CM8.6
control and treatment and health education

CM8.7 Describe the principles of management information system

Demography ,vital statistics and population stabilization

Define and describe principles of demography, demographic

CM 9.1 cycle and vital statistics

CM 9.1 Describe demographic cycle

Define, calculate and interpret demographic indices including
CM 9.2 birth rate, death rate, fertility rates

CM 9.2 Define, calculate and interpret death rate

CM 9.2 Define, calculate and interpret fertility rates

Enumerate and describe the causes of declining sex ratio and
CM 9.3 its social and health implications

CM 9.4 Describe population dynamics of India

CM 9.5 Describe the methods of population control

CM 9.6 Describe National Population Policy

Enumerate sources of vital statistics including, SRS, NFHS,
CM 9.7 NSSO, civil registration system and census

Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH + A)

Describe the current status of reproductive, maternal,
newborn and child health (RMNCH) and common health
CM10.1 problems
Describe local customs and practices during pregnancy,
CM 10.3 childbirth, lactation and child feeding practices

CM 10.4 Describe child survival and safe-motherhood interventions

Describe the reproductive, maternal, newborn, child health
CM 10.4 interventions
Enumerate and describe the methods of screening high-risk
CM 10.2 groups
Enumerate and describe various family planning methods,
CM 10.6 their advantages and shortcomings
 Enumerate and describe the basis and principles of the
family welfare programme including the organization,
CM 10.7 technical and operational aspects

CM 10.5 Describe universal immunization programme

Describe integrated management of neonatal and childhood
CM 10.5 illness

CM 10.5 Describe school health programme

Describe Rashtriya Bal SwasthyaKaryakram and screening

CM 10.5 high risk children
Describe the physiology, clinical management and principles
CM 10.8 of adolescent health including ARSH
Describe Rashtriya Kishor SwasthyaKaryakram including
CD 10.8 ARSH
Describe and discuss gender issues and women
CM 10.9 empowerment

Occupational Health

Enumerate and describe the presenting features of patients

CM 1 1 .1 with occupational illness including agriculture
Describe the role, benefits and functioning of employees
CM 1 1.2 state insurance scheme
Enumerate and describe specific occupational health
hazards, their risk factors presenting features and preventive
CM 1 1.3 measures

CM 1 1 .4 Describe the principles of ergonomics in health preservation

Describe occupational disorders of health professionals, and
CM 1 1 .5 their prevention and management

Geriatrics— Add Life to the Years

CM12.1 Define and describe the concept of geriatric services

CM12.2 Describe health problems of aged population

Describe the prevention of health problems of aged
CM12.3 population

Describe national programme for elderly

CM12.4
Topic 13: Disaster Preparedness and Management
 Define and describe the concept of disaster
CM13.1 management

Describe disaster management cycle

CM13.2
Describe man-made disasters in the world and in India
CM13.3
Describe the details of the national disaster
CM13.4 management authority

Hospital Waste Management

Define and classify hospital waste
CM14.1
Describe various methods of treatment of hospital
CM14.2 waste

Describe laws related to hospital waste management

CM14.3

Mental Health
Define & describe the concept of mental health
CM15.1
Describe warning signals of mental health disorders
CM15.2
Describe National Mental Health Programme 15
CM15.3

Topic 16: Health Planning and Management

Describe Health planning in India and national policies
CM 16.4 related to health and health planning

Define and describe the concept of health planning

CM 16.1
Describe planning cycle
CM 16.2
Describe health management techniques
CM 16.3

Topic 17: Health Care of the Community

Define and describe the concept of health care to
CM 1 7.1 community

Describe community diagnosis, NHM and IPHA

CM 1 7.2
Describe primary health care, its components and
CM 17.3 principles
Describe national policies related to health and health
CM 1 7.4 planning, Millenium development goals and Sustainable
 developmental goals

Describe health care delivery systems in India

CM 17.5

Topic 18: International Health and International Health Regulations

CM 18.1: Define and describe the concept of
CM 18.1 international health
CM 18.2: Describe roles of various international health
CM 18.2 agencies

Topic 19: Essential Medicines and Rational Use of Drugs

Define and describe the concept of essential medicines

CM 19.1 list (EML)
Describe role of essential medicines in primary health
CM 19.2 care

Describe counterfeit medicine and its prevention

CM 19.3

Topic 20: Recent Advances in Community Medicine

List important public health events of last four years
CM 20.1
Describe various issues during outbreaks and their
CM 20.2 prevention

Describe any event important to health of the community

CM 20.3
Demonstrate awareness about laws pertaining to the practice
of medicine such as Clinical establishment Act and Human
CM 20.4 Organ Transplantation Act and its implications
 PRACTICAL SYLLABUS

Phase 1 competencies

Competency Competency Activity

No
CM1.9 The student should be able to Small group discussion
Demonstrate the role of effective
Communication skills in health in
a simulated environment
CM 1.10 Demonstrate the important Small group discussion
aspects of the doctor patient
relationship in a simulated
environment
CM4.3 Demonstrate and describe the Small group discussion
steps in evaluation of health
promotion and education program
CM5.2 Plan and recommend a suitable DOAP/OSPE
diet for the individuals and
families based on local availability
of foods and economic status, etc
in a simulated environment
CM5.4 Plan and recommend a suitable DOAP/OSPE
diet for the individuals and
families based on local availability
of foods and economic status, etc
in a simulated environment

CM9.2 Define, calculate and interpret DOAP/OSPE

demographic indices including
birth rate, death rate, fertility
rates

Field visits:
Visit to PHC
Visit to subcentre
Visit to CHC
Visit to RHC
Visit to UHC
 Phase 2 Competencies

Competency Competency Activity

No
CM2.1 Describe the steps and perform Family health study
clinic-socio-cultural and
demographic assessment of the
individual, family, and community
CM 2.2 Describe the socio-cultural Family health study
factors, family (types), its role in
health and disease & demonstrate
in a simulated environment the
correct assessment of socio-
economic status
CM 2.3 Describe and demonstrate in a Small group discussion
simulated environment the
assessment of barriers to good
health and health seeking
behaviour
CM 5.2 Describe and demonstrate the Family health study
correct method of performing a
nutritional assessment of
individuals, families, and the
community by using the
appropriate method.
CM 3.7 Identify and describe the DOAP/OSPE
identifying features and life cycles
of vectors of Public Health
importance and their control
measures.
- Anopheles mosquito
- Culex
- Aedes aegyptii
- Itch mite
CM8.6 Educate and train health workers DOAP/OSPE
in disease surveillance, control &
treatment, and health education.
CM6.4 simple statistical methods, SGD/PBL
frequency distribution, measures
of central tendency and
dispersion
Field visits:
CM 3.2 Visit to water purification plant
Exercise on interpretation of water analysis report
Visit to Dist Public Health Laboratory

CM 3.4 Visit to sewage purification plant

CM 3.6 Visit to office of Dist. Vector borne Diseases Control Program
CM5.6 Visit to anganwadicentre

CM 7.2 Visit to cold chain

Visit to Immunisation clinic

Phase 3 Competencies

CM8.1 Describe and discuss the epidemiological and control measures including the
use of essential laboratory tests at the primary care level for communicable diseases.

CM8.2 Describe and discuss the epidemiological and control measures including the
use of essential laboratory tests at the primary care level for Non Communicable
diseases (diabetes, Hypertension, Stroke, obesity and cancer etc.)

CM7.4 Define, calculate and interpret morbidity and mortality indicators based on
given set of data.

CM6.3 Describe, discuss and demonstrate the application of elementary statistical

methods including test of significance in various study designs.

Clinico social cases

Antenatal woman
Postnatal woman
Malnutrition in an under 5 child
Diarrhea
ARI
Tuberculosis
Leprosy
Fever
Diabetes
Hypertension
CM7.4, 8.18.2Epidemiological
exercises
CM6.3 statistical tests of
significance
 MBBS Community Medicine Syllabus
SYLLABUS OF
COMMUNITY MEDICINE

S.No Topic Domain Hours

1 MAN AND MEDICINE: Nice to 1 hr.

Changing concepts in public health

2 CONCEPT OF HEALTH AND DISEASE: Must Know 5 hrs.

1.Dimensions and determinants of

Health

2. Indicators of Health.

3.Natural history of disease

4. Primary Health Care (Group Discussion )

3 ENVIRONMENT AND HEALTH: Desirable

1. Water
2. Air 28 hr.
3. Light
4. Ventilation
5. Noise
6. Meteorological environment.
Must Know
7. Humidity
8. Housing
9. Disposal of waste
10. Excreta disposal
11. Medical entomology &Insecticides
12. Rodents & related Disease
13. Radiation
14. Zoonosis
4 MEDICINE AND SOCIAL SCIENCE : Must Know

1. Concepts in Sociology. 7hrs

2. Psychology
3. Social Psychology
4. Family in health and disease.
5. Cultural factors in health and disease.
6. Hospital Sociology.
7. Art of Interviewing.
8. Social Problems.
9. Economics.
10. Social security

1. Family Visit & Socio Clinical Case Study Must Know 52

5 SCREENING FOR DISEASE: Must Know

1. Concept of screening 1hr.

2. Uses of Screening
3. Criteria for screening
2hrs
4. Sensitivity and specificity
5. Problems of the border line.

6 HOSPITAL WHASTE MANAGEMENT: Must Know

1. Sources of health care waste. 3hrs

2. Health care waste hazards.
3. Method of treatment.
4. Bio medical waste management.
5. Color coding.

7 EPIDEMIOLOGY: Must Know

1. Aims and Approaches of Epidemiology. 15hrs.

2. Rates, ratios and measurement of morbidity and
mortality.
3. Epidemiological methods Descriptive, Analytical
 and experimental.
4. Association and causation.
5. Uses of epidemiology.
6. Infectious disease epidemiology – Dynamics of 2hrs.
disease transmission, Immunity and 8hrs.
immunizing agent.
7. Disease prevention and control.
8. Disinfection.
9. Investigation of an epidemic Including Filed survey

8 EPIDEMIOLOGY OF COMMUNICABLE DISEASES: Nice to

1. Small pox …..

2. Chickenpox
3. Measles
40
4. Mumps Must Know
5. Rubella
6. Influenza
7. Diphtheria
8. Whooping cough
9. Meningococcal meningitis
10. SARS
11. ARI
12. Tuberculosis
13. Polio
14. Viral hepatitis
15. Acute diarrheal diseases 8hrs.
16. Cholera
17. Typhoid fever
18. Food poisoning
19. Worm infestation
20. Dengue
21. Malaria
22. Filiariasis
23. Rabies
24. JE
25. KFD
26. Chikungunya fever
27. Plague
28. All ricketsial diseases.
29. Leishmaniasis
30. Hydatid disease
 31. Trachoma
32. Tetanus
33. Leprosy
34. STD
35. AIDS
36. Emerging and Reemerging infectious disease
37. Hospital acquired infections

9 EPIDEMIOLOGY OF NON COMMUNICABLE DISEASE: Must Know 8hrs.

1. Cardiovascular diseases.
2. Coronary heart disease.
3. Hypertension
4hrs.
4. Stroke
5. RHD
6. Cancer
7. Diabetes

10 DEMOGRAPHY AND FAMILY PLANNING: Must Know

1. Fertility 6hrs.
2. Contraception
3. Family planning
2hrs.
4. National population policy
5. Visits

11 PREVENTIVE MEDICINE IN PAEDIATRICS OBSTATRICS Must Know 14hrs.

AND GERIATRICS:

1. Introduction to MCH
2. Antenatal and post natal care
3. Care of the children.
4. Low birth babies.
5. Growth and development. 6
6. Child health problems.
7. Rights of women and children.
8. Indicators of MCH care.
9. IMNCI
10. School health services.
11. Handicap children
12. Behavioral problems in children.
 13. Social welfare programs.
14. Preventive medicine and geriatrics

12 NUTRITION AND HEALTH: Must Know

1. Introduction to nutrition 18hrs.

2. Vitamins
3. Minerals
4. Nutritional problems of public health importance
5. Nutritional requirements.
6. Assessment of nutritional status.
7. Nutritional surveillance and social aspects of
nutrition.
8. Food hygiene and Food borne disease.
9. Prevention of food adulteration act.
10. Community nutrition programs.

13 DISASTER MANAGEMENT Must Know 1 hr

14 OCCUPATIONAL HEALTH: Must Know 3 hrs

1. Occupational hazards and diseases.

2. Prevention and control of occupational diseases.

3. Factory act and ESI act.

15 GENETICS AND HEALTH: Must Know 3hrs

1.Introduction to genetics

2. Chromosomal and multi-factorial disorders.

3. Preventive and social measures.

16 MENTAL HEALTH: Must Know 2hrs.

1. Warning signals
2. Types causes and preventive aspect of mental
illnesses.
17 HEALTH INFORMATION AND BASIC MEDICAL Must Know
STASTICS:
10hrs.
1. Sources of health information
2. Elementary statistical measures.
3. Charts and diagrams.
4. Statistical averages. 10hrs
5. Measures of dispersion.
6. Normal distribution.
7. Sampling.
8. Test of significance
9. Chi square test.
10. Co relation and regression.

18 COMMUNICATION FOR HEALTH DUCATION: Must Know 3hrs

1. Communication process.
2. Health education definition approaches and
models.
3. Health education contents, principles and
practices.

1. Case Studies & visit Must Know 2hrs.

19 HEALTH PLANNING AND MANAGEMENT: Must Know

1. Health planning and planning cycle. 31hrs.

2. Management methods and techniques.
3. National health policy.
4. Health systems in India.
5. Visit to Health care facility

20 HEALTH CARE OF THE COMMUNITY: Must Know 3hrs.

1. Primary health care and Health for all.

2. Millennium development goals
3. Health status and health problems.
21 INTERNATIONAL HEALTH: Nice to 2hrs

1. WHO
2. Other united nation agencies and other NGOs

22 HEALTH PROGRAMMS IN INDIA: Must Know

1. NVBDCP 15hrs.
2. RNTCP
3. NACO
4. NACP
5. Nation program for control of blindness
6. UIP
7. National Health mission.
8. RCH
9. RMNCH +A
10. NPCDCS
11. IDSP
12. IDD
13. National mental health.
14. Minimum needs program me.
15. 20 point program me.

Distribution of topics for paper I & Paper I- Final MBBS part I

Department of Community Medicine

Syllabus of Community Medicine for Paper I

1. Man and medicine : towards health for all

2. Concept of health & disease
3. Principles of epidemiology and epidemiologic methods
4. Screening for disease
5. Nutrition and health
6. Medicine and social sciences
7. Environment and health
8. Hospital waste management
9. Disaster management
10. Occupational health
11. Genetics and health
12. Health information and basic medicine statistics
Syllabus of Community Medicine for Paper II

1. Epidemiology of communicable diseases

2. Epidemiology of chronic non communicable disease and conditions
3. Essential medicine and counterfeit medicine
4. Demography and family planning
5. Preventive medicine in obstetrics, paediatrics and geriatrics
6. Communication for health education
7. Health planning and management
8. Health care of the community
9. National Health programmes in India
10. International health
11. Mental health

Books Recommended:

1. Parks text book of preventive & social medicine – K. Park ,Bhanot Publication
2. Text Book of Community Medicine with Recent Advances- Suiryakatha, JP
Brothers Publication

U
 SCHEME OF SUMMATIVE ASSESSMENT/UNIVERSITY EXAMINATION
MBBS-COMMUNITY MEDICINE- PHASE 3 part 1

Theory Max. Marks Practicals Max Marks

Paper-I 100 Practical exam 80
Paper-II 100 Viva/Orals 20
Total 200 Total 100

Theory
Paper-I Time allotted-3 hours Max.marks-100
S.No Type of questions Marks
I Long Answer questions (structured 2x 15 = 30 marks
questions)
II Ten (10) short answer questions, 10 x 5 = 50 marks
including Two (2) problem-based
questions.

III Objective type Questions- 20 marks

(i) MCQs 20x1=20M

Paper-II Time allotted-3 hours Max.marks-100 marks

S.No Type of questions Marks

I Long Answer questions (structured 2x 15 = 30 marks
questions)
II Ten(10) short answer questions, 10 x 5 = 50 marks
including Two (2) problem-based
questions.
III Objective type Questions- 20 marks

(i) MCQs 20x1=20M

The final Theory assessment examinations should be in the lines of

university/summative assessment examination.
 MARKS WEIGHTAGE: PAPER I

Nature of
S no TOPIC Minimum Maximum
question
1. Man and medicine: towards 2 2 Only objective
health for all
2. Concept of health & disease 12 15 LAQ, SAQ,
Objective
3. Principles of epidemiology 12 15 LAQ, SAQ,
and epidemiologic methods Objective
4. Screening for disease 2 5 SAQ, objective

5. Nutrition and health 12 15 EQ, SAQ,

Objective
6. Medicine and social 12 15 LAQ, SAQ
sciences Objective
7. Environment and health

8. Hospital waste management 12 18 LAQ, SAQ,

Objective
9. Disaster management

10. Occupational health 8 10 SAQ, Objective

11. Health information and 2 5 SAQ, Objective

basic medicine statistics
12. TOTAL 100

Special note: Demarcation of topics is tentative only; as some amount of overlapping

is unavoidable between these topics. Deviation up to 25% is acceptable
 MARKS WEIGHTAGE : PAPER II

Nature of
S no TOPIC Minimum Maximum
question
1. Epidemiology of communicable 12 15 LAQ, SAQ,
diseases Objective
2. Epidemiology of chronic non 12 15 LAQ , SAQ,
communicable disease and Objective
conditions
3 Demography and family planning 10 10 SAQ, objective

4. Preventive medicine in Obstetrics, 12 15 LAQ , SAQ,

Paediatrics and Geriatrics Objective
5. Essential medicine and counterfeit 2 2 Objective
medicine, Mental health, Recent
advances
6. Communication for health 8 8 SAQ Objective
education
7. Health planning and management 2 6 SAQ Objective

8. Health care of the community 10 12 SAQ, Objective

9. National Health programmes in 5 12 LAQ, SAQ,

India Objective

10 International health 2 5 SAQ, Objective

Special note: Demarcation of topics is tentative only; as some amount of overlapping

is unavoidable between these topics. Deviation up to 25% is acceptable
 Model question papers:

M.B.B.S. DEGREE EXAMINATION

THIRD YEAR PART I

COMMUNITY MEDICINE INCLUDING HUMANITIES – I

Time: Three hours Maximum : 100 Marks

Answer All Questions

Long essay 10*15 = 30 marks

1) Differentiate between case control and cohort studies. What are the different
types of cohort studies? Give examples. Describe the types of bias and measures
to counter bias 4+3+2+2+4

2) What is micronutrient malnutrition? List the common causes. Write about the
prevention and of iron deficiency anaemia among children, adolescents and
prevention and management among pregnant women 2+2+2+2+3+3

Short essay 10*5=50

3) Iceberg phenomenon in health & disease
4) National Immunization Schedule
5) Role of family in chronic diseases
6) Prevention and control of air pollution
7) Microbiological aspects of drinking water quality
8) Various source reduction methods for vector control
9) Write about ‘Open Vial Policy’ and also mention the vaccines for which this policy
does not apply
10) mention the Prevention and Control measures for Agricultural Hazards
11) Mention the criteria for a screening program
12)What is ‘ergonomics’? Describe how it can be ensured by giving examples

Choose the right answer

1) Sushruta is known as (Park 26th / Page 2)
 A) Hindu God of Medicine B) Father of Anti-sepsis
C) Father of Indian Surgery D) Father of Public Health
in India
2) Agent can be used to cause bioterrorism: (AH Suryakantha 5th /Page 890)
A) Plague bacillus B) Typhoid bacillus
C) Streptococcus D) Staph. aureus
3) An example of secondary level of prevention is (AH Suryakantha 5th /Page 598)
A) School health check-up B) Hepatitis – B vaccination
C) Starting sports clubs for children D) Provision of calipers for
residual polio
4) Disposal of expired or discarded medicines is by (Park 26th / Page 853)
A) autoclaving B) mutilation/shredding
C) micro-waving D) Incineration
5) MPN Multiple Tube Method is done to (Park 26th / Page 820)
A) Detect the presence of Coliform organisms in a sample of water
B) Detect the presence of Faecal streptococci in a sample of water
C) Detect the presence of Cl. perfringens in a sample of water
D) Do the colony count of bacteria
6) Which one of the following is an example of Social Defence (Park 26th ed / Page 763)
A) Administration of polio drops B) Giving anti-TB drugs free of cost
C) ChildMarriageRestraintAct,1978 D) Supplementation of nutrition
7) Which of the following is not a sporicidal agent? (Park 26th ed / Page 142)
A) Glutaraldehyde B) Formaldehyde
C) Chlorine dioxide D) Cresol
8) Mrs Savithri is aged 68 years and had lost her husband 5 years back. She has two
children but they are not able to take care of her. The government provides a cash
assistance of Rs 2250 /- Per month. This is an example of (Park 26th ed/ Page 792)
A) Social pathology
B) Social security
C) Social defence
D) Social ethics

9) Minimum and Maximum Values established for calculation of Life Expectancy index
in HDI are:
 (Park 26th ed/ Page 18)
A. 0 years and 65 years
B. 20 years and 83.2 years
C. 25 years and 85 years
D. 0 years and 86.4 years
10) Germ theory of disease was proposed and advanced by (Park 26th ed / Page 6)
A) Joseph Lister and James Lund B) Hippocrates and John Snow
C) Manu and Charaka D) Robert Koch and Louis Pasteur
11) Nosocomial infections are those which develop (Park 26th ed / Page 6)
A. Within 24 hours after hospitalization
B. Within 48 hours of hospitalization
C. After 48 hours of hospitalization
D. After 7 days of hospitalization

12) Black color in triage indicates: (Park 26th ed / Page 6)

A. Death
B. Transfer
C. High priority
D. Low priority
13) “White Fingers” may result from which of the following occupational hazards:
(Park 26th ed / Page 6)
A. Heat
B. Cold
C. UV Radiation
D. Vibration
14) All are true about Lead Poisoning except (Park 26th ed / Page 6)
A. Greatest source is drinking water from lead pipes
B. Can cause Blue Line on gums
C. Measurement of CPU is a useful screening test
D. Basophilic stippling of RBCs is a sensitive parameter of haematological
response
15) Histogram is used to describe: (Park 26th ed / Page 6)
A. Quantitative data of a group of patients
B. Qualitative data of a group of patients
C. Data collected on nominal scale
D. Data collected on ordinal scale

16) According to nutrient intake goals which of the following is correct?

(Park 26th / Page 722)
A. Saturated fatty acids can be consumed up to 20% of the total energy
 B. Salt should be restricted to < 10gms /day
C. Free sugars should be restricted to < 10 % of total energy
D. There is no limit for trans fats as they are good for health

17) The incidence of malaria in an area is 20, 20, 50, 56, 60, 5000, 678, 898, 345, 456.
Which of these methods is the best to calculate the average incidence?
(Park 26th ed / Page 6)
A. Arithmetic mean
B. Geometric mean
C. Median
D. Mode

18) A known HIV positive patient is admitted in an isolation ward after an abdominal
surgery following an accident. The resident doctor who changed his dressing the next
day found it to be soaked in blood. Which of the following would be right method of
choice of discarding the dressing?
(Park 26th / Page 853)
A. Pour 1% hypochlorite on the dressing material and send it for incineration in
an appropriate bag
B. Pour 5% hypochlorite on the dressing material and send it for incineration in
an appropriate bag
C. Put the dressing material directly in an appropriate bag and send for
incineration
D. Pour 2% Lysol on the dressing material and send it for incineration in an
appropriate bag

19) ‘Phosphatase test’ is done (Park 26th / Page 712)

A. Check pasteurisation of milk
B. To check quality of meat
C. to test quality of drinking water
D. To check iodine in salt

20) Spot map represents (Park 26th / Page 74)

A. Time distribution of cases
B. Person distribution of cases
C. Place distribution of cases
D. Seasonal distribution of cases
 Model question papers:

M.B.B.S. DEGREE EXAMINATION

THIRD YEAR PART I

COMMUNITY MEDICINE INCLUDING HUMANITIES – I

Time: Three hours Maximum : 100 Marks

Answer All Questions

Long essay 2*15 = 30 marks

1) Describe the epidemiology ,prevention and control of tetanus 5+5+5
2) Define perinatal mortality rate,what are the causes and preventive measures of
perinatal mortality? 2+5+5
SHORT ESSAY 5*10=50 MARKS.
1) Steps in the investigation of food poisoning.
2) How can we prevent Road traffic accidents.
3) Causes of blindness in India.
4) Rule of halves
5) Explain natural family methods.
6) List out the principles of primary health care.
7) Recommendations of Bhore committee.
8) Principles of primary health care.
9) Write about modified plan of operation under NMEP.
10) IMNCI.
 MCQ’s

1) A male patient of age 35 years came to hospital with symptoms of low grade fever
with evening rise of temperature, which subsides in the night associated with
sweating. He also had loss of appetite and loss of weight. He had cough
associated with expectoration which is progressive in nature, sputum is
yellowish, copious, viscid and foul smelling, more during morning hours,
hemoptysis is reported and Mantoux test is positive. What is the Probable
diagnosis? ( AH Suryakantha 5th /Page 316 )
A) AIDS B) Typhoid
C) Tuberculosis D) Covid-19
2) A male baby of age 5 years brought to the hospital with symptoms of fever,
polyarthralgia following the infection of throat(pharynx). On examination, Patient
was found to have carditis with erythema nodosum and ECG is having prolonged
P-R Interval. What is the criteria used for diagnosing the disease?
( AH Suryakantha 5th /Page 475 )
A) EULAR criteria B) GLIM criteria
C) JONES criteria D) DSM-5 criteria
3) A obese male patient of age 55 years came to hospital with complaints of
increased frequency of urination, increased thrist, tingling in the feet, fatigue,
unexplained weight loss and his fasting plasma glucose was 140mg/dl and 2
hour post-load plasma glucose was 230mg/Dl and was found to be due to insulin
resistance and What is the Probable diagnosis? ( Park 26th / Page 438)
A) Gestational Diabetes B) Type 1 Diabetes
C) Type 2 Diabetes D) None of the above
4) Visual Inspection with Acetic acid (VIA) is a method of screening for cancer of ?
( AH Suryakantha 5th /Page 949)
A) Oral cancer B) Cervix
C) Gastric D) Prostrate
5) In IUCD Cu-380 A, what does the number 380 refers to? ( Park 26th / Page 577)
A) Weight of the copper on the device B) Price of the copper
C) Surface area of copper on the device D) Length of the part of the device
 6) Early Expanding stage is denoted by ( AH Suryakantha 5th /Page 553 )
A) Decreased Birth rate and Increased Death rate
B) Increased Birth rate and Increased Death rate
C) Decreased Birth rate and Decreased Death rate
D) Unchanged Birth rate and decreased Death rate

7) Registration of pregnancy within 12 weeks is primary responsibility of the ANM

since it helps in timely detection of complications at an early stage and helps to
manage them appropriately by referral as and where required.
( Park 26th / Page 605)
A) TRUE B) FALSE
8) Minimum number of anti natal visits during entire period of pregnancy ( Park
26th / Page 605 )
A) 1 B) 2
C) 3 D) 4
9) As compared to Cow’s milk, Human milk has ( Park 26th / Page 622 )
A) More Proteins B) Less carbohydrates
C) More Iron D) Less of Vitamins
10) SOAP Technique is a method of evaluation of cases or a student. This comes
under ( AH Suryakantha 5th /Page 655)
A) Information, Education, Communication B) Systematic Review
C) Disinfectants D) Network Analysis
11) Which of the following is a MASS APPROACH ?( Park 26th / Page 959 )
A) Lectures B) Demonstrations
C) Group Discussions D) Posters
12) Critical path in network analysis is ( AH Suryakantha 5th / Page 737 )
A) Most expensive path in a network B) Congested path in a network
C) Shortest path in a network D) Longest path in a network
13) Kangaroo Mother Care is the ideal method for providing care by the recently
delivered mother to her LBW newborn baby since it is scientifically proved,
sophisticated, comprehensive, humane, natural, low cost method
( AH Suryakantha 5th /Page 521)
A) TRUE B) FALSE
14) COTPA Act comes under which programme) ( AH Suryakantha 5th /Page 848)
A) National Tobacco Control Programme B) Twenty Point Programme
C) Minimum Needs Programme D) National Oral Health Programme
15) In UNICEF’s , GOBI Campaign , ‘O’ stands for ( AH Suryakantha 5th /Page 764 )
A) Oral contraceptives B) Oral rehydration therapy
C) Obesity D) Occupational hazards
16) UNDP works for ( AH Suryakantha 5th /Page 764 )
A) The main source of funds for technical assistance
B) The main source of funds for Child health
C) The source of funds for research and development
D) Educational source for developing countries
17) Theme for WHO Day 2021 is focused on( AH Suryakantha 5th /Page 1099)
A) Building a fairer, healthier world B) Support Nurses and Midwives
C) Depression- Let’s talk D) Universal Health Coverage – Everyone, Everywhere
18) At present, there are nine diseases under international surveillance that should
be reported to the WHO. Which of the following ia NOT one of these diseases?
( AH Suryakantha 5th /Page 1097)
A) Poliomyelitis B) Influenza
C) Malaria D) Smallpox
19) Which of the following known as Superman drugs ( Park 26th / Page 929 )
A) LSD B) Heroin
C) Amphetamines D) Barbiturates
20) Which of the following is a mood ( affective) disorder according to ICD-10
( Park 26th / Page 929 )
A) Bipolar Mood disorder B) Alzheimer’s
C) Schizophrenia D) Paranoid personality disorder
 Syllabus of Community Medicine for Paper I
WEIGHTAGE IN PERCENTAGE(for 100 marks)
Topic ESSAY short MCQs MARKS/
Answer weightage
questions
1. Man and medicine: towards Nil Nil 2 2%
health for all
2. Concept of health & disease 1 Nil nil

If essay 2 5 15%
not
given
3. Principles of epidemiology and 1 nil 3 18%
epidemiologic methods
If essay 2 8
not
given
4. Screening for disease Nil 1 nil 5%
5. Nutrition and health 1 Nil 3 18%

If essay 3 3
not
given
6. Medicine and social sciences Nil 1 3 8%
7. Environment and health Nil 2 2 12%

8. Hospital waste management Nil Nil 2 2%

9. Disaster management Nil Nil 3 3%
10. Occupational health 1 Nil Nil 15%

If essay 2 5
not
given
11. Health information and basic Nil Nil 2 2%
medicine statistics
12. TOTAL 30 50 20 100
 Syllabus of Community Medicine for Paper II
WEIGHTAGE FOR 100 marks.
Topic ESSAY SHOR MCQ MARKS/
T S WEIGHTAGE
ESSAY
1. Epidemiology of 1 1 1 18%
communicable
diseases If essay not 3 3
given
2. Epidemiology of 1 1 1 18%
chronic non
communicable If essay not 3 3
disease and given
conditions
Essential Nil Nil 3 3%
medicine and
counterfeit
medicine
3. Demography and Nil 1 3 8%
family planning
4. Preventive 1 0 3 15%
medicine in
obstetrics, If essay 2 5
paediatrics and not given
geriatrics
5. Communication Nil 1 3 8%
for health
education
6. Health planning Nil 1 1 6%
and management
7. Health care of the Nil 1 Nil 5%
community
8. National Health 1 Nil 1 13%
programmes in
India If essay 2 3
not given
9. International Nil Nil 3 3%
health
10. Mental health Nil Nil 3 3%
11. TOTAL 20 50 20 100
 Scheme of University examination- III MBBS part-1

Theory Max Marks Practicals Max Marks

Paper -1 100 Practical exam 80

Paper -2 100 Viva 20

Total 200 Total 100

Format for community medicine1st& 2nd Internal Assessment Practical

examination

Marks: Practical: 70, Logbook+ Record: 10,viva;20 Total: 100

S.No Category Marks

1. Clinico-social cases ---1

30

2 Epidemiology exercises-----1 10

3 Statistical Exercises-----1 10

4 Ospe/osce--------1 10

5 Spotters------------5*2 10

6 Practical Record/log book 10

 7 Viva -------------- 20

Total 100

1AND 2ND INTERNAL ASSESSMENT WILL BE SIMILIAR PATTERN AND MAY BE

DONE AS PER THE CHOICE OF THE COLLEGE.

3RD INTERNAL ASSESMENT WILL BE SIMILAR TO FINAL UNIVERSITY

EXAMINATION PATTERN.

Format for community medicine 3rd Internal Assessment Practical examination

Marks: Practical: 80, VIVA:20 Total: 100

S.No Category Marks

1. Clinico-social case ---1

30

2 Epidemiology exercises-----2 20

3 Statistical Exercises-----2 20

4 Spotters-----5*2 10

5 Viva -------------- 20

6 Total 100
Format for community medicine Final University Practical examination

Marks: Practical: 80, Viva: 20 Total: 100

S.No Category Marks

1. Clinico-social case ---1

30

2 Epidemiology exercises-----2 20

3 Statistical Exercises-----2 20

4 Spotters-----5*2 10

5 Viva -------------- 20

6 Total 100

Scheme for Internal Assessment marks to be sent to university

(Average of 1st, 2nd and 3rd internals to be taken for calculation of theory and Practical
marks)

Theory Max Marks Practicals Max Marks

Theory Practical exam 25
25
Record 5
Logbook 5
Total 25 Total 35

Total: 25+35=60 Marks

3rd Internal Assessment- Must be conducted as PRE- FINAL examination on the lines
of the university examination.

Statistics: measures of central tendency, measures of dispersion, vital statistics,

indicators of morbidity and mortality.

Epidemiological exercises: measurement of risk in various study designs, screening

tests, investigation of epidemic, assessment of vaccine requirement, indicators of
specific diseases like malaria, filarial, tuberculosis, calculation of chlorine demand.

Spotters: nutrition, vaccines, entomology, pesticides, disinfectants, drugs used for

common illnesses like TB, diabetes, hypertension, diarrhoeal diseases, and conditions
like anaemia, contraceptives, records and cards used in National Health programmes.

Questions for the spotters should be designed to assess understanding and application
of the knowledge in a particular topic and not just recall.

OSCE/OSPE: communication skills to elicit specific history, Counselling skills for eg.
Contraceptives, complementary nutrition, before performing lab tests, clinical skills of
measuring blood pressure, measurement of height & weight and calculation &
interpretation of BMI in adults, nutritional assessment in children using anthropometry
and growth charts, assessment of pallor and interpretation, assessment of dehydration,
examination of diabetic foot, administration of a vaccine through a specific route of
administration in a simulated environment (model/ mannequin if available).

EVALUATION OF CLINICO-SOCIAL CASE;-

Identify the following case scenario and discuss under the following questions: 30M

i. Identify the case with relevant socio-demographic and geographic

information.

ii. List and comment on the following :

 Present, past and family history relevant to the case

 Environmental factors relevant to case

 Socio-economic, cultural and behavioural factors relevant to case

  Evaluate the dietary intake and comment.

iii. Demonstrate thorough clinical examination necessary for this case

iv. Suggest appropriate control measures for this disease at individual, family and

community levels

v. Mention the relevant national health programme and how is it useful to this

patient.

Assessment:

1. Identification, socio-demographic, address, spot map 5M

2. Clinical, Environmental, Socio-cultural, nutritional factors 5M

3. Clinical Examination 5M

4. Disease control measures 5M

5. Relevant National Health programme and its usefulness 5M.

6. Discussion 5M

TOTAL 30M