FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
SOCIAL PREVENTIVE MEDICINE
PAPER-I
SPM/J/18/45/I
Time: 3 hours
Max. Marks:100
Important Instructions:
Attempt all questions in order.
Each question carries 10 marks.
Read the question carefully and answer to the point neatly and legibly.
Do not leave any blank pages between two answers.
Indicate the question number correctly for the answer in the margin space
Answer all the parts of a single question together.
Start the answer to a question on a fresh page or leave adequate space between two answers.
Draw table/diagrams/flowcharts wherever appropriate.
Write short notes on:
1. Enumerate any four dimensions of health.
Spectrum of health.
Role of socio-economic conditions as determinants of health.

2. Disability Adjusted Life Years (DALY).
Enumerate main objectives of Global Reference list of Core
Health Indicators.
Characteristics of Health Care.

3. Ottawa Charter for Health Promotion (background, action
areas, strategies).
Natural history of disease.
4+6
4. Health promotion as a mode of intervention.
Enumerate at least four modes of indirect transmission in
communicable diseases.
Vector borne transmission and give its epidemiological
classification with examples based on transmission chain.

5. Active immunity
Storage of Vaccines in Ice Lined Freeze
Herd immunity

6. First line bactericidal drugs in tuberculosis.
Drug resistance in tuberculosis.
The End TB strategy

7. Polio Surveillance.
Epidemiological determinants of diarrhoeal diseases.
Long term measures for prevention and control of diarrhoeal
diseases.

8. Investigate an outbreak of cases of diarrhoea and vomiting
after consumption of a common meal by a large number of
people in a social function in a community.
Laboratory diagnosis of cholera.
7+3
P.T.O.
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
JUNE 2018

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
9. Anti-typhoid vaccines.
Strategies for prevention and control of malaria.
Chemoprophylaxis against malaria.

10. Epidemiology of Scrub Typhus.
Impact indicators for monitoring HIV control.
Sources, routes of spread and recipients of hospital acquired
infections.