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Past Papers | Epidemiology And Bio-Statistic | Cmt Nta 4 | Clinical Medicine First Year

Past Papers | Epidemiology And Bio-Statistic  | Cmt Nta 4 | Clinical Medicine First Year

 Circle the most correct answer among the given alternative answers (10)

1. Epidemiology is:

a. Study the distribution and determinants of health related events in specified population

 b. Study of distribution and determinants of infectious diseases only

c. Limited to deaths and their causes in a particular population at a given period of time

d. Study of non-communicable diseases and the associated risks in a given community

2. The following are advantages of using graphs except:

a. Simplifies the information

b. Complicates the  information

c. Gives a memorable visual image

d. Enables to show the  complex relationship


DOWNLOAD HERE ALL PAST PAPERS

DOWNLOAD HERE ALL PAST PAPERS


3. Ratio:

a. Numerator must be larger than denominator

b. Must be expressed in percentage

c. Numerator is not a part of denominator

d. Numerator is a part of denominator

4. Prevalence of a certain health event may increase due the following factors except:

a. Prolongation of life of patients without cure

b. Longer duration of the disease

c. High case – fatality rate from the disease

d. Increase in incidence

5. About Sample Surveys

a. it covers the whole population

b. No sampling is involved

c. Only a sample of the population is involved

d. it must have a legal basis to make it complete and compulsory

Section B: TRUE/FALSE questions

Write the word TRUE for the true statement and the word FALSE for the false statement (25 )

1. The following events may be reported under qualitative Variables

a……………..  Number of death due to malaria

b………………Outcome of disease  e.g. recovery, death

c………………Hair color  e.g. . black, blonde, grey

d………………Marital status  

e…………….. Gender

2. About quantitative Variables

a……………..  Take numerical value

b……………… May be either continuous or discrete

c……………… Data on measles cases

d……………… Body weight of individuals  

e……………..  Number of AIDS cases

3. The following are the measures of central tendency

a……………..  Mean

b……………… Mode

c……………… Median

d……………… Standard deviation

e……………..  Variance


4. The following are Characteristics of a Normal Distribution Curve a……………..is specified by two parameters: the population range and  the standard deviation

b……….... is unsymmetrical around the mean, bell-shaped, and Unimodal

c…………… the mean, median, and mode are  not in the middle of the curve

d……………the total area under the curve above the x-axis is one square unit with 0.75                                                                                 area to the right of the mean and 0.25 to the left of the mean

e……………the area bounded by two standard deviations to the right and two to the left will represents approximately 95% of the values

 

 

5. Prevalence Rates

a…………………...Measure of the risk of developing a disease/condition within a specified time period.

b………………….. The number of new cases per population in a given time period

c…………………. the total number of existing cases among the entire population.

d…………………. can be measured at an instant time

e. ………………… measures the number of deaths within a designated population of people with a particular disease, over a specified period of time.

 

 

SECTION C: Short answer questions (35 )

1. Provide an example of determinants/factors influencing disease that is related to host (10 )

2. Differentiate the term Incidence rate from Prevalence rate (10 )


3. The following are number of malaria cases reported from Ijumbi Health centre from January to December, 2012

Month

1

2

3

4

5

6

7

8

9

10

11

12

Confirmed malaria cases

50

46

60

850

55

45

60

45

56

900

54

45

 

A. Find mean; mode and median (show the way clearly)

B. What measure of central tendency will you use between mean and median when presetting malaria cases and why? (15 )

 

Section D: Essay questions (30)

1. Kaigara Health Centre serves a population of about 10,000 people in its catchment area.  The health facility provides both curative and maternal and child health care services. The basic information of those attending the outpatient department is summarized in the registers below:

Note: Count diarrhoea and severe diarrhoea as “diarrhoea

This table contains an Extract from the register of Kaigara Health Centre, new cases received from 6 to 10th May 2012.

ID

No.

Date of attendance

Name

Village

Sex

Age

Suspected disease / syndrome

01

6/5/10

A.M.

C

M

6 mos

Pneumonia

02

6/5/10

T.F.

A

M

2 yrs

Measles

03

6/5/10

N.N.

C

M

22 yrs

Injury

04

6/5/10

Y.E.

C

F

28 yrs

Malaria

05

6/5/10

I.L.

B

F

7 mos

Meningitis

06

6/5/10

R.E.

B

F

8 mos

Pneumonia

07

6/5/10

K.L.

D

F

4 yrs

Malaria

08

6/5/10

T.I.

A

M

13 yrs

Malaria

09

6/5/10

A.F.

D

F

15 yrs

Acute Flaccid Paralysis

10

6/5/10

D.O.

D

F

24 yrs

Meningitis

11

7/5/10

K.M.

A

M

22 yrs

Dysentery

12

7/5/10

U.G

A

F

9 mos

Fracture

13

7/5/10

P.F.

C

M

11 mos

Measles

14

7/5/10

H.I.

C

F

24 yrs

Abortion

15

7/5/10

G.T.

C

F

21 yrs

Malaria

16

7/5/10

W.T.

A

F

16 yrs

Tuberculosis

17

7/5/10

R.Y.

B

M

2yrs

Diarrhoea

18

8/5/10

A.C.

C

M

1 yr

Pneumonia

19

8/5/10

Z.U.

B

F

1 yr

Malaria

20

8/5/10

A.C.

C

M

11 mos

Scabies

21

8/5/10

J.F.

B

M

15 yrs

Malaria

22

8/5/10

M.M.

B

F

18 yrs

Dysentery

23

8/5/10

L.M.

B

M

5 yrs

Wound

24

8/5/10

P.L.

C

M

1 yr 10 mos

Diarrhoea

25

8/5/10

Z.E.

A

M

16 yrs

Injury

26

8/5/10

A.B.

C

F

25 yrs

Haemorrhagic fever

27

8/5/10

S.R.

B

F

17 yrs

Malaria

28

9/5/10

A.K.

C

F

4 mos

Meningitis

29

9/5/10

T.T.

B

M

3 yrs

Abscess

30

9/5/10

W.F

B

M

12 yrs

Meningitis

31

9/5/10

K.K.

B

F

2 yrs 10 mos

Malaria

32

9/5/10

L.D.

A

F

16 yrs

Cholera

33

9/5/10

D.B.

B

F

1 yr 8 mos

Pneumonia

34

9/5/10

A.N.

B

F

21 yrs

Tuberculosis

35

9/5/10

L.S.

A

M

1 yr 5 mos

Severe diarrhoea

36

9/5/10

B.D.

A

M

11 mos

Pneumonia

37

9/5/10

P.K.

B

F

1 yr

Malaria

38

9/5/10

K.R.

A

F

2 yrs 5 mos

Scabies

39

10/5/10

K.A.

D

M

26 yrs

Injury

40

10/5/10

P.N.

D

F

4 yrs

Pneumonia

41

10/5/10

S.A.

D

F

3 yrs

AIDS

42

10/5/10

M.A.

A

F

2 yrs

Diarrhoea

43

10/5/10

E.R.

C

F

16 yrs

Injury

44

10/5/10

U.H.

A

M

22 yrs

AIDS

45

10/5/10

Y.L.

C

M

18 yrs

Malaria

46

10/5/10

W.C.

A

F

4 mos

Malaria

47

10/5/10

A.L

A

F

5mos

Malaria

48

10/5/10

M.G

B

M

3yrs

Scabies

49

10/5/10

A.J

B

F

4 mos

Pneumonia

50

10/5/10

J.M

B

M

5mos

Pneumonia

 

i. Using data from Kaigara H.C Register, show the distribution of patients by disease or syndrome and the proportion of each disease/syndrome (the table should consist four column has shown below)

S/no

Disease/syndrome

Frequency

Proportion

 

 

ii. What are the top 5 disease conditions by proportion recorded in Kaigara Health Centre?

 

iii. Draw a bar graph to display the top 5 disease conditions by number of cases.

 

iv. Which group of patients are seen most often

 

v. Summarize the distribution of Malaria patients by village

 

vi. What conclusion can you make  from the table you have prepared above (v) about the patents and villages where they live?  

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