FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
SOCIAL AND PREVENTIVE MEDICINE
PAPER I
SPM/D/17/45/I
Time: 3 hours
Max. Marks: 100
• 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 question 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. Define "Primary health care"?
Levels of prevention with examples?
What is 'Disability limitation'? Illustrate with suitable
examples.

2. Define Human Development Index (HDI).
Outline the steps to estimate HDI.
2+8
3. Define Years of Potential Life Lost.
Enumerate healthcare delivery indicators.
Enumerate health policy indicators.

4. Define 'Incidence' and 'Prevalence'. What is the
relationship between 'Prevalence' and 'Incidence?'
Uses of Prevalence
Special incidence rates

5. What is 'Bimodality'? Give an example.
Differentiate between observational and intervention
studies with illustrative examples.

6. Communicability in measles
Complications of measles
Measures for prevention and control of measles.

7. Differentiate between antigenic shift and drift.
Contraindications of inactivated vaccines.
Antiviral therapy in pandemic influenza A (H1N1) 2009

8. Epidemiology of meningococcal meningitis.
Submit a plan for investigation and control of an
outbreak of meningitis in the district jail.
2+8
P.T.O
FINAL EXAM NATIONAL BOARD OF EXAMINATIONS
DECEMBER 2017

POSSESSION/USE OF CELL PHONES OR ANY SUCH ELECTRONIC GADGETS IS NOT PERMITTED INSIDE THE EXAMINATION HALL.
9. Differentiate between various types of viral Hepatitis as
per agent factors and mode of transmission.
Would you advocate introducing Hepatitis A vaccine in
the National programme? Substantiate with reasons.
5+5
10. WHO clinical staging system for HIV infection in
children.
Post exposure prophylaxis for HIV (WHO 2016)
4+6