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Community Health - Paper Ii Question Paper
Community Health - Paper Ii
Course:Bachelor Of Medicine
Institution: Kenyatta University question papers
Exam Year:2009
KENYATTA UNIVERSITY
UNIVERSITY EXAMINATIONS 2008/2009
FOURTH YEAR EXAMINATION FOR THE DEGREE OF BACHELOR OF
MEDICINE AND BACHELOR OF SURGERY
HCH :( 100 – 103, 200- 205, 300 – 305, 400 – 405 )
COMMUNITY HEALTH - PAPER II
----------------------------------------------------------------------
===============================================================
DATE: TUESDAY 1ST SEPTEMBER 2009
TIME: 2.00 P.M. – 4.30 P.M.
INSTRUCTIONS
Long Answer Questions (LAQ)
Answer any four (4) questions (TIME: 2hrs 30 min.)
1.
a)
Hazards can be physical, chemical, biological, mechanical or
occupational. Discuss this broad classification, citing relevant health
effects.
(20 mks).
b)
Mention at least two Labour (Acts) concerning the workers health and
safety
(5 mks)
c)
Name five Occupational Diseases and how they can be prevented.
(5 marks)
Page 1 of 3
2.
a)
The Ministry of Medical Services has asked you to carry out a
reproductive
health
study
among
women of the reproductive age in
Machakos District, Kenya. Outline the procedure you would use in
identifying and defining the research problem for the planned study
(5 marks)
b)
Distinguish between experimental and non experimental study designs as
applied
in
community
health
(5
marks)
c)
Write
short
notes
on.
(20
mks)
(i) t-Tests
ii) x(chi-square)
iii)
Correlation
iv)
Regression
v)
Error No. 1, and Error NO. 2
3.
a)
Comment briefly on. Outline what you understand by the terms.
(i)
Cohort
study
(ii)
Case-control
study
(iii)
Cross-over
study
(iv)
Ecological Studies
(20 mks)
b)
i)
How is the size of a clinical trial decided? Outline important
consideration in determining the size of a clinical Trail. (3 mks)
ii)
What is the advantage of within-patient comparison of treatments?
(2 mks)
iii)
What is a cross-over Study
(2 mks).
c)
Define double – blind clinical trail.
(3 marks)
Page 2 of 3
4
a)
Write Short notes on.
(15 mks)
(i)
t-Tests
(ii)
ANOVA
(iii)
Confidence Interval
(iv)
Linear regression
(v)
Skewness
(5 marks)
b)
Short
notes
on:
(15
mks)
(i)
Clinical and sub clinical Disease
(ii)
Non-clinical
(in apparent) Disease
(iii)
Carrier
State
(iv)
Endemic
(v)
Epidemic
(vi)
Pandemic
5.
a)
Describe the pathoetiology, treatment and prevention of one of emerging
and
one
re-emerging
diseases
(20
mks)
b)
Comment on the following .
(10 mks)
(i)
Estimating
Risk
(ii)
Odds
Ratio
iii) Relative Risk
iv)
Attributable Risk,
6.
Explain the contribution of Health Economics in Health field, using appropriate
examples.
(30
mks)
7.
Discuss how you would apply the ‘systems theory’ in the management of health
care
organization.
(30mks)
Page 3 of 3
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