Department of Community Medicine

Final Year Part 1 MBBS students (2021 batch)

Model exam Practical Batch – A (9.1.2025)
Practical Examination 100 Marks
I. Clinico social case study - 20 Marks
II. Exercises (statistics) - 4x5=20 Marks
III. Spotters and Spotters - (10X2=20 marks)
IV. General Viva - 40 Marks

SNO Topic Time

1. OSPE and SPOTTERS (1 hour) 8 am-9 am

2. Epidemiological and Statistical exercises (40 9 am-9 40 am

mins)
3. Clinico social case study (1 hour) 9 50 am -10.50 am

4. Clinico social case study viva 11 am-12.30 pm

5. General viva 1.15 pm – 3.15.pm

 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – A (9.1.2025)

Epidemiological and statistical exercises 4*5=20

1. TSH levels (mIU /l) of 10 premature babies, were found to be

20.5, 14.8, 21.3, 12.7, 15.2, 26.6, 23.4, 22.9, 15.7, 19.2.
Calculate the arithmetic mean and standard deviation.
2. The following data are available for a community:
 Mid – year population for 1996 – 1, 17, 000
 Population as on 31st December 1996 – 1, 19, 000
 Mid – year population for 1997 – 1, 20, 000
 Population as on 31st December 1997 – 1, 25, 000
 Already existing cases of leukaemia at the beginning of the
year 1996 – 24
 New cases of leukaemia during the year 1996 – 99
 New cases of leukaemia during the year 1997 – 100
 Deaths due to leukaemia during the year 1997 – 101
Calculate the following:
a) Incidence rate for the years 1996 & 1997
b) Period prevalence rate for the years 1996 & 1997
c) Point prevalence rate as on 31st December 1996 & as
on 31st December 1997
3. Draw a bar diagram for the data given for the No. of births in
CHC, Thiruvallur during 2010.
Jan -12
Feb -15
Mar -14
Apr -13
May -10
June -10

4. Following are the weight and height of four subjects. Estimate

the body mass index and interpret the results.
S.N Name Age Weight in Height in
o in kgs cms
years
1 Sam 45 85 163
2 John 40 75 153
3 Arun 20 55 168
4 Ravi 17 40 155
 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – A (9.1.2025)

OSPE and Spotters 10*2=20

1. DPT vaccine
2. Ragi
3. Cyclops
4. Urine pregnancy test kit
5. Scurvy
6. Epidemic curve
7. MCP card
8. Pulmonary TB
9. Dettol

10.Multidrug therapy for paucibacillary leprosy

1) Spotter-1
a)Identify the above spotter

b) Dose, route and schedule

2) Spotter 2
a)Identify the above spotter
b) What is the nutritive value and Public
health importance?

3) Spotter 3
a)Identify the spotter and public health
importance

4) Spotter 4
 a)Identify the spotter and public health
importance

5) Spotter 5
a)Identify the spotter given
b) Mention any 4 vitamin C rich foods.

6) Spotter 6

7) Spotter 7
a. What is this?
b.Importance

8) Spotter 8

9) Spotter 9
a)What is the composition of Dettol and its
Public health importance
10) Spotter 10
a. Public health importance
 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – A (9.1.2025)
Key
1. TSH levels (mIU /l) of 10 premature babies, were found to be 20.5, 14.8,
21.3, 12.7, 15.2, 26.6, 23.4, 22.9, 15.7, 19. 2. Calculate the arithmetic
mean and standard deviation.
Solution
Number of study subjects (N) = 10

TSH levels (mIU / l) = x Mean = x ( x−x ) ( x−x )2

20.5 19.23 1.27 1.6129

14.8 19.23 - 4.43 19.6249
21.3 19.23 2.07 4.2849
12.7 19.23 - 6.53 42.6409
15.2 19.23 - 4.03 16.2409
26.6 19.23 7.37 54.3169
23.4 19.23 4.17 17.3889
22.9 19.23 3.67 13.4689
15.7 19.23 - 3.53 12.4609
19.2 19.23 - 0.03 0.0009

Σ x = 192.3 ∑ ( x −x )2= 182.041

Mean =
∑x = (192.3/10) = 19.23
n

Standard Deviation =
√ ∑ ( x −x )2 =
n−1 √ 182.041
10−1
=4.4974

Inference
Mean TSH levels = 19.23 mIU / l
Standard deviation = 4.4974
2.
I – Incidence Rate of Leukaemia for the year 1996
Incidence Rate = No. of new cases of a specific disease during a given period x
1000
Population at Risk during that period
Incidence Rate = 99 x 1000 = 0. 846 new cases of leukaemia / 1000
population
1, 17, 000

II – Period Prevalence Rate of Leukaemia for the year 1996

Prevalence Rate = No. of (new + old) cases of a specific disease during a given
period x 1000
Population at Risk during that period
Prevalence Rate = (24 + 99) x 1000 = 1.051 cases of leukaemia / 1000
population
1, 17, 000
III – Point Prevalence Rate of Leukaemia as on 31st December 1996
Prevalence Rate = No. of (new + old) cases of a specific disease during a given
period x 1000
Population at Risk during that period
Prevalence Rate = (24 + 99) x 1000 = 1.033 cases of leukaemia / 1000
population
1, 19, 000
IV – Incidence Rate of Leukaemia for the year 1997
Incidence Rate = No. of new cases of a specific disease during a given period x
1000
Population at Risk during that period
Incidence Rate = 100 x 1000 = 0.12 new cases of leukaemia / 1000
population
1, 20, 000

V – Period Prevalence Rate of Leukaemia for the year 1997

Prevalence Rate = No. of (new + old) cases of a specific disease during a given
period x 1000
Population at Risk during that period
Prevalence Rate = (24 + 99 + 100) x 1000 = 1.858 cases of leukaemia /
1000 population
1, 20, 000

VI – Point Prevalence Rate of Leukaemia as on 31st December 1997

Prevalence Rate = No. of (new + old) cases of a specific disease during a given
period x 1000
Population at Risk during that period
Prevalence Rate = (24 + 99 + 100 – 101) x1000 = 0.976 cases of
leukaemia/1000population
1, 25, 000

Inference
1. Incidence Rate for the year 1996 = 0. 846 new cases / 1000 population
2. Period Prevalence for the year 1996 = 1.051 cases / 1000 population
3. Point Prevalence as on 31st Dec 1996 = 1.033 cases / 1000 population
4. Incidence Rate for the year 1997 = 0.84 new cases / 1000 population
5. Period Prevalence for the year 1997 = 1.858 cases / 1000 population
6. Point Prevalence as on 31st Dec 1997 = 0.976 cases / 1000 population
3. Diagram

4.
Solution – 1st Subject
Height – 163 cms – 1.63 ms
 Weight – 85 kgs
 Body mass index = Weight (kgs) = 85 = 31.99
Height (ms)2 1.63 x 1.63
nd
Solution – 2 Subject
 Height – 153 cms – 1.53 ms
 Weight – 75 kgs
 Body mass index = Weight (kgs) = 75 = 32.038 ~
32.04
Height (ms)2 1.53 x 1.53
rd
Solution – 3 Subject
 Height – 168 cms – 1.68 ms
 Weight – 55 kgs
 Body mass index = Weight (kgs) = 55 = 19.48 ~
19.5
Height (ms)2 1.68 x 1.68
Solution – 4th Subject
Height – 155 cms – 1.55 ms
 Weight – 40 kgs
 Body mass index = Weight (kgs) = 40 = 16.649 ~
16.65
Height (ms)2 1.55 x 1.55

Inference
S.N Name Age in Weight in Height in Body Mass Classificatio
o years kgs cms Index n
1 Sam 45 85 163 31.99 Class – I
2 John 40 75 153 32.04 Class – I
3 Arun 20 55 168 19.50 Normal
4 Ravi 17 40 155 16.65 Underweigh
t
 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – A (9.1.2025)

OSPE AND SPOTTERS

1) DPT vaccine
a) Identify the above spotter
Diphtheria pertussis and tetanus vaccine
b) Dose, route and schedule
0.5 ml, Intra muscular, as booster dose in 16 to 24 months and 5

2) RAGI
a) Identify the above spotter
Ragi - Millets
b) What is the nutritive value and Public health importance?
Calcium-344 mg /100 gm

Public health importance

Used for weaning
Rich source of calcium
Cheapest among millets

3) CYCLOPS
a) Identify the spotter and public health importance
Cyclops
Public health importance.
Vector for transmission of Guinea worm disease in humans
Controlled by Straining, Boiling and chlorination of water

4) URINE PREGNANCY TEST KIT

a) Identify the spotter and public health importance
Urine Pregnancy test Kit
Noninvasive method and easy to detect early pregnancy.
Helps determining a woman’s pregnancy status by detecting
Human chorionic gonadotropin (hCG) hormone.

5) SCURVY
a) Identify the spotter given
Scurvy- severe lack of Vitamin C (ascorbic acid)
Bleeding gums
 b) Mention any 4 vitamin C rich foods.
Amla, Lemon, Orange, Kiwi
6) Epidemic curve

7) Mother and child protection Card

a. What is this?
Mother and child protection card
b. Importance
promotes optimal health & development outcomes for
children from birth to school age through a focus on the
child, mother & family
It functions as a record of the routine care and
immunizations received by the mother and the child.
As a tool to monitor the health and nutrition status of the
pregnant woman and thereafter of the child till three years
For educating families about:
 Various types of services which they should access for
ensuring the overall health and well-being of women and
children.
 About the practices for achieving good health of pregnant
women, mothers and children
For promoting birth preparedness
8) Pulmonary TB

9) DETTOL
a) What is the composition of Dettol and its Public health importance
 Non toxic Antiseptic liquid - Chloroxylenol
 Active against Streptococci but not on gram negative
bacteria
 5% dettol is used for disinfection of instruments and
plastic equipments with contact period of 15 mins.

10) MULTIDRUG THERAPY FOR PAUCIBACILLARY LEPROSY

a. Public health importance
Multidrug therapy for treating Paucibacillary Leprosy- adult dose
Full course of treatment 6 blister packs
Drugs:
Day1: 2 caps of Rifampicin 300 mg
1 Tab of Dapsone 100 mg
Day 2-28: 1 tab of Dapsone 100 mg
Free of cost, Greencolour tablet strips