COLLEGE OF MEDICINE & J.N.

M
HOSPITAL, STUDENTS' UNION
10 YEARS’ QUESTION PAPERS FOR

3rd PROFESSIONAL MBBS EXAM

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 COMMUNITY MEDICINE

1)CONCEPT OF HEALTH & DISEASES

LONG QUESTIONS:
1) What do you mean by indicators of health? Write down the different disability rates with
example. What is the concept of disability limitation 4+3+5(‘15)?

2) Describe the natural history of disease, discuss briefly the different levels of prevention and
modes of intervention as applied to Pulmonary Tuberculosis. 4+8 ('14)

3) What do you mean by multifactorial causation of disease? Describe with suitable examples.
6+6 (2013)

4) Enumerate the determinants of health. How do socio economic conditions act as one of the
determinant of health? 4+8 (2011)

5) Define public health. Describe the different determinants of health.3+9 ('05)

6) Describe the natural history of disease and correlate the different levels of preventions and
modes of intervention with these phases. 12 ('04)

7) Enumerate the levels of prevention & modes of intervention in each level. Discuss the level of
prevention in context of diabetes. 4+8 (’16)

8) What are the characteristics of ideal indicator? Enumerate the morbidity indicators. Describe
briefly the Infant
mortality rate and case fatality rate.('18)

9) Give a brief account of different types of human reservoir of infection. Describe in brief the
methods of
controlling reservoir.('19)

10) Define Health. Enumerate the various indicators of Health. What is “Health for All”? 2+7+3
('20)

SHORT NOTES:

1) DALY ('14,17)
2) Human Development Index. ('11)
3) Healthy lifestyles. ('10)

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4) Quality of life. ('08)
5) Primary Prevention. ('07)
6) Spectrum of disease. ('07)
7) Community participations. ('06)
8) Public health. ('06)
9) PQLI. ('05)
10) Functions & values of physicians (’04)
11) Tertiary level of prevention (’03)
12) Iceberg phenomenon of disease.('19)
13) Sources of health information.('18)
14) Cost effectiveness analysis in health ('21)

EXPLAIN WHY:

1) Primordial prevention is a subset of primary prevention-justify (’15)

2) Accessibility can’t be equated with acceptability of health services – justify (’14)
3) WHO definition of ‘Health’ has defect – explain (’12)
4) Sentinel surveillance of disease is better than periodic mass screening - explain (’10)
5) Submerged part of the disease iceberg has immense importance to an epidemiologist-
explain (’09)
6) There are differences between primordial prevention & primary prevention.('20)

2) SCREENING FOR DISEASES

LONG QUESTIONS:

1) Define screening. How does it differ from diagnostic test? Describe the criteria of screening.
2+4+6 ('O8)

SHORT QUESTIONS:

1) Interpretation of false negatives of a screening test ('12)

2) Multiphasic screening ('18)

EXPLAIN WHY:

1) Screening test and diagnostic test are not synonymous —Justify ('15)
2) Sensitivity and specificity of a screening test are inversely related ('14)
3) Screening and case finding are not synonymous -Explain. ('13)
4) Monitoring & surveillance are not synonymous. ('20)
5) Screening and diagnostic test differ.('18)

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3) PRINCIPLES OF EPIDEMIOLOGY & EPIDEMIOLOGIC
METHODS

LONG QUESTIONS:
1) Describe the salient features of different types of time trends in disease occurrence with
suitable examples. What are the different possible changes over time that you should keep in
mind while interpreting time trends? 9+3 ('14)

2) In your district immunisation rate has fallen to 50%. How would you investigate to find out the
reason? How do you concurrently try to increase the immunization rate? 6+6 (’12)

3) What are the different types of epidemics? How would you investigate an epidemic of fever in
your block? 4+8 (’12)

4) A 7days old baby is brought to your OPD with excessive cry, refusal of feed & convulsions.
Discuss diagnosis, case management & preventive studies as per national immunization
programme? 12 (’12)

5) Define epidemiology? Enlist the type of epidemiological studies. Explain briefly the merits and
demerits of case control and cohort study design. 2+4+6 ('10)

6) Define Epidemiology. Classify epidemiological studies. Mention briefly the important

difference between case control and cohort studies. 2+4+6 ('09,'05)

7) Define epidemiology? Mention the advantages of cohort study. Enumerate the steps of
procedures in descriptive epidemiological study. 2+4+6 (‘07)

8) There are 10 cases of typhoid fever occurred in a student hostel. How will you investigate?
12 (‘05)

9) How will you investigate a measles outbreak from an urban slum? 12 ('05)

10) Mention some uses of epidemiology. Write down the difference between case control and
cohort study. 4+8 ('05)

11) Define epidemiology. How can you estimate the disease risk in case control study? What
are the biases in case control study including the process of elimination as applicable? 2+4+6
(16)

12) Enlist the types of epidemiological studies. Discuss the importance of incubation period in
epidemio0logical studies. Describe different time trends in disease occurance.3+4+5(17)

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13) classify epidemiological studies. Explain the epidemiological feature of cyclic trend & secular
trend in disease occurrence with example. What is confounding in epidemiological studies ?
4+6+2('21)

SHORT NOTES:

1) Hepatitis B vaccine. ('10)

2) Cold chain ('07)
3) Relative risk (‘05)
4) Incubation period. (O5)
5) Standardisation of death rate ('03)
6) Triple blinding in epidemiological studies (16)
7) Population attributable risk.('19)
8) Importance of incubation period.('21)

EXPLAIN WHY:

1) Cohort studies are not always prospective —Explain. ('15)

2) Carriers are more danger than cases- Justify. ('13,09)
3) Carrier stage of a disease is not amenable to control. (10)
4) Live vaccines are more potent immunising agent than killed vaccine- Why? (08)
5) Discuss health hazards of immunization.008)
6) The terms " Source" & "Reservoir" are not always Synonymous-Explain with examples. ('08)
7) Significance of a false positive screening test. (16)
8) Use of auto disable syringes in national immunisation programme has several
advantages.(17)
9) Carriers, though less infectious are epidemiologically dangerous. (17)

4) EPIDEMIOLOGY & COMMUNICABLE DISEASE

LONG QUESTIONS:

1) Discuss in brief the strategies under the National Vector Borne Diseases Control Programme
(NVBDCP) for prevention and control of Vector borne diseases. Write down the general
guidelines for management of uncomplicated Malaria as per National Drug Policy on Malaria.
6+6 (’13, ‘15)

2) Cases of adverse events following immunisation (AEFI) are being reported from sub centres
of a Block. Due to apprehensions among people, drop outs for immunisation are also being
increased. How the AEFI are classified - mention with examples. Describe important health
managerial functions / measures need to be under taken to address and overcome the
problems in that Block. 4+-8 ('14)

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3) A person was bitten by a dog in the street. The bite was single and on face. What is the
category of bite? Outline the management of this case. what is pre-exposure prophylaxis?
2+7+3 ('14)

4) Describe shortly the epidemiology and clinical presentation of dengue fever. Write down
measures to be taken to control dengue outbreak in town. 4+4+4 (' 13)

5) A man comes to your health centre with lacerated injury of both legs caused by the bite of a
dog about an hour ago. Discuss steps of management. Suggest measures for immunizing the
risk of human rabies in the area. 8+4 (‘12)

6) Illustrate how the levels of prevention and modes of intervention can be applied to
Poliomyelitis. 12 (‘10)

7) A 25-year-old man reported in OPD with high fever, chills and retro orbital pain. Outline the
diagnosis, case management, community interventions as per national guidelines. 12 ('10)

8) Give a brief account of epidemiology of Kala-azar. Briefly outline the strategies of control of
Kala-azar. Enumerate the causes of resurgence of Kala-azar, 5+4+3 ('09)

9) A child bitten by a street dog on hands and fingers was brought to casualty ward of Medical
College within an hour of bite. As a MO 1/c what measures will you suggest to prevent rabies in
the areas? 12 ('09,’10)

10) Enumerate different modes of intervention under level of prevention. Discuss in brief the
levels of prevention in relation to leprosy. 4+8 ('08,’07)

11) A two years old child with history of passing watery stool every 2-3 hours, who is restless
with dry mouth & sunken eye has been brought to the sub centre. How the health workers
assess, classify and manage the case? What advise she should give to the mother for
prevention of occurrence of such condition in future? 8+4 (`08)

12) Discuss various strategies for eradication of Poliomyelitis. What is environmental

surveillance? (’07)

13) A six months old infant with ARI have a respiratory rate of 56/min. There is no chest
indrawing & no dangerous sign. Classify the ARI with justification & discuss management
accordingly. 4+8 (’07)

14) About 40 cases of malaria have been detected in a Block Primary Health Centre in the
month of August, 2006. As a BMOH what measures will you take to control such situation? 12
('07)

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15) Enumerate three important parameters used for measuring malaria problem in your
community. Discuss briefly the strategies adopted under National Anti-Malarial Programme in
high risk rural areas.3+9 ('05)

16) In a rural area a case of Pulmonary TB was detected in a women age 30 years. She has
one 36
months old child (given BCG vaccination) & husband age 40 years. What will be the line of
management for the case according to RNTCP, if she full fills one of the criteria of category I?
What will be the three most important communication messages for the community for
prevention of TB? 6+3+3 ('05)

17) How will you investigate a measles outbreak from an urban slum area? 12 ('05)

18) A case of AFP of 4 yrs. old boy has been reported from a village in south24 pgs. district.
Outline measures to be taken by the BMOH as per strategies of polio eradication. ('04)

19) What are the causes of setbacks of malaria in our country? Describe in brief the strategies
followed under Malaria Eradication Programme. 4+8 ('03)

20) Name the common STDs. What measures do you suggest for its prevention and control
with special reference to HIV/AIDS? 4+8 ('04)

21) AIDS no longer limited to high risk population. Explain and discuss methods by which the
disease can be prevented .3+9 ('03)

22) Case of neonatal tetanus is being reported from your block. As a BMOH, how will you
proceed to investigate the situation. 6+6 ('03,08)

23) The BMOH reported large number of cases clinically suspected to be dengue. He also
referred two cases to district hospital and suspected an outbreak has occurred. As BMOH how
will you investigate & control the outbreak?

24) In Kolkata & its suburbs, a few cases of dengue are being reported for last one month. How
dengue can be diagnosed? What measures do you like to suggest for its control? 6+6 (16)

25) Mention the modes of transmission of HIV or AIDS. Explain the role of high risk group and
bridge
population in HIV transmission. Outline the strategies undertaken in nation programme to
reduce transmission from high risk group. 2+3+7 (16)

26) A sputum positive pulmonary TB patient was found sputum smear +ve after 5 months of
treatment with category –I. what is your inference about the case? What is the next line
management as per RNTCP?2+10(17)

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27) A six months old child was brought by the mother at OPD, presenting with loose stool for
more than three times with vomiting from last night. On examination, the child was found
restless and drinking eagerly. Classify diarrhea. Outli8ne the management. what information
you want to make the mother aware of the situation?4+6+2(17)

28) Enumerate diseases under National Vector Borne Disease Control Programme (NVBDCP).
Write down a brief
note on integrated vector control. Describe in brief the national drug policy 2014 on Malaria.('18)

29) A case of dog bite has reported to your health centre. How will you categorize the dog bite
injury? Describe
the local treatment of the wound. Discuss the various available schedules of anti rabies
treatment to be
provided as per category of the wound. 3+3+6('20)

30) What are the cardinal sings of leprosy? How will you classify & treat a case of leprosy
according to NLEP
guidelines? What are the important complications of leprosy? 2+7+3 ('20)

31) There has been a report of deaths owing to Dengue in your district Hospital. How will you
manage the
situation & take preventive measures to control the problem? 12 ('20)

32) A thirty year old male attended OPD with scratch and without oozing of blood on his left leg
inflicted by the
pet dog of his neighbour last night. The dog is not vaccinated. How would you manage the
case? l2('19)

33) Mention the objectives of RNTCP. Discuss the new protocol for diagnosing a case of
pulmonary tuberculosis
& steps of management. 2+5+5('20)

34) Vaccination campaign against Measles and Rubella is going to start in a block. Prepare
appropriate health
education plan for this campaign.('19)

35) What are the different mode of transmission of covid 19 infection ? Who are high risk groups
? Discuss it's prevention.4+4+4('21)

SHORT NOTES:
1) Intra-dermal rabies vaccination. ('13)
2) Chemotherapy of Mufti-bacillary Leprosy. ('12)
3) BCG Vaccine. ('03,'09))
4) Management of Dengue Hemorrhagic Fever. ('07)

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5) Symptoms and signs of Dengue Fever. ('05)
6) Neonatal tetanus elimination. (’14)
7) Laboratory network under RNTCP (16)
8) Mass drug administration for soil transmitted
helminths.('20)
9) Integrated vector management.('21)

EXPLAIN WHY:

1) Sputum smear examination is the method of choice for finding in TB –Explain (’15)
2) Hepatitis B infection should be considered more dangerous than HIV infection. (‘13)
3) All influenza pandemics are caused by influenza A and not by B or C- Explain (‘12)
4) Revised National Tuberculosis Control Programme gives priority on detection of new smear
positive cases- Explain ('12)
5) Vitamin A supplementation is necessary after Measles infection — Gives reasons (’11)
6) AEFI include events beyond side effects of vaccines —Explain. (‘11)
7) Role pre-test counselling for HIV/AIDS is useful -Explain. (‘10)
8) Role of IPV in polio eradication —Explain ('10)
9) Syndromic management of STD is most, appropriate approach in India — Justify. (‘09)
10) INDIA is a Yellow Fever receptive area -Explain. ('09)
11) Discuss active surveillance in Malaria. ('08)
12) Explain the rationality of giving Hepatitis B vaccine in infants. (‘07).
13) HIV is a behavioral disease- explain ('11)
14) AIDS is a behavioural disease.('20)
15) Rehabilitation is an integral part of leprosy control. ('19)
16) Tuberculosis is an old disease but a new threat.('21)
17) Isolation & quarantine are not synonymous.('21)

5)EPIDEMIOLOGY OF NON-COMMUNICABLE
DISEASES

LONG QUESTIONS:

1) What do you mean by Essential Hypertension? What is prevalence in India? What are the
risk factors for it? What preventive measures should you take to reduce prevalence and
complication due to Hypertension? 2+2+3+5 (‘15)

2) Rising trends in the occurrence of diabetes has been observed throughout the India.
Describe the epidemiological determinants of diabetes. Discuss the methods of primary
prevention of type 2 diabetes. 7+5 (‘14)

3) What are the early signs of cancer? Describe in brief of the epidemiology of oral

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cancer and its primary level of prevention. 4+4+4 ('13)

4) What are the risk factors of coronary heart diseases? Describe the different measures to
prevent and control of coronary heart diseases. 8+4 ('12)

5) Enumerate the cancers most frequently, found in India. What are the early warning signs of
cancer? Describe some preventive measures against carcinoma cervix. 2+4+6 (’09)

6) Your BPHC situated by the side of a busy highway. Cases of road traffic accidents (RTA) are
common. Describe the measures you would take as BMOH to reduce the problem.12 ('09)

7) What are the Danger Signals' of Cancer? Outline the epidemiology of oral cancer and
methods of its prevention in the community.3+4+5('08)

8) b) Give a step by step description of how to conduct a descriptive cross-sectional study to

assess the extent of
overweight and obesity among medical students of your institution. 12 ('19)

9) A 35 years sedentary obese man with smoking habit is found to have blood pressure of
126/100 mm. of Hg.
How will you classify this blood pressure? Describe the management with special emphasis on
diet of the
person. ('18)

10) In a block several cases of Dengue are reported for last one month. How Dengue can be
diagnosed? What
measures do you like to suggest for its control and prevention? ('18)

11) Risk factor of hyper tension are multiple. Identity the modifiable risk factors for hypertension
& briefly discuss the non pharmacologic components in management of hypertension.4+8 ('21)

SHORT NOTES

1) Modifiable risk factors of hypertension. ('14)

2) Preventable blindness. ('14)
3) Risk factors of Diabetes. ('08,07)
4) warning signs of cancer. ('05)
5) Cancer registry (16)
6) social factors related to mental health problem ('21)

EXPLAIN WHY

1) BMI is the best of all indices of obesity. ('15)

2) Lung cancer can be prevented by primary preventive Measures-Justify. (12)

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3) Majority of blindness can be prevented. (17)

6)HEALTH PROGRAMMES IN INDIA

LONG QUESTIONS

1) What do you mean Essential Obstetric Care? What are the services delivered under
Essential Obstetric Care according to RCH II programme? What is the importance of Maternal
Death review? 2+7+3 ('15)

2) What are the health problems of adolescent? Mention the National Programmes concerning
improvement of adolescent health. Outline four important health educational messages for
benefit of an adolescent girl.3+9 ('14)

3) Enumerate different components of ICDS programme. (13)

4) Enumerate major causes of blindness in India. Outline the strategies adopted for control
blindness under National Programme. 4+8 ('11)

5) Mention the package of services under RCH programme. Outline as to how the services are
provided through different levels of health care facilities available in a block.4+8 ('13)

6) Enumerate the different vector borne diseases. Describe the principle of vector control
programme according to the existing National Programme. 4+8 ('12)

7) A 30-year-old man attended OPD, with more than five hypo-pigmented patches on different
parts of the body. Write down the diagnosis. Outline the management of the case as per
National Programme. 4+8 ('11)

8) A 2 year old child presented with history of frequent passage of loose stool for 7 days,
irritability, excess thrust and skin turgor was going back slowly. Classify the condition with
proper justification in accordance with National Programme guidelines. Outline the management
of the child .4+8 ('11)

9) How RCH programme differ from CS & SMP? Describe briefly the packages of service
provided under RCH programme. 4+8 ('O8)

10) Define RCH. Mention the package of services under RCH. How does this programme differ
from the previous ones on MCH in India? 3+6+3 ('06)

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11) Define RCH. What are the packages of services for mothers in this programme? What are
the key components of growth monitoring? 217+3 ('05)

12) Define Reproductive and Child Health. Enumerate the components of RCH. Describe in
short the RCH package of services for pregnant women. 2+2+8 ('04)

13) What are the goals of CS and SMP? Write in brief the different components of RCH
programme in our country. 4+8 ('03)

14) What is full form of ASHA? Write down the eligibility criteria for selecting ASHA in West
Bengal.Give a brief outline of role of ASHA in maternal and new-born care.('19)

SHORT NOTES

1) Village Health & Nutrition Day(VHND).('21)

2) Functions of Anganwadi workers. ('07)
3) Integrated vector management. ('12)

EXPLAIN WHY

1) ICTC should be supported by ART/link ART Centre -- Explain. ('14)

2) ASHA links health care delivery with community. ('10)
3) Revised ICDS growth chart currently in operation differ from earlier one- Explain. ('11)

7) DEMOGRAPHY AND FAMILY PLANNING

LONG QUESTIONS:

1) Write down the National Socio Demographic Goals for 2015. Outline the steps for evaluation
of Family Planning Programme. 6+6 ('15)

2) Define "sex ratio". What are the factors behind declining sex ratio in India? What are the
measures adopted to correct the situation? 2+4+6 ('15)

3) In a block of Nadia district CPR (couple protection rate) is much less in comparison to
neighboring blocks. What are the social causes of poor CPR and what measures will you take
up as a BMOH to improve the situation? 4+8("04,07,'13,'14)

4) Enumerate fertility indicators. What do you mean by NRR=1? write in brief the advantages
and disadvantages of contraceptive methods which an eligible Couple should adopt in different
phases of their reproductive life to achieve 'Small family norm'. 3+2+7 ('09)

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5) A 25 years old mother with 2 children aged 5 years and 1 year, has come to the OPD for
family planning advice. Discuss different methods of contraception that can be offered to her
with merits & demerits. (08)

6) Define conventional contraceptives. What contraceptive method would you like to

recommend to a couple aged 30 yrs. having only one breast fed baby, husband is alcoholic and
why? 3+9 ('06)

7) Define demography. Briefly discuss the different demographic characteristics of India. 2+10
('05)

8) What are the national demographic goals? Discuss the new revised population policy. 4+8
('03)

9) In a Block in W.B, Couple Protection rate is much less as compared to neighbouring blocks.
What measures
will you take as BMOH to improve the situation? Mention Goals of National Population policy.
9+3 ('20)

10) A 28 years old mother with children aged 4 year and 1 year, has come to you for family
planning advice.
Describe different methods of contraception that can be offered to her with merits and
demerits.('18)

SHORT NOTES:

1) Unmet need for family planning. (11)

2) Genetic counselling. ('05)

3) Copper T. ('05)

4) Merits of a joint family.('20)

5) Stages of demographic cycle.('19)

6)Prioritization in health planning.('19)

7) Family physician.('18)

EXPLAIN WHY:

1) NRR may be regarded superior method to GRR for measuring population growth -Justify.('15)

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2) Population pyramid is important for public health. ('14)

3) India is in the third stage of the demographic cycle. (16)

4) Sample registration system provides more reliable estimates of birth and death rates at the
national and state
level than other existing systems.('19)

5) census is an important source of health information ('21)

6) Family as a unit of health.('19)

7) Family performs many functions: Explain.('18)

8) declining sex ratio had many adverse consequences ('21)

8) PREVENTIVE MEDICINE IN OBSTETRICS, PAEDIATRICS

AND GERIATRICS
LONG QUESTIONS:

1) Define "Low Birth Weight ". What is its prevalence in India and the target to achieve? What
measures would you like to adopt as BMOH to reduce the Low Birth Weight in your block.
2+2+8 ('15)

2) Define Maternal mortality ratio and maternal mortality rate. Describe the important cultural
and social factor affecting infant mortality. 4+4+4('14)

3) Proportion of low birth weight babies in your block is very high. As a BMOH what action will
you take to tackle the situation? 12('09)

4) IMR is high in your block. As a BMOH suggest measures to improve situation.12('10)

5) Prepare an action plan to conduct an IEC campaign in your block to reduce anaemia among
pregnant women. 12 (10)

6) Enumerate the nutritional problems in our country. What are the services under ICDS
Scheme?
What are the functions of AWW? 3+5+4('06)

7) What is meant by LBW? How are such babies classified? What are the social factors
responsible for LBW children? What could be the preventive measures for LBW?2+2+4+4('05)

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8) Define Perinatal Mortality Rate. Enumerate the important causes of perinatal mortality in our
country. Suggest measures to reduce it. 2+4+6('04)

9) What do you understand by Post Natal care? Describe in brief to be provided to the mother
and newborn after delivery? 2+5+5('03)

10) What do you mean by neonatal mortality? Why is it so important? write in brief the
components of essential newborn care with special reference to breast feeding. 2+3+7(’16)
11) In a blo0ck of west Bengal, recent statistics showed a lower rate of institutional delivery. As
a health administrator of that block, what measures you like to adopt for improving institutional
delivery in your block.12 (17)

12) Define Maternal Mortality Ratio (MMR). Outline of the strategies under national programme
to bring down the maternal mortality in India. Give a brief account of Maternal Death Review at
community level.('19)

13) Considering its effect on present and future lives of children, name the most important
anthropometric indicator of undernutrition with justification. Enumerate the components of IYCF.
Write down the steps of counselling of a woman with a three month old child and complaining of
‘not enough milk’.('19)

14) A recently delivered (2 weeks back) mother has come for check up. Mention the
components of post natal check up. What might be the post natal complications? What
measures can be taken to improve post natal care at community level?('18)

15) define infant mortality rate (IMR). Mention important cause of IMR. Describe important
socio-cultural factors affecting infant mortality.2+5+5 ('21)

16) what are the different maternal health problem in india. Explain antinatal care.6+6('21)

SHORT NOTES:

1) Geriatrics health problems. ('15)

2) Juvenile delinquency. ('15,13,04)

3) Health problems of Geriatric population. (13,09)

4) Child labour. ('12)

5) Kangaroo care. ('12)

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6) Interpretation of ICDS Growth Chart. (`08)

7) Different aspects of School Health Service. ('08)

8) Newborn Care. ('04)

9) PNDT Act. (13)

10) BFHI ('03,'08)

11) Facility based newborn care.

12) Foods additives.('20)

EXPLAIN WHY:

1) Apart from growth monitoring, ‘Growth chart' has many other uses — Explain. ('15)

2) Institutional deliveries can reduce maternal mortality to a great extent-Explain ('10)

3) Growth chart can play multiple roles-Explain ('10)

4) FRU will reduce MMR. Explain. ('09)

5) Use of growth chart is quick methodology for identification of under-nutrition. —Justify ('09)

6) Infant mortality rate is considered very sensitive indicator of health status –Explain (’07)

7) Mother and child is a priority group for health Intervention-Explain (’07)

8) FRUs will reduce MMR. (17)

9) breast milk is deal & only food for infants till 6 months of age. ('21)

9) NUTRITION AND HEALTH

LONG QUESTIONS:

1) After having dinner with fried rice, egg curry and salad in a hotel,20 students complained of
vomiting and diarrhea at mid night and another 15 students reported the same complain in the
morning. How will you investigate the outbreak and take control measures? 12 ('15)

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2) Enumerate four major nutritional problems in our country. How would you assess the
nutritional status of the under five in a community? 2+10 ('12)

3) Large number of malnutrition (PEM) cases among under- five have been identified in your
Block. What social factors are responsible for it? Name the nutritional programmes current
available in India. Describe briefly any one of them. 3+3+4 ('08)

4) A large number of malnourished cases have attended your OPD at PHC. As a medical
officer, what are the preventive measures you will recommend for the community according to
different levels of prevention? 12 ('07)

5) What is micronutrient? Name four important micronutrients. Discuss spectrum of Iodine

deficiency disorders and National Programme associated with it. 2+2+4+4 ('07)

6) Enumerate different types of food intoxicants. Suggest measures to control epidemic dropsy
in your area.12 ('10)

7) What is malnutrition? Discuss its prevention strategies in terms of different levels of

preventions. 4+8 ('11)

8) Enumerate different methods of diet survey. Briefly describe the method you have applied in
your family study programme, Mention the fallacies of that method of diet survey. 3+7+2 ('05)

9) How will you assess the nutritional status of under five in an urban slum community-discuss
briefly? Enumerate the important factors causing malnutrition. 7+5 (04)

10) How would you proceed for nutritional assessment of preschool children in a community?
('03)

11) Define malnutrition. How will you assess the quality of a protein? Name the nutritional
programme currently available in India. Discuss any one of them. 2+3+2+5(16)

12) Name the important inorganic chemicals of health significance present in ground water of
West Bengal. Describe in brief the health effects & control measures of any one. 2+5+5 (17)

13) Enlist the disorders caused by iodine deficiency. What are the strategies to control iodine
deficiency disorders in India? 6+6 (17)

14) What is a balanced diet? Enumerate different nutritional problems prevalent in India. How
primary prevention plays an important role in prevention of protein energy undernutrition?

15) Enumerate different methods of diet survey. Briefly describe the method you have applied to
assess the nutritional status in your family programme. 3+9 (17)

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16) How do you assess the nutritional status of family? Explain Diet survey & its types. 6+6('20)

17) Mention the causes and detrimental effects of nutritional anaemia. Describe the measures
undertaken to combat
anaemia among adolescents according to national programme.('18)

18) After attending school picnic, large number of students developed diarrhoea and vomiting
within 12 hours. How
will you investigate the problem?('19)

SHORT NOTES:

1) Common homemade oral rehydration solution. ('10)

2) Spectrum of iodine deficiency disorders. ('11)

3) Pasteurization of milk. ('07,16)

4) Balanced diet. ('06)

5) Endemic fluorosis. ("04)

6) Food safety. (’16)

7) Endemic fluorosis (17)

8) Neurolathyrism (17)

9) Foods additives.('20)

10) Prevention of IDD.('20)

EXPLAIN WHY:

1) Food additives and food adulteration are not synonymous. ('13)

2) Short term high dose Vit. A supplementation is useful for prevention of Xerophthalmia. ('12)

3) IDD is a social and preventable problem. ('12)

4) Fluorine is often called a two edged sword. ('12)

5) Supplementary nutrition and therapeutic nutrition are different. ('07)

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6) Parboiled rice is nutritionally superior to milled rice —Justify. ('11)

7) Vit. A supplementation is necessary after measles infection. ('11)

8) Supplementary nutrition & therapeutic nutrition is different. (’17)

9) Zinc is given with ORS in treatment of ‘Diarrhea’- justify.('18)

10) Iodization of salt is a good example of food fortification.('20)

11) Combining rice and pulse in diet is a good practice.('19)

12) ORS is an example of appropriate technology.('18)

13) Parboiled rice is nutritionally superior to milled rice.('18,'21)

10)ENVIRONMENT & HEALTH

LONG QUESTIONS

1) Define "safe and wholesome water". Discuss the different tests for the bacteriological
surveillance of drinking water.4+8(’13)

2) What are the causes of air pollution? Mention its effects on human health. How air pollution
can be prevented
and controlled?('19)

3) Mention the characteristics of safe & wholesome water.Classify water borne diseases. Briefly
discuss the three methods for water purification at household level.2+4+6('21)

SHORT NOTES

1) Bacteriological Surveillance of water quality. ('15)

2) Biological treatment of sewage. ('13)
3) Principle of chlorination of water. ('13)
4) Overcrowding is a health hazard. ('13)
5) Hazards of noise pollution. ('11)
6) Sanitary landfill. ('11)
7) Water borne diseases. ('10)

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8) Indicators of air pollution. (09)
9) Sanitation barrier. ('04)
10) Sanitary latrine. ('06)
11) Biological transmission. ('08)
12) Types of ventilation (’17)
13) Bacterial indicators of drinking water quality (’17)
14) Biological filter.('20)
15) Indoor air pollution.('18)
16) Biochemical oxygen demand('21)

EXPLAIN WHY

1) Sanitation barrier aims at breaking the transmission cycle of faecal borne Diseases-Explain
('11)

2) Overcrowding can Influence health- Justify ('07)

3) Integrated vector management is the most effective method of vector control. (16)

4) The mere addition of chlorine to water is not chlorination.('19)

11)HOSPITAL WASTE MANAGEMENT

LONG QUESTIONS

1) Name the different types of biomedical waste generated in your hospital. Suggest measures
for
their disposal as per National and State Level rules. What is the importance of waste tracking?
3+7+2 ('12)

2) A recent public demonstration has occurred in a block primary health center about the
disposal
of biomedical waste contaminating water body by the side of the hospital. As a BMOH of the
hospital what measures would you like to adopt for proper waste management of your hospital.
12 (‘16)

3) What is biomedical waste? What are the health hazards of improper handling of biomedical
waste? Briefly describe the process of disposal from generation site to point of disposal of
different categories of biomedical wastes. 2+3+7('20)

SHORT NOTES

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1) Principles of Biomedical Waste management. ('15)
2) Hospital waste management. ('05)

EXPLAIN WHY

1) Biomedical waste should be segregated at source. (’17)

2) There are 4 types of colour coding bags as per biomedical waste management rule 2016,
amended at 2018. ('21)

12) DISASTER MANAGEMENT

LONG QUESTIONS

1) What do you mean by "Disaster'? What are common causes of disaster? As a BMOH of a
cyclone
prone block how will you proceed for preparedness to tackle the impending disaster in your
block? 2+3+7 (15)

2) What is disaster? What are aspects of disaster management? Outline the management
aspect of
disaster impact in a flood prone area. 2+2+8 (‘12,'21)

3) Enumerate different health hazards likely to occur during and following flood. As a BMOH
describe your preparedness plan to mitigate such hazards in future 12 (‘11)

4) Outline your plan of action as BMOH to reduce the health hazards due to food in your flood
prone block. 12 (09)

SHORT NOTES

1) Disaster preparedness (’14)

2) Vaccination in disaster.('18)

3) Triage.('18)

EXPLAIN WHY

1) Triage approach can provide maximum benefits in disaster situation. (16)

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13) OCCUPATIONAL HEALTH

LONG QUESTIONS

1) Define "Factory" under Indian Factories Act 1948. write in brief the provisions recommended
in
Indian Factories Act 1948 to protect health of the workers. 2+10 (’15)

2) Many eases of silicosis were reported from a Pottery and Ceramic industry. As an Industry
Health Officer, what measures will you recommend for prevention and control the problem. 12
('14)

3) Name the types of occupational hazards. Describe the different medical measures for
prevention of occupational disease. 4+8 (13,05,04)

4) Define Ergonomics. Discuss the importance of pre placement examination with suitable
example.12('12)

5) What is Pneumoconiosis? Enumerate, its different types with causative factors. Enumerate
the benefits provided under ESI Act and describe any one of them which is relevant to
Pneumoconiosis. 2+3+3+4 ('08)

6) Define social security. Mention different benefits available for the industrial worker under ESI
Act. Discuss medical benefits. 2+4+6 ('07)

7) What is sickness absenteeism? How to prevent occupational lung disease in an industry. 4+8
('06)

8) Enumerate the different benefits under ESI scheme. Discuss sickness benefits in details. 5+7
('05).

9) What is social security? Discuss the social security provisions for female workers under the
Indian Factories Act. 4+8('03)

10) What are the eligibility criteria for enrollment in ESI scheme? Write in brief n the benefits
available under ESI scheme during and after working tenure. What are t5he services available
under medical benefits?4+4+4(16)

11) What are the eligibility criteria for enrolment in ESI Scheme? Describe the benefits under
ESI Scheme. 3+9('20)

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12) In an accident in a factory, a male worker lost his left lower limb below thigh. Enumerate the
benefits he is
entitled to under ESI Act. In case of death of the worker, what are the benefits his family is
entitled to get? What
are the steps to be taken from the management to prevent future occurrence of any such
event.('19)

13) Describe different types of Pneumoconiosis. As a medical officer of a coal mine, what
measure you like to
adopt to prevent Pneumoconiosis?('18)

14) Enumerate different types of occupational hazards with example. Outline the measure to
prevent one of those.6+6('21)

SHORT NOTES

1) Pre-placement examination. ('12)

2) Hazards of radiation. ('15)
3) Sickness absenteeism. ('14)
4) Problems of industrialization. ('08)
5) Ergonomics. ('11)
6) Health problems of agricultural workers. ('05)
7) Asbestosis. ('O3)

EXPLAIN WHY

1) Social security measures have a great role in preventing the health problems – explain with
examples. (’14)

2) Periodical examinations are effective in prevention of occupational diseases (’11)

3) A farmer may suffer from various occupational hazards.('20)

14) HEALTH INFORMATION & BASIC MEDICAL STATISTICS

LONG QUESTIONS
1) What is sampling? What are the different types of sampling? Describe them briefly with their
advantages and limitations. 2+4+6 ('13)

SHORT NOTES

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1) Types of sampling. ('15)
2) Normal curve. ('13)
3) Measures of dispersion. ('05,12,16,'21)
4) Values of dispersion. ('03)
5) Source of health information. ('11)
6) Standard normal curve. ('10,'18)
7) Sampling. (`09)
8) Bar diagram. ('07)
9) Statistical Averages. ('04,'12)
10) Simple random sampling.('19)
11) Rate, ratio and proportion.('19)

EXPLAIN WHY

1) For small samples, median is a better measure of central tendency than mean. ('14)

2) The census is an important tool of health information. (16)

3) The terms ‘normal curve’ and ‘standard normal curve” are not synonymous.('19)

4) Data carry little meaning when considered alone.('18)

15) COMMUNICATION FOR HEALTH EDUCATION

SHORT NOTES

1) Role playing (15)

2) Channels of communication (09)
3) Role play (05)
4) Principles of primary health care with examples (16)
5) Barriers of communication.('19,'21)

EXPLAIN WHY

1) Interpersonal communication is better than mass media for advocacy purpose. ('13)
2) Group discussion is an effective approach of communication. —Explain. ('07)
3) Explain main components of communication process. (.07)
4) Interpersonal communication is more effective in behaviour change than mass
communication.('19)

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16) HEALTH PLANNING & MANAGEMENT

LONG QUESTIONS

1) In a block 40% of eligible couples are protected by modern contraceptive methods. As a

BM0H outline the intervention to improve the situation. 12 ('13)

2) Maternal mortality ratio in a block is found to be persistently high. As a BMOH outline the -
i. Investigation procedure to find out the causes of maternal mortality and
ii. Intervention to be adopted to reduce the MMR .6+6 ('13)

3) There is sudden rise of infant mortality rate in a block. What are the measures you would like
to adopt to reduce the IMR in block? 4+8 (12)

4) Couple protection rate (CPR) in your block is 34%. As a BMOH what are measures you will
take to improve the situation? 12 (07)

5) Many women in your block suffer from nutritional anaemia. As a BMOH how will you assess
the problem and manage it. 12 (O7)

6) Percentage of fully immunised children is very low while left out & drop rates are
unacceptably high in your block. What measures you will adopt as a BMOH to improve the
situation? 12 ('11)

7) Proportion of institutional delivery is very low in your district. There is also poor utilisation of
JSY referral transport & Ayushmati scheme. What steps you would take as a CMOH to improve
the situation? 12 (11)

8) Define health education. How it differs from BCC? Briefly outline the different health
education measures to prevent cervical cancer in a block as a BMOH. 12 ('11)

9) As a BMOH, you note that in certain villages, people prefer quacks rather than your services,
should you be concerned and why? What will you do about it? 5+7 ('09)

SHORT NOTES

1) Pasteurization of milk (16)

EXPLAIN WHY

1) "Feedback" is very important in health planning. ('15)

2) Prioritization is an important step in health planning. (’14,11)

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3) Cost effective analysis and cost benefit analysis are not synonymous ('13)
4) Management consists of 4 basic activities (‘09)

17) HEALTH CARE OF THE COMMUNITY

LONG QUESTIONS:

1) What are the functions of Block Primary Health Centre? Mention the National Programmes
under a BPHC. What is "Record Linkage" and what is Tracking of Beneficiaries" under Maternal
Child Health Care. 4+4+2+2 ('14)

2) Discuss the three tier system of Health Care Delivery of your state. What are the reforms
made to give better service to people? Discuss the role of Private Partner Partnership (PPP) in
efficient delivery of health services. 2+4+6 (12)

3) Enumerate the principles of Primary Health Care. How is it delivered in rural area? 4+8
('11,'04)

4) Define primary healthcare. What are the 4 principles of primary healthcare? What do you
mean by 3 tier system of healthcare delivery in rural India? 2+3+7 ('04)

5) What are the average populations catered in relation to health –in a village, sub Centre. PHC,
BPHC or CHC? Who serves at the level of sub Centre? What are the activities carried out at
BPHC/CHC? 3+2+7(16)

6) Enumerate the objectives of school health programmes. Briefly mention different components
under the programme. 6+6 ('17)

7) What is Primary Health Centre? Enumerate the services provided at a Primary Health Centre.
Discuss the role
of Medical officer in PHC. 2+5+5('20,'21)

8) Enumerate the functions of primary health centre. What are the services provided by
subcentre?('18)

SHORT NOTES

1) Preventive services offered by your Medical College & Hospital. (14)

2) Central Government Health Scheme ('13)

3) Health insurance scheme. ('12)

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4) Elements of Primary Health Care. ('09)

5) Indian Red Cross. ('08)

6) Principles of Primary Health Care. ('10)

7) Voluntary Health Agency. ('11)

8) Inter sectoral coordination. ("O8)

9) FRU. ('04)

EXPLAIN WHY:

1) Equitable distribution of health services an important principle of Primary Health Care. ('13)

2) Primary Health Care is basically the responsibility of the state. ('08)

3) Medical care and health care are not synonymous. ('08)

4) Sub-Centre is considered as the pivot of the healthcare delivery system in rural areas. ('09)

5) Networking with voluntary health agencies plays an important role in health care delivery ('10)

6) Injection safety is important for the recipient, provider and community - Justify.('18)

7) Telemedicine is now an important field in medical communication.('20)

8) Cost effectiveness analysis is best suitable than cost benefit analysis in health sector.(18)

18) MEDICINE & SOCIAL SCIENCE

LONG QUESTIONS:

1) Enumerate types of family. Describe the stages of family cycle. Discuss the role of family in
health and disease. 2+4+6 ('10)

2) Define social security. Briefly discuss any one of the social security systems in our country.
2+10 ('09)

SHORT NOTES:

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1) Social mobilisation. ('15)

2) Acculturation. ('05)

3) Social stress (’17)

EXPLAIN WHY:

1) Explain why "Family is considered as an epidemiological unit". ('14)

2) Customs are not always deleterious to health.('19)

3) Doctor patient relationship plays a vital role in care of disease.('21)

19) INTERNATIONAL HEALTH

SHORT NOTES:

1) Non-Government organization. ('14)

2) UNICEF. ('07)

3) CARE -India. ('10)

4) Indian Red Cross Society.(’17,'20)

5) Budgeting.('19)

20)GENETICS & HEALTH

1) Genetic counselling ----short note (’05)

2) Importance of genetic counselling in preventing the genetic disorders --- explain why (’17)

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 OTORHINOLARYNGOLOGY

EAR

ANATOMY OF EAR

1) What is middle ear cleft? Describe the anatomy of medial wall of the middle ear with diagram.

Describe the anatomy of the tympanic membrane. ('08)

2) Describe the anatomy of the Middle Ear Cavity. ('09)

3) Describe the anatomy of medial and posterior wall of middle ear. Describe the relation with

facial nerve in medial & posterior wall. ('11)

4) Describe the medial wall of middle ear with diagram. Mention in brief the surgical importance
of

this wall. ('07)

5) Describe the anatomy of facial nerve. ('05)

6) External auditory canal. ('01)

7) MacEwen's triangle (suprameatal). (‘15)

8) Describe auditory pathway up to cerebral cortex. Draw a labelled diagram of Organ of Corti.
[2020]

9)Sensory supply of external ear [2020]

ASSESMENT OF HEARING

1) Rinne test (‘00,’98)

2) Weber test ('99,’04,’06)

3) Caloric test. (‘12)

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4) Absolute Bone conduction test. ('03,'15)

HEARING LOSS

1) A patient aged 30 yrs presented with deafness of both ears. Investigate to diagnose type of

deafness, manage the case. 12 (‘97)

2) What is deafness? How will you manage a case of conductive deafness in a female patient
aged

about 25 years? 3+7 (‘08)

3) A middle aged male reported with bilateral conductive deafness with intact tympanic

membrane. How will you diagnose & manage the case? 5+5 (16)

4)Ototoxic drugs{2018}

ASSESSMENT OF VESTIBULAR FUNCTIONS & DISORDERS

1) What are the common causes of vertigo? Outline the investigations that you would like to
have?

12 (‘98)

2) Fistula test. (’94, ’14)

DISEASES OF EXTERNAL EAR

1) Anatomy of tympanic membrane (right & left). Write different types of eardrum perforations

with their clinical significance.12 ('04,'06'08)

2) Cerumen ('07)

3) Impacted cerumen. ('98)

4) Malignant otitis externa. ('08,'11,13)

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5) Circumscribed otitis externa. ('10)

6) Otomycosis. (`08)

7) Foreign body ear. ('12)

8)Basal cell carcinoma{2020}

DISORDERS of MIDDLE EAR, CHOLESTEATOMA & OTITIS MEDIA

1) What is otitis media? How will you treat profuse mucoid aural discharge in 8-year-old boy?
('03)

2) Define CSOM. Discuss the aetiology, pathology, clinical features & management of the
mucosal

type of CSOM. 10 ('12)

3) What is ASOM? C/F & treatment & management. 2+4+5+4 ('00,02)

4) What is Cholesteatoma? How it forms? Describe the clinical features of Cholesteatoma.

5) Describe the aetiology, clinical features and management of otitis media with -effusion.
3+3+4

('14)

6) How do you investigate a case of long standing foul smelling ear discharge of a child of 8
years?

('07)

7) A middle aged patient presents in the ENT OPD with intermittent mucopurulent discharge
from

one ear. How will you investigate and treat the case? 5+5 ('15)

8) Define Cholesteatoma. Describe the pathogenesis & management of CSOM with

Cholesteatoma.

2+3+5 (’17)

9) Myringotomy and its indications. (03,04)

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10) Cortical mastoidectomy. ('07)

11) Myringoplasty. (10)

12) Myringotomy. (‘05,11,2021)

13) Cholesteatoma. ('08,15)

14) Gradenigo syndrome. ('07)

15) Masked mastoiditis (’09)

16) Plummer Vinson syndrome (’16)

17) Diagnosis of diphtheria (’17)

18) Describe the etiology, clinical feature and management of Acute Suppurative otitis media
[2018]

19)How will you investigate a case of persisting unilateral aural discharge with hearing loss for
last three years in

a 35 year old male patient. [2019]

20) Lateral sinus thrombosis{2018}

21) Acute Mastoiditis (2021)

OSTEOSCLEROSIS

1) Otosclerosis (’04)

2) Carhart’s notch (’96’’16)

FACIAL NERVE & DIS0RDER

1) Facial nerve palsy of sudden onset (’10)

2) Describe the intratemporal course of the facial nerve. Enumerate the intratemporal branches
of thr facila nerve and their site of origin. What is Bells Palsy? [2018}

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 OTALGIA

1) What is otalgia? How will you investigate a case of otalgia in middle aged person?
(’94,’99,’03)

2) A 65 years old' male patient presents with pain in Right ear. How will you investigate case?
10

('14)

NOSE

ANATOMY &PHYSIOLOGY OF NOSE

1) Describe the lateral wall of Nose. Mention its surgical importance. 7+3 ('15)

2) Describe the anatomy of maxillary antrum and function of nose. ('14)

3) Describe the anatomy of nasal septum. ('12)

4) Describe the nasal septum. Write in short the function of nose. ('03)

5) Describe the lateral wall of nose with picture. ('04,05;10)

6) Describe the different parts of the lateral wall of nasal cavity. ('06)

7) Function of nose .2 ('06)

8) Uncinate process of nose. 2 ('06)

9) Osteomeatal complex. (‘11, 13,17)

10) Inferior turbin('01 (’17)

12)Describe anatomy of nasal septum. Draw and label a diagram of it. [2019]

13)Dangerous area of nose{2019}

14) What is middle ear cleft? Describe anatomy of mideal wall of middle ear with relevant
diagram. Mention applied importance of facial recess.(2021)

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NASAL SEPTUM AND ITS DISEASES

1) Write a note on deviated nasal septum & its effect on the ear. (‘10)

2) Illustrate with diagram the constituents of nasal septum & its vascular supply. Describe the
surgical

importance of Little’s area. 5+3+2 (’16)

3) Little’s area of nose (01,06)

ACUTE AND CHRONIC RHINITIS

1) Aetiology, pathology, clinical features & treatment of Atrophic Rhinitis. (‘04)

2) Atrophic Rhinitis (’96,’09)

3) Atrophic Rhinitis [2018}

GRANULOMATOUS DISEASE OF NOSE & MISC. DISORDER OF NASAL CAVITY

Long Question:

1) How to investigate a case of unilateral foul smelling discharge in a 5 years old child from
nose for 3 weeks. Write differential diagnosis and management.(2021)

Short note:

1) Rhinosporidiosis. (‘04,2021)

2) CSF Rhinorrhoea (’07,’14,2021)

3) Rhinolith (’16)

4)Cerebrospinal fluid rhinorrhea{2019}

NASAL POLYP

1) A young adult presented with left sided nasal polyp. Give differential diagnosis. Outline the

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management of Antro-choanal polyp ('12)

2) Antro-choanal polyp. (’93,'08)

3) A male patient of 15 yrs. age presented with history of recurrent severe epistaxis & nasal

obstruction. What is your provisional diagnosis? How will you manage the case? 3+7 (’17)

4) Aetiology it: management of ethmoidal polyps{2020}

EPISTAXIS

1) A 17 years old male patient presented with a history of recurrent profuse epistaxis for last one

year. What are the probable causes? Give an outline of relevant on investigations and

management of the patient. ('11)

2) A 65 years old male presents with Epistaxis. How will you manage this case? ('10)

3) A male boy 16 years attended emergency with severe bleeding from nose having history of

recurrent such bleeding. How will you investigate the case? 10 ("04)

4) Enumerate the causes of epistaxis? Describe the time of treatment? ('96)

5) Little's area of nose. (`01,'06)

6) Dangerous area of nose. ('05,15)

7) Area of epistaxis ('99)

8)How will you investigate a case of 14 year old with recurrent moderate to severe epistasis?
Write differential

diagnosis & management. [2020]

ACUTE SINUSITIS, ANATOMY, PHYSIOLOGY OF PARANASAL SINUSES.

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1) Etiology, clinical features and treatment of acute maxillary sinusitis. ('03)

2) Sinusitis-aetiology, sign & symptoms, management ('99)

3) Maxillary Sinus. (12)

4) Maxillary antrum. (`00)

5)Write down the etiology, clinical features & management of acute maxillary sinusitis. [2019]

6) Fungal Sinusitis{2020}

OPERATIVE

1) Septoplasty. ('08)

2) Caldwell-Luc operation. ('09)

3) Difference between Septoplasty and SMR operation. ('11)

4) Indications of Caldwell-Luc operation. ('13)

5) Complications of S.M.R. operation. ("14)

6) Functional endoscopy of nose. ('05)

7) Proof puncture. (`07)

8) Antral puncture. ('12)

9) FESS{2018}

THROAT

DISEASES OF ORAL CAVITY & SALIVARY GLAND

1) Lingual thyroid (’09)

2) Fossa of Rosenmullar (’94,’04)

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 DISEASES OF PHARYNX

ANATOMY AND PHYSIOLOGY OF PHARYNX, ADENOIDS

1) Adenoid facies (’09)

2) Killian’s dehiscence (’08)

3) Waldeyer’s ring (’16)

TUMOURS OF NASOPHARYNX & ACUTE/CHRONIC PHARYNGITIS

1) Clinical features and management of juvenile nasopharyngeal Angiofibroma. ('10)

2) Keratosis pharyngitis ('03,'06)

ACUTE AND CHRONIC TONSILITIS

1) A 10-year-old child presents with a patch in the tonsil with fever. How would you examine the

patient? What will be the treatment? 5+5 ('15)

2) Describe the etiology, clinical features and management of Acute Follicular Tonsillitis. (‘13)

3) An 8-year-old child presented with patch over the tonsil and adjoining region. Describe the

differential diagnosis. (‘09)

4) A child has come to OPD with a patch in throat. What are the causes of patch in throat? How
will

you differentiate between a patch of acute follicular tonsillitis and with faucial diphtheria? (‘00)

5) Patch in the tonsil & its investigations. (`99),

6) Patch in tonsil, enumerate the causes (‘96)

7) Tonsils. (01)

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37
8) Vincent angina. (‘O5)

9) Describe the clinical features, treatment & complication of acute tonsillitis. 4+3+3 (’16)

10) Treatment of acute Para tonsillar abscess (’96)

11) Outline the clinical features and management of patches over Tonsil in short. [2018]

HEAD AND NECK SPACE INFECTION

1) Describe the aetiology and clinical features of acute retropharyngeal abscess. How will you
treat

it? ('05)

2) A young man comes to you with Quinsy. Clinical features, complications, diagnosis &
treatment.

('94,'96.'98,'04,’08,10,12)

3) Describe the clinical features, complication and management of acute peritonsilar abscess.
(06,12)

4) Describe the clinical features, investigation & management of acute retropharyngeal abscess.

3+3+4 (’17)

5) Peritonsilar abscess. (08,14)

6) Quinsy (10,16)

7) Describe retropharyngeal abscess. 10 (02)

8) Acute retropharyngeal abscess. (13,15)

9) Chronic retropharyngeal abscess (04)

10) Retropharyngeal abscess{2018}

TUMOURS OF HYPOPHARYNX/SNORING AND SLEEP APNOEA

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38
1) Zenker’s diverticulam

2) Obstructive sleep apnoea (13,2021)

DISEASES OF LARYNX AND TRACHEA

ANATOMY AND PHYSIOLOGY OF LARYNX

1) Draw a neat labelled diagram of larynx as seen on indirect laryngoscopy. Describe briefly the
levels

and group of lymph node in the neck. 2+3 (2010)

2) Describe the pre-epiglottic space and its significance. (2010)

3) Nerve supply and intrinsic muscle of larynx. (’06)

4) Describe the trachea & its functions.5+5 (’02)

5) Functions of Larynx. (’01)

6) Safety muscles of larynx (‘16,2021)

7)Safety muscle of larynx [2019]

8)Nerve supply of Larynx{2018}

CONGENITAL LESIONS & DISORDERS OF LARYNX & STRIDOR

1) Laryngomalacia (’10)

2) Acute epiglottitis (’14)

3) Laryngeal web (98)

4) What is stridor? A child of 3 years presented with stridor for two hours. What are the common

causes and outline the management in such case? (’06,’08)

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5)How will you investigate a case of 55 year old male smoker, suffering from gradually
increasing hoarseness of

voice for 4 months followed by stridor for last week? Write differential diagnosis & management.
[2020}

6)Vocal Cord polyp{2019}

7)Principle of Laryngeal Crepitus test{2020}

BENIGN TUMOUR OF LARYNX

1) Vocal nodule. (’09,’14)/ singer’s node (’03)

2) Laryngocoele. (’08)

3) Laryngeal papilloma (’07)

4) Bronchial cyst (’17)

5)Management of solitary thyroid nodule{2019}

VOICE & SPEECH, TRACHEOSTOMY

1) A 50 years old patient has hoarseness of voice for over a month. Investigate & outline the

management of benign/malignant growth in vocal card. ('04)

2) A 60 years old male presented with hoarseness of voice for one month. How will you
investigate

the case? (11)

3) A 65 old male presented with hoarseness of voice for last three months. How will you
investigate

the case to arrive at a diagnosis? ("13)

DISEASES OF OSEOPHAGUS

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40
ANATOMY & PHYSIOLOGY OF OSEOPHAGUS

1) Discuss the mechanism of deglutition.10 ('09)

2) constrictions of oesophagus. ('05)

3) Oesophageal Strictures. ('05,12)

4) cardiac notch ('96)

DISORDERS OF OSEOPHAGUS

1) Plummer-Vision syndrome. ('11)/ Patterson-Brown-Kelly syndrome.

2) Cardiac achlasia. ('09)

3) Cardiospasm (09)

4) Coin in oesophagus (’17)

5)Plummer- Vinson syndrome {2020}

DYSPHAGIA

1) A 60 years old male has presented with progressively increasing dysphagia. How will you

investigate?(2021)

2) Dysphagia lusoria ('96)

OPERATIVE

1) Reactionary haemorrhage after Tonsillectomy. ('04)

2) Indications of Tonsillectomy. (12)

3) Steps of operation of tracheostomy (03,04)

4) Complications of tracheostomy. (11,13)

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5) Types of tracheostomy 04)

6) Functions of tracheostomy. ('15)

7) Indication & complications of tracheostomy. 12 ('98,17)

8) Indirect laryngoscopy. ('06)

9) Oesophagoscopy. (‘07,08)

10)Complications of tracheostomy{2019}

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 OPHTHALMOLOGY

1) ANATOMY
LONG QUESTIONS

1) Discuss the theories of aqueous humour formation, circulation and drainage. 4+3+3
('15,2021)

2) Describe the anatomy & physiology of lens. What is mechanism of accommodation.

4+3+3 (’16)

3) Name the extraocular muscles of eyeball. Describe the attachments with a schematic
diagram. Write
the functions of each muscle. [2019}

4) Name the extra & Intra occular muscles with their nerve supply. Draw a lebelled diagram of
eye ball(2021)

5) Draw structure of angle of Anterior Chember.(2021)

SHORT NOTES

1) Vitreous haemorrhage (’10)

2) REFRACTION ERROR

LONG QUESTION

1) Describe the anatomy of physiological lens. What is the mechanism of

accommodation? (’13)

2) Briefly discuss the various methods of determination of visual acuity? (‘10)

.
SHORT NOTES

1) Pathological Myopia. ('11,'14)

2) Hypermetropia. ('12,2021)
3) Complications of myopia. ('08,'05)
4) Myopia. ('15,'09,'03)
5) Presbyopia. ('05,17)
6) Anisometropia. ('04)

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7) Astigmatism. [2019]
8) Treatment of myopia .{2019}
9) Surgical management myopia. [2020]

3) EYELID

LONG QUESTION
1) Describe the anatomy of upper eyelid with a labelled diagram. 7+3 ('14)

2) Write in brief with a diagram structure of upper eyelids. ('O5)

3) What are the causes of Entropion of Eye lid? What may its complications? ('94)

SHORT NOTES

1) Symbrepharon.
2) Entropion .('13)
3) Blepharitis ('00)
4) Ptosis ('99)
5) Hordeolum internum ('98,'94)
6) Lagophthalmos ('96)
7) Internal Hordeolum [2019]

4) CONJUNCTIVA

LONG QUESTION

1) Describe the anatomy of conjunctiva. ('11)

2) Discuss pupillary reactions, with special reference to their basis and clinical
significance. ('10)

3) Write down the differential diagnosis of red eye. ('07)

4) What do you mean by Xerosis of Conjunctiva? What are the different types of Xerosis
of conjunctiva & what are the causes? Write down different stages of Vit. A deficiency
and describe its management. ('02)

SHORT NOTES

1) Pterygium. ('15,'00)

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2) Management of recurrent Pterygium ('08,17)
3) Vernal conjunctivitis. ('05,'07,'11)
4) Phlyctenular Conjunctivits. ('03,17)
5) Bitot's spot. ('01)
6) Subconjunctival haemorrhage ('00)
7) Xerosis of conjunctiva ('98)
8) Pannus ('95,'94)
9) Phlyctenular Conjunctivitis {2020}
10) Spring Catarrh(2021)

5)CORNEA

LONG QUESTION

1) Describe in brief the management of a case of a bacterial corneal ulcer. How would
you treat a non-healing ulcer? Enumerate the complications of corneal ulcers. 5+3+2
('15)

2) Describe the clinical features of uncomplicated bacterial corneal ulcer. Outline its
management. ('08,'01)

3) Describe in brief the different layers of cornea with diagram mentioning the special
clinical significance related to each of them. (‘07)

4) Discuss etiology, clinical features, complications and management of Herpes Zoster

ophthalmicus? (‘O3)

5) Describe the sign symptoms and complications of a case of progressive corneal

ulcer? How do you treat such a case? ('99)

6) Describe the clinical features of Hypopyoa Corneal Ulcer? How do you manage such
a case? (‘96)

7) What is keratoplasty? What are types? How will you collect the donor cornea & how
will you preserve it? 2+2+4+2 (17)

8) Describe the layers of Cornea. What are the factors maintaining Corneal transparency?4+6
[2020]

SHORT NOTES

1) Clinical features of vernal kerato conjunctivitis. ('13)

2) Bacterial corneal ulcer. ('12)

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45
 3) Indications of keratoplasty. ('09)
4) Keratoplasty. ('08)
5) Cycloplegics. (04)
6) Hypopyon. ('02,'98,'94)
7) Transparency of the cornea (‘01)
8) Hypopyon corneal ulcer (16)

6) SCLERA

SHORT NOTES

1) Staphyloma (’02,08,12,16)
2) Posterior staphyloma (’04)

7) UVEA

LONG QUESTION

1) Describe the clinical features, management & complications of acute anterior uveitis?
3+4+3 ('04)

2) What are the causes of Red eye? Write in brief about their differential diagnosis with
management. ('12)

3) Write down differential diagnosis of Red eye. 10 ('07)

4) A patient attended Eye OPD with painful Red congested eye with semi-dilated pupil.
What is your diagnosis and what investigation will you do to confirm your diagnosis?
Write in brief the management of the patient? 5+5+5 ('04)

5) Describe clinical features & management of Acute iridocyclitis. 5+5 [2020]

SHORT NOTES

1) Red Eye. ('10)

2) Keratic precipitates. ('09)
3) Ring synaechia ('02)
4) Pthisis bulbi ('02)
5) Cilliary congestion ('01)
6) Panophthalmitis{2019}
7) Endophthalmitis{2018}
8) Keratic precipitate{2018}
9) Posterior Synechiae(2021)

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46
8) LENS

LONG QUESTION

1) What are the causes of seeing rainbow Halo around light? Describe the management
of one such case having severe pain in the eye. 3+7 ('15)

2) A patient comes with Rainbow Haloes. How will you diagnose the case? ('13)

3) What are causes of seeing Rainbow Halo? Describe the management of one such
case following severe pain in eye. ('11)

4) What is Aphakia? What is difference between aphakia & pseudophakia? How do you
manage a case of uniocular aphakia after cataract operation due to trauma? (on a
patient of 20 yrs of age) 10 ('01)

5) What are the points you should note in a cataract case before surgery, both for
avoiding complications & better visual result? 12 ('98)

6) How do you prepare a patient before cataract operation? How do you predict the
outcome of cataract surgery? 7+3 (16)

7) Enumerate the post-operative complication of cataract surgery. Briefly outline the

treatment of any one of them. 6+4 (17)

8)Write about the Preoperative work-up of a patient planned for cataract surgery. How do you
assess the Visual prognosis in such a case? [2019]

9). A 65 years old patient presented with gradual painless dimness of vision in both eye during
last 2 years. Describe the differential diagnosis and management. [2018}

SHORT NOTES

1) SICS. ('13)
2) Biometry. ('12)
3) Capsulotomy in cataract extraction. ('11)
4) Morgagnian cataract. ('11) L
5) Early postoperative complication following cataract surgery. ('09)
6) Hypermature cataract. ('09,04,99)
7) Phacolytic glaucoma. ('08)

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47
8) After cataract. ('05)
9) Pseudophakia. ('05)
10) Hyphaemia ('04)
11) Complicated cataract. ('03)
12) IOL ('99)
13) Convex lens. ('01)
14) Astigmatism ('00)
15) Contact lens, ('00)
16) Lamellar cataract ('98,'94)
17) Posterior capsular opacification (17)
18) Morgagnian Cataract {2020}
19) Hyphema-causes and management{2019}
20) Buphthalmos{2019}
21) Biometry{2018}
22) Capsulotomy(2021)

8) LACRIMAL APPARATUS

LONG QUESTION

1) Briefly discuss the symptoms, signs and management of case of chronic

dacryocystitis. ('10)

2) Write brief the anatomy of the lacrimal apparatus with a labelled diagram. ('08)

3) What is chronic dacryocystitis? Describe the steps of dacryocystorhinostomy (‘16)

4) Describe the anatomy of lacrimal apparatus with a labelled diagram. Enumerate the
causes of watering
of the eye. [2018]

5) Discuss the anatomy of Lacrimal apparatus with diagram. Haw is tear drained? 4+4+2
[2020]

SHORT NOTES

1) Epiphora. C98:15)
2) Acute dacryocystitis. ('13)
3) Dacryocystorhinostomy (09)
4) Congenital dacryocystits. (03,05)
5) Syringing of the Lacrimal passage. ('12)

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48
6) Syringing (2020)

9) GLUCOMA:

LONG QUESTION ;

1) How would you diagnose a case of open angle glaucoma and follow up such patient?
('10)

2) Describe intraocular pressure? Discuss different conditions where the intraocular

pressure is
low. ('09)

3) Describe clinical features and management of a patient suffering from an acute attack
of angle
closure glaucoma. ('05)

4) Describe the anatomy of the angle of anterior chamber of eye ball? Write in short your
plan for
medical treatment of open angle glaucoma? ('01)

5) Discuss the symptoms, sign & management of acute congested glaucoma? ('98)

6) Describe symptoms, signs and management of acute attack of angel closer glaucoma.
[2018]

SHORT NOTES ;

1) Field changes in Primary open angle glaucoma ('15)

2) Pan-opthalmitis. ('14)
3) Trabeculectomy. ('14,07)
4) Absolute glaucoma. ('02,'96)
5) Acute congestive glaucoma of one eye. ('97)
6) Phacolytic glaucoma (08,16)
7) Anti-glaucoma drugs. (16)
8) Bupthalmos (17)
9) Anti glacucomal drug(2021)

10) RETINA:

LONG QUESTION;

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49
1) A child of 3 yrs. age presented with a White reflex behind the pupil. Discuss the
differential
diagnosis and management in brief. ('04,'96)

SHORT NOTES;

1) Diabetic retinopathy. (‘11)

2) Enucleation. (‘11)
3) Macula lutea. ('01)
4) Retinoblastoma (‘16,2021)
11) IRIS
12) Enucleation [2018]

LONG QUESTION;

1) Describe signs, symptoms and management of acute iridocyclitis ('11)

2) Describe the clinical features of iridocyclitis. How do you differentiate it from acute
attack of
primary angle closure glaucoma? ('08)

3) Describe the symptoms and sign of acute iridocyclitis? How do you differentiate it
from acute
congested glaucoma? How do you treat such a case? ('00,’98,’94)

4) Describe the symptoms, signs and management of Retinoblastoma. [2019]

12) OCCULAR TRAUMA:

LONG QUESTION;

1) A seven years old boy was hit by a cricket ball in one eye. Enumerate the possible
damage in
each of the ocular structures expected in such a case. Describe the options for
treatment/manage in each injury. 7+3 ('00,'14)

2) Describe the effect of blunt trauma in the eye ('12)

3) A young adult patient presents with a history of blunt injury by blow in one eye.
Discuss the
possible lesions in brief and their management. (‘05)

4) A player sustain injury in the eye by a cricket ball. What are the possible effects of
injury in
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50
different structures of eye? What first-aid will you offer in such a case? (’99)

SHORT NOTES;

1) Removal of Corneal foreign body. ('13)

2) Evisceration. ('14,'12)
3) Paracentesis ('07,16)
4) Commotio Ratinae. ('03)
5) Siderosis bulbi. ('01)
6) Vitreous haemorrhage{2020}
7) Alkali burn of eye{2018}

13) COMMUNITY OPHTHALMOLOGY:

LONG QUESTION;

1) Enumerate the causes of night blindness. Write down the clinical features and
management of
Vit. A deficiency. ('13,2021)

2) Write down the different stages of Vit. A deficiency and describe its management. (‘12)

3) How do suspect Vit. A deficiency in a child? What are the effects in the eye in this
deficiency?
How do you prevent it? ('00)

4) What is night blindness? What are its causes? How do you investigate such a case
and advice
treatment? ('99)

SHORT NOTES;

1) Eye banking and keratoplasty. ('15)

2) Vision 2020. ('15,'07)
3) Dilated pupil in one eye. ('10)
4) Nutritional blindness (’17)
5) Night blindness ('19)

14) OCCULAR PHARMACOLOGY:

SHORT NOTES;

1) Side effects of tropical corticosteroids. (’10)

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51
2) Uses of Atropine in Ophthalmology [2020]

15) OCCULAR MOTILITY:

LONG QUESTION;

1) Discuss briefly the management of esotropia in a 2-year-old. ('10)

2) Describe origin, insertion, nerve supply and actions of extra-ocular muscles. ('09)

SHORT NOTES;

1) Binocular vision. (‘13)

2) Management of right convergent squint. (‘08)

16) NEURO OPHTHALMOLOGY:

LONG QUESTION;

1) Describe the path of light reflex with diagram. ('12)

2) Draw a schematic diagram of pupillary light reflex. Mention the drugs acting on pupil.
6+4 (17)

SHORT NOTES;

1) Papilloedema (’99)

17) MISCELLANEOUS:

LONG QUESTION;

1) Enumerate the possible causes of sudden painful dimness of vision in a 35 years old
female
patient. Briefly discuss the signs, symptoms and management of any one of the cause.
3+3+4
('14)

2) Write down the causes of gradual and painless loss of vision and their differential
diagnosis.
('09,’94)

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52
3) Write down the differential diagnosis of sudden loss of vision. ('07)

4) What are the causes of sudden loss of vision in one eye? What investigations do you
suggest?
(‘06)

SHORT NOTES;

1) Use of laser in eye. (’14)

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53
 STUDENTS' UNION
COLLEGE OF MEDICINE AND JNM HOSPITAL

*KALYANI*NADIA*

FOR THE YEAR 2021-2022

PRESIDENT Md Abu Salman Halder(9875615497)

VICE PRESIDENT Mesbahul Alam(+918617337758)

Iqbal Haider(+918918528694)

GENERAL SECRETARY Rana Roy(+919123624986)

ASSISTANT GENERAL SECRETARY Hasanur Jaman Mondal(+916290533472)

Mir Md Mirza Hasib(+916350559016)

FINANCE SECRETARY Wasedur Rahaman(+919647185246)

ASSISTANT FINANCE SECRETARY Tanima Tudu(+919382500157)

CULTURAL SECRETARY Md. Abdul Alim Biswas(7044741794)

ASSISTANT CULTURAL SECRETARY Mridul Pramanik(+917478787565)

Debaleena Barua(+917478007625)

SPORTS SECRETARY Debnil Nandi(+919831441298)

Sagen Murmu(8777355931)

ASSISTANT SPORTS SECRETARY Koustav Patra(9775955508)

ACADEMIC SECRETARY Mehedi Hassan(9674177319)

Poorva Purkait(+918509086279)

ASSISTANT ACADEMIC SECRETARY Anirban Barat(+918529158489)

Puspayan Adhikary(+918697262838)

AUDIO VISUAL SECRETARY Anupam Mahato(+917001266871)

Pritam Majumder(+918536073207)

ASSISTANT AUDIO VISUAL SECRETARY Ashraf Malitya(+919330137370)

Ritupriya Mondal(+918001104199)

SOCIAL SECRETARY Poulami Chakraborty(+916290549831)

ASSISTANT SOCIAL SECRETARY Riddhideep Biswas(+918617071254)

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HOSTEL MONITOR Md Abu Salman Halder(+919875615497)
(Junior Boys' Hostel + Internee Hostel)

BOYS' (SENIOR HOSTEL) Souvik Biswas(+91 81008 61068)

GIRLS' (JUNIOR HOSTEL) Poorva Purkait(+918509086279)

Tanima Tudu(+919382500157)

ADVISORY COMMITTEE
Dr.Rajarshi Malik, Dr. Subhankar Ghosh, Dr.Rokeya Sultana Biswas, Dr.Kalyan Hira, Dr
Soumyabrata Miitra, Dr Rajib Biswas, Dr Md Ikbal Hossain, Dr Prithwish Sinha, Dr Ambuj
Kumar Thakur, Dr Firoj-E-Abbas,Dr Swanil Sarkar, Dr Sarat Paul, Dr Kiranjan Mandal, Dr
Sourav Kamilya ,Dr.Shovik Biswas, Dr Debjyoti Halder,Dr. Sk Md Akhil,Dr. Sahil Mufti, Dr.
Shreus Tarafder, Dr. Soumya Gharami, Dr. Sutirtha Das Gupta, Dr. Zinedine Zidane,Dr. Ayesha
Siddiqi

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