Community Medicine

Guideline by
Afaq Naeem
(Aimc Batch 2k20)

Do remember me in your prayers 😇

Afaq Naeem 1 Table of Contents

TABLE OF CONTENTS
SR NO TOPIC PAGE NO

Community Medicine
A Overview 4
1 Field Trips 4
2 Presentation 5
3 Poster & Brochure 6
4 Research 7
5 Journal 8
6 Marks Division 10
B TOS 12
C TOPICS
Afaq Naeem 2 Table of Contents

SR NO TOPIC PAGE NO

1 Basic De nition 14
2 Concept of Disease & Health 14
3 Primary Health Care 15
4 Biostatistics 15
5 Epidemiology 16
6 Immunology 18
7 Screening & Sampling 19
8 Communication 19
9 School Health Services 21
10 Family Planning 22
11 Demography 23
12 Reproductive Health 24
fi
Afaq Naeem 3 Table of Contents

SR NO TOPIC PAGE NO

13 Nutrition 25
14 Occupational Health 27
15 Disaster Management 28
16 Hospital Waste Management 29
17 Non Communicable Diseases 29
18 Mental Health 31
19 Social & Behavioural Sciences 32
20 IMNCI 32
21 Environment 33
22 Radiation 35
23 Medical Parasitology 35
24 Communicable Diseases 36
Afaq Naeem 4 Community Medicine-Overview

OVERVIEW OF Community Medicine

it is more of a practical subject than theoretical subject
You people will be asked to submit research, posters, presentations , journal and there will be field
trips and ospe exam after field trips
And all ov these are very important
Lemme discuss them one by one
A-FIELD TRIPS & OSPE
field trips are very very impp
Almost har field trip ka one mark hota hey proff me
if anyone of you has missed any field trip tw kindly ubi apne tutorial Teachers se baat kr k kisi or batch
k sath trip lekr complete krlein if possible
Iski ospe ki b internal assesment me weightage hoti hey
HOW TO PREPARE FIELD TRIP OSPE?
there will be 10 stations, each carrying 4 marks n there will be 3 minutes for each station
Syllabus: Topics related to your field trips
1-Immunlogy me s EPI schedule lazmi ana chahie sb ko ,usk ilawa cold chain n usk
equipments,Immunization of tetanus,for travellers etc
2-Primary health care
Behtar hey k ye chp prhlein aek dafa
BHU n RHC k differences ,services n staff are imp
3-School health services
Isme mainly aspects of school health services n class rooms kese hone chahien n duties b especially
Desks are very imp

Afaq Naeem 5 Community Medicine-Overview

4-Reproductive health n family planning

Isme MCHC n Antenatal care are imp
family planning me barriers n IUCDS are very imp(Side effects, contraindication , advantages
everything) ,usk ilawa oral contraceptives pills are imp
5-Usk ilawa field trip s related kuch batein like BMI calculate krna ,growth curve ki
interpretation and ORS ki composition n types
6-Usk ilawa SSPS software me jo cheizein krayi gayi usme s aek station hota usually
7-Services provided at PSRD and d/w prosthesis and orthosis
Isi se related kuch pics hein jo me is post k sath share kr ra hu
if time ho tw excel k end pe jo ospez di hui wo deikhlijiye
B-PRESENTATION
they are important too
isk b internal assesment me marks hotey hein
HOW TO PREPARE A PRESENTATION and Score good marks?
Jo b ap 5 students ko topic mile
first of all apne google pe us topic se related presentations go through krni
kuch log A to Z google wali presentation copy kr k chaley jatey and it leads to mark deduction
Zada fency presentations se behtar hey k ap 2-3 presentations deikhein
imp points nikal lein
and simple si slides unse mila k khud bnayein
Alhamdulilah our presentation was declared presentation of the day
So me apko presentation k lie few points bta deita apko

Afaq Naeem 6 Community Medicine-Overview

1-First of all aek slide pe just few lines honi chahien , try to just mention the headings on slides and khudi unko
explain krein
Dat gives a very good impact
if ap sb kuch slides pe likh k usko just read krdein ge tw you wont get good marks
2-Try k ap english urdu mix me presentation dein
Just english me usually people dont listen
Urdu keeps people involved
And bheich me interactive stuff ho
like recent incidences ki examples dein
you can add one or two jokes
Imp is k you get everyone listen to you
Ap deikhein ge k kafi presentations me people start murmuring and dont give a damn k samne presentation hori
so try to keep audience involved
3-Always try k atleast 3-4 students hon presentation me and slides equally divide hon
If koi zada acha bolta tw give him/her start wali and end wali slides
4-Each presentation should end with a moral
Try to put a quote end pe and usk bad ask audience if they have any question and then thank youu
InshaAllah these points will help you
C-POSTERS & BROCHURES
Always try to go for posters lol 😂
try kijiye k apk mix group hon
Girls usually make them and boys are supposed to print them bahir se 😂
Year k end pe one day hota posters and brochure ka jispe best posters and brochures wale groups ko certificates
milte 😅
Posters and brochures k proper rules hotey bnaney k
wo apk Cmed k notice board pe display krdie jayein ge and apne usk acc bnana hogaa

 Afaq Naeem 7 Community Medicine-Overview

D-RESEARCH
Research is most important of all
isk almost 15 marks hoteyy
and research k kafi zada steps hote
like introduction, questionnaire, Data collection, Data analysis, Results , conclusions and abstract
For now just ap apne groups bnalein and topics decide krlein
Reseach Apki summer tk chaley gi
RESEARCH TOPIC?
to be honest fourth year k level pe research publish hona is a miracle
Apko proper guidance hi ni hoti
and year k end pe apko realize hota k there were many flaws
So try kijiye k har step pe apne tutorial teachers se advices lijiye
they will help you outt
Try to choose simple topics like awareness, determinants etc
Incidence,prevalence, associations are not possible 4th year k level pe
College just expects k ap aek dafa research k procedure se guzar jayein and sare steps krlein
They wont blame you if apki research se koi b meaningful results na ayein
Try kijiye k disease related topic choose krein as dat would be easyyy for you
or daily life k topics like fast foods, cellphone , life style etc
Bus us topics pe previous researches hui hon since end pe apko references deine hotey previous
researches k
You can ask me for help wheneva you wantt

Afaq Naeem 8 Community Medicine-Overview

E-JOURNAL
there will be around 15 marks of Cmed journal in your viva practical portion(10 marks journal plus
5 marks of household performas)
Hmari mostly class ne second term k bad bnaya or submit kraya ta
but as most ov you are asking to post regarding Journal
So i will try to explain how to complete it
First ov all its not dat simple as it appears to be
Journal has different sections
A-NEWSPAPER CUTTINGS
This section is very imp
apk journal k start me 12 topics btaye hue
usme se apne 9-10 topics ki english news paper se cuttings dhondni hoti (me un topics ki picture b
post kr ra)
Like communicable diseases tw usme ap hepatits,polio,corona virus koi b cutting lga skte
Non communicable me ap diabetis ,cancer ,heart disease etc lga skte
Environment me kisi b pollution pe and so on and so for
now there are two ways to find newspaper cuttings
mene senior api ki copy se utaar k apni copy pe lgalie te 😂
and dates 2019 ki likhdin ti apni marzi k months k sath 😅
or you can find cuttings yourself
Boys hostel me jo rehte wo hostel office ja kr sari purani english newspaper lekr cutting dhond
sktey

Afaq Naeem 9 Community Medicine-Overview

Cutting apne left pe lgani pe lgani hoti
or right side pe uska topic,Title,Source,Date and summary(jisme ap us cutting k main main points
likhdeite),Comments(mainly kuch b apne views deine hotey and end pe suggestions k is sb ko kese
behtar kia ja skta
Ub jo kisi senior ki copy se cuttings lgare wo aram se usi k content ko copy past kr skte
baki me aek sample cutting ki pic or uske content ki pic b post kr ra
B-FIELD VISITS
isme mainly apne field visit ka data likhna hota
Performas bney hue apki copy pe
Humne tw seniors ki copy wala data hi copy paste krlia ta
Ni tw ap ne khud field visit kie and usme jo jo deikha usk acc fill krlijiye ga
Usk ilawa mall se around 200 rupees ki pictures milti hein
wo relevant field trip k performa k sath left pe lgani hoti
Birth chart lgana hota jo apko field trips k wqt apko milna JHL k visit pe
C-HOUSE HOLD SURVEY PERFORMAS
Isme b apne apne field trip pe jo housesvisit krte
usk acc forms fill krne hotey
and end pe wo jo apko Library k visit pe jo tables wgera bnatey wo sb print krwa k lgane hotey
or mall se b miljata survery k tables wgera since hum se usually wo pages gum jatey or hum bother ni
krtey library wala print krane ko 😂
D-ASSIGNMENT
last pe assignments likhni hoti
usme usually end pe kisi senior ki copy se hi copy paste kr k 15-20 assignments likh leite
Me iski bhi pictures post kr ra ap deikh k beshak woi likh li jiye ga

Afaq Naeem 10 Community Medicine-Overview

E-HEALTH EDUCATION TALK
isme ap urdu me copy k last 1,2 page chor k likhte hein
Me iski bhi pictures post kr ra ap deikh k beshak woi likh li jiye ga
F-POSTER BROCHURE
ye apne copy k last 1,2 pages pe lgana hota
isme apne poster/brochure ka print out lgana hota and usme jo incharge hotey unse sign krwane hotey
As you all can see k its a bit complicated
But trust me mene jitna simplify kr k btadia itna hume b ni pta ta 😂
Me index ki picture b post kr ra is post k sath so apko different sections ka idea hojaye
usk ilawa
Me apni puri copy ki pictures post kr ra huuu different sections ko individually
Me pehle btara k usme mistakes hoskti and mene lines kha kha k b likha hoga 😅😂
But apko inshaAllah helpful hoga
F-THEORY and MARKS DIVISION
around 40-50 marks practical work k hotey hein in proff viva ospe portion
Written me theory 135 marks (65 mcqz and 5 marks k 14 seqz-70)ki hoti he
and viva ospe me 70marks k two vivaz (35 plus 35) and 40 marks ki ospe and 40 marks for practical
work(field trips, research , presentation etc)
Honestly speaking mene Cmed itni hi parhi ti k aram se pass hojayuu
So meri guideline distinction level wali ni hogiii
it would be enough to pass achey se inshaAllah
we focused on the other three subjects
So if apne bot acha prhna tw you can ask eisha etc
inshaAllah they will guide you park k topics wgera ka b

Afaq Naeem 11 Community Medicine-Overview

BOOKS?
1-Excel
2-PARK
hum mostly boys ne tw excel hi ki ti to be honest sara saaal
And proff k written k sb seqz b excel se horey te alhamdulilah
but yes mcqz park se tey zadaa
but ap aram se pass hoskte te excel se
As i have already said if apne bot acha prhna and distinction leini tw just meri guideline pe na
rahiye ga
AIMC CMED DEPARTMENT
They all are very nicee
all the tutorial teachers are always there to help youu
There will be two tests , two terms and a sendup
Even proff me they give you confidence
i remember Jis day hmara viva ta
DR Naeem jarey te
we greeted him
Even he said to us k “books chordoo
Be confident
You all are iqbalians
tum logo ki aek class hey
no body is going to fail today”
And its famous k community wale proff k viva me bot marks deite and kisi ko fail ni krteyyyy

Afaq Naeem 12 Community Medicine-TOS

Type to enter a caption.

Afaq Naeem 13 Community Medicine-TOS

Type to enter a caption.

Afaq Naeem 14 Community Medicine

1-BASIC DEFINITION
Bohat hi easy chapter and just concept and definition karni and selective karna hey(jo me btara bs
woi karna)
1-Program and its types (seq)
2-Community diagnosis(def),Concept of disease control(definition sb ki),Epidemiological triad(imp)
and incubation period tk karna )
3-Agent factors me mainly headings karni just
4-Levels of prevention and levels of intervention(vvvvv.imp seq)
5-WHO k functions
Baki chapter ap chor sakte

2-Concept of disease & Health

This chapter is important and almost sara karna hey
First page pe mainly definations karni
1-Spectrum of diseasee and Iceberg of Disease (seq)
2-Determinants and dimensions of health me mainly headings karni bs
3-Indicators of health (imp)
4-PQLI and HDI(seq)
5-Millennium goals me just goals krne hein and indicators bilkul nahi karne (seq)

Afaq Naeem 15 Community Medicine

3-Primary Health care

This topic is imp and there will be 3 mcqz and 1 seq from this topic in your proffs
1-Defination,elements & principles of PHC (imp seq-came in our proff)
2-Health for all ko just aek nazar deikhlijiye ga
3-Health planning cycle and 5 star doctor (imp)
4-Usk bad BHU and RHC me apne just services,staff,building and unka difference karna hey (v.imp)
Usk ilawa baki beshak chordeina ya aek nazar deikhleina.
5-Duties of LHV And LHW parhni
6-Selective versus comprehensive health care me GOBI-FFF(imp)

4-BIostatistics
Jis chapter is very imp and there will be 1 seq and 4 mcqz from this topic in your proff(9 marks)
Is chapter se usually calculation ka question ata hey
atleast 1 ospe station b is chapter se ata and proff k viva k lie important topic hey
Start wale 4-5 pages (introduction se lekr scattered diagram tk mainly ospe or mcqz k lie hein so
apne concept leina hey just and unpe zada time waste ni karna
2-Measures of central tendency and dispersion se aksar question ajata (mainly calculate kr k
deina hota and kafi easy hota)
3-Chi square test(vvvv.imp , isme b usually calculation ka question ata hey and iska concept
thora mushkil hey , ap park se b is topic ko deikhlijiye ga if smjh na aye)

Afaq Naeem 16 Community Medicine

4-Test of significance (ye usually bchay park se krte tey)

5-Life table (read only)
6-Normal distribution Curve (vvvvvv.imp
Is ko bot achey prepare krna hey
Park page 886 se b prhlijiye ga isey
Aksar positive and negatively skewed curves ka question ajata
usme if mean>mode (Curve is positive
ly skewed) If mode>Mean(Negatively skewed).Is se related calculations b asktin so if apko curve ka
achey se concept hoga tw ap har trh ki calculation kr skte
7-Hypothesis and its types(imp)

5-Epidemiology
There will be one seq and 5 mcqs from this chapter in your proff (10 Marks)
this chapter is very important for written/viva/Research and Ospe etc
Start wale pages k formulas ospe k lie bot important hein and hmari proff ki ospe me three stations ini
formulas se tey
Case control and cohert studies are super imp (70% question ini topics me se ata)
Usk ilawa blinding and investigating a case of epidemics is very imp too
in short apne pura chapter prhna hey
Observational and experimental studies ki mainly headings krli jiye ga beshak just
Proff me aksar time ni hota tw ap is chapter ko end pe rkhtey
like mene proff me is chapter k lie last me one hour rakha ta just and usme most imp topics krlie te just
since isme kuch hi topics se har saal question ata

Afaq Naeem 17 Community Medicine

1-Def,Components,Uses of Epidemiology(seq)
2-Approach,measures & tools ko just read krna for concept
3-Measures of mortality me usually calculation ka question ata(Case fatality date and
standardized mortality ratio are veryy very imp)
4-Measures of morbidity me Incidence,prevalence and secondary attack rate ki calculation se
usually ospe station and seq ajata
5-Observational Studies me mainly definations and headings karni hein and baki aek nazar
prhli jiye ga
6-Case Control and cohert studies (vvvvvvv.imp-Complete, isme mainly calculations ,
advantages, disadvantages and differences ka question ata)
7-Expermental ko just aek nazar read karna for mcqz (seqs ni ata isme se)
8-Blinding and its types(vvvv.imp)
9-Association ko achey se prhna
Criteria for judging Causality(v.imp seq)
10-Web of causation and types of epidemics(imp)
11-Basic step of epidemic investigation(vvvv.imp)
12-Bias ko b read karna and us se next two pages ap chor skte

Afaq Naeem 18 Community Medicine

6-Immunology
There will be one seq and 5 mcqz from dis chapter in your proffs(10 Marks)
Very imp chapter
ye chapter at times apk diseases wale topic ka seq b cover krleita hey jisme aksar EPI vaccine
schedule poocha hota
Ospe me b usually one station is chapter se hotaa
First two pages woi third year ki pathology hey and baki almost sara chapter karna hey
Immunizing agents ko mcqz k lie prhna
Some common vaccines ko b read krna and jo seqs btara wo yad krne
Cold chain,VVM,EPI schedule ka table and adverse effects of vaccines are very imp
Imp seqs
1-HERD Immunity(imp-Def)
2-Cold Chain and cold chain Equipments(v.imp-seq)
3-Vaccine Vial monitor (imp)
4-EPI Schedule (iska table ana chahie mainly-Table is very very very imp)
5-Hazards of immunization and jin vaccines k adverse effects die hue(imp)
6-Tetanus toxoid and tetanus vaccine in females (v.imp)
7-Polio vaccine schedule and causes of failure of polio eradication in pakistan (imp)
8-Post exposure prophylaxus of tetanus and Hepatitis(imp)
9-Immunization recommended for people traveling for hajj (imp)

Afaq Naeem 19 Community Medicine

7-SCREENING & Sampling

this chap is important too
Usually is chapter me se b seq ajata and viva and ospe k lie b important
Whole chapter is important
Imp seqs
1-Screening( Def? Aims? Uses? Types?)
2-Criteria for screening? Types of variations ?
3-Validity (vvvv.imp- Isme sensitivity,specificity , predictive values, False positives and negatives
-in sb k apko definatilons and formula bot achey se ane chahie and aksar calculation ka question
ajata )
4-Types of probability sampling (v.imp-Aksar poochleite k konsi sampling use hui scenario me and
usko define krne ka kehdeite and calculation bhi poochleite )
Advantages and disadvantages of probability sampling?
5-Non probability sampling (Def?Types? Advantages and disadvantages?)
6-Sampling error (imp)

8-Communication in health Education

This is an important chapter too
There will be one seq and one mcq from dis chapter (6 marks)
Is chapter ki achi baat ye k its like pak studies ka chapter

Afaq Naeem 20 Community Medicine

apne mainly headings yad krni justt

and har topic aek seq heyy
Jis trh pak studies me krte te k headings and neeche khud se
apko khud andaza hoga k ap writer se zada acha likh skte apni trf se
Ubi first time brief sa content bhi prhlijiye ga headings k sath
proff me headings b enough hongi
i did dat chap in 20 minutes in proffs end pe rkh k lol 😂
Purey chapter ki headings are important
IMP SEQS
1-Define communication? Components ? channels of communication? (imp-is topic ki detail b
prhni)
2-Shannon weaver communication model ? Types of communication (v.imp-was Asked in our
proffs-Details bhi prhni
3-Methods in health communication (imp-Mainly headings and if kisi cheiz ka na pta ho tw
details )
4-Barriers of communication (vvv.imp)
5-Define health education ? Functions of health communication (headings mainly)
6-Stages of health education (imp)
7-Contents of health education (headings)
8-Models of health education (imp)
9-Principles of health education (vv.imp-Headings)
10-D/w Health education and propaganda (imp)

 Afaq Naeem 21 Community Medicine

9-School Health Services

Imp topic- Complete karna
Ocassionally seq ajata plus imp for mcqz (usally 3-4 mcqs are asked from dis chapter) and
viva too
Its a very easy topic
No need to cram it
Just read it like a news paper and headings mind me bitha li jiye ga or brief sa content
Imp seqs
1-Define school health services? Aims?
2-Aspect of school health services (imp-isme periodic exam pe question ajata hota and ye b
poochleite hote k healthful school environment kesa hona chahie )
3-Duties of school medical officer(imp)
4-Types of desks (vvvvv.imp)
5-School health problems and immunization done at school

10-Family planning
Ye chapter usually reproductive health wale chapter k sath consider hota hey and dono topics se mila k 6 mcqz and 1 seq atey
hein
But mostly seq is from reproductive health wala chapter and is chapter se usually 1-2 mcqs atey hein but at times seq b ajata
Not dat imp for viva though

Afaq Naeem 22 Community Medicine

But dis chapter is imp for your proff ospe and usually 1 station ajata from dis chapter
HOW TO PREPARE?
Almost sara chapter apne read karna hey
Cramming ki zrurat ni
Basic cheizein hein
Reading kr k basic idea lelijiye ga and you can write in your own words
First page apne read karna and then cafeteria choice and classification ko memorize krna and
barrier methods arent dat imp for seqs and unko b just read karna
IUCD are very imp for Ospe and seq, Orall pills are also imp for ospe and seq ,Depot
formulations and post contraceptive methods ko b just read, Miscellaneous and natural methods
me just calender method is imp and baki just concept leina ,Terminal methods are very imp ,
Health aspects wale topic ko b just read ,evaluation of contraceptive method is important
IMP SEQS
1-Cafeteria choice ? Classification of contraceptive methods?
2-IUCD (imp-Mechanism? Advantages ? Contraindication? Side Effects ?
3-Oral contraceptive pills (imp-Classification? Mechanism? Schedule? Use of iron pills?
Disadvantages (ye bot imp and disadvantages/side effects excel pe itne achey ni likhey hue and
google kr lijiye ga ), Uses (imp)
4-Terminal Methods (vv.imp)
5-Calender method of contraception? Pearl index (usually calculation ati isme)

Afaq Naeem 23 Community Medicine

11-Demography
This chap is one of the most imp chapters of community medicine
There will be 1 seq and 3 mcqs from this chapter in your proffs (8 marks)
Very imp chapter for viva and ospe too
HOW TO PREPARE
Almost sara chapter karna heyy
And formulas bot achey se karne hey since calculations kafi atin hein mcqz/Seqs and ospe
stations me from dis chapter
IMP SEQS
1-Calculate Doubling time and growth rate (v.imp). Growth rate ka formula vague sa dia hua so
apne calculation karte wqt usey population se divide and 100 se multiply zroor karna hey and tbhi
jaa k growth rate nikley ga(google se aek bar check krlijiye ga )
2-Determinants of fertility (imp) ? Causes of high fertility and how infant mortality affects
fertility?
3-Jo basic fertility measues usme se b calculations ajati aksar.
4-Population pyramid (vvvv.imp-Define ? Types ? and uses ?
Is ka bot acha concept hona chahie apko
5-Calculate dependency ratio and sex ratio , Virtual index (v.imp)
6-Demographic Transition? Stages of demographic cycle (v.imp)
7-Population momentum (imp-came in our proff and isko google kr k iski definiton achi si bna li
jiye ga ku k excel me proper definition ni di hui)

Afaq Naeem 24 Community Medicine

12-Reproductive health
There will be one seq and 5-6 mcqs from this topic
Imp topic for viva and Ospe too
HOW TO PREPARE
Almost sara chp imp hey
Excel pe almost sara hi read karna hota hey unless if me kahu k ap kuch chor sktey
and jo seq hon wo yad karne hotey and baki mcqs k lie read like a newspaper
IMP SEQS
1-Define maternal health.Maternal morbidity and mortality ki sb definitions and formula are imp
2-Causes of maternal mortality and measures to reduce MMR (imp)
3-High risk approach in pregnancy (v.imp)
4-Antenatal care (imp-Objectives? Components-ye sb achey se prhna hey and they can ask routine
visits, minimum visits ? or indirect questions like aek pregnant woman ayi hey tw ap usko kia advice
dein ge konse tests krwayein ge etc
5-Intranatal care (imp- Define? d/w domiciliary and institutional care
6-Care of the new born (imp). LBW (define ? Prevention and treatment ?
7-Growth chart (imp- define? uses? Pitfalls? )
8-Care of under fives (imp)
9-Breast feeding (advantages ? Contraindications ? What do you know about weaning (vvv.imp)
10-Indicators of MCH care(vvvvvv.imp- ye sb formulas apki finger tips pe hone chahie
seq mcqs and ospe sb me ye bot pooche jatey
usk ilawa causes of Infant mortality ? (imp) ,measures to reduce IMR (imp)
11-Safe motherhood(v.imp -WHO strategies?)

Afaq Naeem 25 Community Medicine

It is an imp topic too

13-Nutrition
There will be 1 seq and 5 mcqs from this topic in proff (10 marks)
Imp topic for viva and ospee too
HOW TO STUDY
Nutrition is a very extensive chapter
But its very easyyy and its one of those chapter jisko bs simple read kr k concept bna k ap apne words
me likh skte aram se
Proff me it will be better k ap isko last night pe rakho since tb ye topic speed me bot jldi prepare hoskta
Is topic k end pe excel pe jo tables die hue they are very important and potential seqs
Jo first few pages hein (adulteration of food se pehley tk ) wo sb just mcqs k lie read karna mostly
Caloric requirement, food caloric values and daily requirements achey se karni hein yad since kafi
mcqs ajatey usme se
Adulteration of food se lekr preservation of food se pehle tk achey se prhna
and then jo meat,meat borne diseases wala topic wo simple read ya ap proff me chor b skte
Milk wala topic is imp and usk bad assessment of nutrition status se lekr end tk pura chapter is
important
End pe jo vitamins wala table usme vitamin A,D,K and B12 are imp
and minerals me se Calcium,iron and iodine are imp
Proff/sendups me if apk pas time kum ho tw ap just end wale tables karein and usk bad mere btaye hue
imp seqs and calorie requirement and values

Afaq Naeem 26 Community Medicine

IMP SEQS
1-Dietery fibers (imp-Daily requirement ? beneficial effects on body?) Balanced diet ?
2-D/w food fortification and adulteration (imp)
3-How to humanize cow milk ? sources of adulteration of milk (imp)? Methods to render milk safe
(imp)
4-Assessment of nutritional status (v.imp)
5-Protein energy malnutrition (vvvv.imp)
Iska usually clinical scenario hoga and apne condition identify kr k related questions ka answer krna
hoga
(Etiological factors? Gomez classification?
D/w kwashiorkor and marasmus? Prevention (vvvvv.imp)
Is chapter me koi b disease /vitamin /mineral deficiency ki prevention aye tw apne same 4 headings
bnaleini
like improvise karna ana chahie
A-Health promotion me ap patient education,family planning etc likhdijiye ga , B-Specific protection
me food fortification etc and then C-Early diagnosis and prompt treatment, D-Rehab-jisme follow up
wgera
6-Nutritional anemia (vvvv.imp- Cutoff ? Management?)
7-Investigating a case of food poisoning (imp- iski just headings kr k apne words me likh sktey
8-Prevention and control of food poisoning (imp- ye b mainly headings )
9-Vitamin A/D/Calcium/Iron/Iodine (imp-Daily requirement ? Sources? Prevention of disease caused
by their deficiency?)
10-D/w cholera and food poisoning ?
11-D/w Food toxemia and food infection

Afaq Naeem 27 Community Medicine

14-Occupational Health
There will be one seq and 4 mcqs from this chapter (9 marks )
imp chapter as only few pages will guarantee you 9 marks
First page read karna
Occupational health ki definition and functions yad krne
Ergonomics and sickness absenteeism are imp
Occupational diseases read krni
Pneumoconiasis is very imp
Agey sara chapter is very imp and potential seqs
IMP SEQS
1-Define occupational health ? its Functions? What do you know about ergonomics and sick
absenteeism?
2-Pneumoconiosis (vvvv..imp-Usually isme uno ne scenario dia hota and they ask you to
diagnose, tell agent and write management plan/Prevention
Koi b disease ho usme apne management plan k sarey steps likhne (medical measures,
Engineering measures and legislative measures )
3-Measures for general health promotion and protection of workers ? Occupational Hazards ?
4-Lead poisoning (vvvv.imp-Clinical picture ? Investigations ? Prevention?(same steps) ,
management ?)

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15-Disaster management
there will be one seq and 1 mcqs from this chapter in your proff (6 marks )
imp chp-Only 5-6 pages will guarantee you 6 marks
Very easy chapter
Usually no ospe station from dis chapter
Imp for viva
HOW TO STUDY
Almost complete chapter karnaa
Mainly headings hein and baki ap read kr k khud se bhi likh skteyyy
Last two pages only read
IMP SEQ
1-Define disaster ? Types of disaster ?
2-Steps in Disaster management (imp-isme predisaster ,during disaster and post disaster management
ki headings ajayein gi)
wo apse thora specify kr k b pooch skte k flood ya earth quake ko kese manage krein gey
3-Steps of Predisaster management ? What do you about disaster preparedness ? Disaster mitigation?
4-Disaster response ? Triage ?(vvv.imp)
5-Post disaster management (vvvvvv.imp-They may ask dis question as disaster relief phase /
Responsibility of health authority in recovery phase / Measures to prevent health problems in disaster
affected people)
6-Reasons for increased transmission of communicable diseases after disaster ? Measures in flood
disaster ?

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16-Hospital Waste management

dis chapter isnt dat important
Brief sa read krlijiye ga
TOCS k acc there will be no seq from dis chapter
mcqs k lie read krna heyy
And proff me you can leave dis chapter if time kum ho ya half hour me jldi se
krlijiye ga aek nazar
Possible seqs
1-Types of waste ? Hazards of health care waste
2-Enumerate steps in waste management
(mcqs ajatey hotey about colour codings and containers and mcqs me they will ask k
specific waste type ko kis trh dispose krna )

17-non communicable diseases

Usually two questions hotey hein diseases wale chapters se (communicable and non communicable diseases )
And mostly both questions are from communicable diseases
Good thing about these chapters is k ap patho k knowledge pe kuch na kuch improvise kr sktey hein
As i told you at the start of the year , dat i wasnt able to study Cmed dat well nor it was my priority subject so
meri Cmed ki guideline apko inshaAllah pass krwa dein gi aram se
but if ap bot acha /distinction score krna chahte tw dat wont be enough

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HOW TO STUDY?
Is chapter me seqs me mainly they will ask about preventions
Accidents .Coronary heart disease, Diabetis , Hypertension ,Obesity , Rheumatoc heart
disease and Snake bite are imp
Ye sara kuch apne kisi na kisi stage pe prha hua so mainly preventions pe focus kijiye ga
And prevention b chapter prh k apki orientation bn jaye gi k ap kisi b disease ki
prevention khud se improvise kr skte
Honestly speaking me ye chapter proff me chor k gya ta 😂
IMP SEQS
1-Accidents (Prevention?) How can you prevent blindness ?
2-Cancers (prevention ? Screening of breast cancer (asked in sendups)?)
3-Coronary heart diseases (risk factors ?Prevention?
4-Prevention of diabetes and HTN ?
5-Calculation of BMI? Classification on basis of BMI?Hazards of obesity ?
6-Rheumatic heart disease (Who criteria ? Risk factors ?)
7-Snake bite (vvvv.imp-complete )

Afaq Naeem 31 Community Medicine

18-Mental Health
Usually dis chapter is considered with social and behavioural sciences wala chapter
and there will be one mcqs and one seq from these two chapters
Mental Health wala chapter is very important and very easyy
will hardly take 2-3 hours
Prepare complete chapter from Excel
IMP SEQS
1-Define ? Classification of mental illness ? Etiology of mental illness?
2-Crucial points in life cycle ? Characteristics of mentally healthy person (imp) Warning signs
of poor mental health
3-Common mental health problems in pakistan ? Prevention?
4-Define Delusion? illusion ? Drug addiction ? Drug habit ? Drug abuse ? Drug dependence ?
5-Enlist dependence producing drugs ? Factors associated with high drug abuse ? symptoms
of drug addiction? Prevention and treatment (v.imp)
6-Alcohol (imp-Causes ? Related psychosocial and health issues ? Prevention and
managememt ?)
7-Tobacco smoking (imp-Chemical constituents ? Related health problems ? Tobacco
dependence syndrome ? WHO recommendations to combat tobacco smoking ?

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19-Social & behavioural sciences

unimp chapter
ap beyshak is chapter me just Family and uski types krli jiye ga
honestly didnt happen to experience any mcqs seqs from dis chapter anywhere
But those who wanna score high should give whole chapter a read

20-IMNCI
dis chapter is important
Like excel chotu si book tw uspe usually important stuff hi hota 🙈
Situition of women and children in pakistan chordijiye ga
baki almost sb read karna
IMP SEQS
1-IMNCI ? Its components and advantages?
2-Diarhea (Imp-Management ? D/w ORS and ORT? Component of ORS?
3-Acute respiratory Infections (imp-Criteria of fast breathing ? classification ?
Management ? Tables of diagnostic signs and Treatment of ARI are very imp)

Afaq Naeem 33 Community Medicine

21-environment
there will be one seq and 5 mcqs from dis chapter in your proffs (10 marks )
Imp chapter for written and ospe
HOW TO STUDY
Honestly speaking mene ye chapter sendups k bad first time prepare kia ta
since is ki koi clinical significance ni hein
And apko prh k feel hoga k yawr hume ye sb ku prha rey
Fazool and basic sa chapter
jitna lengthy utna simple and easy
mene ye chapter selective kia taaa
ap selective bhi kr skte but jink pas time hey and wo acha score krna chahte wo complete kijiye ga

A-WATER
Topics you can leave -Cone of filtration ,Slow sand and rapid sand filtration ka just mene chapter k end
wala table kia ta , Horrocks apparatus ki just definition ,Double pot (ni karna ) ,surveillance of drinking
water
Baki topics read krlijiye ga
IMP SEQS
1-Classification of water ? Criteria for quality of water? WhO standards for safe water supply?
2-Purification of water on large scale ? (v.imp).
3-Chlorination( vv.imp-complete )
4-Purification of water on small scale ?(imp)
5-Steps in well disinfection (imp)
6-Health hazards associated with swimming pool (v.imp) , Sanitary measures ?
7-Water related diseases (complete -vvvv.imp)

Afaq Naeem 34 Community Medicine

B-AIR
Air almost sara read krna
Sampling and inspection mene read ni kia ta
Soil ,nitrogen and carbon cycle b mene ni prha ta
Imp seqs
8-Causes of air pollution ?(imp).Effects of air pollution/health hazards (imp)
9-Global warming (complete )
10-Purification of air (v.imp-complete )
Ink ilawa
Housing me criteria for healthful housing , housing standards & effects of poor housing read
karna
Hazards of multistoried building and places of temporary chor skte
Hazards of overcrowding (imp)
acceptable noise level (imp for mcqs)
Effects of noise exposure and control (imp)
Climate mene chordia ta sara
Effects of heat stress (v.imp) and cold stress (imp)
Humidity , rainfall sunshine ye sb chor skte
Methods of refuse disposal (imp)
Methods of excreta disposal (imp-mainly headings)
End wali definitions are imp

Afaq Naeem 35 Community Medicine

Dis chap is important

22-Radiation
Considered with environmental wala chap
And there will be 1 seqs and 6 mcqs from these two chapters in your proff
Imp for seqs and Viva
Prepare complete chapter from excel
IMP SEQS
Radiation (Types ? Biological effects?(v.imp) , Uses? Prevention ?(vvvvv.imp)

23-Medical parasitology
Is chapter ki sari batein ap kisi na kisi stage pe pehle prh k aye hue hein
Obviously they dont gonna ask you about pathogenesis or morphology or biochemical tests here
Yahan pe bs micro ki knowledge pe diagnose karna hoga and prevention likhni hogi
So ap khud se prevention k points bnali jiye gaa
like jo fecooral route se transfer hoti unki aek scheme bnaleina
Jo skin penetration se hotin unki prevention ki aek scheme bnaleina
one to two hours me first time me isey compile krleina
mene ye chapter sendups proffs me prha bhi ni ta since khud ap improvise kr skte
Aek dafa prhlijiye ga ubii
Mcqs ajatey and seq b askta

Afaq Naeem 36 Community Medicine

24-CommuniCable diseases
honestly speaking proff me diseases k two chapters or kafi extensive course se just 1 seq ata or
may be 2 seqs askte and wo b ap pathology ki knowledge se kuch na kuch likhleite
But ink barey me jitna knowledge apko chahie wo ap medicine and paeds final year me bot achey
way se prhlo gey jahan apki excel/park se bot acha likha hua and jo knowledge apko honi chahie
like kese diagnose krna ,treatment and prevention wo sb final year me hey
I am so so so sorry k me year k end pe aakr ub is topic ki post kr ra
Truth is k mene khud isko kbi sae se prepare kia hi ni ta
Mcqs thorey bot patho pe hjate thorey bot ghalat hojatey
Questions ap isk thora bot first two chapters se pattern deikhleite k kese attempt krna
Jese Primary prevention secondary tertiary
Sb diseases ki prevention me health education , improve quality of life and diet ,seminars , early
diagnosis ,vaccine , rehab jesi headings pe improvise kr skte
phr usk transmission source ko rokne k thore se points bna leite
and them immunology waley chapter me apne vaccines prhin hui mostly topics ki
Wahan se vaccine likhdein
EPI wali koi b disease ati tw uski vaccine ap likh sktey aram se
Tetanus hepatitis k prophylaxis apne us chapter me read kie hue
Its all about interlinking all the available knowledge and improvising
so if apne ye topic ni kia huaa
you dont need to worry at all
and dont panic about about it

Afaq Naeem 37 Community Medicine

14 seqs hein
Exam me aksar tw wese hi 1 seq time kum
hone ki waja se drop hojata lol 😂
Sooo have a chill pill
Have been receiving tons of texts for its guideline lately
Meri to honestly speaking Cmed khas priority hi ni ti
Khudi attempt ho hu gya ta
dengue aya taa
prevention likhni ti
khudi likh li ti k mosquito repellent dis and dat
Ub jo baat me btane jara hu wo sb se important hey
Apne hmesha aek subject ko uski nature k acc prhna hota
apko yad hoga mene Anatomy me apko structures pe emphasize krwaya ta, physio me apko functioning pe stress
krwaya , patho me ma hmesha morphologies and pathogenesis ka kehta ra & ENT and Eye me apko hmesha
investigations and Treatment ka bolun gaa
Isi trh Community me hmesha question apka Prevention and Control ka hoga
so apne kiaa seekha ubi tk?
K community me jb ap disease prhein tw apne baki sb just mcqz k lie prhna hey
And control , Prevention, mode of transmission and vaccinations achey se prepare krni
Wot if koi disease ajaye jiska apne kuch ni prha hua Cmed me
Suppose Typhoid
And uska control poocha hua
Tw ap khud se likh skte
apne patho me prha hua k water se spread krskta so sb woi measures likhdein like cooking food properly, drink hygienic
water and improve sanitation etc
End pe har disease me health education likhdein
Awareness seminar ka btadein etc
Vaccinations krwa dein random

Afaq Naeem 38 Community Medicine

Dengue agyaa
Mosquito control k bare me likhdein like mosquito repellents, Evening me bahir jane se
prohibit krdein, insecticides spray krwa dein , awareness kradein
Like question attempt hogya na ?
So smartly chalna hey 😏
Sb diseases ko isi pattern pe prhna

so if ub proff after few days and apne ubi tk is topic ko ni prepare kia
Wot to do ?
Past papers wali imp diseases krlein just
me imp diseases ki list b share kr ra
Hmesha most recent and prevalent disease ati ti
hmari bar dengue bot spread hua ta wo agya ta
apko shaed corona ki prevention ajaye
Imp topics
1-Corona Virus 2-Chicken pox 3-cholera
4-malaria 5-dengue 6-diphtheria
7-measles 8-mumps 9-polio
10-rabies 11-scabies 12-tetanus
13-TB 14-hepatitis 15-typhoid