• Extracted every single question from both PDFs (Paper 1: 2018-2025, Paper 2: 2019-2025, ~14 exam sittings total)
• Counted frequency of each topic across all years
• Mapped every topic to its corresponding Park's textbook chapter/section
• Tagged each question with its marks category (LAQ 20 marks / BAQ 5 marks / SAQ 2 marks)
• Annotated priority: 🔴 MOST IMP (5+ times), 🟠 HIGH IMP (3-4 times), 🟡 MOD (1-2 times)

• Paper 1 is dominated by: Epidemiology study designs (Cohort/Case-Control/RCT), Epidemic investigation, TB/NTEP, Dog bite/Rabies, and NCD risk factors
• Paper 2 is dominated by: MMR/Maternal health (asked EVERY year), Pneumoconiosis/Occupational lung disease (scenario-based), Demographic cycle, Biomedical waste, and Nutrition (PEM)
• The same LAQ topics recycle year after year - especially Cohort study scenario, Dog bite scenario, and Stone/cement factory worker (Silicosis) scenario

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MPMSU PSM - PRIORITY STUDY LIST

Sorted by: Question Type → Must Do → Imp → If Time

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📝 LONG ANSWER QUESTIONS (LAQ) — 20 Marks

🔴 MUST DO (Asked 4+ times, repeats every year)

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🟠 IMPORTANT (Asked 2-3 times)

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🟡 IF TIME PERMITS

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📄 BRIEF ANSWER QUESTIONS (BAQ) — 5 Marks each

🔴 MUST DO

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🟠 IMPORTANT

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🟡 IF TIME PERMITS

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📃 SHORT ANSWER QUESTIONS (SAQ) — 2-3 Marks each

🔴 MUST DO

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🟠 IMPORTANT

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🟡 IF TIME PERMITS

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🔡 VERY SHORT ANSWER QUESTIONS (VSQ) — 2 Marks

🔴 MUST DO

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🟠 IMPORTANT

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🟡 IF TIME PERMITS

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⚡ QUICK REVISION SUMMARY

MUST DO before exam (absolute non-negotiables):
LAQ (6P1 + 4P2) → BAQ (10) → SAQ (20) → VSQ (10)

Top 5 single-topic investments:
1. Epidemic Investigation → appears in LAQ + BAQ + SAQ all 3 types
2. MMR / Maternal Health → appears every single year in P2 LAQ
3. Epidemiological Study Designs → LAQ + classify BAQ + 1 type as SAQ
4. NTEP / TB → LAQ, BAQ, SAQ all 3 types
5. Primary Health Care → BAQ + SAQ in every alternate year

MPMSU PSM - 15 DAY EXAM PREPARATION PLAN

July 13 → July 27, 2026

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Daily Structure: 8-9 hours study | Morning = New topics | Afternoon = Write practice | Evening = Revision + VSQ/SAQ drill Daily Target: 1 LAQ topic (read + write once) + 2-3 BAQ + 5-6 SAQ/VSQ

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📅 DAY 1 — Monday, July 13

Theme: Epidemiology Foundation + Study Designs (Part 1)

• Epidemic Investigation — all steps in detail (Park Ch. 2)
• Types of Epidemiological Study Designs — classification chart
• Cohort Study — definition, types (prospective/retrospective), steps, advantages/disadvantages, biases, outcome measures (RR, AR)

• Write full LAQ: "A researcher investigates coffee and pancreatic cancer — Cohort study scenario" (2024M format)
• Write steps of epidemic investigation as flow diagram + points

• SAQ: Incidence vs Prevalence
• SAQ: Secondary Attack Rate
• SAQ: Primary case vs Index case
• VSQ: Relative Risk (define + formula)
• VSQ: R₀ naught factor

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📅 DAY 2 — Tuesday, July 14

Theme: Study Designs (Part 2) + Biases

• Case Control Study — steps, selection of cases/controls, matching, biases (Berkesonian bias, recall bias, selection bias)
• Randomized Controlled Trial — steps, randomization, blinding, advantages
• Difference between Cohort vs Case Control (table format)

• Write LAQ: "Classify epidemiological studies, write Case Control Study steps, differentiate CC vs Cohort" (2023S format)
• Write BAQ: Randomized Controlled Trial

• SAQ: Retrospective cohort study
• SAQ: Epidemiological triad + diagram
• SAQ: PICOT criteria
• VSQ: Berkesonian Bias (define)
• VSQ: Lead time / Lead time bias
• Revise Day 1 topics (5 min each)

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📅 DAY 3 — Wednesday, July 15

Theme: Natural History + Levels of Prevention + Concept of Health

• Natural history of disease — stages, diagram (iceberg, Leavell & Clark)
• Levels of prevention (Primary/Secondary/Tertiary) + modes of intervention — learn 2-3 examples per level
• Determinants of health (Mandala model, Dahlgren-Whitehead)
• Health promotion concepts
• Epidemiological transition + health gap

• Write LAQ: "Describe natural history of disease with levels of prevention" (2020N format)
• Write BAQ: Levels of prevention with modes of intervention
• Write BAQ: Natural history of disease with diagram

• SAQ: PQLI — definition + 3 components
• SAQ: DALY and QALY
• SAQ: Iceberg phenomenon
• SAQ: Herd immunity
• SAQ: Health promotion
• Revise Days 1-2 (10 min)

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📅 DAY 4 — Thursday, July 16

Theme: Communicable Diseases — TB + NTEP

• Diagnostic algorithm for drug sensitive TB (CBNAAT, smear, culture)
• Drug sensitive treatment regimen under NTEP — 2HRZE/4HR, fixed dose combinations, advantages of FDC
• TB preventive therapy (TPT) — target population (contacts, PLHIV), drug regimens (6H, 3HP)
• MDR-TB definition + NTEP strategies and objectives
• DOTS strategy (historical + current)

• Write BAQ: Diagnostic algorithm + drug sensitive TB treatment under NTEP
• Write BAQ: NTEP objectives and strategies
• Write SAQ: TB preventive therapy — target population + regimens
• Draw the NTEP diagnostic algorithm as a flowchart (must memorize)

• SAQ: MDR-TB definition
• SAQ: Nikshay Mitra
• VSQ: DOTS (define)
• VSQ: Polio end game strategy
• Revise Days 1-3 key points

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📅 DAY 5 — Friday, July 17

Theme: Communicable Diseases — Rabies + HIV + Dengue

• Rabies/Dog bite — WHO bite categories (I/II/III), wound management (wash, debride), ARV schedule, pre-exposure prophylaxis schedule, health education
• HIV/AIDS — ICTC, window period, ELISA + Western blot confirmation, risk factors in India, clinical manifestations, PMTCT strategies, PEP eligibility + regimen (TDF+3TC+DTG), ethical counselling
• Dengue — criteria for dengue fever, DHF (grades I-IV), DSS, integrated vector management

• Write full LAQ: "Dog bite scenario — category, management, PEP, pre-exposure, health education" (2025M / 2024M format)
• Write LAQ part: "HIV scenario — test advised, PMTCT, PEP regimen" (2025M format)

• SAQ: PEP in HIV — regimen (TDF + 3TC + DTG)
• SAQ: Criteria for DHF and DSS
• SAQ: Chemoprophylaxis in malaria
• SAQ: Cold chain system equipment
• VSQ: Annual Parasite Index (API)
• Revise Days 1-4 key points

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📅 DAY 6 — Saturday, July 18

Theme: NCD + Medical Ethics + Communication

• Warning signs of cancer (CAUTION mnemonic) + breast cancer + oral cancer epidemiology, prevention
• Risk factors of hypertension (modifiable: salt, obesity, alcohol, smoking, stress; non-modifiable) + Rule of halves
• Lifestyle diseases — enumerate, risk factors, prevention, NPCDCS programme
• Medical ethics / Bioethics — 4 principles (Autonomy, Beneficence, Non-maleficence, Justice) + medical ethics (truth telling, confidentiality)
• Informed consent — definition, elements, how administered
• Doctor-patient communication — barriers + strategies to overcome

• Write BAQ: Medical ethics — definition + 4 basic principles
• Write BAQ: Informed consent
• Write SAQ: Warning signs of cancer
• Write SAQ: Rule of halves in hypertension
• Write SAQ: Risk factors of hypertension

• SAQ: Haddon matrix
• SAQ: Modifiable/non-modifiable NCD risk factors
• SAQ: Adverse effects of alcohol
• SAQ: Adverse effects of obesity
• Revise Days 1-5 (15 min speed revision)

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📅 DAY 7 — Sunday, July 19

🔁 FULL REVISION DAY — Paper 1 Week 1

• Re-read all LAQ topics covered Days 1-6 (headings + key points only, not full text)
• Revise all flowcharts/diagrams: NTEP algorithm, Natural history, Epidemic steps, Study design table

• Attempt 1 full Paper 1 mock (pick any previous year paper 2022/2023)
• Time yourself: 2 LAQs in 40 min, 5 BAQs in 50 min, 10 SAQs in 30 min

• Identify what you couldn't write in the mock
• Re-read those specific sections
• SAQ/VSQ rapid fire: attempt 15 SAQs from Paper 1 topics

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📅 DAY 8 — Monday, July 20

Theme: Maternal & Child Health + RCH Program (Paper 2 starts)

• Maternal mortality rate vs ratio — formulas, difference table
• Causes of maternal mortality (obstetric, non-obstetric, social)
• RCH program — components, strategies, services to pregnant women (ANC, PNC, JSY, JSSK, PMSMA)
• Services to lactating mothers
• ANC — essential services under RMNCAH+N (8 ANC visits, TT, IFA, TT, CBC, USG)
• High-risk pregnancy criteria
• PMJAY / Ayushman Bharat (quick read)

• Write full LAQ: "MMR rate vs ratio, RCH components, services to pregnant/lactating mothers" (2025M P2 / 2024S format — appears EVERY year)
• Write BAQ: Define MMR + major causes of maternal mortality

• SAQ: Iron folic acid supplementation in pregnancy
• SAQ: Danger signs during labour
• SAQ: Skilled birth attendance
• VSQ: Low birth weight — define
• VSQ: Exclusive breastfeeding
• Revise Days 1-7 highlights (10 min)

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📅 DAY 9 — Tuesday, July 21

Theme: Infant & Child Health + Nutrition + ICDS + IMNCI

• IMR — definition, causes (neonatal + post-neonatal), preventive measures
• PEM — Marasmus vs Kwashiorkor (features, table comparison, management)
• Assessment of nutritional status — anthropometric, biochemical, clinical, dietary methods
• ICDS scheme — objectives, salient features, services, beneficiaries
• Vitamin A deficiency — Xerophthalmia stages (XN, X1A, X1B, X2, X3A, X3B, XS, XF), National Vitamin A Prophylaxis Programme
• IDD — spectrum of iodine deficiency, prevention (iodized salt)
• IMNCI — assess, classify, treat for ARI + diarrhea

• Write LAQ: "Define IMR, causes, preventive measures" (2023M)
• Write BAQ: Differentiate Marasmus vs Kwashiorkor (table)
• Write BAQ: Assessment of nutritional status

• SAQ: GOBI / GOBIFFF
• SAQ: Kangaroo Mother Care
• SAQ: Signs of Xerophthalmia
• VSQ: Food fortification
• VSQ: Balanced diet
• VSQ: Broca's Index

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📅 DAY 10 — Wednesday, July 22

Theme: Occupational Health + Environment (Water + Waste)

• Pneumoconiosis / Silicosis — types (silicosis, asbestosis, coal worker's, byssinosis), pathology of silicosis, prevention, control
• Medical measures to prevent occupational diseases (pre-placement, periodic examination, PPE, environmental control)
• ESI Act 1948 — benefits (sickness, maternity, disablement, medical)
• Causes of industrial accidents + prevention
• Biomedical waste management — categories (Yellow, Red, White, Blue bags + sharp containers), treatment methods, deep burial standards
• Breakpoint chlorination — definition, significance
• Purification of water — slow sand filter vs rapid sand filter

• Write full LAQ: "Factory worker (stone crusher/cement) with cough + breathlessness — silicosis scenario" (2025M P2 / 2024M P2 format)
• Write BAQ: Biomedical waste categories (tabulated)
• Write SAQ: Medical measures to prevent occupational diseases

• SAQ: Ergonomics
• SAQ: Sickness absenteeism
• SAQ: Overcrowding + health hazards
• SAQ: Breakpoint chlorination
• VSQ: Colour coding of biomedical waste
• VSQ: Pre-placement examination

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📅 DAY 11 — Thursday, July 23

Theme: Demography + Family Planning + Health Communication

• Demographic cycle — 5 stages (high stationary → early expanding → late expanding → low stationary → declining), India's position
• Fertility indicators — CBR, CDR, TFR, GFR, NRR, IMR — formulas and definitions
• NRR = 1 significance
• Dependency ratio — formula
• Contraceptive methods — barrier, hormonal (combined OCP, POP, injectables), IUCD, emergency contraception, postpartum contraception
• Health communication — mass approach methods (newspaper, radio, TV, exhibition, film), group methods, individual methods
• IEC vs BCC difference
• Health education vs propaganda
• Barriers of communication
• Health Belief Model

• Write BAQ: Demographic cycle with diagram
• Write BAQ: Mass approach methods of health communication
• Write LAQ part: "Contraceptive counselling for postpartum mother" (2024S format)

• SAQ: Dependency ratio + formula
• SAQ: Net Reproduction Rate
• SAQ: IEC vs BCC
• SAQ: Pearl Index
• VSQ: Types of family
• VSQ: Eligible couple
• Revise Days 8-10 key points

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📅 DAY 12 — Friday, July 24

Theme: PHC + National Health Programs + Disaster + International Health

• Primary Health Care — Alma Ata 1978, definition, 8 elements (MNEMONIC: EMATES + 2), principles
• PHC in India — Sub-centre, PHC, CHC structure + services + staff
• NHM/NRHM — objectives, strategies, components, ASHA (role + incentives)
• NPCDCS — objectives and strategies for Cancer, DM, CVD, Stroke
• Disaster management — disaster cycle (4 phases: mitigation, preparedness, response, recovery), principles
• Triage — START triage, colour coding (green, yellow, red, black)
• WHO — functions, structure, SDGs related to health (SDG 3 mainly)
• UNICEF — functions

• Write BAQ: PHC — definition, elements, principles
• Write BAQ: WHO functions
• Write BAQ: Disaster management principles + cycle diagram
• Write SAQ: ASHA role under NHM
• Write SAQ: Triage

• SAQ: SDGs — health related goals
• SAQ: UNICEF functions
• SAQ: Community diagnosis
• SAQ: Social security
• VSQ: UNICEF (one liner)
• Revise Days 1-11 (30 min speed read of own notes)

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📅 DAY 13 — Saturday, July 25

Theme: Biostatistics + Health Management + Environment (Air/Water remaining)

• Sampling methods — probability (simple random, systematic, stratified, cluster, multistage) vs non-probability
• Measures of central tendency — mean, median, mode + uses
• Standard deviation + normal distribution curve
• Planning cycle — 9 steps
• Network analysis — PERT vs CPM (difference + uses)
• Air pollution — sources (vehicular, industrial), health effects (respiratory, carcinogenic), control measures
• Noise pollution — non-auditory effects
• Sanitation barrier + soakage pit
• Fluorosis (endemic fluorosis) — health effects + prevention
• Surveillance — types (passive, active, sentinel), uses
• Screening — sensitivity, specificity, validity, reliability

• Write BAQ: Probability sampling methods
• Write BAQ: Sensitivity and specificity + validity vs reliability
• Write SAQ: Planning cycle (steps)
• Write SAQ: PERT vs CPM (table)
• Write SAQ: Normal distribution curve

• SAQ: Focus group discussion
• SAQ: Cost benefit vs cost effective analysis
• SAQ: Verbal autopsy
• VSQ: Standard deviation
• VSQ: Community diagnosis
• Revise all VSQ definitions list (20 min)

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📅 DAY 14 — Sunday, July 26

Theme: FULL MOCK EXAM DAY (Both Papers)

• Attempt full Paper 1 under exam conditions (3 hours)
• Choose 2025M or 2023M paper format
• 2 LAQs (40 min) + 5 BAQs (50 min) + 10 SAQs (30 min) + check time

• Attempt full Paper 2 under exam conditions
• 2 LAQs (40 min) + 5 BAQs (50 min) + 10 SAQs (30 min)

• Mark your own papers against PYQ answers
• List topics where you wrote less than expected
• Make a "weak topics list" for Day 15 emergency revision
• Revise all diagrams: NTEP algorithm, Natural history, Disaster cycle, Demographic cycle diagram

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📅 DAY 15 — Monday, July 27

Theme: Final Rapid Revision + Exam-Ready Consolidation

• Revise YOUR weak topics list from Day 14 mock
• Re-read all LAQ topic headings + first paragraph (structure revision)
• Revise all flowcharts and diagrams (one page each)

• Go through the entire SAQ MUST DO list (20 topics) — just read key points
• Go through entire VSQ MUST DO list (10 topics) — definitions only
• Focus on: formulas (MMR, IMR, NRR, Dependency ratio, RR, SAR)

• Read mnemonics:
  • CAUTION (warning signs of cancer)
  • EMATES (elements of PHC)
  • 2HRZE / 4HR (TB regimen)
  • WHO bite categories I, II, III
  • Demographic cycle 5 stages
• Sleep on time — don't read new topics tonight

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📊 15-DAY COVERAGE TRACKER

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🗝️ DAILY MUST-DO CHECKLIST (print and tick every day)

☐  Read new topic (morning)
☐  Write at least 1 LAQ or 2 BAQs by hand
☐  Do 5 SAQ/VSQ rapid-fire in evening
☐  Revise previous day's topics (10 min)
☐  Draw at least 1 diagram/flowchart per day

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Golden Rule for MPMSU: Every LAQ in Paper 1 and Paper 2 is scenario-based. Always structure your answer as: (1) Identify/Diagnose → (2) Justify → (3) Investigate/Steps → (4) Prevent/Manage. The examiner wants this 4-part flow regardless of the topic.