Department of Community Medicine

Final Year Part 1 MBBS students (2021 batch)

Model exam Practical Batch – C (6.1.2025)

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 mins) 9 am-9 40 am

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 – C (6.1.2025)
Epidemiological and statistical exercises 4*5=20

1. A case control study was conducted to find the association of blindness with
diabetes. It was found that among the 640 subjects who were enrolled for the
study, 300 of them were found to have diabetes. Blindness was present in
320 subjects and among them 180 were diabetics. Calculate and Interpret the
following:
 Exposure rates among the cases and controls
 Odds Ratio

2. Consider 100 patients suspected of having pulmonary tuberculosis in the

community. Examination of the sputum smears revealed that 30 of them
were tested positive for acid – fast bacilli (AFB). On subsequent culture it
was found that 35 patients were suffering from pulmonary tuberculosis and
among them 25 patients were smear positives (on microscopy). Calculate the
sensitivity, specificity, predictive values and percentage of false positives
and false negatives.
3. Draw an epidemic curve with the data given and comment.
Date No. of new cases
reported

20th June 2
21st June 5
22nd June 15
23rd June 24
24th June 33
25th June 48
26th June 73
27th June 51
28th June 42
29th June 23
30th June 9

4. An outbreak of measles occurred in a CHC area. The measles immunization

coverage of the area as assessed by the coverage evaluation survey was 80%
of the 9, 000 eligible children. Of the 300 cases of measles in the outbreak,
15% gave history of measles immunization. Calculate the vaccine efficacy
rate.
 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – C (6.1.2025)

OSPE and Spotters 10*2=20

1. Rota virus vaccine

2. Drum stick leaves
3. Head louse
4. Mala N
5. ORS
6. Vaccine carrier
7. Rabies
8. IFA tablet
9. Bleaching powder
10. Bitot’s spot
1. Spotter 1
a) Identify the 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 above specimen and public health
importance

4. Spotter 4
a) Identify the spotter
b) Public health importance:

5. Spotter 5
a) Identify the spotter?
b) Public health importance
6. Spotter 6

7. Spotter 7

8. Spotter 8
a) Identify the spotter and public health importance

9. Spotter 9
a) What is the instrument required to measure the
amount of bleaching powder for disinfection of
water
b) Public health importance.

10. Spotter 10
a) Identify the spotter
b) Public health importance
 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – C (6.1.2025)

Key
Given Data
 Total number of subjects enrolled for the study = 640
 Total number of subjects who were diabetics = 300
 Total number of subjects developed blindness = 320
 Number of diabetics who developed blindness = 180
Solution
Framework of the Data

Blindness Present Blindness Absent

Diabetes Present 180 (a) 120 (b) 300 (a + b)
Diabetes Absent 140 (c) 200 (d) 340 (c + d)
320 (a + c) 320 (b + d) 640 (N)

I – Exposure Rate among the Cases

Exposure rate among the cases = a x 100 = 180 x 100 = 56.25 ~ 56.3%
(a + c) 320
II – Exposure Rate among the Controls
Exposure rate among the controls = b x 100 = 120 x 100 = 37.5%
(b + d) 320

III – Odds Ratio – (OR)

Odds of Exposure among Cases = a/c = ad = 180 x 200 = 2.14
Odds of Exposure among Controls b/d bc 140 x 120

Inference
 Exposure rate among the cases = 56.3%
 Exposure rate among the controls = 37.5%
 Odds Ratio = 2.14
Diabetics are2.14 timesatmore riskof developing blindness as compared to
those whoare non – diabetics.

2.

Framework of the Data

Culture Positive Culture Negative
 Test Positive 25 (a) 5 (b) 30 (a + b)
Test Negative 10 (c) 60 (d) 70 (c + d)
35 (a + c) 65 (b + d) 100 (a +b + c + d)

Solution

Sensitivity = a x 100 = 25 x 100 = 71.42%

a+c 35

Specificity = d x 100 = 60 x 100 = 92.30%

b+d 65

Positive Predictive Value = a x 100 = 25 x 100 = 83.33%

a+b 30

Negative Predictive Value = d x 100 = 60 x 100 = 85.71%

c+d 70

False Positive Rate = b x 100 = 5 x 100 = 7.69%

b+d 65

False Negative Rate = c x 100 = 10 x 100 = 28.57%

a + c35
Inference
 Sensitivity of the screening test – 71.42%
 Specificity of the screening test – 92.30%
 Positive Predictive value of the screening test – 83.33%
 Negative Predictive value of the screening test – 85.71%
 False – positive of the screening test – 7.69%
 False – negative of the screening test – 28.57%

3.
 4.
Given Data
  Total number of eligible children = 9, 000
 Number of children vaccinated (80% of the eligible children) = 7, 200
 Number of children NOT vaccinated (20% of the eligible children) = 1, 800
 Total number of cases with measles = 300
 Incidence of measles among those vaccinated = 45

Solution
Framework of the Data
Measles Present Measles Absent Total
Immunized 45 (a) 7, 155 (b) 7, 200 (a + b)
Non – immunized 255 (c) 1, 545 (d) 1, 800 (c + d)
Total 300 (a + c) 8, 700 (b + d) 9, 000 (N)

Formula
Vaccine Efficacy Rate = (1 – Relative Risk) x 100
Relative Risk – (RR)

RR= Incidence of disease among the vaccinated (IE) = (a / a + b)

Incidence of disease among the not vaccinated (INE) (c / c + d)

Relative Risk = IE = 45 / 7, 200 = 0.044

INE 255 / 1, 800

Vaccine Efficacy Rate = (1 – RR) x 100

= (1 – 0.044) x 100
Vaccine Efficacy Rate = 95.6%

Inference
 Relative Risk = 0.044
Pre – school children who are vaccinated against measles are at0.044 timesat less
riskof contracting the disease as compared to those who are NOT vaccinated.
 Vaccine Efficacy Rate = 95.6%
The vaccine has the ability of preventing measles by 95.6% among the preschool
children.
 Department of Community Medicine
Final Year Part 1 MBBS students (2021 batch)
Model exam Practical Batch – C (6.1.2025)
1. ROTA VIRUS VACCINE

a) Identify the spotter

Rota virus Vaccine
b) Dose, route and schedule
5 drops, oral route, 6 weeks, 10 weeks and 14 weeks
2. DRUM STICK LEAVES

a) Identify the above spotter

Drum stick leaves
b) What is the nutritive value and Public health importance?
Fibre-0.9gm/100gm of leaves
Calcium- 440mg/100 gm of leaves
Public health importance
Rich in iron and calcium and fibre
Higher nutritive value

3. HEAD LOUSE
a) Identify the above specimen and public health importance
Head louse
Public health importance?
Vector for Epidemic typhus; Relapsing fever and trench fever and
Bite of lice causes irritation and itching and dermatitis
Control measures by: 0.5% malathion lotion, personal hygiene and
health education

4. MALA N
a) Identify the spotter
Mala N- Oral contraceptive pills
b) Public health importance:
Composition of mala N: Levonorgesterol, ethinylestradiol and Ferrous
fumarate
Prevents pregnancy by stopping ovulation - release of an egg from the
ovary
A pack of 28 pills (21 hormonal and 7 non hormonal pills)

5. ORAL REHYDRATION SALT

a) Identify the spotter?
Oral Rehydration Salt powder
b) Public health importance
Ingredients: Sodium chloride,Trisodiumcitrate,Potassium
chloride,Glucose anhydrous
 Used in dehydration due to Vomiting, Diarrhea
6. Vaccine carrier

7. Rabies answer

8. IRON AND FOLIC ACID TABLETS

a) Identify the spotter and public health importance
Iron and folic acid tablets
To prevent or treat anemia
Dose : 100 mg of elemental iron and 500 mcg of folic acid in adults,
adolescents and pregnant women

9. BLEACHING POWDER
a) What is the instrument required to measure the amount of bleaching powder
for disinfection of water
Horrock’s apparatus
b) Public health importance.
CaOCl2
It has 33 % available chlorine and used for Well Disinfection,
Disinfection of Urine, sputum, Feces
10. BITOT’S SPOTS
a) Identify the spotter
Bitot’s spots- bilateral, triangular pearly white or yellowish foamy spots in
bulbar conjunctiva
b) Public health importance
Can be prevented by Vitamin A supplements 1 Lakh IU from 6 months till 1
year and 2 Lakh IU from 1 year till 5 years of age (every 6 month once)