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FP-1 (6/2019)

TOPICS TO BE STUDIED FOR FINAL EXAM

PREVENTIVE & SOCIAL MEDICINE

PREVENTIVE & SOCIAL MEDICINE

1. Definition: preventive medicine, social medicine (UMTgi)
2. Importance of social medicine in clinical practice (UMTgi, UM1)
3. Role of social medicine in clinical practice (UM1)
4. Various aspects of social medicine (UMTgi)
5. Social problems & social medicine (UM1)
6. Aspects of social medicine (UM1)
7. Add note: Socialization (UMM)
8. CSC: social determinants, social implications of your case, Mx? (UM1)

CONCEPT OF HEALTH
1. WHO definition of health (UMMg)
2. Quality of life (UM2)
a. Definition
b. Measurements
3. Factors influencing health / determinants of health
a. ALL (UMTgi, UMMg)
b. Life style & SE status (UMM)
4. Indicators of health (UM2)
a. Definition
b. Uses
c. Characteristics

CONCEPT OF DISEASE
1. Concept of causation
a. List (UMM)
b. Multifactorial causation (UMM)
c. Web of causation with diagram (UMM, UMMg, UM1)
2. Natural history of disease
a. Ice-berg phenomenon (UM1, UM2, UMMg, UMTgi)
b. Outline the stages (UMTgi)
c. Diagram (UMTgi)
d. Levels of prevention (UM1, UMM, UM2, UMMg, UMTgi)
e. Definition: Prevention
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FAMILY HEALTH
1. Definition: Family (UMMg, UMTgi)
2. Types of family (UMMg)
3. Functions of the family (UMTgi)
4. Role of family in health & disease (UMMg)
5. Problems in FHC (UMTgi)
6. Objectives of FHC (UM1)
7. Comprehensive FHC (UM1)

ENVIRONMENTAL HEALTH
1. Definition: EH (UMM, UMTgi)
2. Scopes of EH (UMTgi)
3. Water sanitation
a. Safe & adequate water supply (UM2)
b. Shallow well sanitation (UMM)
c. Purification of water (UMTgi)
4. Food sanitation
a. Definition: Food (UMM)
b. Food borne diseases (UMM)
c. Sanitation of food stall (UMM)
d. Sanitation of drinking & eating establishments (UMM)
e. Schematic diagram of food sanitation (UM2)
f. Food safety ALL (UM2)
5. Refuse disposal (Solid disposal)
a. Sanitary methods of refuse disposal (UMTgi)
6. Excreta disposal
a. Excreta borne diseases (UMMg)
b. Requirements of excreta disposal (UMMg)
c. Sanitation barrier with diagram (UMM, UM1)
d. List: Methods of excreta disposal (UM1)
e. VIP (+ the pit latrine) (UMM)
f. Septic tank (UM1, UMTgi)
7. Housing & health
a. Principles of healthful housing (UMM, UMTgi)
8. SN: Urbanization & urban health (UM2)
9. Air pollution (Indoor air pollution)
a. Definition: Indoor air pollution (UM1, UMMg)
b. Health impacts, S&E impacts (UM2)
c. Intervention to reduce IAP (UMM, UMTgi)
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10. Climate change

a. Definition: Climate (UMTgi)
b. Effects of climate change: physical & health impacts (UMTgi)
c. Adaptation (UM2)
d. Mitigation (UMM, UM2)
11. Pest control
a. Definition
i. Pest (UMM)
ii. Arthropods (UM1)
b. Arthropod control (UM1)
c. Mosquito control (UMM, UMTgi)
13. Disinfection & disinfectants (UM2)

OCCUPATIONAL HEALTH
1. Definition: OH (UMMg)
2. Classify of OH (UMMg)
3. List: Occupational diseases (UMTgi)
4. Ergonomic hazards (UM1, UMTgi)
5. P&C: Occupational diseases (UMM, UMMg)
6. SN: Shift work (UMMg)
7. Occupational hazards in agriculture (UM1)
8. P&C of agricultural hazards (UM1)
9. SN: Lead poisoning (UM2)

DISASTERS
1. WHO definition: Disaster (UM1, UMM, UM2, UMMg, UMTgi)
2. Types of disaster (UM1, UMTgi, UMM)
3. Role of health sector in disaster (UM2, UMMg)
4. The aftermath (UMM)
5. Disaster preparedness (UMTgi)
6. Disaster mitigation in health sector (UMTgi)

PRINCIPLES OF EPIDEMIOLOGY
1. Definition: Epidemiology (UMM, UMMg)
2. Aims of epidemiology (UMMg)
3. Uses of epidemiology (UM2)
4. Measurements in epidemiology (UMMg, UM1)
5. Measurement of morbidity (UMM, UM1)

EPIDEMIOLOGY TRIAD OF DISEASE DISTRIBUTION

1. Triangle (UMM)
2. Person distribution (UMM)
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CHAINS OF INFECTIOUS DISEASES

1. Diagram: 6 chains (UMM, UM1)
2. Reservoir/Source of infection (UMM, UM1)
3. Mode of transmission (UMM)

DISEASE PREVENTION & CONTROL

1. Definitions (UM2)
a. Sporadic
b. Epidemic (+UM1)
c. Endemic
d. Pandemic
2. General principles
a. Outline (UMMg)
b. Isolation Vs. Quarantine (UM1)

EPIDEMIOLOGICAL STUDY METHODS

1. Describe briefly/Outline: ALL (UMTgi, UM1)
2. Definition: study design (UMM)
3. Classification (UMM)
4. Analytical study: ALL (UMM)
5. Cohort study (UM2, UMMg)
6. Case-control study (UM2)

OUTBREAK INVESTIGATION
1. Definition: Outbreak (UM1)

SCREENING
1. Definition: Screening (UM1, UMM, UM2, UMMg)
2. Concept of lead time (UMM)
3. Proficiency of screening (UM2)
4. Predictive accuracy (UMM)
5. Calculations

IMMUNITY & IMMUNIZATION

1. Hard immunity (UM2, UMTgi)
2. Current EPI schedule (UMM, UM2, UMTgi)
3. AEFI
a. SN/Outline: ALL (UMMg, UMTgi)
b. WHO definition (UM2)
c. Causes of AEFI (UMM)
d. P&C: AEFI (UMM)
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EMERGING & RE-EMERGING DISEASES

1. Definition (UMM, UM1, UM2)
a. Emerging diseases
b. Re-emerging diseases
2. Factors responsible for E&RE diseases (UMM)
3. Contributing factors (UMM)

COMMUNICABLE DISEASES (CDs)

1. SN: Zoonotic diseases (UMTgi, UM1)
2. List: Diseases under VBDC program (UM2)
3. DHF
a. Vector control measure (UM2)
b. Factors influencing risk of DHF outbreak (UMTgi)
c. P&C of DHF (UMM, UM1)
4. Chikungynya
a. SN: Prevention of Ckg (UMM, UM1)
b. SN: Ckg fever (UMMg)
5. Japanese encephalitis
a. SN: JE (UMMg)
6. List: Vector borne diseases (UMM)
7. Malaria
a. Epidemiology (UMM)
b. P&C (UMM)
8. Lymphatic filariasis
a. SN: MDA in LF (UMTgi)
b. SN: Global program to eliminate LF (UM1)
9. Influenza
a. SN: P&C (UMTgi)
b. SN: H. influenzae type B (UM2)
10. Neonatal tetanus
a. SN: P&C (UM2)
11. List: Principle epidemic diseases (PED) in Myanmar (UMMg)
12. Tuberculosis (TB)
a. Factors related to re-emerging of TB (UM2)
b. Current schedule for TB control (UM2)
c. Epidemiology (UMMg)
d. P&C (UMMg, UMTgi)
e. Objectives of National TB Control Program (UMTgi)
f. The End-TB Strategy 2016-2035 (UMM)
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13. Acquired immunodeficiency syndrome (AIDS/HIV)

a. Mode of transmission (UMMg)
b. P&C (UMM, UMMg, UMTgi)
c. Myanmar National Strategic Plan (current plan) on HIV/AIDS (UMM, UM1)
d. High risk groups of HIV infection (UM1)
e. Importance of HIV testing & counseling (UM1)
14. Sexually transmitted infection (STIs)
a. Syndromic Mx. of STIs (UMM)
15. Viral hepatitis
a. SN: ALL (UMMg)
16. Food poisoning
a. List: Different types of FP (UM2)
b. Ix. of outbreak of FP (UM2)
17. Definition: Eradication & elimination of disease with examples (UM1)
18. Measles
a. Feasibility/Interference of eradication (UMM, UM1)
b. Measles eradication (UM2)
19. Acute flaccid paralysis (AFP)
a. SN: AFP surveillance (UMM, UM2)
20. Rabies
a. P&C (UMMg, UM2)
b. WHO guidelines for post-exposure treatment/prophylaxis (UMM, UMMg, UM1)

NON-COMMUNICABLE DISEASES (NCDs)

1. Epidemiology of NCDs
a. P&C (UMTgi, UMMg)
b. Characteristics of NCDs (UMMg, UM2)
c. Risk factors (UMM, UMMg, UM1, UM2)
d. Impacts of NCDs (UM1)
e. Double Burden of Diseases (UMM)
f. List: Common NCDs (UMM, UM2)
2. Cardiovascular diseases (CVDs) / CHD
a. P&C (UMM, UM1)
3. Cancer
a. Modifiable risk factors (UM2)
b. P&C (UM2)
4. Accidents & injuries
a. P&C of RTA (UMM, UMTgi, UM2)
b. Factors influencing RTA (UMM, UMMg)
5. Substance abuse
a. P&C of drug abuse (UMTgi)
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6. Nutrition
a. List: Common nutritional problems (UMM)
b. Intervention of each step (UMM, UM1, UMMg)
c. Nutritional survey methods (UMM, UMTgi, UM1, UM2)
(Assessment of nutritional status of a community)
d. Definition: Malnutrition (UMTgi)
f. Major nutritional problems in Myanmar (UMMg)
7. Iodine deficiency disorder (IDD)
a. Consequences of IDD (UM2)
b. Assessment of IDD (UM2)
c. Salt iodination (UM2)
d. P&C (UMM)
8. SN: Obesity (UM1)

VITAL STATISTICS
1. IMR (UMM, UMTgi, UM1, UM2, UMMg)
2. MMR (UMM, UMTgi, UM2)
3. Definition: Vital statistics (UM1, UMMg)
4. PNMR (UM1)
5. Definition: Biostatistics (UM1)
6. Calculation
7. Diagram: Measure of mortality in early life
(not in test questions but important for calculation)

BIOSTATISTICS
1. Definition: Biostatistics (UM1)
2. Measures of Central Tendency (UM2, UMMg)
3. Calculation (UM1)

MANAGEMENT
1. Definition: Mx. (UMM, UM2)
2. Principles of Mx. (UMM, UMTgi, UM1)
3. Learning from experience (UM2)
4. Definition: Health Mx. (UM2)
5. Planning
a. Steps in planning process (UM2)
b. Definition (UMMg)
c. Why planning is necessary? (UMMg)
6. RFT: Factors related to effective implementation of health programs, suggestions (UM2)
7. RFT: How would you plan to reduce TB? (UMMg)
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MATERNAL & CHILD HEALTH (MCH & RH)

1. Definition: RH (UM1)
2. Components of RH (UM1)
3. Promotion of health status of adolescence (UM1)
4. Why we need to focus on RH of adolescence (UMTgi)
5. Reproductive health risks of young adults (UMTgi)
6. Safe motherhood/Six pillars (UMM, UMTgi, UMMg)
7. Specific objectives & strategies of safe motherhood (UMMg)
8. Why should MCH services give top priority? (UMM)

SCHOOL HEALTH (SH)

1. Health promoting school
a. SN (UMTgi, UM1)
b. Definition (UMM, UMMg)
c. Steps of creating HPS (UMM, UMMg)
d. Components of HPS (UM2)
2. Functions of SH services (UM2)
3. P&C of communicable diseases in school (UM2)

NATIONAL HEALTH PLAN (NHP) & PRIMARY HEALTH CARE (PHC)

1. Aims & strategies of Myanmar NHP 2017-2021 (UM2)
2. Concepts of PHC (UM2)
3. Definition: PHC (UMTgi)
4. RFT: How TMO implement health care activities for fulfilling elements of PHC (UMTgi)
5. Principles of PHC (UM1)
6. SN: PHC (UMM, UMMg)

ELDERLY CARE
1. SN: Comprehensive health care of elderly person (UM2, UMMg)

COMMUNITY MEDICINE
1. Definition (UMM, UM1, UM2)
2. Definition: Integrated medicine (UMM, UM2)
3. Stages of COPC with diagram (UMM, UM1, UM2)
4. How would you conduct the community Dx. for a community (UMM, UM1, UM2)

INTERNAL HEALTH REGULATION (IHR)

1. SN (UMM)
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HEALTH ECONOMICS & UNIVERSAL HEALTH COVERAGE (UHC)

1. Definition: UHC (UMMg)
2. How to achieve UHC in Myanmar (UMMg)
3. SN: Fair financing towards UC (UMM)
4. SH: UHC (UM1)

HEALTH EDUCATION (HE), ETHICS, COMMUNICATION & RESEARCH CONDUCT

1. SN: Principles & Practice of HE (UMM, UM2)
2. SN: Public health ethic (UMTgi)
3. SN: Communication (UMTgi)
4. SN: Main areas of responsible conduct of research (UMTgi)
5. SN: Responsible conduct of research (UMMg)

RESIDENTIAL FIELD TRAINING (RFT)

1. Functions of a RHC (UMTgi, UMMg, UM2)
2. Diagram: Structure of THD (UMTgi, UMMg)
3. Problems encountered by health staff to perform their duties/
Give suggestions. (UMTgi, UMMg)
4. Five leading causes of morbidity/ Related factors/ How to solve (UMM, UMMg)
5. Roles & responsibilities of a TMO (UMM)
6. Objectives of RFT (UM1)
7. How would you implement CHC to community (UM1)
8. Health related problems & difficulties (UM1)
9. Factors influencing on occurrence & distribution of common health problems/
How to manage? (UM2)

ALSO DON’T FORGET TO STUDY THESE:

1. Objectives of RFT
• Refer to note paper given by PSM department
2. Objectives of FHC & CSC
• Refer to Urban Note Book given by PSM department
3. CSC: Pamphlets
4. FHC: Family of interest (health deficits)