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Intern Assessment - Community Medicine Posting

Section-wise Questions


SECTION 1: Health Facility Services (UHTC, RHTC, PHC, Health & Wellness Centres)

  1. What are the different services provided at UHTC, RHTC, PHC, and Health & Wellness Centres?
  2. Describe the minute details of each service provided at these facilities.
  3. What progress has been achieved in the services provided at these facilities?
  4. What is the past and present data related to these services?
  5. What are the advantages of the services provided at UHTC/RHTC/PHC?
  6. What are the barriers faced by health care workers in delivering these services?
  7. What are the barriers faced by the community/people in accessing these services?
  8. Do a SWOT analysis of the services provided at UHTC/RHTC/PHC.

SECTION 2: National Health Programmes

  1. List all the health programmes run through UHTC, RHTC, and Health & Wellness Centres.
  2. Describe in detail any one national health programme run at the PHC level.
  3. What is the present situation/status of the major health programmes in your area?
  4. What are the barriers for health workers in implementing these programmes?
  5. What are the barriers for the community in availing these programmes?
  6. Do a SWOT analysis of any one national health programme.

SECTION 3: Roles & Responsibilities of Health Staff

  1. What are the daily, weekly, fortnightly, monthly, and annual responsibilities of the following health posts at RHTC/UHTC/Health & Wellness Centres?
    • Medical Officer
    • Staff Nurse
    • ANM (Auxiliary Nurse Midwife)
    • ASHA worker
    • Anganwadi worker
    • Health Supervisor
  2. What are the different incentives given to the health workforce, including ASHA and Anganwadi workers?
  3. What is the role of ASHA in maternal and child health at the community level?
  4. What is the role of the Anganwadi worker in nutrition and child development programmes?

SECTION 4: Health Indicators

  1. What are the basic health indicators of RHTC, UHTC, DNH, and India?
  2. How are the following health indicators calculated?
    • Infant Mortality Rate (IMR)
    • Maternal Mortality Rate (MMR)
    • Birth Rate / Death Rate
    • Total Fertility Rate (TFR)
    • Crude Birth Rate / Crude Death Rate
  3. How do you identify the priority areas of a PHC after analyzing health indicators?
  4. What is the significance of health indicators in planning public health interventions?

SECTION 5: Epidemic Investigation, Disaster Management & Vector Control

  1. What are the steps in epidemic investigation?
  2. What is the role of a medical officer during a disaster? Describe the basics of disaster management.
  3. What are the common vectors of disease in India? How do you identify them? (Medical Entomology)
  4. What are the vector control measures for malaria, dengue, and filariasis?
  5. What is Biomedical Waste (BMW) management? What are the categories and colour coding of BMW?
  6. What is AEFI? How is it reported and managed?

SECTION 6: Water, Air & Environment

  1. What are the methods of water purification at the individual and community level?
  2. What are the permissible limits of water quality parameters (turbidity, pH, chlorine, etc.)?
  3. What are the major sources and health effects of air pollution?
  4. What are heat indices and how do heat waves affect health? What are the preventive measures?
  5. What are common environmental hazards and their health impacts?

SECTION 7: Routine Immunisation

  1. What is the Universal Immunisation Programme (UIP)? List all vaccines under the national immunisation schedule.
  2. What are the principles of routine immunisation?
  3. What is the correct placement of vaccines in an ILR (Ice Lined Refrigerator)? What are cold chain requirements?
  4. What is AEFI (Adverse Events Following Immunisation)? How is it classified, reported, and managed?
  5. What is the immunisation schedule for a child from birth to 5 years?
  6. What vaccines are given to pregnant women and why?

SECTION 8: Common Communicable & Non-Communicable Diseases

For each disease below, know: diagnosis, treatment protocol, correct doses, and key points
Non-Communicable Diseases: 40. Hypertension - classification, diagnosis, treatment, lifestyle modification, and PHC management. 41. Diabetes Mellitus - types, diagnosis (HbA1c, FBS, PPBS), treatment, and counselling. 42. Thyroid Disorders - hypothyroidism, hyperthyroidism, diagnosis, treatment, and dose. 43. Sickle Cell Disease - screening, diagnosis, management, and sickle cell programme in India. 44. Obesity - BMI classification, health risks, management, and dietary counselling. 45. General Mental Health Disorders - anxiety, depression, addiction; basic signs, symptoms, and management/counselling.
Communicable Diseases: 46. Malaria - types, diagnosis (RDT/smear), treatment protocol (chloroquine/artemisinin), and prevention. 47. Tuberculosis - types, RNTCP/NTEPprotocol, drug regimens (DOTS), diagnosis (CBNAAT), and directly observed treatment. 48. Leprosy - types, NLEP, MDT regimen, reactions, and disability grading. 49. Snake Bite - types of snake venom, first aid, anti-snake venom (ASV) protocol, and management. 50. Dog Bite - wound management, rabies post-exposure prophylaxis (PEP) schedule. 51. Pneumonia - classification (community-acquired), diagnosis, treatment, and IMNCI approach in children. 52. Fever & Fever of Unknown Origin (FUO) - differential diagnosis, workup, and management. 53. Typhoid - clinical features, Widal test interpretation, treatment (fluoroquinolones/ceftriaxone). 54. Diarrhoea & Dehydration - classification (Plan A, B, C), ORS preparation, zinc supplementation, and management of different plans. 55. Scabies - clinical features, treatment (permethrin, benzyl benzoate), household management. 56. Fungal Infections - common types (tinea, candidiasis), diagnosis, and treatment.

SECTION 9: Maternal & Child Health

ANC Care: 57. What are the ANC visits schedule and components of each ANC visit? 58. What are the essential ANC investigations and examinations? 59. What is normal labour? Describe the stages of labour. 60. What is episiotomy? When is it indicated? 61. What are danger signs in pregnancy that require immediate referral?
Newborn Care: 62. What is the APGAR score? How is it calculated and what does it indicate? 63. What are the steps of newborn resuscitation? 64. What is the care of a low birth weight / preterm newborn? 65. How do you manage neonatal jaundice? 66. What is the management of neonatal hypothermia and hypoglycemia? 67. What is exclusive breastfeeding? What are its benefits and how do you counsel a mother? 68. What is the correct feeding technique for a newborn?
Palliative Care: 69. What are the basics of palliative care? Who needs it and what does it involve?

SECTION 10: Contraception

  1. List all types of contraception available in India (temporary and permanent methods).
  2. For each contraceptive method, describe: mechanism, advantages, disadvantages, contraindications.
  3. Which contraceptive is appropriate at different life stages (adolescent, newly married, spacing, completed family)?
  4. How do you counsel a couple for family planning?
  5. What is Emergency Contraception? When and how is it used?

SECTION 11: Nutrition

  1. What are the major nutrients (macronutrients and micronutrients) and their food sources?
  2. Give nutrition counselling for a patient with Anaemia - what foods to recommend, what to avoid.
  3. Give dietary advice for a patient with Diabetes Mellitus at the PHC level.
  4. Give dietary advice for a patient with Hypertension (DASH diet principles).
  5. Give nutrition advice for Thyroid disorders (hypothyroidism and hyperthyroidism).
  6. Give nutrition advice for Obesity.
  7. Give nutrition advice for an ANC/PNC mother.
  8. Give nutrition advice for an adolescent girl.
  9. What is malnutrition? How do you assess a child for malnutrition (SAM, MAM)? What is the NRC protocol?
  10. What is the ICDS programme and its role in child nutrition?

SECTION 12: Communication, Counselling & Health Education

  1. What is the difference between IEC and BCC? Give examples.
  2. What are the steps of effective health education at the community level?
  3. Demonstrate how you would counsel a patient for: TB, HIV, family planning, or immunisation.
  4. What is informed consent? How do you obtain it?
  5. How do you break bad news to a patient/family?
  6. What are the key principles of effective doctor-patient communication?

SECTION 13: Research Methodology (Department Level)

  1. What is a research proposal? What are its essential components?
  2. What is a Review of Literature (ROL)? How is it written?
  3. What are the different types of research study designs? (cross-sectional, case-control, cohort, RCT, etc.)
  4. How do you determine sample size for a study?
  5. How do you prepare a questionnaire for a community survey?
  6. How do you write references in a research paper (Vancouver style)?
  7. What is data analysis? What are the basic statistical tests used in community medicine research?
  8. How do you write a research report?
  9. What is the difference between qualitative and quantitative research?
  10. What is ethical approval and why is it required for research?

Complete Topic List - Community Medicine

A. Health System & Services

  1. Structure and functions of PHC, CHC, UHTC, RHTC, Health & Wellness Centres
  2. SWOT analysis of health services
  3. National Health Mission (NHM) - components and current status
  4. Health indicators - types, calculation, and interpretation (IMR, MMR, TFR, CBR, CDR)
  5. Priority area identification using health data

B. Health Workforce

  1. Roles and responsibilities of Medical Officer, Staff Nurse, ANM, LHV, ASHA, Anganwadi Worker
  2. Incentive schemes for health workers (ASHA incentives, AWW incentives)
  3. Community participation in health programmes

C. National Health Programmes

  1. Reproductive, Maternal, Newborn, Child and Adolescent Health (RMNCH+A)
  2. National Tuberculosis Elimination Programme (NTEP/RNTCP)
  3. National Vector Borne Disease Control Programme (NVBDCP)
  4. National Leprosy Eradication Programme (NLEP)
  5. National Programme for Control of Blindness (NPCB)
  6. National Mental Health Programme (NMHP)
  7. National Non-Communicable Disease Programme (Hypertension, Diabetes - NP-NCD)
  8. Rashtriya Bal Swasthya Karyakram (RBSK)
  9. POSHAN Abhiyaan / National Nutrition Mission
  10. Pradhan Mantri Matru Vandana Yojana (PMMVY)
  11. Ayushman Bharat - Pradhan Mantri Jan Arogya Yojana (PMJAY)
  12. Janani Suraksha Yojana (JSY) and Janani Shishu Suraksha Karyakram (JSSK)
  13. Sickle Cell Disease Mission (National Sickle Cell Anaemia Elimination Mission)

D. Communicable Diseases

  1. Malaria - epidemiology, diagnosis, treatment, prevention
  2. Tuberculosis - NTEP protocol, DOTS, CBNAAT
  3. Leprosy - types, MDT, NLEP
  4. Typhoid - clinical features, Widal, treatment
  5. Diarrhoea & Dehydration - ORT, ORS, Plan A/B/C
  6. Pneumonia - diagnosis, IMNCI approach
  7. Snake bite management
  8. Dog bite and rabies prophylaxis (PEP)
  9. Fever and Fever of Unknown Origin
  10. Dengue, Chikungunya, Filariasis (vector-borne)
  11. Scabies and fungal infections
  12. COVID-19 and emerging infections (basic awareness)

E. Non-Communicable Diseases

  1. Hypertension - JNC/WHO classification, PHC management
  2. Diabetes Mellitus - types, diagnosis, management
  3. Thyroid disorders - hypothyroidism, hyperthyroidism
  4. Sickle Cell Disease
  5. Obesity and overweight
  6. Mental health disorders - anxiety, depression, addiction (basic)

F. Maternal & Child Health

  1. ANC care - visits, investigations, examinations, danger signs
  2. Normal labour and stages
  3. Episiotomy - indications and procedure
  4. Postnatal care (PNC)
  5. Newborn care - APGAR, resuscitation, essential newborn care
  6. Low birth weight and preterm newborn management
  7. Neonatal jaundice management
  8. Neonatal hypothermia and hypoglycemia
  9. Breastfeeding - exclusive breastfeeding, IYCF
  10. Child growth monitoring - growth charts, milestones
  11. Palliative care - basics and principles

G. Immunisation

  1. Universal Immunisation Programme (UIP) - full schedule
  2. Vaccine cold chain - ILR placement, cold chain equipment
  3. Principles of routine immunisation
  4. AEFI - classification, reporting, management

H. Family Planning & Contraception

  1. Temporary methods - condoms, OCP, IUCD, injectables, implants
  2. Permanent methods - tubectomy, vasectomy
  3. Emergency contraception
  4. Counselling for family planning at different life stages

I. Nutrition

  1. Macro and micronutrients - sources and functions
  2. Nutritional counselling for anaemia, malnutrition, DM, HTN, thyroid, obesity
  3. ANC/PNC nutrition, adolescent nutrition
  4. Malnutrition - SAM/MAM assessment (MUAC, weight-for-height), NRC protocol
  5. ICDS programme
  6. Vitamin A, Iron-Folic Acid (IFA), Zinc supplementation programmes

J. Environment & Public Health

  1. Water purification methods (boiling, chlorination, filtration, UV)
  2. Water quality parameters and permissible limits
  3. Air pollution - sources, health effects, control
  4. Heat indices and heat wave management
  5. Environmental hazards and occupational health basics
  6. Biomedical waste management (BMW) - categories and colour coding

K. Epidemiology & Research

  1. Types of epidemiological study designs (descriptive, analytical, experimental)
  2. Cross-sectional study, case-control study, cohort study, RCT
  3. Epidemic investigation - steps (verify, define, case count, hypothesis, analysis)
  4. Disaster management - medical preparedness
  5. Medical entomology - common vectors and vector control
  6. Sample size determination
  7. Questionnaire preparation
  8. Review of literature (ROL)
  9. Data analysis and basic statistics (mean, SD, chi-square, p-value)
  10. Research report and proposal writing
  11. Reference writing (Vancouver/APA style)
  12. Ethical clearance and informed consent in research

L. Communication & Health Education

  1. IEC (Information, Education, Communication)
  2. BCC (Behaviour Change Communication)
  3. Health education methods and materials
  4. Counselling techniques
  5. Informed consent
  6. Breaking bad news

Summary Count: 100 questions across 13 sections | 88 topics across 12 subject areas of Community Medicine.
All questions are directly tailored from the assessment content in your PDF - covering UHTC/RHTC posting content, departmental work, and all 13 points listed in the document.
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