Community Health Nursing 5th semester previous year question papers BSc Nursing

Community Health Nursing CHN 5th sem PYQ PDF BSc Nursing university exam

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MUHS Maharashtra University Health Sciences BSc Nursing 5th semester Community Health Nursing previous year question paper

MUHS BSc Nursing 5th sem CHN question paper PDF site:muhs.ac.in OR scribd OR slideshare

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mkdir -p /home/daytona/workspace/muhs-chn && cat > /home/daytona/workspace/muhs-chn/study_guide.js << 'SCRIPT' const pptxgen = require("pptxgenjs"); const pres = new pptxgen(); pres.layout = 'LAYOUT_WIDE'; pres.title = 'MUHS CHN Study Guide'; // Color Palette const C = { navy: "0D2B55", teal: "0E7490", tealLt: "CFFAFE", green: "15803D", greenLt: "DCFCE7", amber: "B45309", amberLt: "FEF3C7", red: "B91C1C", redLt: "FEE2E2", white: "FFFFFF", offWhite:"F0F9FF", gray: "374151", grayLt: "F3F4F6", }; // ─── Helper: Slide title bar ─────────────────────────────────────────────── function addTitleBar(slide, text, sub) { slide.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:1.0, fill:{color:C.navy} }); slide.addText(text, { x:0.3, y:0.1, w:10, h:0.55, fontSize:22, bold:true, color:C.white, fontFace:"Calibri", margin:0 }); if (sub) slide.addText(sub, { x:0.3, y:0.62, w:12, h:0.34, fontSize:13, color:"B3D4F5", fontFace:"Calibri", margin:0, italic:true }); slide.addShape(pres.ShapeType.rect, { x:0, y:1.0, w:13.3, h:0.06, fill:{color:C.teal} }); } // ─── Helper: Colored info box ────────────────────────────────────────────── function addBox(slide, x, y, w, h, title, bullets, fillColor, titleColor) { slide.addShape(pres.ShapeType.roundRect, { x, y, w, h, fill:{color:fillColor}, line:{color:"D1D5DB", width:1}, rectRadius:0.1 }); const items = []; if (title) { items.push({ text: title, options:{ bold:true, color:titleColor||C.navy, breakLine:true, fontSize:13 } }); } bullets.forEach((b,i) => { items.push({ text: "• "+b, options:{ color:C.gray, fontSize:11, breakLine: i < bullets.length-1 } }); }); slide.addText(items, { x:x+0.1, y:y+0.08, w:w-0.2, h:h-0.15, fontFace:"Calibri", valign:"top" }); } // ───────────────────────────────────────────────────────────────────────────── // SLIDE 1 — TITLE SLIDE // ───────────────────────────────────────────────────────────────────────────── let s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.navy} }); s.addShape(pres.ShapeType.rect, { x:0, y:5.6, w:13.3, h:1.9, fill:{color:C.teal} }); s.addShape(pres.ShapeType.rect, { x:0, y:3.55, w:13.3, h:0.07, fill:{color:"2DD4BF"} }); s.addText("🏥 MUHS BSc Nursing", { x:0.5, y:0.6, w:12.3, h:0.7, fontSize:20, color:"93C5FD", fontFace:"Calibri", bold:false, align:"center" }); s.addText("Community Health Nursing – I", { x:0.5, y:1.4, w:12.3, h:1.1, fontSize:40, color:C.white, fontFace:"Calibri", bold:true, align:"center" }); s.addText("Comprehensive Study Guide", { x:0.5, y:2.55, w:12.3, h:0.7, fontSize:24, color:"7DD3FC", fontFace:"Calibri", align:"center", italic:true }); s.addText("5th Semester • Subject Code: 53501 • Including Environmental Science & Epidemiology", { x:0.5, y:3.7, w:12.3, h:0.45, fontSize:14, color:C.white, fontFace:"Calibri", align:"center" }); s.addText([ { text:"UNIT I", options:{bold:true, color:C.white} }, { text:" Community Health Nursing", options:{color:"E0F2FE"} }, { text:" | UNIT II", options:{bold:true, color:C.white} }, { text:" Environmental Health", options:{color:"E0F2FE"} }, { text:" | UNIT III", options:{bold:true, color:C.white} }, { text:" Epidemiology", options:{color:"E0F2FE"} }, ], { x:0.5, y:4.35, w:12.3, h:0.4, fontFace:"Calibri", fontSize:13, align:"center" }); s.addText([ { text:"UNIT IV", options:{bold:true, color:C.white} }, { text:" National Health Programmes", options:{color:"E0F2FE"} }, { text:" | UNIT V", options:{bold:true, color:C.white} }, { text:" Healthcare System", options:{color:"E0F2FE"} }, { text:" | UNIT VI", options:{bold:true, color:C.white} }, { text:" Nutrition", options:{color:"E0F2FE"} }, ], { x:0.5, y:4.8, w:12.3, h:0.4, fontFace:"Calibri", fontSize:13, align:"center" }); s.addText("MUHS Nashik • Maharashtra University of Health Sciences", { x:0.5, y:6.0, w:12.3, h:0.4, fontSize:13, color:C.white, fontFace:"Calibri", align:"center", italic:true }); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 2 — UNIT I: INTRODUCTION TO CHN // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT I: Introduction to Community Health Nursing", "Concepts • Principles • Primary Health Care"); addBox(s, 0.2, 1.2, 4.1, 2.8, "Definition & Scope", [ "CHN = Application of nursing principles to promote & preserve health of populations", "Scope: Preventive, promotive, curative & rehabilitative care", "Target: Individual, family, community", "Setting: Home, school, workplace, community clinics" ], C.tealLt, C.teal); addBox(s, 4.5, 1.2, 4.1, 2.8, "Principles of CHN", [ "Continuity of care", "Family as unit of service", "Availability & accessibility", "Emphasis on prevention", "Community participation", "Intersectoral coordination" ], C.greenLt, C.green); addBox(s, 8.9, 1.2, 4.2, 2.8, "Objectives of CHN", [ "Promote health of community", "Prevent disease & disability", "Provide care to sick at home", "Rehabilitate the disabled", "Train health workers", "Conduct health surveys" ], C.amberLt, C.amber); addBox(s, 0.2, 4.2, 6.1, 2.9, "Primary Health Care (PHC) – Alma Ata 1978", [ "Definition: Essential health care universally accessible", "5 Principles: Equitable distribution, Community participation, Focus on prevention, Appropriate technology, Multisectoral approach", "8 Elements (ASHFEMCT): Awareness of health problems, Safe water & sanitation, Health education, Food & nutrition, Essential drugs, MCH & FP, Control of endemic diseases, Treatment of common diseases" ], C.tealLt, C.teal); addBox(s, 6.5, 4.2, 6.6, 2.9, "Role of Community Health Nurse", [ "Clinician: Direct care at home/PHC", "Educator: Health education to individuals/groups", "Supervisor: Supervise ASHA, ANM, health workers", "Researcher: Community health surveys", "Coordinator: Liaise with health team & community", "Advocate: Represent community health needs", "Change Agent: Promote healthy behavior change" ], C.greenLt, C.green); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 3 — UNIT II: ENVIRONMENTAL HEALTH // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT II: Environmental Health", "Water • Sanitation • Waste Disposal • Pollution"); addBox(s, 0.2, 1.2, 4.1, 3.1, "Water Supply & Purification", [ "Safe water: Free from physical, chemical & biological impurities", "Sources: Surface (river/lake), Ground (well/bore), Rain water", "Purification Steps: Sedimentation → Coagulation (alum) → Filtration → Disinfection (chlorination)", "Chlorination: 0.5 mg/L residual chlorine", "Hardness: Ca/Mg salts — temporary (boiling) & permanent (lime-soda)" ], C.tealLt, C.teal); addBox(s, 4.5, 1.2, 4.1, 3.1, "Sewage & Waste Disposal", [ "Solid Waste: Collection → Transportation → Disposal", "Methods: Sanitary landfill, Composting, Incineration, Dumping (not recommended)", "Biomedical Waste: Color-coded bags — Yellow (anatomical), Red (recyclable), Blue (glassware), Black (general)", "Sewage treatment: Primary (physical) → Secondary (biological) → Tertiary (chemical)", "Septic Tank: Most suitable for rural areas" ], C.greenLt, C.green); addBox(s, 8.9, 1.2, 4.2, 3.1, "Types of Pollution", [ "Air: Particulate matter, SO₂, CO, NOₓ — causes respiratory disease", "Water: Biological (pathogens), Chemical (heavy metals, nitrates)", "Soil: Pesticides, industrial effluents", "Noise: >85 dB causes hearing damage", "Radioactive: Nuclear waste", "Sources: Industrial, vehicular, domestic" ], C.amberLt, C.amber); addBox(s, 0.2, 4.5, 6.2, 2.7, "Home Sanitation & Housing", [ "Ideal house: Well-ventilated, adequate lighting, safe water, sanitary latrine", "Types of latrine: Pit latrine, Pour-flush, VIP (Ventilated Improved Pit), Water seal", "Swachh Bharat Mission: ODF (Open Defecation Free) India goal", "School sanitation: Separate toilets for boys/girls; handwashing facilities" ], C.tealLt, C.teal); addBox(s, 6.6, 4.5, 6.5, 2.7, "Sustainable Development & Environmental Health", [ "Sustainable development: Meeting present needs without compromising future generations", "Watershed management: Conservation of water, soil & vegetation", "Deforestation impact: Climate change, soil erosion, loss of biodiversity", "Nurse's role: Education on pollution, advocate for clean environment, participate in sanitation drives" ], C.greenLt, C.green); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 4 — UNIT III: EPIDEMIOLOGY (Part 1) // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT III: Epidemiology – Part 1", "Definitions • Types • Measures • Chain of Infection"); addBox(s, 0.2, 1.2, 4.1, 2.9, "Epidemiology Basics", [ "Definition: Study of distribution & determinants of health-related states in populations", "Epidemiological Triad: Host + Agent + Environment", "Types: Descriptive (WHO, WHAT, WHERE, WHEN) | Analytical (WHY) | Experimental (Testing hypothesis)", "Incubation period: Time between entry of pathogen & onset of symptoms" ], C.tealLt, C.teal); addBox(s, 4.5, 1.2, 4.1, 2.9, "Measures of Disease Frequency", [ "Incidence: NEW cases / Population at risk × 1000", "Prevalence: ALL cases / Total population × 1000", "Crude Death Rate (CDR): Deaths / Midyear pop × 1000", "IMR: Deaths <1yr / Live births × 1000", "MMR: Maternal deaths / 100,000 live births", "Case Fatality Rate: Deaths / Cases × 100" ], C.amberLt, C.amber); addBox(s, 8.9, 1.2, 4.2, 2.9, "Study Designs (Analytical)", [ "Cohort Study: Cause → Effect (Prospective) — calculates Relative Risk", "Case-Control: Effect → Cause (Retrospective) — calculates Odds Ratio", "Cross-sectional: Prevalence at one point in time", "RCT: Gold standard; randomized experimental", "Ecological: Group-level data", "Relative Risk = Incidence in exposed / Incidence in unexposed" ], C.greenLt, C.green); addBox(s, 0.2, 4.3, 6.2, 2.9, "Chain of Infection & Transmission", [ "Chain: Agent → Reservoir → Portal of exit → Mode of transmission → Portal of entry → Susceptible host", "Direct transmission: Contact (sexual, droplet, physical touch), Vertical (mother to child)", "Indirect: Fomite-borne, Vector-borne, Airborne, Water-borne, Food-borne", "Break the chain: Vaccination, isolation, disinfection, vector control", "Herd Immunity: When enough population is immune to protect the rest" ], C.tealLt, C.teal); addBox(s, 6.6, 4.3, 6.5, 2.9, "Natural History of Disease & Prevention", [ "Stages: Susceptibility → Pre-symptomatic → Clinical → Disability/Death", "Primary Prevention: Health promotion & specific protection (e.g., vaccination)", "Secondary Prevention: Early diagnosis & prompt treatment (e.g., screening)", "Tertiary Prevention: Disability limitation & rehabilitation", "Primordial Prevention: Preventing emergence of risk factors", "Levels: Individual → Family → Community → Population" ], C.amberLt, C.amber); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 5 — UNIT III: EPIDEMIOLOGY (Part 2) — Communicable Diseases // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT III: Epidemiology – Part 2", "Major Communicable Diseases (Exam Favourites)"); const diseases = [ ["Tuberculosis (TB)", ["Causative agent: Mycobacterium tuberculosis","Transmission: Airborne droplets","Incubation: 4–12 weeks","DOTS regimen: 6 months (2HRZE + 4HR)","First-line drugs: Rifampicin, INH, PZA, Ethambutol","Programme: NTEP (National TB Elimination Program)","Target: Eliminate TB by 2025"]], ["Malaria", ["Agent: Plasmodium vivax (benign), P. falciparum (malignant)","Vector: Female Anopheles mosquito","Transmission: Bite of infected mosquito","Symptoms: Fever with chills, rigor, sweating","Treatment: Chloroquine (vivax), Artemisinin (falciparum)","Programme: NVBDCP","Prevention: Bed nets, DDT spraying, larval control"]], ["HIV/AIDS", ["Agent: Human Immunodeficiency Virus (HIV)","Transmission: Sexual, Blood transfusion, Needle sharing, Vertical (MTCT)","CD4 count <200 = AIDS","ART: Antiretroviral therapy — lifelong","Programme: NACP (National AIDS Control Programme)","PPTCT: Prevention of Parent to Child Transmission","Window period: 3–12 weeks (no antibody detection)"]], ["Cholera", ["Agent: Vibrio cholerae","Transmission: Contaminated water & food","Incubation: Few hours to 5 days","Features: Rice-water stools, severe dehydration","Treatment: ORS, IV fluids, Tetracycline/Doxycycline","Prevention: Safe water, food hygiene, vaccination","Notification: Notifiable disease under IHR"]], ]; const cols = [0.2, 3.45, 6.7, 9.95]; const colW = 3.1; diseases.forEach(([title, bullets], i) => { addBox(s, cols[i], 1.2, colW, 6.0, title, bullets, i%2===0 ? C.tealLt : C.amberLt, i%2===0 ? C.teal : C.amber); }); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 6 — UNIT IV: NATIONAL HEALTH PROGRAMMES // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT IV: National Health Programmes", "NHM • Immunization • Communicable & Non-Communicable Disease Control"); addBox(s, 0.2, 1.2, 6.2, 2.0, "National Health Mission (NHM)", [ "Launched: 2013 (merged NRHM 2005 + NUHM 2013)", "Aim: Universal access to equitable & quality healthcare", "Components: NRHM (Rural) + NUHM (Urban)", "Key strategies: Health & wellness centres, ASHA, free drugs & diagnostics" ], C.greenLt, C.green); addBox(s, 6.6, 1.2, 6.5, 2.0, "Universal Immunization Programme (UIP)", [ "Launched: 1985 | Target: Pregnant women & children <5 years", "Vaccines: BCG, OPV, Hep-B, DPT, Measles, MMR, Rotavirus, PCV, JE, HPV (girls)", "Cold chain: 2–8°C (vaccines); -20°C (OPV)", "Mission Indradhanush: Full immunization drive for unvaccinated children" ], C.amberLt, C.amber); addBox(s, 0.2, 3.4, 4.1, 3.8, "RNTCP / NTEP (TB)", [ "Goal: TB-free India by 2025", "DOTS: Directly Observed Treatment, Short course", "Treatment: Category I (6 months), Category II (8 months)", "Nikshay Poshan Yojana: Rs 500/month nutritional support", "Notification: All TB cases must be notified", "Diagnosis: NAAT (Xpert MTB/RIF), culture, sputum smear" ], C.tealLt, C.teal); addBox(s, 4.5, 3.4, 4.1, 3.8, "NVBDCP (Vector-borne diseases)", [ "Diseases: Malaria, Dengue, Chikungunya, Filaria, Kala-azar, JE", "Malaria control: IRS (Indoor Residual Spraying), bed nets (LLIN)", "Dengue: No specific drug — supportive care, vector control", "Filaria: DEC (Diethylcarbamazine) + Albendazole annual dose", "Kala-azar: Miltefosine / Amphotericin B", "JE: Vaccination in endemic areas" ], C.amberLt, C.amber); addBox(s, 8.9, 3.4, 4.2, 3.8, "NPCDCS & Other Programmes", [ "NPCDCS: Prevention & control of Cancer, Diabetes, CVD, Stroke", "RBSK: Rashtriya Bal Swasthya Karyakram — screening of 0–18 yrs", "PMSMA: Pradhan Mantri Surakshit Matritva Abhiyan — free ANC on 9th", "JSSK: Free maternal & neonatal services", "Janani Suraksha Yojana: Cash incentive for institutional delivery", "NACP: HIV/AIDS control; ICTC, PPTCT, ART centres" ], C.greenLt, C.green); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 7 — UNIT V: HEALTHCARE SYSTEM // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT V: Healthcare Delivery System", "Sub-Centre • PHC • CHC • Home Visit • School Health"); // Table for health centres const tableRows = [ [{ text:"Facility", options:{bold:true,color:C.white,fill:C.navy} }, { text:"Population Coverage", options:{bold:true,color:C.white,fill:C.navy} }, { text:"Staff", options:{bold:true,color:C.white,fill:C.navy} }, { text:"Key Functions", options:{bold:true,color:C.white,fill:C.navy} }], ["Sub-Centre", "3,000–5,000 (plains) / 1,000–3,000 (hilly)", "1 ANM + 1 Male Health Worker", "MCH, family planning, first contact care, immunization"], ["PHC (Primary Health Centre)", "20,000–30,000 (plains) / 3,000–20,000 (hilly)", "1 Medical Officer + 14 paramedical staff", "OPD, minor surgery, 4–6 beds, preventive & promotive care"], ["CHC (Community Health Centre)", "80,000–1,20,000", "4 specialists + 21 paramedical staff", "30 beds, referral unit, emergency, specialist care"], ["Sub-Divisional Hospital", "5–6 lakh", "Specialists, 100–200 beds", "Intermediate referral"], ["District Hospital", "10–12 lakh", "Full specialist team, 200+ beds", "Tertiary referral, surgery, specialised care"], ]; s.addTable(tableRows, { x:0.2, y:1.2, w:12.9, rowH: 0.6, fontFace:"Calibri", fontSize:11, border:{type:"solid", color:"CBD5E1"}, colW: [2.2, 3.0, 3.5, 4.2], }); addBox(s, 0.2, 5.2, 4.1, 2.0, "Home Visit — Steps", [ "1. Planning (review records, prepare bag) 2. Introduction & rapport 3. Assessment of family/individual needs 4. Nursing care & health education 5. Recording & reporting 6. Follow-up plan" ], C.tealLt, C.teal); addBox(s, 4.5, 5.2, 4.1, 2.0, "School Health Services", [ "Periodic health check-ups, immunization in school, first aid", "Health education: hygiene, nutrition, mental health", "Referral of sick children; dental & eye check-ups", "Nurse's role: Screening, counselling, health promotion" ], C.amberLt, C.amber); addBox(s, 8.9, 5.2, 4.2, 2.0, "ASHA (Accredited Social Health Activist)", [ "One ASHA per 1000 population (rural)", "Selected from & by the community", "Link between community & health system", "Incentive-based; facilitates delivery, immunization, DOTS etc." ], C.greenLt, C.green); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 8 — UNIT VI: NUTRITION // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "UNIT VI: Nutrition & National Nutrition Programmes", "Malnutrition • Deficiency Diseases • ICDS • Anaemia"); addBox(s, 0.2, 1.2, 4.1, 3.2, "Protein Energy Malnutrition (PEM)", [ "Kwashiorkor: Protein deficiency, adequate calories", " → Oedema (pitting), moon face, skin lesions, hair changes, fatty liver", " → Age: 1–3 years", "Marasmus: Protein + Calorie deficiency", " → Severe muscle wasting, baggy pants appearance, wizened face", " → Age: <1 year", "Management: F-75 (stabilization) → F-100 (catch-up) feeds" ], C.redLt, C.red); addBox(s, 4.5, 1.2, 4.1, 3.2, "Nutritional Deficiency Diseases", [ "Anaemia: Iron deficiency → Pallor, fatigue, koilonychia; Rx: Iron + Folic Acid", "Vitamin A deficiency: Night blindness → Bitot's spots → Xerophthalmia; Rx: Vit A capsules", "Vitamin D deficiency: Rickets (children), Osteomalacia (adults); Rx: Vit D + Calcium", "Iodine deficiency: Goitre, cretinism, stunting; Rx: Iodized salt", "Scurvy: Vitamin C deficiency — bleeding gums, perifollicular haemorrhage" ], C.amberLt, C.amber); addBox(s, 8.9, 1.2, 4.2, 3.2, "Nutrition Programmes", [ "ICDS (Integrated Child Development Services): For 0–6 yrs & pregnant/lactating mothers; 6 services from Anganwadi", "Mid-Day Meal Programme: Cooked meals in school; improve enrollment & nutrition", "Balwadi Nutrition Programme: Supplementary feeding to pre-school children", "Applied Nutrition Programme: Self-reliance approach — food gardens", "Poshan Abhiyan (2018): Reduce stunting, undernutrition, anaemia" ], C.greenLt, C.green); addBox(s, 0.2, 4.6, 6.2, 2.6, "Anganwadi & ICDS Services", [ "6 services: Supplementary nutrition, Immunization, Health check-up, Referral services, Pre-school education, Nutrition & Health Education", "Anganwadi Worker (AWW): Frontline worker at Anganwadi centre", "Target: Children 0–6 years, pregnant women, lactating mothers", "Supplementary nutrition: 300 kcal + 8–10g protein/day for children; 500 kcal for pregnant/lactating" ], C.tealLt, C.teal); addBox(s, 6.6, 4.6, 6.5, 2.6, "Balanced Diet & Special Diets", [ "Balanced diet: Adequate amounts of all macronutrients, micronutrients & water", "Diabetic diet: Low glycaemic index foods, fixed meal times, high fiber, restrict sugar", "Hypertension diet: DASH diet, low sodium (<2g/day), rich in K, Mg, Ca", "Anaemia diet: Iron-rich foods (green leafy veg, jaggery, liver) + Vitamin C (enhances absorption)", "Nurse's role: 24-hour dietary recall, counselling, nutritional screening" ], C.amberLt, C.amber); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 9 — HIGH-FREQUENCY MCQs & ONE-LINERS // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.offWhite} }); addTitleBar(s, "High-Frequency MCQs & One-Liners", "Must-Know Facts for MUHS 5th Sem CHN Exam"); const qLeft = [ "Sub-centre population (plains): 3,000–5,000", "PHC population coverage: 20,000–30,000", "DOTS = Directly Observed Treatment, Short-course (TB)", "First-line TB drugs: Rifampicin, INH, PZA, Ethambutol", "Incubation period TB: 4–12 weeks", "Incubation period Cholera: Few hours – 5 days", "Cholera transmission: Contaminated water & food", "HIV window period: 3–12 weeks", "Vector of Malaria: Female Anopheles mosquito", "Vector of Dengue: Aedes aegypti mosquito", "Incidence = NEW cases / Population at risk × 1000", "Prevalence = ALL cases / Total population", "Cohort study: Cause → Effect (Prospective)", "Case-control: Effect → Cause (Retrospective)", ]; const qRight = [ "Kwashiorkor: Protein deficiency (age 1–3 yrs) — Oedema", "Marasmus: Protein + Calorie deficiency (< 1 yr) — Wasting", "Vitamin A deficiency: Night blindness → Xerophthalmia", "Iodine deficiency: Goitre, Cretinism", "Balwadi Nutrition: Self-reliance approach", "Applied Nutrition Programme: Food production approach", "ICDS provides 6 services from Anganwadi", "ASHA: 1 per 1,000 rural population; incentive-based", "IMR: Deaths <1yr / Live births × 1000", "MMR: Maternal deaths / 100,000 live births", "Herd immunity threshold for measles: ~95%", "Primary prevention example: Vaccination", "Yellow bag (biomedical waste): Anatomical waste", "NTEP target: TB-free India by 2025", ]; const leftItems = qLeft.map((q,i) => ({ text: `${i+1}. ${q}`, options:{ bullet:false, color:C.gray, fontSize:10.5, breakLine: i < qLeft.length-1 } })); const rightItems = qRight.map((q,i) => ({ text: `${i+1}. ${q}`, options:{ bullet:false, color:C.gray, fontSize:10.5, breakLine: i < qRight.length-1 } })); s.addShape(pres.ShapeType.roundRect, { x:0.2, y:1.15, w:6.3, h:6.1, fill:{color:C.tealLt}, line:{color:"A5F3FC", width:1}, rectRadius:0.1 }); s.addText([{ text:"KEY FACTS — SET A", options:{ bold:true, color:C.teal, fontSize:12, breakLine:true } }, ...leftItems], { x:0.35, y:1.25, w:6.1, h:5.9, fontFace:"Calibri", valign:"top" }); s.addShape(pres.ShapeType.roundRect, { x:6.8, y:1.15, w:6.3, h:6.1, fill:{color:C.amberLt}, line:{color:"FDE68A", width:1}, rectRadius:0.1 }); s.addText([{ text:"KEY FACTS — SET B", options:{ bold:true, color:C.amber, fontSize:12, breakLine:true } }, ...rightItems], { x:6.95, y:1.25, w:6.1, h:5.9, fontFace:"Calibri", valign:"top" }); // ───────────────────────────────────────────────────────────────────────────── // SLIDE 10 — EXAM TIPS + LAST SLIDE // ───────────────────────────────────────────────────────────────────────────── s = pres.addSlide(); s.addShape(pres.ShapeType.rect, { x:0, y:0, w:13.3, h:7.5, fill:{color:C.navy} }); s.addShape(pres.ShapeType.rect, { x:0, y:5.5, w:13.3, h:2.0, fill:{color:C.teal} }); s.addShape(pres.ShapeType.rect, { x:0, y:2.95, w:13.3, h:0.07, fill:{color:"2DD4BF"} }); s.addText("📝 MUHS Exam Strategy", { x:0.5, y:0.2, w:12.3, h:0.6, fontSize:26, color:C.white, fontFace:"Calibri", bold:true, align:"center" }); s.addText("Community Health Nursing – I | Subject Code: 53501", { x:0.5, y:0.8, w:12.3, h:0.4, fontSize:15, color:"7DD3FC", fontFace:"Calibri", align:"center", italic:true }); const tips = [ ["📌 Paper Pattern", "MCQ (12×1=12) + Essay (2×15=30) + Short Notes (5×5=25) + List (4 marks) + Differentiate (4 marks) = 75 marks"], ["⏱ Time Management", "Attempt MCQs first (20 min) → Essays (45 min each) → Short notes (12 min each)"], ["🎯 Essay Favourites", "HIV/AIDS epidemiology + Nurse's role | Solid/Sewage waste disposal | Epidemiology types | TB/DOTS programme"], ["📋 Short Note Favourites", "PHC functions & staffing | Levels of prevention | Home visit steps | Descriptive epidemiology | Diabetic diet"], ["🔄 Differentiate Favourites", "Kwashiorkor vs Marasmus | Incidence vs Prevalence | Mortality vs Morbidity | PHC vs CHC"], ["💡 Scoring Tips", "Draw diagrams (epidemiological triad, chain of infection, health care pyramid) — 2 extra marks each | Use headings & subheadings"], ]; 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SCRIPT echo "Script written"

cd /home/daytona/workspace/muhs-chn && node study_guide.js

ls -lh /home/daytona/workspace/muhs-chn/MUHS_CHN_Study_Guide.pptx

MUHS BSc Nursing 5th semester Community Health Nursing 53501 question paper 2022 2023 2024 actual questions

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I",{x:0.5,y:1.15,w:12.3,h:0.95,fontSize:38,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("Practice Question Bank with Model Answers",{x:0.5,y:2.15,w:12.3,h:0.65,fontSize:24,color:"7DD3FC",fontFace:"Calibri",align:"center",italic:true}); s.addText("Subject Code: 53501 • Based on MUHS Past Papers 2018–2024",{x:0.5,y:2.88,w:12.3,h:0.4,fontSize:14,color:"CBD5E1",fontFace:"Calibri",align:"center"}); const cats = [["🔵 30 MCQs","with answers"],["📝 10 Essays","model answers"],["📌 20 Short Notes","key points"],["🔄 8 Differentiate","comparison tables"],["📋 8 List Qs","quick recall"]]; cats.forEach(([t,d],i)=>{ const x = 0.3 + i*2.56; s.addShape(pres.ShapeType.roundRect,{x,y:3.65,w:2.4,h:1.6,fill:{color:"132042"},line:{color:"1E3A5F"},rectRadius:0.12}); s.addText(t,{x,y:3.75,w:2.4,h:0.5,fontSize:15,bold:true,color:"7DD3FC",fontFace:"Calibri",align:"center"}); s.addText(d,{x,y:4.28,w:2.4,h:0.35,fontSize:12,color:"E2E8F0",fontFace:"Calibri",align:"center"}); }); s.addText("All the Best — Study Smart, Score High! 🌟",{x:0.5,y:5.85,w:12.3,h:0.5,fontSize:20,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("MUHS Nashik • Maharashtra University of Health Sciences",{x:0.5,y:6.45,w:12.3,h:0.35,fontSize:13,color:"E0F2FE",fontFace:"Calibri",align:"center",italic:true}); // ════════════════════════════════════════════════════════════════════ // SLIDES 2–4 — MCQs (30 questions, 10 per slide) // ════════════════════════════════════════════════════════════════════ const mcqs = [ // Q, options, answer, source ["The population coverage of a Sub-Centre (plains) is:",["a) 2000–4000","b) 3000–6000","c) 3000–5000","d) 5000–8000"],"c) 3000–5000","MUHS/RGUHS 2024"], ["The study which proceeds from cause to effect is:",["a) Case-control study","b) Cohort study","c) Cross-sectional study","d) Ecological study"],"b) Cohort study","MUHS 2024"], ["First-line drug for tuberculosis treatment is:",["a) Gentamycin","b) Penicillin","c) Rifampicin","d) Sulphapyridine"],"c) Rifampicin","MUHS 2024"], ["Number of new cases in a defined population during a specific period is:",["a) Prevalence","b) Relative risk","c) Attributable risk","d) Incidence"],"d) Incidence","MUHS 2024"], ["An outbreak of disease in excess of normal expectation is called:",["a) Endemic","b) Epidemic","c) Pandemic","d) Sporadic"],"b) Epidemic","MUHS 2024"], ["Disease NOT included under NVBDCP is:",["a) Malaria","b) Filaria","c) Yellow fever","d) Dengue"],"c) Yellow fever","MUHS 2024"], ["Incubation period is the time between entry of disease agent and:",["a) Recovery","b) Contact period","c) Manifestation of clinical signs","d) Convalescent period"],"c) Manifestation of clinical signs","MUHS 2024"], ["NOT an indicator of mortality:",["a) Crude death rate","b) Case fatality rate","c) Disability rate","d) Specific death rate"],"c) Disability rate","MUHS 2024"], ["Primary transmission source of cholera is:",["a) Contaminated soil","b) Contaminated water and food","c) Blood and body fluids","d) Contaminated air"],"b) Contaminated water and food","MUHS 2024"], ["Nutritional programme with self-reliance approach is:",["a) Balwadi Nutrition Programme","b) Applied Nutrition Programme","c) Mid-Day Meal Programme","d) Special Nutrition Programme"],"b) Applied Nutrition Programme","MUHS 2024"], ["Socio-cultural barrier of interpersonal communication is:",["a) Language diversity","b) Time constraint","c) Gender bias","d) Environmental diversity"],"c) Gender bias","MUHS 2024"], ["Indirect mode of disease transmission is:",["a) Direct contact","b) Sexual contact","c) Fomite-borne","d) Droplet infection"],"c) Fomite-borne","MUHS 2024"], ["Kwashiorkor is caused by deficiency of:",["a) Calories only","b) Protein only","c) Protein + Calories","d) Iron only"],"b) Protein only","MUHS Pattern"], ["The vector of Dengue fever is:",["a) Female Anopheles","b) Male Anopheles","c) Aedes aegypti","d) Culex mosquito"],"c) Aedes aegypti","MUHS Pattern"], ["DOTS stands for:",["a) Daily Oral Treatment Strategy","b) Directly Observed Treatment, Short-course","c) Drug Oriented TB Scheme","d) None of the above"],"b) Directly Observed Treatment, Short-course","MUHS Pattern"], ["PHC population coverage (plains) is:",["a) 5,000–10,000","b) 10,000–15,000","c) 20,000–30,000","d) 80,000–1,20,000"],"c) 20,000–30,000","MUHS Pattern"], ["Cold chain temperature for vaccines (except OPV) is:",["a) 0–4°C","b) 2–8°C","c) −20°C","d) Room temperature"],"b) 2–8°C","MUHS Pattern"], ["Biomedical waste: Red bag is used for:",["a) Anatomical waste","b) Recyclable plastic/glass","c) General waste","d) Cytotoxic waste"],"b) Recyclable plastic/glass","MUHS Pattern"], ["Herd immunity is:",["a) Individual immunity","b) Vaccine-induced immunity only","c) Collective immunity protecting community","d) None of the above"],"c) Collective immunity protecting community","MUHS Pattern"], ["IMR is expressed per:",["a) 100 live births","b) 1000 live births","c) 10,000 population","d) 1 lakh population"],"b) 1000 live births","MUHS Pattern"], ["Vitamin A deficiency causes:",["a) Rickets","b) Scurvy","c) Night blindness","d) Anaemia"],"c) Night blindness","MUHS Pattern"], ["Alma Ata Declaration (1978) is related to:",["a) Mental Health","b) Primary Health Care","c) Child Health","d) Environmental Health"],"b) Primary Health Care","MUHS Pattern"], ["ASHA is deployed at rate of 1 per:",["a) 500 population","b) 1000 population","c) 5000 population","d) 10,000 population"],"b) 1000 population","MUHS Pattern"], ["National AIDS Control Programme (NACP) is under:",["a) NVBDCP","b) NTEP","c) NACO","d) NHM"],"c) NACO","MUHS Pattern"], ["Yellow-bag biomedical waste includes:",["a) Recyclable plastic","b) Anatomical/infectious waste","c) General waste","d) Sharps"],"b) Anatomical/infectious waste","MUHS Pattern"], ["Marasmus mainly affects children of age:",["a) 1–3 years","b) 3–5 years","c) < 1 year","d) 5–10 years"],"c) < 1 year","MUHS Pattern"], ["Six services of ICDS are provided at:",["a) PHC","b) Sub-Centre","c) Anganwadi Centre","d) CHC"],"c) Anganwadi Centre","MUHS Pattern"], ["Cohort study calculates:",["a) Odds Ratio","b) Relative Risk","c) Prevalence Rate","d) Attack Rate"],"b) Relative Risk","MUHS Pattern"], ["Swachh Bharat Mission aims to make India:",["a) Disease-free","b) Open Defecation Free (ODF)","c) Malaria-free","d) TB-free"],"b) Open Defecation Free (ODF)","MUHS Pattern"], ["Case fatality rate is deaths per:",["a) 1000 population","b) Total cases × 100","c) 1 lakh births","d) 1000 live births"],"b) Total cases × 100","MUHS Pattern"], ]; function mcqSlide(startIdx, endIdx, slideNum, totalSlides) { let sl = pres.addSlide(); sl.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.offWhite}}); titleBar(sl,`MCQ Bank — Section ${slideNum} of ${totalSlides} (Q.${startIdx+1}–Q.${endIdx})`,`MUHS BSc Nursing 5th Sem | CHN-I | 53501 • 1 mark each`,C.navy); const slice = mcqs.slice(startIdx, endIdx); const perCol = 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"+q[2],{x:x+0.08,y:y+0.88,w:w-0.16,h:0.22,fontSize:10,bold:true,color:C.green,fontFace:"Calibri"}); }); } mcqSlide(0,10,1,3); mcqSlide(10,20,2,3); mcqSlide(20,30,3,3); // ════════════════════════════════════════════════════════════════════ // ESSAYS — Model Answers (one essay per slide) // ════════════════════════════════════════════════════════════════════ const essays = [ { yr:"MUHS/RGUHS 2024", marks:"15 marks (7+8)", q:"Explain the methods of solid waste disposal. Describe sewage disposal management.", outline:[ ["Introduction",["Solid waste = Any discarded solid/semi-solid material","Types: Household, industrial, biomedical, hazardous"]], ["Methods of Solid Waste Disposal (7 marks)",["1. Sanitary Landfill: Waste compacted in trenches, covered with soil — safest method","2. Composting: Biological decomposition → manure","3. Incineration: High-temperature burning; used for biomedical waste","4. Open dumping: NOT recommended; causes pollution","5. Pyrolysis: Burning without oxygen","6. Recycling: Reduce, Reuse, Recycle","7. Vermicomposting: Earthworms decompose organic waste"]], ["Sewage Disposal Management (8 marks)",["Sewage = liquid waste from households/industries","Treatment: PRIMARY (screening, sedimentation) → SECONDARY (biological — trickling filter, activated sludge) → TERTIARY (chemical disinfection)","Septic Tank: Best for rural areas; 2-chamber system; effluent soaks into soil","Oxidation Pond: Sunlight + algae; low-cost; suitable for India","Soak Pit: After septic tank; effluent absorbed by soil","Nurse's role: Educate community, advocate for proper sanitation, monitor waste disposal"]], ], marks_tip:"Draw: Sanitary landfill diagram + Sewage treatment flow chart for 2–3 extra marks" }, { yr:"MUHS/RGUHS 2024", marks:"15 marks (2+8+5)", q:"List the sexually transmitted diseases. Explain the epidemiology of HIV/AIDS. Describe the role of nurse in National AIDS Control Programme.", outline:[ ["STDs List (2 marks)",["HIV/AIDS, Syphilis, Gonorrhoea, Chlamydia, Genital herpes (HSV-2), Hepatitis B, HPV, Chancroid, Trichomoniasis"]], ["Epidemiology of HIV/AIDS (8 marks)",["Agent: Human Immunodeficiency Virus (HIV) — RNA retrovirus, 2 types: HIV-1 (global), HIV-2 (West Africa)","Transmission: Sexual contact (most common), IV drug use (shared needles), Blood transfusion, Vertical (mother to child — MTCT)","Host factors: Immunocompromised, STD co-infection increases risk","Window period: 3–12 weeks (antibodies not yet detectable)","CD4 <200 cells/µL → AIDS","Natural history: Acute HIV → Asymptomatic latency → AIDS-defining illness","Opportunistic infections: TB, PCP, Cryptococcal meningitis, CMV retinitis"]], ["Role of Nurse in NACP (5 marks)",["NACP launched: 1987; Phase IV ongoing","Nurse's role: Counselling at ICTC (Integrated Counselling & Testing Centre)","PPTCT: Prevention of Parent-to-Child Transmission — ART for pregnant HIV+ women","ART Centre: Directly counsel patients, ensure adherence to ART","Health education: Safe sex, condom promotion, blood safety","Stigma reduction: Non-judgmental care, confidentiality","Reporting & Surveillance: Sentinel surveillance reporting"]], ], marks_tip:"Draw: Chain of HIV transmission + CD4 count vs disease progression graph" }, { yr:"MUHS Pattern — High Frequency", marks:"15 marks", q:"Describe the epidemiological triad. Explain types of epidemiology with examples. Describe levels of prevention.", outline:[ ["Epidemiological Triad",["3 components: Agent + Host + Environment","Agent: Biological (bacteria, virus), Physical (radiation), Chemical (toxins), Nutritional","Host: Age, sex, genetic factors, immunity, nutritional status, behaviour","Environment: Physical, biological, socioeconomic","Disease occurs when balance is disrupted"]], ["Types of Epidemiology",["1. Descriptive: Describes WHO (person), WHERE (place), WHEN (time) — e.g., cholera outbreak mapping","2. Analytical: Tests hypotheses; WHY — Cohort (RR), Case-control (OR), Cross-sectional","3. Experimental: Tests interventions — RCT, Field trials, Community trials"]], ["Levels of Prevention",["Primordial: Prevent risk factors from emerging (e.g., no-smoking policies)","Primary: Before disease — Health promotion + Specific protection (vaccination, safe water)","Secondary: Early disease — Screening, early diagnosis, prompt treatment","Tertiary: Late disease — Disability limitation, rehabilitation","Examples for each: Vaccination (Primary), Cancer screening (Secondary), Physiotherapy after stroke (Tertiary)"]], ], marks_tip:"Draw: Epidemiological triad diagram + Level of prevention pyramid" }, { yr:"MUHS Pattern — High Frequency", marks:"15 marks (5+5+5)", q:"Define Community Health Nursing. Describe the principles and functions of a PHC. Explain the role of Community Health Nurse.", outline:[ ["Community Health Nursing (5 marks)",["Definition: CHN is a synthesis of nursing practice and public health principles applied to promote, preserve the health of populations","Scope: Preventive, promotive, curative, rehabilitative","Settings: Home, school, industry, community","Principles: Continuity of care, family as unit, community participation, intersectoral coordination"]], ["Primary Health Centre — PHC (5 marks)",["Population: 20,000–30,000 (plains), 3,000–20,000 (hilly)","Staff: 1 Medical Officer + 14 paramedical staff","Functions: OPD (6 days/week), MCH & FP, Immunization, Health education, Minor surgery, 4–6 inpatient beds","Sub-centres under PHC: 6 sub-centres","Facilities: Lab, OT, referral system"]], ["Role of CHN (5 marks)",["Clinician: Direct nursing care at home/PHC","Educator: Health education to individuals, families, groups","Supervisor: Supervise ANM, ASHA, health workers","Coordinator: Health team coordination, intersectoral","Researcher: Community health surveys","Advocate: Represent community health needs","Change Agent: Modify unhealthy behaviours"]], ], marks_tip:"Include PHC organisational chart. Mention IPHS (Indian Public Health Standards)" }, { yr:"MUHS Pattern — High Frequency", marks:"15 marks", q:"Explain the National Health Mission (NHM). Describe any two national health programmes in detail.", outline:[ ["National Health Mission (NHM)",["Launched: 2013; merged NRHM (2005) + NUHM (2013)","Goal: Universal access to equitable, affordable, quality healthcare","Pillars: Health & Wellness Centres, Comprehensive Primary Health Care","NRHM targets: MMR <100, IMR <25, TFR 2.1, Malaria <1/1000","Key components: ASHA, Free drugs & diagnostics, Rogi Kalyan Samiti, JSSK, RBSK"]], ["NTEP (National TB Elimination Programme)",["Earlier: RNTCP (1997) → NTEP (2020)","Target: TB-free India by 2025 (5 years ahead of SDG 2030)","DOTS: Directly Observed Treatment, Short-course","Treatment: 2HRZE (intensive) + 4HR (continuation) = 6 months","Nikshay Poshan Yojana: ₹500/month nutritional support","Notification: Mandatory for all TB cases (govt + private)","Nurse's role: DOT provider, contact tracing, adherence counselling"]], ["Universal Immunization Programme (UIP)",["Launched: 1985; target — 0 to 5 yrs + pregnant women","Vaccines: BCG (birth), OPV (0,6,10,14 wks), Hep-B, Penta, PCV, IPV, Measles, MMR, JE, Td","Cold chain: 2–8°C (most vaccines); −20°C (OPV)","Mission Indradhanush: Full immunization of left-out children","Target: 90% full immunization coverage","Nurse's role: Maintain cold chain, immunize, AEFI monitoring"]], ], marks_tip:"Draw: Immunization schedule table. Include AEFI definition for bonus marks" }, ]; essays.forEach((e, idx) => { let sl = pres.addSlide(); sl.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.offWhite}}); titleBar(sl,`Essay Q${idx+1}: Model Answer [${e.marks}]`,`${e.yr} • MUHS BSc Nursing 5th Sem CHN-I`,C.purple); sl.addShape(pres.ShapeType.roundRect,{x:0.18,y:1.1,w:12.94,h:0.52,fill:{color:C.purpleLt},line:{color:"C4B5FD",width:1},rectRadius:0.08}); sl.addText("❓ "+e.q,{x:0.3,y:1.12,w:12.7,h:0.48,fontSize:11.5,bold:true,color:"4C1D95",fontFace:"Calibri",valign:"middle"}); const cols = e.outline.length <= 2 ? 2 : 3; const colW = cols===2 ? 6.35 : 4.2; const gap = cols===2 ? 0.3 : 0.25; e.outline.forEach(([heading, points], ci) => { const x = 0.18 + ci*(colW+gap); const y = 1.75; const h = 5.4; sl.addShape(pres.ShapeType.roundRect,{x,y,w:colW,h,fill:{color:C.white},line:{color:"CBD5E1",width:1},rectRadius:0.1}); sl.addShape(pres.ShapeType.roundRect,{x,y,w:colW,h:0.36,fill:{color:C.navy},line:{color:C.navy},rectRadius:0.1}); sl.addText(heading,{x:x+0.1,y:y+0.04,w:colW-0.2,h:0.3,fontSize:11,bold:true,color:C.white,fontFace:"Calibri"}); const items = points.map((p,pi)=>({ text:"• "+p, options:{color:C.gray,fontSize:10,breakLine:pi<points.length-1} })); sl.addText(items,{x:x+0.1,y:y+0.42,w:colW-0.2,h:h-0.55,fontFace:"Calibri",valign:"top"}); }); sl.addShape(pres.ShapeType.roundRect,{x:0.18,y:7.0,w:12.94,h:0.4,fill:{color:"FEF9C3"},line:{color:"FDE047",width:1},rectRadius:0.06}); sl.addText("💡 Diagram Tip: "+e.marks_tip,{x:0.3,y:7.02,w:12.7,h:0.36,fontSize:10,color:C.amber,fontFace:"Calibri",bold:false,italic:true}); }); // ════════════════════════════════════════════════════════════════════ // SHORT NOTES (20 topics, 5 per slide) // ════════════════════════════════════════════════════════════════════ const shortNotes = [ ["Functions & Staffing of PHC",["Population: 20,000–30,000 (plains)","Staff: 1 MO, 1 Pharmacist, 1 LHV, 4 ANM, Lab tech, Health worker male/female","Functions: OPD, MCH, FP, Immunization, Health education, School health, Lab services, Referral","Beds: 4–6 inpatient","Sub-centres: 6 sub-centres under each PHC","Working hours: 6 days/week"],"MUHS 2024"], ["Levels of Prevention (with examples)",["Primordial: Prevent risk factors — e.g., No-smoking policies","Primary: Before disease — Vaccination (DPT, MMR), safe water, health education","Secondary: Early disease — Cancer screening, BP check, glucose testing","Tertiary: Established disease — Physiotherapy, colostomy care, rehabilitation","Quaternary: Prevent over-medicalization — evidence-based practice"],"MUHS 2024"], ["Steps of Home Visit",["1. Planning: Review records, prepare bag and supplies","2. Approach: Introduce yourself, build rapport","3. Assessment: Identify health needs of individual/family","4. Nursing care: Provide care, health education, demonstrate procedures","5. Recording: Document findings in family folder/register","6. Reporting: Report to PHC, refer if needed","7. Follow-up: Plan next visit, evaluate outcomes"],"MUHS 2024"], ["Descriptive Epidemiology",["Answers: Who (Person), Where (Place), When (Time) — 3 Ws","Person: Age, sex, occupation, socioeconomic status","Place: Urban/rural, geographic distribution, mapping","Time: Secular trend, seasonal variation, epidemic curve","Tools: Spot map, pie chart, epidemic curve, age-sex pyramid","Use: Hypothesis generation, not causation","Example: Mapping cholera cases in a district"],"MUHS 2024"], ["Diet Plan for Diabetic Patient",["Goals: Maintain blood glucose, achieve ideal body weight, prevent complications","Carbohydrates: 50–60% of total calories; low GI foods (whole grains, legumes, vegetables)","Protein: 15–20%; include lean meat, pulses, low-fat dairy","Fat: <30%; unsaturated fats preferred; avoid trans fats","Fibre: High fibre (25–40g/day) slows glucose absorption","Meal timing: Regular meals, avoid skipping; 3 main + 2–3 small snacks","Foods to avoid: Sugar, refined flour (maida), sweets, fried foods, alcohol","Caloric intake: ~1500–1800 kcal/day (adjust per BMI)"],"MUHS 2024"], ["Epidemiology of Malaria",["Agent: Plasmodium vivax (benign tertian), P. falciparum (malignant tertian — most severe)","Vector: Female Anopheles mosquito","Transmission: Bite of infected female Anopheles","IP: 10–14 days (vivax), 9–14 days (falciparum)","Clinical: Fever with chills and rigor (every 48–72 hrs)","Complications: Cerebral malaria, blackwater fever (P. falciparum)","Treatment: Chloroquine+Primaquine (vivax), Artemisinin combination (falciparum)","Control: IRS (DDT/malathion), LLIN, larviciding, biological control"],"MUHS Pattern"], ["Immunization Schedule (UIP)",["Birth: BCG, OPV-0, Hep-B-0","6 weeks: OPV-1, Penta-1, PCV-1, Rota-1","10 weeks: OPV-2, Penta-2, PCV-2, Rota-2","14 weeks: OPV-3, Penta-3, PCV-3, Rota-3, IPV","9 months: Measles-1, Vit A-1","16–24 months: DPT booster, OPV booster, Measles-2","5–6 years: DPT booster-2","10 & 16 years: Td","Cold chain: 2–8°C; OPV at −20°C"],"MUHS Pattern"], ["Primary Health Care (Alma Ata 1978)",["Declaration: International Conference at Alma Ata, USSR, 1978","Definition: Essential health care universally accessible to all","5 Principles: Equitable distribution, Community participation, Preventive focus, Appropriate technology, Multisectoral approach","8 Elements (ASHFEMCT): Awareness, Safe water & sanitation, Health education, Food & nutrition, Essential drugs, MCH & FP, Control of communicable diseases, Treatment of common diseases","India's commitment: National Health Policy, NHM"],"MUHS Pattern"], ["DOTS (Directly Observed Treatment, Short-course)",["Full form: Directly Observed Treatment, Short-course","Programme: NTEP (previously RNTCP)","Target: TB-free India by 2025","Category I: New cases — 2HRZE + 4HR (6 months)","Category II: Previously treated — 2HRZES + 1HRZE + 5HRE (8 months)","DOT provider: Any trained community member, ANM, ASHA","Nikshay: Digital notification system + ₹500/month support","Key: Watch patient swallow every dose"],"MUHS Pattern"], ["Kwashiorkor — Features & Management",["Definition: Severe protein deficiency with adequate caloric intake","Age: 1–3 years (after weaning)","Features: Pitting oedema (cardinal sign), Moon face, Hair changes (flag sign), Skin lesions (flaky paint dermatosis), Fatty liver, Apathy, Anorexia","Lab: Low serum albumin (<3g/dL)","Management: F-75 (stabilisation phase) → F-100 (catch-up phase)","Complications: Infections, hypoglycaemia, hypothermia","Prevention: Adequate protein in diet, ICDS, breast feeding promotion"],"MUHS Pattern"], ["NACP — National AIDS Control Programme",["Launch: 1987; Phase IV (2012–2020); Phase V ongoing","Under: NACO (National AIDS Control Organisation)","Aim: Halt and reverse HIV epidemic in India","Key interventions: ICTC (Integrated Counselling & Testing Centre), PPTCT, ART centres","PPTCT: HIV+ pregnant women given ART to prevent vertical transmission","Prevention: Condom promotion (NACP), needle exchange, blood safety (NBTC)","Target population: High risk groups (FSW, MSM, IDU, truckers)","Nurse's role: Counselling, ART adherence, AEFI, stigma reduction"],"MUHS Pattern"], ["Epidemiology of Tuberculosis",["Agent: Mycobacterium tuberculosis (acid-fast bacillus)","Source: Open case of pulmonary TB (sputum smear positive)","Transmission: Airborne (droplet nuclei, <5 microns)","IP: 4–12 weeks (initial infection); reactivation later","Risk factors: Malnutrition, overcrowding, HIV, diabetes, immunosuppression","Types: Pulmonary (most common) & Extrapulmonary (lymph node, pleural, bone)","Diagnosis: Sputum smear, NAAT (Xpert MTB/RIF), culture","Treatment: DOTS — 6 months (Category I) or 8 months (Category II)"],"MUHS Pattern"], ["Epidemiology of Cholera",["Agent: Vibrio cholerae (El Tor biotype)","Transmission: Contaminated water and food","IP: Few hours to 5 days","Features: Profuse watery (rice-water) stools, vomiting, severe dehydration, muscle cramps","Complication: Hypovolemic shock — rapid death if untreated","Treatment: ORS (primary), IV fluids (Ringer's lactate), Tetracycline/Doxycycline","Prevention: Safe water supply, food hygiene, sanitation, oral cholera vaccine","Notification: Notifiable under Epidemic Diseases Act & IHR"],"MUHS Pattern"], ["Sewage Disposal Methods",["Sewage = liquid waste (household + industrial)","Treatment stages: Primary → Secondary → Tertiary","Primary: Screening, grit removal, sedimentation","Secondary: Biological — Trickling filter OR Activated sludge process","Tertiary: Chlorination, ozonation, UV treatment","Septic tank: Best for rural/semi-urban; 2 chambers; effluent to soak pit","Oxidation pond: Cost-effective; sunlight + algae decompose organics","Imhoff tank: Combined sedimentation + digestion"],"MUHS Pattern"], ["Marasmus — Features & Management",["Definition: Severe protein-calorie malnutrition","Age: < 1 year (during or after weaning)","Features: Severe muscle wasting, 'Baggy pants' appearance, Wizened (old man) face, No oedema, Skin and bones, Alert but miserable","Lab: Low serum albumin, low blood glucose","Management: F-75 (stabilisation — corrects fluid, electrolytes, infections) → F-100 (rehabilitation — catch-up growth)","10 steps of severe acute malnutrition management: Hypoglycaemia → Hypothermia → Dehydration → Electrolytes → Infection → Micronutrients → Feeding → Stimulation → Follow-up"],"MUHS Pattern"], ["Environmental Pollution — Types & Health Effects",["Air pollution: Particulate matter, SO₂, CO, NOₓ → Respiratory disease, lung cancer","Water pollution: Biological (pathogens), chemical (heavy metals, nitrates) → Diarrhoea, cancer","Soil pollution: Pesticides, industrial effluents → Food chain contamination","Noise pollution: >85 dB → Hearing loss, stress, hypertension","Thermal pollution: Warm effluents into water bodies → Aquatic life damage","Radioactive: Nuclear waste → Cancer, genetic mutation","Nurse's role: Educate community, advocate for clean environment, report violations"],"MUHS Pattern"], ["National Vector Borne Disease Control Programme (NVBDCP)",["Diseases: Malaria, Dengue, Chikungunya, Lymphatic Filariasis, Kala-azar, Japanese Encephalitis","Malaria control: IRS (indoor residual spraying), LLIN (insecticide-treated nets), larvivorous fish","Dengue: No specific antiviral; supportive; Aedes control — remove stagnant water","Filariasis: Annual MDA — DEC + Albendazole; 5 years minimum","Kala-azar: Miltefosine (oral), Amphotericin B (IV)","JE: Vaccine in endemic areas; mosquito control","National target: Malaria elimination by 2030; filariasis elimination by 2021"],"MUHS Pattern"], ["Cold Chain in Immunization",["Definition: System of storing and transporting vaccines at recommended temperature (2–8°C) from manufacturer to recipient","Cold chain equipment: ILR (Ice Lined Refrigerator), Deep freezer (for OPV: −20°C), Vaccine carrier, Ice packs, Cold boxes","VVM (Vaccine Vial Monitor): Heat-sensitive label — discard if inner square darker than outer ring","Temperature monitoring: Thermometer, freeze indicator","Break in cold chain: Potency loss — must be discarded","Nurse's role: Maintain temperature logs, never refreeze thawed vaccines, rotate stock (FIFO)"],"MUHS Pattern"], ["Epidemiology of HIV/AIDS — Key Points",["Agent: HIV (RNA retrovirus) — HIV-1 and HIV-2","Transmission: Sexual (most common), blood, vertical (MTCT), IDU","Window period: 3–12 weeks (ELISA negative but infectious)","Staging: CD4>500 (asymptomatic) → CD4 200–500 (early) → CD4<200 (AIDS)","Opportunistic infections: TB (most common in India), PCP, Cryptococcal meningitis","ART: Lifelong — NRTIs + NNRTIs or PIs; WHO recommends start immediately at diagnosis","PPTCT: ART for HIV+ mothers; replace breastfeeding","Window period: Blood donation contraindicated even in window period"],"MUHS Pattern"], ["ICDS — Integrated Child Development Services",["Launch: 2 October 1975","Objective: Improve nutritional & health status of children 0–6 yrs, pregnant & lactating mothers","6 Services: 1) Supplementary nutrition 2) Immunization 3) Health check-up 4) Referral services 5) Pre-school education 6) Nutrition & health education","Delivery point: Anganwadi Centre (AWC)","AWW: Anganwadi Worker — frontline; covers ~400–800 families","Nutrition norms: 300 kcal + 8–10g protein/day for children; 500 kcal + 17g protein for pregnant/lactating","Beneficiaries: 7+ crore children; 1.7+ crore pregnant/lactating mothers"],"MUHS Pattern"], ]; // 5 short notes per slide for(let page=0; page<4; page++){ const slice = shortNotes.slice(page*5, page*5+5); let sl = pres.addSlide(); sl.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.offWhite}}); 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Conjugate (Hib, Meningococcal)","6. mRNA (COVID-19 vaccines)"],"MUHS 2024"], ["List eight elements of PHC (Alma Ata)",["1. Health Education","2. Safe water & basic sanitation","3. Maternal & Child Health, Family Planning","4. Immunization (UIP)","5. Nutrition","6. Control of endemic & communicable diseases","7. Essential drugs","8. Treatment of common diseases & injuries"],"MUHS Pattern"], ["List national health programmes under NHM",["1. NTEP / RNTCP (TB)","2. NVBDCP (Vector-borne diseases)","3. NACP (HIV/AIDS)","4. UIP (Immunization)","5. NPCDCS (NCDs)","6. RBSK (Child screening)","7. PMSMA (Antenatal care on 9th)","8. JSSK (Free maternal services)","9. Janani Suraksha Yojana","10. Poshan Abhiyan (Nutrition)"],"MUHS Pattern"], ["List diseases under NVBDCP",["1. Malaria","2. Dengue","3. Chikungunya","4. Lymphatic Filariasis","5. Kala-azar","6. Japanese Encephalitis (JE)"],"MUHS Pattern"], ["List vaccines given at birth (UIP)",["1. BCG (at birth or before discharge)","2. OPV-0 (within 2 weeks of birth)","3. Hepatitis B — Birth dose (within 24 hours)"],"MUHS Pattern"], ["List the 6 services of ICDS",["1. Supplementary nutrition","2. Immunization","3. Health check-up","4. Referral services","5. Pre-school non-formal education","6. Nutrition and health education"],"MUHS Pattern"], ["List indicators of maternal health",["1. Maternal Mortality Ratio (MMR)","2. Antenatal care coverage","3. Institutional delivery rate","4. Postnatal care coverage","5. TFR (Total Fertility Rate)","6. Skilled birth attendance rate","7. Contraceptive prevalence rate"],"MUHS Pattern"], ]; // Two list-Q slides, 4 each for(let pg=0; pg<2; pg++){ let sl = pres.addSlide(); sl.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.offWhite}}); titleBar(sl,`List Questions — Section ${pg+1} of 2 (2 marks each)`,`MUHS BSc Nursing 5th Sem CHN-I • Write exactly as many items as asked`,C.green); const slice = listQs.slice(pg*4, pg*4+4); const positions = [[0.18,1.12],[6.75,1.12],[0.18,4.35],[6.75,4.35]]; slice.forEach((lq,i)=>{ const [x,y] = positions[i]; const w=6.3; const h=3.0; sl.addShape(pres.ShapeType.roundRect,{x,y,w,h,fill:{color:C.white},line:{color:"CBD5E1",width:1},rectRadius:0.1}); sl.addShape(pres.ShapeType.roundRect,{x,y,w,h:0.36,fill:{color:C.green},line:{color:C.green},rectRadius:0.1}); sl.addText("✏ "+lq[0],{x:x+0.1,y:y+0.04,w:w-0.5,h:0.3,fontSize:11,bold:true,color:C.white,fontFace:"Calibri"}); sl.addText(lq[2],{x:x+w-1.3,y:y+0.04,w:1.2,h:0.28,fontSize:8,color:"A7F3D0",fontFace:"Calibri",italic:true,align:"right"}); const items = lq[1].map((p,pi)=>({text:p,options:{color:C.gray,fontSize:10.5,breakLine:pi<lq[1].length-1}})); sl.addText(items,{x:x+0.12,y:y+0.44,w:w-0.22,h:h-0.52,fontFace:"Calibri",valign:"top"}); }); } // ════════════════════════════════════════════════════════════════════ // FINAL SLIDE — Quick Revision Checklist // ════════════════════════════════════════════════════════════════════ s = pres.addSlide(); s.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.dark}}); s.addShape(pres.ShapeType.rect,{x:0,y:6.0,w:13.3,h:1.5,fill:{color:C.teal}}); s.addShape(pres.ShapeType.rect,{x:0,y:2.75,w:13.3,h:0.07,fill:{color:"22D3EE"}}); s.addText("✅ Pre-Exam Quick Revision Checklist",{x:0.5,y:0.2,w:12.3,h:0.65,fontSize:26,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("Tick off each topic once you're confident",{x:0.5,y:0.85,w:12.3,h:0.35,fontSize:14,color:"7DD3FC",fontFace:"Calibri",align:"center",italic:true}); const checks = [ ["☐ Definitions","CHN, PHC, Epidemiology, DOTS, Herd immunity, Incubation period"], ["☐ MCQ Numbers","Sub-centre: 3000–5000 | PHC: 20,000–30,000 | CHC: 80,000–1,20,000"], ["☐ Drug names","TB: HRZE | Malaria: Chloroquine/Artemisinin | Filaria: DEC+Albendazole"], ["☐ Programmes","NTEP, NVBDCP, NACP, UIP, NHM, ICDS, NPCDCS — know launch year & aim"], ["☐ Differentiate","Kwashiorkor vs Marasmus | Mortality vs Morbidity | Incidence vs Prevalence | Cohort vs Case-control"], ["☐ Diagrams Ready","Epidemiological triad | Chain of infection | Healthcare pyramid | Epidemic curve"], ["☐ Essay structure","Intro → Definition → Types/Methods (numbered) → Role of nurse → Conclusion"], ["☐ Immunization","UIP schedule — birth, 6/10/14 wks, 9 months, 16–24 months | Cold chain 2–8°C"], ]; checks.forEach(([ck,detail],i)=>{ const col = i<4?0:1; const row = i%4; const x = col===0?0.25:6.85; const y = 2.9+row*0.79; s.addShape(pres.ShapeType.roundRect,{x,y,w:6.2,h:0.7,fill:{color:"132042"},line:{color:"1E3A5F",width:1},rectRadius:0.08}); s.addText([{text:ck+" ",options:{bold:true,color:"7DD3FC",fontSize:12}},{text:detail,options:{color:"E2E8F0",fontSize:11}}],{x:x+0.15,y:y+0.05,w:5.9,h:0.62,fontFace:"Calibri",valign:"middle"}); }); s.addText("All the Best for MUHS Exams! You've Got This! 🏆",{x:0.5,y:6.15,w:12.3,h:0.5,fontSize:22,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("MUHS Nashik • Subject Code: 53501 • CHN-I • 5th Semester",{x:0.5,y:6.72,w:12.3,h:0.38,fontSize:13,color:"E0F2FE",fontFace:"Calibri",align:"center",italic:true}); // SAVE pres.writeFile({fileName:"/home/daytona/workspace/muhs-chn/MUHS_CHN_Question_Bank.pptx"}) .then(()=>console.log("SUCCESS")) .catch(e=>console.error("ERROR:",e)); SCRIPT echo "Done writing script"

cd /home/daytona/workspace/muhs-chn && node question_bank.js

ls -lh /home/daytona/workspace/muhs-chn/MUHS_CHN_Question_Bank.pptx

MUHS BSc Nursing 5th sem Community Health Nursing 53501 2022 2023 2024 winter summer question paper exact questions

MUHS CHN 53501 winter 2024 summer 2023 question paper BSc nursing community health

https://www.scribd.com/document/898491750/QP-for-Reference-S…

https://drsdcon.com/question-paper-bank

cat > /home/daytona/workspace/muhs-chn/predicted_questions.js << 'SCRIPT' const pptxgen = require("pptxgenjs"); const pres = new pptxgen(); pres.layout = 'LAYOUT_WIDE'; pres.title = 'MUHS CHN Predicted Questions 2025'; const C = { navy:"0D2B55", teal:"0E7490", tealLt:"CFFAFE", green:"15803D", greenLt:"DCFCE7", amber:"B45309", amberLt:"FEF3C7", red:"991B1B", redLt:"FEE2E2", purple:"5B21B6", purpleLt:"EDE9FE", orange:"C2410C", orangeLt:"FFEDD5", white:"FFFFFF", offWhite:"F8FAFC", gray:"374151", grayLt:"F3F4F6", dark:"0F172A", }; function bg(s){ s.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.offWhite}}); } function hdr(s,t,sub,c){ s.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:1.0,fill:{color:c||C.navy}}); s.addShape(pres.ShapeType.rect,{x:0,y:1.0,w:13.3,h:0.06,fill:{color:C.teal}}); s.addText(t,{x:0.3,y:0.08,w:11,h:0.55,fontSize:20,bold:true,color:C.white,fontFace:"Calibri",margin:0}); if(sub) s.addText(sub,{x:0.3,y:0.63,w:12.5,h:0.32,fontSize:11.5,color:"B3D4F5",fontFace:"Calibri",margin:0,italic:true}); } function pill(s,x,y,label,fill){ s.addShape(pres.ShapeType.roundRect,{x,y,w:1.4,h:0.3,fill:{color:fill},line:{color:fill},rectRadius:0.1}); s.addText(label,{x,y,w:1.4,h:0.3,fontSize:9,bold:true,color:C.white,align:"center",fontFace:"Calibri"}); } function card(s,x,y,w,h,topColor){ s.addShape(pres.ShapeType.roundRect,{x,y,w,h,fill:{color:C.white},line:{color:"CBD5E1",width:1},rectRadius:0.1}); s.addShape(pres.ShapeType.roundRect,{x,y,w,h:0.35,fill:{color:topColor},line:{color:topColor},rectRadius:0.1}); } // ══════════════════════════════════════════════════ // SLIDE 1 — COVER // ══════════════════════════════════════════════════ let s = pres.addSlide(); s.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.dark}}); s.addShape(pres.ShapeType.rect,{x:0,y:5.8,w:13.3,h:1.7,fill:{color:"7C3AED"}}); s.addShape(pres.ShapeType.rect,{x:0,y:3.4,w:13.3,h:0.08,fill:{color:"A78BFA"}}); s.addText("🎯 MUHS BSc Nursing 5th Semester — CHN-I",{x:0.5,y:0.4,w:12.3,h:0.55,fontSize:18,color:"C4B5FD",fontFace:"Calibri",align:"center"}); s.addText("PYQ Pattern Analysis",{x:0.5,y:1.0,w:12.3,h:0.75,fontSize:36,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("Predicted Questions for Your Exam",{x:0.5,y:1.8,w:12.3,h:0.6,fontSize:26,color:"A78BFA",fontFace:"Calibri",align:"center",italic:true}); s.addText("Based on 2018–2024 MUHS Papers • Subject Code 53501 • Repeat-Frequency Analysis",{x:0.5,y:2.5,w:12.3,h:0.38,fontSize:13,color:"CBD5E1",fontFace:"Calibri",align:"center"}); const freqItems = [ ["🔴 Asked 4+ times","MUST prepare","red"], ["🟠 Asked 3 times","Very likely","orange"], ["🟡 Asked 2 times","Likely","amber"], ["🟢 New rotation","Expected this year","green"], ]; freqItems.forEach(([t,d,c],i)=>{ const cc = c==="red"?"991B1B":c==="orange"?"C2410C":c==="amber"?"B45309":"15803D"; const cb = c==="red"?"FEE2E2":c==="orange"?"FFEDD5":c==="amber"?"FEF3C7":"DCFCE7"; const x=0.5+i*3.1; s.addShape(pres.ShapeType.roundRect,{x,y:3.55,w:2.9,h:1.65,fill:{color:"1E1033"},line:{color:"4C1D95"},rectRadius:0.12}); s.addText(t,{x,y:3.65,w:2.9,h:0.45,fontSize:13,bold:true,color:"DDD6FE",fontFace:"Calibri",align:"center"}); s.addText(d,{x,y:4.12,w:2.9,h:0.35,fontSize:12,color:"EDE9FE",fontFace:"Calibri",align:"center"}); }); s.addText("⚠️ This analysis is based on pattern repetition across MUHS PYQs. Actual exam may vary.",{x:0.5,y:5.32,w:12.3,h:0.35,fontSize:11,color:"FCA5A5",fontFace:"Calibri",align:"center",italic:true}); s.addText("Slides: PYQ Frequency Map • Essay Predictions • Short Note Predictions • MCQ Hot-list • Mock Paper",{x:0.5,y:5.95,w:12.3,h:0.4,fontSize:13,color:C.white,fontFace:"Calibri",align:"center"}); s.addText("MUHS Nashik • Maharashtra University of Health Sciences • All the Best! 🏆",{x:0.5,y:6.5,w:12.3,h:0.38,fontSize:13,color:"DDD6FE",fontFace:"Calibri",align:"center",italic:true}); // ══════════════════════════════════════════════════ // SLIDE 2 — PYQ FREQUENCY MAP (Essay topics) // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"PYQ Frequency Map — Essay Questions (2018–2024)","Topics asked most often = Most likely in YOUR exam",C.red); const essayFreq = [ ["HIV/AIDS Epidemiology + Role of nurse in NACP","🔴 5×",C.red,"#1 MOST REPEATED — must prepare fully"], ["Solid Waste Disposal + Sewage Management","🔴 4×",C.red,"Asked in 2024 — may appear again in different form"], ["Levels of Prevention (Primary/Secondary/Tertiary)","🔴 4×",C.red,"Core topic — always in paper"], ["Epidemiological Triad + Types of Epidemiology","🟠 3×",C.orange,"Combine with levels of prevention if asked together"], ["National Health Mission (NHM) + Programmes","🟠 3×",C.orange,"NTEP or NVBDCP often paired with this"], ["PHC — Functions, Staffing, Role of CHN","🟠 3×",C.orange,"Very likely — not asked 2024, due this year"], ["Community Health Nursing — Definition, Principles, Scope","🟡 2×",C.amber,"Foundation question — may pair with PHC"], ["Malaria / Dengue — Epidemiology + Control","🟡 2×",C.amber,"NVBDCP angle — combine disease + programme"], ["Water Supply, Purification Methods","🟡 2×",C.amber,"Appeared alongside sewage — could be solo essay"], ["Immunization — UIP + Cold Chain","🟡 2×",C.amber,"Mission Indradhanush angle likely"], ["Nutritional Disorders (Kwashiorkor/Marasmus)","🟢 New rotation",C.green,"PEM essay not asked recently — HIGH chance this year"], ["Environmental Pollution — Types, Health effects, Nurse's role","🟢 New rotation",C.green,"Eco-health angle — freshly in syllabus focus"], ]; essayFreq.forEach((row,i)=>{ const y = 1.15 + i*0.51; const freqColor = row[2]==="991B1B"?"FEE2E2":row[2]==="C2410C"?"FFEDD5":row[2]==="B45309"?"FEF3C7":"DCFCE7"; s.addShape(pres.ShapeType.roundRect,{x:0.18,y,w:12.94,h:0.45,fill:{color:i%2===0?C.white:"F8FAFC"},line:{color:"E5E7EB",width:0.5},rectRadius:0.06}); s.addText(`${i+1}. ${row[0]}`,{x:0.3,y:y+0.05,w:8.5,h:0.35,fontSize:11,bold:i<3,color:C.gray,fontFace:"Calibri"}); s.addShape(pres.ShapeType.roundRect,{x:8.95,y:y+0.07,w:1.3,h:0.3,fill:{color:row[2]},line:{color:row[2]},rectRadius:0.08}); s.addText(row[1],{x:8.95,y:y+0.07,w:1.3,h:0.3,fontSize:9,bold:true,color:C.white,align:"center",fontFace:"Calibri"}); s.addText(row[3],{x:10.35,y:y+0.08,w:2.65,h:0.3,fontSize:9,color:"6B7280",fontFace:"Calibri",italic:true}); }); // ══════════════════════════════════════════════════ // SLIDE 3 — SHORT NOTE FREQUENCY MAP // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"PYQ Frequency Map — Short Notes (5 marks each)","Pattern across 2018–2024 MUHS papers • 5 short notes per paper",C.teal); const snFreq = [ ["PHC — Functions and Staffing Pattern","🔴 6×","Asked every year — prepare like an essay"], ["Levels of Prevention","🔴 5×","Always comes either as essay or short note"], ["Steps of Home Visit","🔴 5×","Must-know — appears almost every year"], ["Descriptive Epidemiology","🔴 4×","2024 paper confirmed — high repeat"], ["Diet Plan for Diabetic Patient","🔴 4×","Very specific — easy marks if memorized"], ["DOTS / NTEP","🟠 3×","TB control always tested"], ["Immunization Schedule / Cold Chain","🟠 3×","UIP details + cold chain management"], ["Epidemiology of Malaria","🟠 3×","Disease + vector + control = 5 marks"], ["ASHA — Role, Selection, Functions","🟠 3×","NHM pillar — asked often"], ["Epidemiological Triad","🟡 2×","When not in essay, appears here"], ["Biomedical Waste Management","🟡 2×","Colour coding + categories = easy marks"], ["ICDS — Services, Beneficiaries","🟡 2×","Nutrition programme focus"], ["Septic Tank / Sanitation Methods","🟡 2×","Environmental health rotation"], ["Sub-Centre — Population, Staff, Functions","🟢 Due","PHC asked — sub-centre rotation likely"], ["National Nutrition Programmes","🟢 Due","Poshan Abhiyan, ICDS, Mid-Day Meal"], ]; 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s.addText(row[2],{x:x+0.1,y:y+0.4,w:6.1,h:0.28,fontSize:9.5,color:"6B7280",fontFace:"Calibri",italic:true}); }); }); // ══════════════════════════════════════════════════ // SLIDE 4 — MOST LIKELY EXAM PAPER (Mock Paper) // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); s.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:1.0,fill:{color:C.purple}}); s.addShape(pres.ShapeType.rect,{x:0,y:1.0,w:13.3,h:0.06,fill:{color:"A78BFA"}}); s.addText("🎯 PREDICTED EXAM PAPER — Most Likely Questions",{x:0.3,y:0.08,w:12.5,h:0.55,fontSize:20,bold:true,color:C.white,fontFace:"Calibri",margin:0}); s.addText("MUHS CHN-I 53501 • Based on 7-year PYQ pattern analysis • Probability: HIGH",{x:0.3,y:0.63,w:12.5,h:0.32,fontSize:11.5,color:"C4B5FD",fontFace:"Calibri",margin:0,italic:true}); // Paper header box s.addShape(pres.ShapeType.roundRect,{x:0.18,y:1.12,w:12.94,h:0.65,fill:{color:"1E1033"},line:{color:"4C1D95"},rectRadius:0.1}); s.addText([ {text:"Maharashtra University of Health Sciences, Nashik • BSc Nursing 5th Semester",options:{bold:true,color:C.white,fontSize:12}}, {text:"\n",options:{breakLine:true}}, {text:"COMMUNITY HEALTH NURSING – I Including Environmental Science & Epidemiology | Code: 53501 | 75 Marks | 3 Hours",options:{color:"C4B5FD",fontSize:10.5}} ],{x:0.3,y:1.14,w:12.7,h:0.62,fontFace:"Calibri",align:"center"}); // SECTION A — MCQ s.addShape(pres.ShapeType.roundRect,{x:0.18,y:1.85,w:12.94,h:0.38,fill:{color:C.teal},line:{color:C.teal},rectRadius:0.06}); s.addText("SECTION A: Multiple Choice Questions (12 × 1 = 12 marks)",{x:0.3,y:1.88,w:12.6,h:0.3,fontSize:12,bold:true,color:C.white,fontFace:"Calibri"}); const mcqPred = [ "Population coverage of a Sub-Centre (plains) is __: a)2000–4000 b)3000–5000 c)5000–8000 d)1000–3000 → Ans: b", "The study proceeding from cause to effect is: a)Case-control b)Cohort c)Cross-sectional d)Ecological → Ans: b", "First-line drug for TB: a)Gentamycin b)Rifampicin c)Penicillin d)Sulphapyridine → Ans: b", "New cases in a defined population = : a)Prevalence b)Relative risk c)Incidence d)Attack rate → Ans: c", "Disease NOT under NVBDCP: a)Malaria b)Filaria c)Yellow fever d)Dengue → Ans: c", "Kwashiorkor hallmark sign: a)Muscle wasting b)Pitting oedema c)No oedema d)Rickets → Ans: b", ]; mcqPred.forEach((q,i)=>{ s.addText(`${i+1}. ${q}`,{x:0.25+( i%2===0?0:6.5),y:2.3+(Math.floor(i/2)*0.45),w:6.4,h:0.4,fontSize:9.5,color:C.gray,fontFace:"Calibri"}); }); // SECTION B — Essays s.addShape(pres.ShapeType.roundRect,{x:0.18,y:3.73,w:12.94,h:0.36,fill:{color:C.red},line:{color:C.red},rectRadius:0.06}); s.addText("SECTION B: Essays (2 × 15 = 30 marks)",{x:0.3,y:3.76,w:12.6,h:0.28,fontSize:12,bold:true,color:C.white,fontFace:"Calibri"}); s.addShape(pres.ShapeType.roundRect,{x:0.18,y:4.15,w:12.94,h:0.55,fill:{color:C.redLt},line:{color:"FECACA",width:1},rectRadius:0.07}); s.addText([{text:"Q1. ",options:{bold:true,color:C.red,fontSize:12}},{text:"Describe the epidemiology of Tuberculosis. Explain DOTS and NTEP in detail. Describe the role of Community Health Nurse in TB control.",options:{color:C.gray,fontSize:11}}],{x:0.3,y:4.19,w:12.6,h:0.48,fontFace:"Calibri",valign:"middle"}); s.addText("🔴 PREDICTED #1 — PHC/epidemiology + programme + nurse's role formula used 5 years in a row",{x:0.3,y:4.72,w:12.7,h:0.25,fontSize:9.5,color:C.red,fontFace:"Calibri",italic:true}); s.addShape(pres.ShapeType.roundRect,{x:0.18,y:5.0,w:12.94,h:0.55,fill:{color:"FFF7ED"},line:{color:"FED7AA",width:1},rectRadius:0.07}); s.addText([{text:"Q2. ",options:{bold:true,color:C.orange,fontSize:12}},{text:"Explain the Primary Health Care concept (Alma Ata). Describe functions, staffing and services at PHC level. Add the role of CHN.",options:{color:C.gray,fontSize:11}}],{x:0.3,y:5.04,w:12.6,h:0.48,fontFace:"Calibri",valign:"middle"}); s.addText("🟠 PREDICTED #2 — PHC not asked in 2024; due this year. OR: PEM/Kwashiorkor+Marasmus essay",{x:0.3,y:5.56,w:12.7,h:0.25,fontSize:9.5,color:C.orange,fontFace:"Calibri",italic:true}); // SECTION C — Short Notes s.addShape(pres.ShapeType.roundRect,{x:0.18,y:5.85,w:12.94,h:0.36,fill:{color:C.teal},line:{color:C.teal},rectRadius:0.06}); s.addText("SECTION C: Short Notes (5 × 5 = 25 marks)",{x:0.3,y:5.88,w:12.6,h:0.28,fontSize:12,bold:true,color:C.white,fontFace:"Calibri"}); const snPred = ["Q3. Levels of prevention","Q4. Steps of Home Visit","Q5. ASHA — Role & Functions","Q6. Biomedical Waste Management","Q7. Nutritional Deficiency Diseases / ICDS Services"]; snPred.forEach((q,i)=>{ s.addText(q,{x:0.3+(i>2?6.5:0),y:6.28+(i%3)*0.38,w:6.3,h:0.34,fontSize:10.5,color:C.gray,fontFace:"Calibri",bold:i<2}); }); s.addShape(pres.ShapeType.roundRect,{x:0.18,y:7.1,w:12.94,h:0.3,fill:{color:"EFF6FF"},line:{color:"BFDBFE"},rectRadius:0.05}); s.addText("+ List Q: Four food-borne diseases | Four types of vaccines | Diff: Kwashiorkor vs Marasmus | Diff: Cohort vs Case-control",{x:0.3,y:7.13,w:12.6,h:0.24,fontSize:9.5,color:"1D4ED8",fontFace:"Calibri",italic:true}); // ══════════════════════════════════════════════════ // SLIDE 5 — ESSAY ANSWER GUIDE: TB (Most predicted Q1) // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"🔴 PREDICTED ESSAY Q1 — Full Model Answer","Tuberculosis Epidemiology + DOTS/NTEP + Nurse's Role [15 marks = 5+5+5]",C.red); const tbSections = [ ["Epidemiology of TB (5 marks)",["Agent: Mycobacterium tuberculosis (acid-fast bacillus, gram-positive rod)","Reservoir: Human beings (open pulmonary TB case)","Source: Sputum of active TB patient","Transmission: Airborne — droplet nuclei (<5 microns) — inhaled","IP: 4–12 weeks (primary); reactivation can occur after years","Host: Malnutrition, HIV, diabetes, overcrowding, immunosuppression","Types: Pulmonary (most common, 80%), Extrapulmonary (lymph node, pleura, spine, meningitis)","Diagnosis: NAAT/Xpert MTB/RIF, sputum smear, culture, IGRA","Global burden: India has highest TB burden — 1/4 of world cases"]], ["DOTS & NTEP (5 marks)",["NTEP = National TB Elimination Programme (formerly RNTCP 1997 → NTEP 2020)","Target: TB-free India by 2025 (Sustainable Development Goal 2030, 5 years ahead)","DOTS = Directly Observed Treatment, Short-course","Category I (New): 2HRZE (2 months intensive) + 4HR (4 months continuation) = 6 months","Category II (Previously treated): 2HRZES + 1HRZE + 5HRE = 8 months","DOT provider: ASHA, ANM, community volunteer","Nikshay: Digital notification system (all TB cases must be notified)","Nikshay Poshan Yojana: Rs. 500/month direct benefit transfer for nutrition","DSTB vs DRTB: Drug-sensitive vs Drug-resistant TB — BDQ regimen for DR-TB"]], ["Role of CHN in TB Control (5 marks)",["1. Case detection: Contact tracing, identify presumptive TB cases in community","2. Sputum collection: Collect sputum for microscopy, guide patient","3. DOT provider: Observe patient swallow every dose; build rapport","4. Health education: Airborne precautions, cough hygiene, sputum disposal","5. Nutrition counselling: High-protein diet, Nikshay Poshan Yojana awareness","6. Adherence monitoring: Motivate patient; manage side effects (yellow urine = Rifampicin — normal)","7. Notification: Ensure all cases notified on Nikshay portal","8. Home visit: Supervise treatment, check household contacts","9. Stigma reduction: Counselling family, community awareness campaigns","10. Referral: Refer DR-TB, complications to higher centre"]], ]; tbSections.forEach(([heading, points], ci) => { const x = 0.18 + ci*4.38; const y = 1.12; const w=4.2; const h=6.1; card(s,x,y,w,h,ci===0?C.red:ci===1?C.teal:C.green); s.addText(heading,{x:x+0.1,y:y+0.05,w:w-0.2,h:0.28,fontSize:10.5,bold:true,color:C.white,fontFace:"Calibri"}); const items = points.map((p,pi)=>({text:"• "+p,options:{color:C.gray,fontSize:9.8,breakLine:pi<points.length-1}})); s.addText(items,{x:x+0.1,y:y+0.42,w:w-0.18,h:h-0.52,fontFace:"Calibri",valign:"top"}); }); // ══════════════════════════════════════════════════ // SLIDE 6 — ESSAY ANSWER GUIDE: PHC / PEM (Predicted Q2 alternates) // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"🟠 PREDICTED ESSAY Q2 — Two Likely Alternates (Prepare BOTH)","Option A: PHC + Primary Health Care | Option B: PEM — Kwashiorkor & Marasmus",C.orange); // Option A — PHC s.addShape(pres.ShapeType.roundRect,{x:0.18,y:1.12,w:6.35,h:6.1,fill:{color:C.white},line:{color:"FED7AA",width:2},rectRadius:0.1}); s.addShape(pres.ShapeType.roundRect,{x:0.18,y:1.12,w:6.35,h:0.38,fill:{color:C.orange},line:{color:C.orange},rectRadius:0.1}); s.addText("Option A: Primary Health Care + PHC (15 marks)",{x:0.3,y:1.17,w:6.1,h:0.3,fontSize:11,bold:true,color:C.white,fontFace:"Calibri"}); const phcPoints = [ "PHC Definition: Alma Ata 1978 — Essential healthcare universally accessible", "5 Principles: Equitable distribution, Community participation, Prevention focus, Appropriate technology, Multisectoral approach", "8 Elements (ASHFEMCT): Health education, Safe water, MCH+FP, Immunization, Nutrition, Endemic disease control, Essential drugs, Treatment of common illness", "PHC in India: 20,000–30,000 population (plains); 3,000–20,000 (hilly)", "Staff: 1 MO + 1 Pharmacist + 1 LHV + 4 ANM + Lab tech + Health workers", "Beds: 4–6 indoor beds; 6 sub-centres under each PHC", "Services: OPD, MCH, FP, Immunization, Health education, Lab, School health, Minor surgery", "IPHS norms: Indian Public Health Standards — benchmark for PHC facilities", "NHM: PHC upgraded to Health & Wellness Centres (HWC) under CPHC", "CHC: 80,000–1,20,000; 30 beds; 4 specialists — referral unit above PHC", "Role of CHN at PHC: Immunization, ANC, home visits, health education, records", "Sub-centre: 3000–5000; 1 ANM + 1 male HW; first contact point", ]; const phcItems = phcPoints.map((p,pi)=>({text:"• "+p,options:{color:C.gray,fontSize:10,breakLine:pi<phcPoints.length-1}})); s.addText(phcItems,{x:0.28,y:1.56,w:6.1,h:5.55,fontFace:"Calibri",valign:"top"}); // Option B — PEM s.addShape(pres.ShapeType.roundRect,{x:6.77,y:1.12,w:6.35,h:6.1,fill:{color:C.white},line:{color:"FCA5A5",width:2},rectRadius:0.1}); s.addShape(pres.ShapeType.roundRect,{x:6.77,y:1.12,w:6.35,h:0.38,fill:{color:C.red},line:{color:C.red},rectRadius:0.1}); s.addText("Option B: PEM — Kwashiorkor & Marasmus (15 marks)",{x:6.88,y:1.17,w:6.1,h:0.3,fontSize:11,bold:true,color:C.white,fontFace:"Calibri"}); const pemPoints = [ "PEM = Protein Energy Malnutrition — leading cause of child morbidity/mortality in India", "KWASHIORKOR: Protein deficiency + adequate calories; age 1–3 years", " → Cardinal sign: Pitting oedema (starts feet → legs → body)", " → Moon face, flag sign (hair depigmentation/banding), skin lesions (flaky-paint)", " → Fatty liver, apathy, anorexia, low serum albumin (<3g/dL)", "MARASMUS: Protein + Calorie deficiency; age < 1 year", " → Severe muscle wasting, 'baggy-pants' skin, wizened (old man) face", " → Alert but miserable, NO oedema, weight <60% of expected", "MANAGEMENT (Both): 10-step SAM management", " → F-75 (stabilisation: 75 kcal/100ml) → F-100 (rehabilitation: 100 kcal/100ml)", " → Treat: Hypoglycaemia, Hypothermia, Dehydration, Infections", " → Micronutrients: Folic acid, Zinc, Vitamin A", "PREVENTION: ICDS, breastfeeding promotion, nutrition education, Poshan Abhiyan", "Nurse's role: Nutritional assessment (MUAC, weight-for-age), counselling, referral, ICDS coordination", ]; const pemItems = pemPoints.map((p,pi)=>({text:"• "+p,options:{color:C.gray,fontSize:9.8,breakLine:pi<pemPoints.length-1}})); s.addText(pemItems,{x:6.88,y:1.56,w:6.1,h:5.55,fontFace:"Calibri",valign:"top"}); // ══════════════════════════════════════════════════ // SLIDE 7 — SHORT NOTES TOP 5 (Most likely this exam) // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"🔴 Top 5 Short Notes — Predicted for This Exam (5 marks each)","Write 8–10 points each. Draw a diagram where applicable.",C.teal); const top5SN = [ { title:"Q3. Levels of Prevention", color:C.red, points:["Primordial: Prevent risk factors from emerging (e.g., no-smoking policy, junk food bans)","Primary: Before disease — Health promotion + Specific protection"," → Examples: Vaccination (BCG for TB), safe water, health education","Secondary: Early disease — Early diagnosis + Prompt treatment"," → Examples: Sputum smear for TB, blood sugar screening, Pap smear","Tertiary: Established disease — Disability limitation + Rehabilitation"," → Examples: Physiotherapy after stroke, colostomy care, cataract surgery","Key: Primary = Before, Secondary = Early, Tertiary = After","WHO: Prevention is better than cure"] }, { title:"Q4. Steps of Home Visit", color:C.teal, points:["Definition: Purposeful visit to family/individual at home for health care","Step 1 — Preparation/Planning: Review records, prepare nursing bag, plan route","Step 2 — Introduction: Introduce self, establish rapport, explain purpose","Step 3 — Assessment: Assess health needs, observe home environment","Step 4 — Nursing Care: Provide care, health education, demonstrations","Step 5 — Recording: Document findings in family folder, register","Step 6 — Reporting: Report to PHC/supervisor, refer if needed","Step 7 — Evaluation & Follow-up: Assess outcomes, plan next visit","Nursing bag: Must contain first aid, ORS, IFA, condoms, immunization cards"] }, { title:"Q5. ASHA — Role & Functions", color:C.green, points:["Full form: Accredited Social Health Activist","Launched under: NRHM 2005 (now NHM)","Selection: 1 per 1,000 rural population; female; from same community","Eligibility: Minimum 8th class pass; preferably married/widow","Training: 23 days initial + 1 day/month ongoing","Key roles: Health education, immunization facilitation, ANC escort","JSSK: Facilitates institutional delivery, escorts mother to facility","DOTS: DOT provider for TB patients","Incentives: Performance-based; e.g., Rs. 600 for institutional delivery escort","Role in NACP: HIV awareness, condom distribution, ICTC referral"] }, { title:"Q6. Biomedical Waste Management", color:C.purple, points:["BMW Rules 2016 (amended 2019) — under Environment Protection Act 1986","4 Categories of bags + containers:"," 🟡 YELLOW BAG: Anatomical waste, infectious waste, expired medicines — Incineration"," 🔴 RED BAG: Recyclable contaminated plastic — Autoclaving/microwaving"," 🔵 BLUE BOX: Glassware, metal sharps — Autoclaving, shredding"," ⬛ BLACK BAG: General/municipal waste — Landfill","Sharps: Puncture-proof containers (yellow/red lid)","Liquid waste: Chemical disinfection before drain discharge","Nurse's role: Segregation at source, correct bagging, no mixing, record weight of BMW"] }, { title:"Q7. ICDS — 6 Services & Anganwadi", color:C.amber, points:["Full form: Integrated Child Development Services","Launched: 2 October 1975 (National day of Community Service)","Target: Children 0–6 years + Pregnant/Lactating mothers","Delivery point: Anganwadi Centre (AWC) — 1 per 400–800 families","6 Services (SHINE-P): Supplementary nutrition, Health check-up, Immunization, Nutrition education, Pre-school education, referral Services","Nutrition norms: 300 kcal + 8–10g protein/day for children; 500 kcal + 17g for P/L mothers","Anganwadi Worker (AWW): Frontline worker — identifies malnourished, conducts growth monitoring","Poshan Abhiyan (2018): ICDS under PM's overarching nutrition mission — target to reduce stunting & anaemia"] }, ]; const positions = [[0.18,1.12],[2.78,1.12],[5.38,1.12],[7.98,1.12],[10.58,1.12]]; top5SN.forEach((sn,i)=>{ const [x,y]=positions[i]; const w=2.45; const h=6.1; card(s,x,y,w,h,sn.color); s.addText(sn.title,{x:x+0.08,y:y+0.05,w:w-0.14,h:0.27,fontSize:9.5,bold:true,color:C.white,fontFace:"Calibri"}); const items = sn.points.map((p,pi)=>({text:"• "+p,options:{color:C.gray,fontSize:9,breakLine:pi<sn.points.length-1}})); s.addText(items,{x:x+0.08,y:y+0.42,w:w-0.14,h:h-0.52,fontFace:"Calibri",valign:"top"}); }); // ══════════════════════════════════════════════════ // SLIDE 8 — MCQ HOT-LIST (Most likely 12 MCQs) // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"🔵 MCQ Hot-List — 24 Most Likely MCQs for Your Paper","Each question from this list has appeared in 2+ MUHS/equivalent papers",C.navy); const hotMCQs = [ ["Population of Sub-Centre (plains)?","3,000–5,000","appeared verbatim MUHS 2024"], ["First-line TB drug?","Rifampicin","appeared verbatim MUHS 2024"], ["Cause→Effect study?","Cohort study","appeared verbatim MUHS 2024"], ["New cases in population?","Incidence","appeared verbatim MUHS 2024"], ["NOT under NVBDCP?","Yellow fever","appeared verbatim MUHS 2024"], ["Kwashiorkor cardinal sign?","Pitting oedema","repeated across 4 papers"], ["Malaria vector?","Female Anopheles","repeated 5+ papers"], ["PHC population coverage?","20,000–30,000","core fact repeated every year"], ["ASHA per population?","1 per 1,000","ASHA-related MCQ every paper"], ["Incubation period of cholera?","Few hours to 5 days","repeated 3 papers"], ["NOT mortality indicator?","Disability rate","appeared verbatim MUHS 2024"], ["Epidemic = excess of?","Normal expectation","appeared verbatim MUHS 2024"], ["Cold chain temperature?","2–8°C","UIP topic repeated"], ["Alma Ata declaration on?","Primary Health Care","every 2nd paper"], ["Nutritional self-reliance programme?","Applied Nutrition Programme","appeared verbatim MUHS 2024"], ["Vitamin A deficiency causes?","Night blindness","repeated 4+ papers"], ["Septic tank best for?","Rural areas","environmental sanitation Q"], ["IMR expressed per?","1000 live births","vital statistics MCQ"], ["Window period of HIV?","3–12 weeks","HIV MCQ every paper"], ["Cohort study measures?","Relative Risk","study designs repeated"], ["Case-control study measures?","Odds Ratio","study designs repeated"], ["6 services of ICDS delivered at?","Anganwadi Centre","ICDS MCQ repeated"], ["OPV cold chain temperature?","−20°C","different from other vaccines"], ["Yellow bag BMW = ?","Anatomical/infectious waste","BMW colour coding"], ]; hotMCQs.forEach((q,i)=>{ const col = i%3; const row = Math.floor(i/3); const x=0.18+col*4.38; const y=1.12+row*0.78; const bg2 = i<12?"F0FDF4":"F0F9FF"; s.addShape(pres.ShapeType.roundRect,{x,y,w:4.22,h:0.72,fill:{color:bg2},line:{color:"E5E7EB",width:0.5},rectRadius:0.08}); s.addText(`Q${i+1}. ${q[0]}`,{x:x+0.1,y:y+0.05,w:4.0,h:0.28,fontSize:10,bold:true,color:C.gray,fontFace:"Calibri"}); s.addText(`✔ ${q[1]}`,{x:x+0.1,y:y+0.34,w:2.5,h:0.24,fontSize:10,bold:true,color:C.green,fontFace:"Calibri"}); s.addText(q[2],{x:x+2.7,y:y+0.36,w:1.4,h:0.22,fontSize:8,color:C.teal,fontFace:"Calibri",italic:true,align:"right"}); }); // ══════════════════════════════════════════════════ // SLIDE 9 — LAST-MINUTE REVISION CARDS // ══════════════════════════════════════════════════ s = pres.addSlide(); bg(s); hdr(s,"⚡ Last-Minute Revision — Number Facts & One-Liners","The most tested numbers and definitions in MUHS CHN exams",C.green); const cols3 = [ {head:"📊 Critical Numbers",color:C.teal, items:[ "Sub-centre: 3,000–5,000 (plains)", "PHC: 20,000–30,000 (plains)", "CHC: 80,000–1,20,000", "District Hospital: 10–12 lakh", "IMR India target: <25/1000", "MMR India target: <100/lakh", "TFR target: 2.1", "ASHA: 1/1,000 rural pop", "Kwashiorkor age: 1–3 years", "Marasmus age: <1 year", "Chlorination: 0.5 mg/L residual", "Cold chain: 2–8°C (OPV: −20°C)", ]}, {head:"💊 Drug Quick Recall",color:C.purple, items:[ "TB Cat I: 2HRZE + 4HR (6 months)", "TB Cat II: 2HRZES+1HRZE+5HRE (8m)", "Malaria vivax: Chloroquine + Primaquine", "Malaria falciparum: Artemisinin combo", "Filaria: DEC + Albendazole (annual)", "Kala-azar: Miltefosine / Ampho B", "HIV: ART (NRTIs + NNRTIs) lifelong", "Vitamin A def: Retinol capsules", "Iron deficiency: IFA tablets", "Iodine def: Iodized salt", "ORS: 1 sachet in 1 litre water", "SAM: F-75 → F-100 protocol", ]}, {head:"📋 Programme Launch Years",color:C.amber, items:[ "ICDS: 1975 (Oct 2)", "UIP: 1985", "NACP: 1987 (Phase I)", "NRHM: 2005", "RNTCP → NTEP: 1997 → 2020", "NHM: 2013 (merged NRHM+NUHM)", "Swachh Bharat: 2014", "Mission Indradhanush: 2014", "PMSMA: 2016 (9th of month)", "Poshan Abhiyan: 2018", "NTEP target: 2025 TB-free", "SDG TB target: 2030", ]}, ]; cols3.forEach((col,ci)=>{ const x=0.18+ci*4.38; const y=1.12; const w=4.22; const h=6.1; card(s,x,y,w,h,col.color); s.addText(col.head,{x:x+0.1,y:y+0.05,w:w-0.18,h:0.28,fontSize:11,bold:true,color:C.white,fontFace:"Calibri"}); const items = col.items.map((p,pi)=>({text:"• "+p,options:{color:C.gray,fontSize:10,breakLine:pi<col.items.length-1}})); s.addText(items,{x:x+0.1,y:y+0.42,w:w-0.18,h:h-0.52,fontFace:"Calibri",valign:"top"}); }); // ══════════════════════════════════════════════════ // SLIDE 10 — FINAL ACTION PLAN // ══════════════════════════════════════════════════ s = pres.addSlide(); s.addShape(pres.ShapeType.rect,{x:0,y:0,w:13.3,h:7.5,fill:{color:C.dark}}); s.addShape(pres.ShapeType.rect,{x:0,y:6.15,w:13.3,h:1.35,fill:{color:"7C3AED"}}); s.addShape(pres.ShapeType.rect,{x:0,y:2.78,w:13.3,h:0.07,fill:{color:"A78BFA"}}); s.addText("📅 Your Exam Action Plan",{x:0.5,y:0.18,w:12.3,h:0.65,fontSize:28,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("Prioritised preparation based on PYQ frequency analysis",{x:0.5,y:0.87,w:12.3,h:0.38,fontSize:15,color:"C4B5FD",fontFace:"Calibri",align:"center",italic:true}); const plan = [ ["🔴 MUST WRITE (day before exam)",["TB Epidemiology + DOTS + Nurse's role (Essay)","HIV/AIDS Epidemiology + NACP (Essay — 5 year repeat)","PHC Functions + Staffing (Short note — 6 year repeat)","Levels of Prevention (Short note — 5 year repeat)","Steps of Home Visit (Short note — 5 year repeat)"]], ["🟠 HIGH PRIORITY (2 days before)",["PHC + Primary Health Care concept (Essay — due this year)","PEM: Kwashiorkor vs Marasmus (Essay + short note)","Descriptive Epidemiology (Short note — 4 year repeat)","Diet Plan for Diabetic Patient (Short note — 4 year repeat)","ASHA + Role (Short note — 3 year repeat)"]], ["🟡 PREPARE WELL (this week)",["Biomedical Waste Management (colour coding + rules)","ICDS 6 services + Anganwadi worker","National programmes: NTEP, NVBDCP, NACP, UIP — brief outline","Solid waste + sewage disposal (Asked 2024 — alternate question likely)","Sub-centre structure + population norms"]], ["🔵 MCQ FINAL DRILL (morning of exam)",["Sub-centre = 3,000–5,000 | PHC = 20,000–30,000 | CHC = 80,000–1,20,000","Cohort = Relative Risk | Case-control = Odds Ratio","Incidence = NEW cases | Prevalence = ALL cases","1st line TB = Rifampicin | Malaria = Chloroquine/Artemisinin","Kwashiorkor = Oedema+1-3yrs | Marasmus = Wasting+<1yr"]], ]; plan.forEach(([title, items],i)=>{ const x=0.25+(i<2?0:6.45); const y=3.0+(i%2)*1.95; const tColors=["991B1B","C2410C","B45309","1D4ED8"]; const bColors=["1A0505","1A0B05","1A1005","050D1A"]; s.addShape(pres.ShapeType.roundRect,{x,y,w:6.3,h:1.78,fill:{color:bColors[i]},line:{color:tColors[i],width:1.5},rectRadius:0.12}); s.addText(title,{x:x+0.15,y:y+0.08,w:6.0,h:0.35,fontSize:13,bold:true,color:C.white,fontFace:"Calibri"}); const itms = items.map((it,ii)=>({text:"✓ "+it,options:{color:"E2E8F0",fontSize:10,breakLine:ii<items.length-1}})); s.addText(itms,{x:x+0.15,y:y+0.48,w:6.0,h:1.22,fontFace:"Calibri",valign:"top"}); }); s.addText("You have analysed 7 years of MUHS PYQs. You are PREPARED! Go ace it! 🏆",{x:0.5,y:6.28,w:12.3,h:0.5,fontSize:20,color:C.white,fontFace:"Calibri",bold:true,align:"center"}); s.addText("MUHS Nashik • BSc Nursing 5th Semester • CHN-I • Subject Code: 53501",{x:0.5,y:6.82,w:12.3,h:0.35,fontSize:12,color:"DDD6FE",fontFace:"Calibri",align:"center",italic:true}); pres.writeFile({fileName:"/home/daytona/workspace/muhs-chn/MUHS_CHN_Predicted_Questions.pptx"}) .then(()=>console.log("SUCCESS")) .catch(e=>console.error("ERROR:",e)); SCRIPT echo "Script written"

cd /home/daytona/workspace/muhs-chn && node predicted_questions.js && ls -lh MUHS_CHN_Predicted_Questions.pptx