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MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2022
Objectively Structured Performance Evaluation (OSPE)
Interacti tation:
Time Allowed: 03 minutes
Marks: 04
For Organizer: Requirements:
1, Response sheet 2. Pen/Ball point 3.Table
Topic Specification:
Task: Carefully, Read the scenario and give answer of
following question?
4. Chair/Stool
Recently, a lot of Dengue cases have been reported in an
OPD of a DHQ Hospital of Lahore division. As a medical
officer you are deputed to go in to the community and
educate the people to prevent the above mentioned
disease. How will you give health education to the group of
04
people?Key Station:
For Examiner:
1-For Prevention
04
Health education for wearing of protective
clothing e.g. full sleeves shirts, long trousers
Use of repellants
Screening of houses
Use of mosquito nets at night ,in the morning
and also in the evening
Avoid artificial collection of water , cover
utensils containing water, broken cans &
bottles
Old tyres and vases should be properly
discarded
If you see any symptom of the disease, consult
the doctor immediately.INTERACTIVE STATION :10
© Carefully examine the given photograph and answer the
following questions:
QUESTIONS:
e@ How will you educate the farmers to protect themselves from
snake bite during rainy season? 04
KEY:
a. Wearing knee high boots
b. Lantern or torches should be used while working in the |
field |
c. Do not put your hands in to hollow logs |
d. If you see a snake leave it alone, don’t try to kill or get a |
closer look at it \
e. Don’t pick up rocks or fire wood unless you are out of |
snake’s striking distance |
f. Be cautious and alert when climbing rocks specially those \
Covered with vegetation0
MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2022
Objectively Structured Performance Evaluation (OSPE)
Static Station; No.07
Marks: 04 Time Allowed: 03 minutes
For Organizer:Requirements:
1. Response sheet 2. Pen/Ball point 3.Table
Topic Specification: MCH
Task: Carefully, observe the picture and give answers of
following questions?
4. Chair/Stool
14
SEL LH
weignt
*
}
AGE IN MONTHS
4- What is the name given to the space between the upper
o1
and lower reference curves?
2- What does spaces above and below reference line
indicate? 03Key Station:07
For Examiner:
1. The space between the two growth curves is
called “road- to- health”.
2. Below is malnutrition and above shows
overweightMBBS FOURTH PROFESSIONAL COMMUNITY
; MEDICINE.ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
STATIC STATION: 07
© Aworker of 45 years, who is engaged in building and
construction work ,reports with cough, dyspnea on exertion and
chest pain. Total lung capacity is impaired as well. Chest X-ray is
in front of you.
© Carefully examine the chest x-ray , read the scenario and answer
the following questions:
1. Mention the likely diagnosis.
01
2.
iscuss preventive measures against such problems for
workers in the same job? 03© Carefully examine the chest x-ray , read the scenario and answer
kK the following questions:
‘eu
o 1. Enumerate the likely diagnosis. 01
2. Discuss preventive measures against such problems for
workers in the same job? 03
KEY: 1. Silicosis. 01
1. Preventive measures:
|. Rigorous dust control measures. Eg; substitution,compjete
enclosure, isolation, hydroblasting, good house-
keeping,personal protectional measures
Il. Regular physical examination.
03Vey oer
LOOK AT THE PICTURE AND ANSWER THE FOLLONG QUESTIONS : |
4: WHAT MODE OF INTERVENTION DOES THE ARROW POINT TO? 01
2: LIST SIX RISK FACTORS THAT INCREASE MOTORCARACCIDENTS 03 |
ANS:
1. SPECIFIC PROTECTION
|
e 2. ANY SIX CAUSES RELATED TO:
A. VEHICLE
_ B, ENVIRONMENT
C. ROADSKEY STATIC STATION: 05
© Carefully examine the given photograph and answer the |
following questions:
1. What is the composition of ORS citrate? 15
2. Give signs of mild dehydration.
25
KEY:
1. Composition of ORS citrate:
INGREDIENT QUANTITY |
Sodium citrate dehydrate 2.9 gm
Sodium Chloride 3.5gm
Potassium Chloride 1.5gm
Glucose 20 gm
15
2. Signs of some dehydration:
Patient’s appearance
Thirsty, alert, restless, takes water eagly |
Radial pulse Normal rate and volume |
Blood pressure Normal |
Skin elasticity Pinch retracts slowly
Tongue Moist
Ant. Fontanelle Normal |
Urine Flow Normal
|
25MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
Static Station; No.1
Time Allowed: 03 minutes
Marks: 04
For Organizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification: - Immunology
For Candidate:
Task:
Q. (a) Write the name and type of vaccine o1
(b) Give its schedule, dose and maximum age of
03
administration of vaccine.Key Station : 01
FOR EXAMINER:
oral polio vaccine.
Live attenuated vaccine.
2 drops orally at birth, 6,10, and 14 weeks and on
each polio day, may be given up to 12 yrs of ageKEYSET :04
STATIC STATION: 06
e Carefully examine the photograph and answer the
following questions:
Tetanus
DIRECT CONTACT SOIL AND DUST
TETANI
QUESTIONS:
CLOSTRIDIUM
1. Complete the chain of transmission for tetanus.
2. Give schedule of active immuni:
25
a5)
tion against tetanus in the male adult.
KEY: 1: (a)Agent: Clostridium tetani
(b)Mode of transmission: Direct contact
(c)Reservoir: Soil and dust1.5
2: 0.5ml of tetanus toxoid: Intramuscular stat, then after 6 weeks, then
after 6 months while booster every five years. 25)STATION NO: 08.
TOPIC : SCREENING .
© Results of two screening tests for the detection of breast cancer are given below.
© Carefully examine the given tables and answer the following questions:
1. Calculate the sensitivity of the both screening tests? 02
2, Which one the test you recommend for the detection of the breast cancer and why? 02
Mammograph uw =
pero iF 60 6000
: A B
= 30 3200
c |i
Thermography bd ==
+ 70 2500
. A B
= 10 312
c dD |
1.
a) A: Sensitivity of the mammography = 60/90 x 100 = 60% 02
b) B: Sensitivity of the thermography = 70/80 x 100 = 87%
2. Thermography will be selected for the detection of the breast cancer. Reason being
the sensitivity of the thermography 87% greater than the mammography 66% .In |
dangerous diseases sensitive tests are recommended as false positivity doesn’t |
matter. 02 |KEY SET: 02
STATION : 01
e Carefully examine the graph and answer the
following questions:
1. What is the percentage of the shaded area of this
Normal Distribution Curve?
01
2. What are the characteristics of this curve?
03
Key
1.34%
01
2. CHARACTERISTICS OF THIS CURVE:
03
a. It is based on infinitely large no. of observations“
Ny MBBS FOURTH PROFESSIONAL COMMUNITY
MEDICINE.ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
OSPE 4™ PROF. MBBS
STATION NO: 02
e Carefully read (ecaraine the given graph and
answer the following questions:
s 42 «49 x
2 za
Tine C329)
1.Name the reactions indicated by curve A & B
respectively 01
2.Give three differentiating points between the
two reactions 03KEY:
1. Primary immune response
01
2. Secondary immune response. In secondary
immune response, there is
a. Short latent period
b. Rapid production of antibody
c. Antibodies are more abundant
03S MBBS FOURTH PROFESSIONAL community
MEDICINE.ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
STATIC STATION: 08 |
‘Onset Time
of study
eemconan &
osinophiia-
oeigia
No L-tryptophan C) acre
(tryptophan @ ne
se
rp
oe Dp ae,
Direction of inauiry
aniels SR.
Edition: hi
| Source: Greenberg RS.
Medical Epidemiology, 4
Copyright @ The McGraw-Hill Comp:
TASK
_ LIdentify the type of Epidemiological Study. 01
2.Write the Measure of risk for this design. |
_ 3.How would you interpret the risk between L-
Tryptophaneé eosinophilia myelgiasyndrome? 02KEY STATIC STATION :08
© Carefully look at the three pictures and answer the following
questions:
1. Case control study 01
2. Odds Ratio 01
3. The patients of Eosinophilic Myelgia are more exposed to
L-Tryptophane 02sKEY__ STATIC STATION :09
e Carefully examine the given photograph and answer the
following questions:
QUESTIONS:
1. Name two vitamins present in the given specimen. 02
2. Name ONE disease each resulting from the deficiency of
the above vitamins.
02
iz
mm
IS
|
1. Vitamin A, D, B1 and B6 02
2. Xerophthalmia, Rickets, Beri beri, Peripheral neuritis
02KEY STATIC STATION :09
AY __STATIC STATION :09
NUTRITION
A child of fivem. is brought to the OPD with protruded abdomen and
swelling of both the legs. Clinical examination showed sparse and
flaky paint dermatosis.
Carefully read the scenario, examine the given photograph, and
answer the following questions:
1. Which of the above macronutrient is deficient in the child? ----01
2. Enlist three control measures to combat the disease.
KEY:1, PROTEINS —01
, 2.CONTROL MEASURES:
1.Breast feeding
03
03
2.Appropriate weaning
3.Nutritional Educationey MBBS.FOURTH PROFESSIONAL COMMUNITY
MEDICINE.ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
OSPE 4™ PROFESSIONAL MBBS
STATIC STATION NO: 03
e Carefully examine the given photograph and
answer the following questions:
Era am ae.
Group of Interest (ex, smokers) "
Compare outcomes
Comparison Group (e.g. nonsmokers
Nal ‘pial a
QUESTIONS:
1. Identify the study design. 01
2. Give its three advantages. 03KEY: 3
a. Cohort study
01
b. It provides a complete description of experience
subsequent to exposure including rate of
progression, staging of the disease and natural
history.
Yields the incidence rate, relative risk and
attributable risk
Problems of selection & recall bias are not there
It allows studying multiple potential effects of a
given exposure
03MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
Static Station; No. 2
Marks: 04 Time Allowed: 03 minutes
For Organizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification:- Environment
For Candidate: Due to green House effect, world temperature is rising.
Task: Carefully read the scenario and answer the following questions;
1. What is the name given to this rise of temperature? Name two of its
03
effects.
O1
2. Name two green house gases?KEY STATION )
1. Global warming
Effects;-
1. Sea level rising
2. Droughts and Forest fires
3. Skin cancers
4. Increase in infectious diseases
5. Increase in heavy rains and Floods
2. CO2, Methane, CO, Nitrous oxide, ChloroflourocarbonsMBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
Static Station; No. 8
Marks: 04 Time Allowed: 03 minutes
For Organizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification:- Short Term Trends in Epidemiology
For Candidate: Task: Observe the given Graphic curve and
answer the following questions;-
fof Cares
A EERO CELE OL ED ERAS
ate af exposure
Q;1 Name the type of Epidemic with example. 2
Q;2 Write the name of two Epidemics of any types and diseases.
2KEY &
Q;1 point source epidemic
Q;2 Propagative Epidemic , seasonal epidemic, single
source multiple exposureMBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
i tion; No.03
Time Allowed: 03 minutes
Marks: 04
For Organizer:Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification:- Communicable diseases
For Candidate:
Task: Carefully examine the given photograph and
answer the following questions
o1
o1
02
Q. (a) Identify the disease
(b)Write down characteristics of the rash
(c) Write two complications of this diseaseKey Station:03
For Examiner:
Chicken pox
Pleomorphic
Dew drops on skin
Stages of macule, papule, vesicle and scab
Complications are hemorrhages, pneumonia,
encephalitis, acute cerebellar ataxia, Reye
syndrome.IDENTIFY THE PICTURE
ANSWER THE FOLLOWING QUESTIONS:
°
1, WHAT WILL YOU DO FOR THE VICTIMIMMEDIATELY ? 04 |
ANS:
© Rabies specific vaccine
© give Tetanus Toxoid immediately
° Antibiotic
.
Local treatment of wound
* Cleaning, chemical treatment by alcohol
STATIC STATION :06te 6
A WOMAN OF THITY FIVE , WHO IS A MOTHER OF TWO DAUGHTERS , AND A KNOWN.
DIABETIC, WANTS TO AVOID PREGNANCY FOR TWO YEARS
CAREFULLY EXAMINE THE GIVEN PHOTOGRAPH AND ANSWER THE FOLLOWING. |
QUWSTIONS :
1. WHICH OF THE GIVEN SPECIMEN SHOULD BE PRESCRIBED ?----01
2. WRITE DOWN FOUR COMPLICATIONS OF THECHOSEN METHOD — 03 |
ANS
© 1. COPPER-T -used for temporary and reversible contraception \
2. COMPLICATIONS OF JUCDS :
© Vaginal bleeding » Pain |
© Pelvic infection . Uterine perforation
© Pregnancy . Ectopic pregnancy
© Expulsion . Fertility after removal
© Cancer + mortality
y— STATIS STation.Index
2
Data Analyzed Page No.
Cateutole. mean, medion | mode /S:D from Peer?
Drow WisloFroun Of Oges % ow Mmenboys-
Make freweney Aidt bution tay he
Cateutale per Capito. frewme % favity
Cotentate depenctenoy olin Gf cath
Common Prevalent diserek in a fuaveiy
Pecentoge of hovsehotd haung smokars
wlo|wlofujalwe}r}e]s
Percentage _hoviebold hawing Arig andiits
Controaptie provelonce wale py all falniies
b
°
Cujitoleem Full, postially oud Ron - vases )
»
B
Mothers Who knw pi
Ble
WIN
Chitdeem 395 wore
Vroleuseic
Presxe hoviy oe
Bhi
aS
‘ 4 Surveyed oni Les
Breese no+ K Jeg £
2 ple Une pas
Nunbee ond type i
ee
a
PEK corgeuttal ai
Nortey ome type were}
Ble
|S
mental akésoyoleby
weignt f ppt baby
Chiid _ disths 7 THAD Ane
ee
©
Z alter
Liletaly YOKE oweomg hsb the
N
oo
Likvary ole aaovg yotves
N
S
N
Nv
N
oO
n
&AHO}
MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
itatic Station; No. '}
Time Allowed: 03 minutes
Marks: 04
For Organizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification:- Non ~Communicable Diseases
For Candidate:
Task: A 40 years old man weighed 95 kg and his
height is 1.7 meters
Q. (a) Calculate his BMI
(b) Interpret the resultye
MBBS FOURTH PROFESSIONAL COMMUNITY
MEDICINE.ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
STATION NO: 05
© CAREFULLY READ THE GIVEN SCENARIO AND ANSWER THE
FOLLOWING QUESTIONS:
e An investigator screened 100 women for presence of
anemia. The test results and their actual status were
compared as follows:
TEST ANAEMIASTATUS _|
PRRSENT ABSENT |
VE | 50 (a) | 40 (b)
-VE 10 (c) | 30 (d) |
e@ QUESTIONS:
3. Calculate the sensitivity and specificity of the test? 02
4. Based on the calculated sensitivity and specificity, indicate
usefulness of this test in above condition 2
© KEY:
1, 83.33 %, 75%
2. As sensitivity of the test is high , so the test is useful for
detecting anemic caseso MBBS FOURTH PROFESSIONAL COMMUNITY
MEDICINE. ANNUAL EXAMINATION 2021-2022)
Objectively Structured Performance Evaluation (OSPE)
3 Time Allowed: 03 minutes
Marks: 04
nizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
For Or
Topic Specification:- Medical Biostatistics
Task: Carefully examine the Given Diagram and answer the
questions; ~-
Covid data of India visualization based on configuration
India
© Deaths
@ Recovered
© Cases
Cases:
3,588 (91.6%) |
above. e
f data of 5.8%
this graph. Calc
recovered from
Q.1 Name the graph shown
ulate by using the
3
2. How is the proportion o'
Covid-19 which is drawn on
formula .KEY
PIE CHART it
i) Convert 5.8 % in to degrees of an
angle=28.8 degrees
ii) Draw an angle of 28.8 degrees which
depicts the recovered cases. 3
Formula; X_ x P
360 liOSPE 4™ PROF MBBS
STATIC STATION NO: 06
e LOOK AT THE PHOTOGRAPHS, AND ANSWER THE
QUESTIONS:
e A25 yrs. old newly married nulliparous woman
comes to you for contraceptive advice, as she wants
to postpone pregnancy for any of the reasons.
QUESTIONS:
1. Which contraceptive method would you advise? 02
2. And why? 02STATION NO: 07
e CAREFULLY READ THE GIVEN SCENARIO AND ANSWER THE
FOLLOWING QUESTION:
e Due to Green House effect, World temperature is rising.
e Questions:
3. What is the name given to this rise of temperature?
Name two of its effects.
4. Name two green house gases?
02
02
KEY:
1. Global Warming,
Effects:
a. Increase in skin cancers
b. Increased droughts and forest fire
c. Sea rise
d. Increase in infectious diseases
e. Increased heavy rainfalls and floods 02
2. CO2, Methane, Nitrous oxide, choloroflurocarbons. 02OSPE 4" PROF. MBBS
STATIC STATION NO: 08
e CAREFULLY READ THE SCENARIO AND ANSWER
THE QUESTIONS:
e Ayoung man had a road traffic accident and
developed the following situation:
i) Loss of foot
ii) Cannot walk
iii) Became un-employed
iv) Requires special training for a job
Question:
e Using the concept of disability, what term
would you use against each? 04
‘ \KEY: 08
1. Impairment
2. Disability
3. Handicapped
4. Vocational rehabilitationOSPE 4°" PROF .MBBS
STATIC STATION 09
Measurement of Disease frequency is expressed in
above diagrame
Q; Define each and Give the example ;KEY; STATIC STATION 09
1. Rate; number of events divided by per 1000,
The same population ,same year and same area
e.g Infant mortality rate
2. Ratio; numerator is not the part of
Denominator e.g Maternal Mortality Ratio
3. Proportion between two events e.g
No. of deaths due to dengue fever x1000
Total number of rath fever casesMBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
INTERACTIVE Station; No.10
Marks: 04 Time Allowed: 03 minutes
For Organizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification:- Nutrition
For Candidate:
Task:
A woman brings her 3 years old boy after recovery
from kwashiorkor for nutritional rehabilitation.
Q. provide health education for provision of
balanced diet For this child 04Key Station:10
For Examiner
Give every type of food to child.
ONAUAWNE
Rice cooked in dal and soup
Chappati and salan
Fruit and vegetables
Milk, yougurt, Butter, cheese
Egg.
Peanuts and other nuts if possible
Porridge
Juices and waterOSPE 4™ PROF. MBBS '2021=2022
STATIC SSTATION NO: 04
e CAREFULLY EXAMINE THE GIVEN SKETCH
AND ANSWER THE FOLLOWING QUESTIONS:
QUESTIONS:
e Name the Study Design
01
¢ Write one major Conclusion derived from this Study. 01
© Write two Limitations of this Study 02STATION NO: 04
© CAREFULLY EXAMINE THE GIVEN SKETCH AND ANSWER
THE FOLLOWING QUESTIONS:
Questions:
e Name the study design. 01
© Write one major conclusion of this study. 01
e Write two limitations you face while conducting it. 02
© KEY:
1. Cohort study.
2. Incidence rate/ Relative risk/ A. risk/ PAR.
3. Time consuming/ Expensive/ Attrition/ Drop out/
Ethical problems.
1.ANORE
S
Tere
MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation
(OSPE)
Un-Observed/static Station 2
Marks: 04 Time Allowed: 03 minutes
For Organizer
Pen, paper, pencil, stool/chair =i
Topic Specification Nutrition;
For candidate
Task
Fats, oil, salt and sugar
Use in small amounts
Meat : 2-3 servings
Eggs : 2 par week, nomere
Fruits, vegetables,
2 servings each
Rice, cereals
5-7 servings
Identify this picture and write the percentages
of macronutrients required in a balanced diet
for a healthy adultKEY
For Examiner static station2
1. Food Pyramid 1
2. Proteins should be 10-15% of daily energy
intake
2. Fat should be 15-30% of daily energy intake
1
3. Carbohydrates should be 65-80% of daily energy
1 intake 1MBBS FOURTH PROFESSIONAL COMMUNITY
MEDICINE; ANNUAL EXAMINATION 2022
Objectively Structured Performance Evaluation
(OSPE) Static Station;09
Marks: 04 Time Allowed: 03 minutes
For Organizer: Requirements: 1.Ball point / 2.Paper/ 3.Caculator
Topic Specification: Communicable diseases
For Candi
state of Dehydration
Task:Look at the diagram and assess the
by at least 3 signs.Key station 09
Severe Dehydration
Sunken Fontanells
No tears
Sunken eyes
Dry tongue
Decreased skin pinch turnover
YawNeMBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
INTER. IVE Station; eA
Marks: 04 Time Allowed: 03 minutes
For Organizer: Requirements: 1.8all point / 2.Paper/ 3.Caculator
Topic Specification:- Nutrition
For Candidate:
Task:
A woman brings her 3 years old boy after recovery
from kwashiorkor for nutritional rehabilitation.
Q. provide health education for provision of
balanced diet For this child 04Key Station:10
For Examiner
Give every type of food to child.
1.
2.
3.
Rice cooked in dal and soup
Chappati and salan
Fruit and vegetables
Milk, yougurt, Butter, cheese
Egg.
Peanuts and other nuts if possible
Porridge
Juices and waterin
MBBS FOURTH PROFESSIONAL COMMUNITY MEDICINE
2 ANNUAL EXAMINATION 2021-2022
Objectively Structured Performance Evaluation (OSPE)
Observed Station 10
Marks: 04 Time Allowed: 03 minutes
Topic Specification: ENVIRONMENTAL HEALTH
For Candidate: Observed Station 10
Marks: 04 Time Allowed: 03 minutes
{Task: Carefully read the scenario and perform the task .
You are taking a session on IEC (Interaction, Education and
Communication) in a form of small work shop on Global
changes in climate ( global warming) .
What are these changes explain? and
How these changes are exerting their drastic effects on
human life.Observed Station 10
Key:
a)On the account of increasing, smoke of vehicles,
factories ,chimney can result in many serious
alternations to the environment ,eventually impacting
human life
b)Emission of green-house gases into atmosphere have
been increasing ever since the beginning of the industrial
revolution.
c) A major component of emission of carbon dioxide |
generally conceded that the main effects of the
crease |
of average global surface temperature and ariseinsea |
level.
|
d) Chlorofluorocarbons destroy the earth’s protective ozone
layer and cause hole in ozone layer. \
e)A change in temperature causes changes in rainfall. This \
results in more severe and frequent storms, increased |
risks of droughts and floods and threats to biodiversity.
f) Summer weather is going to be prolonged and winter |
weather is going to be shortened.
g) Deserts are expanding, reducing land for growing food.
|
Many people now face the threat of not having enough |
water on regular basis.Station Levels of Prevention
Lass of Foot ‘Impairment
—
Cannot Walk Disability
mae
Unemployed HandicapIMOVAX PO}!
Vaccin potiomyeliiqu»
Uinactive)/potiom itis ace
UIhactivated)/vacu 9 cota
Poliomielitis (inac’vac
Sil - 10 doses/dosis
oie IM ou sc/iM c
SCroutelViaiMosc
Gnserverstore/ J
ONservar 2°¢.g°C
Sanofi Pasteur
a=
s
iz
x
—-DEPO-provent
ONtraceptive
Injectio
5bre oF NY
a 022a
hyn BIg MY AS lye
Gipsln Lave nian bigy 2A ede ‘th
Irons LL erciye ORAS” 10k
+ One titre over 24 hours period — 1 or as
+ ne ltr over 8 to 24 hours period} directed by
{Drink freely as required 1 the doctor
(Two to four litres during 24 hours) 1
et from sunlight, moisture andoe
<8 7 = 4 .
dd \ = ‘ALN JO] MABITOY »
CATCHMENT AREA /POPULA’ Tt HOUSE HOLD SURVEY,
RESEARCH AND COMMUNITY HEALTH CARE
The catchment area /population a | for Academic activities and health
care is the LABOUR COLONY. This is situated on the DEFENCE ROAD near
BHOBATIAN CHOWK RAIWIND ROAD, LAHORE. This colony was constructed
for labor force working in the neighbouring industrial area. It was
inaugurated on 23"? October- 2014. The houses were allotted by balloting
for the labor force.
« There are two multistoried sectors A & B consisting 8 blocks in each
sector
* and there are 81 houses in each sector.
* each block has 8 houses
© Total houses in both sectors are1296 with
* Total population: about 11,500
Men = 1362
Women = 2592
Children = 7776
Social security dispensary is located inside the colony.Hayat Memorial
Teaching Hospital is very near and they take services from here.
BHU Ali Raza Abad and RHC of RAIWIND are near and are used by the
colony inhabitants.
* Students of 4 year from CMC visit the residents and carry small gifts
for them SE
¢ Institution provide some drugs as Anthelmintics and anti scabies .
* Crcinna. Breast 5 a,
a 2a.- Boyears § ane Piao Tanning isi Comma
dep 6} community mediene> — -
) Field visit schedule 2021-2022
Fourth year MBBS
Continental Medical Collage Lahore