Viva-questions Community Medicine

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Cumulative Incidence Incidence Difference between denominators of the above two Relative risk definition Incidence in exposed and unexposed Relative risk difference Other measures of incidence Quality of life indicators Physical quality of life index Screening e.g. of diabetes and changes in sensitivity and specificity were asked with different cut offs  Beta blockers RCT in which confidence interval and meta analysis were asked to interpret Table 2:  A diagram of a health worker digging in front of a mountain by using a tractor o What kind of injuries can occur in that setup? o Type of dust o What to do for prevention o Mask name used to avoid dust  Lungs picture showing mesothelioma, what are preventive measures against it?  From the hospital waste which things should not be burned? Table 3:        

Different health sector reforms e.g. Public Private partnership MGDs and sustainable development Which MDGs are health related? Poverty line level Devolution Decentralization (power transfer) Delegation District health management team concept

 Difference between PHC and primary care  Vaccine efficacy (if 100% children are vaccinated and if one child has measles how would you assess efficacy)  GAVI Viva 6th February Attributable risk Attributable fraction PATCH APGAAN RED (reaching every district) strategy; components, methodology; sentinel surveillance NADRA Epidemic graphs, length of incubation period with epidemic curve tailing off Sources of health data Blood and urine cadmium level graph, target organ for cadmium poisoning, doseresponse curve name Prudent diet, how much carbohydrates, protein and fats is required daily in percentage and salt in grams? Cross border infection, ways to control, SARS, clinical features, Avian influenza, yellow fever Development trap DEWS, tools, function PQLI, HDI, Sullivan’s index EPI coverage improvement (READ Module 8: Building community support, and similar modules on health planning) ; GAVI other strategies; BCG coverage by EPI How will you immunize a new born, one year old ….would you give BCG to him if not vaccinated? Mother complains of swelling and pus discharge from the site of injection, what treatment would you give? BMI, woman with BMI of >30, what would you call it and what does BMI indicates? Types of malnutrition? Type of study design, women with and without osteoporosis, hysterectomy, OR, bias Maternal mortality ratio/rate, denominator; population doubling time, how would you calculate it Growth rate; natural increase Pearl index; target couple, eligible couple 30 year old female, infected with rubella….your approach? Incidence studies, prevalence studies, why we do it

Risk ratio Biological plausibility with examples………..explain with reference to breast cancer. Study of 2 variables; illiteracy income….confounding factors? Evidence based health care with examples Sustainable development….requirements to make a program sustainable e.g political commitment Job stressors, how to reduce them Draw a simple model for health improvement How would you make a plan PC 1 to PC 5 forms NEC, ECNEC Integrated disease surveillance (does it include infectious or NCD) Is HIV epidemic present……concentrated epidemic………..level in pregnant woman MDR….how would you reduce the problem…..your approach; what drugs causes MDR You are asked to survey heroin addicts, how you would sample them Basic EMOC and comprehensive EMOC 80% sensitivity, interpret it? What does Mantoux test show; is it dxtc of TB? Why polio is still a problem in Pakistan? Mean 299, median 258, mode 116 type of skewness CCS, its components