Public Health

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Public Health
Total: 100 Marks

Answer the following questions: Each question carries 20 marks
Q. 1. Describe the Food safety issues including laws, investigation & prevention.
Answer:Food safety is a scientific discipline describing handling, preparation, and storage of food in ways that prevent foodborne illness. This includes a number of routines that should be followed to avoid potentially severe health hazards. The tracks within this line of thought are safety between industry and the market and then between the market and the consumer. In considering industry to market practices, food safety considerations include the origins of food including the practices relating to food labeling, food hygiene, food additives and pesticide residues, as well as policies on biotechnology and food and guidelines for the management of governmental import and export inspection and certification systems for foods. In considering market to consumer

Q. 2. Explain Demographic profile of India along with health problems in India
Answer: The demographics of India are inclusive of the second most populous country in the world, with over 1.21 billion people (2011 census), more than a sixth of the world's population. Already containing 17.5% of the world's population, India is projected to be the world's most populous country by 2025, surpassing China, its population reaching 1.6 billion by 2050. Its population growth rate is 1.41%, ranking 102nd in the world in 2010. The Indian population had reached the billion mark by 2000. India has more than 50% of its population below the age of 25

Q. 3. Describe in detail Technologies for treatment of Bio medical waste
Answer:Medical care is vital for our life and health, but the waste generated from medical activities represents a real problem of living nature and human world. Improper management of waste generated in health care facilities causes a direct health impact on the community, the health care workers and on the environment Every day, relatively large amount of potentially infectious and hazardous waste are generated in the health care hospitals and facilities around the world. Indiscriminate disposal of BMW or hospital waste and exposure to such waste

Q. 4. Write short note on :
Q. a) Purification of water
Answer:Water purification is the process of removing undesirable chemicals, biological contaminants, suspended solids and gases from contaminated water. The goal of this process is to produce water fit for a specific purpose. Most water is disinfected for human consumption (drinking water) but water purification may also be designed for a variety of other purposes, including meeting the requirements of medical, pharmacological,

Q. b) Radiation effects
Answer:Radiation specialists use the unit “rem” (or sievert) to describe the amount of radiation dose someone received. We are going to use that unit throughout the sections. Without getting into technical specifics about that unit, it is enough to know that it indicates a measure of how much radiation energy is absorbed in our body. And, as we will see in other sections, the total energy that is absorbed and its effectiveness in causing change is the basis for

Q. 5. A) Multiple Choice Questions
Q. i) Epidemic curve is distribution of cases according to
a) Time
b) Place
c) Person
d) Fatal Cases
Answer:



Q. ii) Use of Gambusia fish to control malaria is an example of
a) Biological control
b) Genetic Control
c) Chemical Control
d) None of the above
Answer:


Q. iii) Diethyl toluamide is used to
a) Kill mosquitoes
b) As a repellant against fleas
c) As a repellant against mosquitoes
d) Both b & c
Answer:



Q. iv) Cohort Study proceeds from
a) Cause to effect
b) Effect to cause
c) Treatment to cure
d) None of the above
Answer:



Q. v) Efficiency of Pasteurization is tested by
a) Horrock's test
b) OT test
c) Phosphatase test
d) Widal test
Answer:


Q. vi) Salmonella food poisoning commonly occurs through
a) Farm animals and poultry
b) Tinned food
c) Vegetables
d) None of the above.
Answer:


Q. vii) Demographic cycle consists of
a) Two stages
b) Three stages
c) Four stages
d) Five stages
Answer:



Q. viii) The following is an IUD
a) Diaphragm
b) Suppositories
c) Copper –T
d) Gossypol
Answer:


Q. ix) The current life expectancy (in years) at birth in India is:
a) 63
b) 73
c) 68
d) 57
Answer:



Q. x) Oral pills are
a) Mala-N
b) Mala-D
c) Both
d) None of the above
Answer:
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Materials Management

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Materials Management
Total: 100 Marks

Answer the following questions: Each question carries 20 marks

Q. 1. Enumerate the various factors affecting the utilization of equipment inHealthcare Institutions.
Answer: In the present healthcare scenario, increasing operational efficiency and reducing costs, whilst improving service provided to the patient, are a constant challenge. Advances in engineering and information technology, particularly during the last few decades, have revolutionized medical care. The availability and utilization of various healthcare equipment, at all levels, in the health system for effective and efficient service delivery was amply emphasized in the Alma-Ata declaration at the International Conference on Primary Healthcare in


Q. 2. Describe the objectives of Inventory control
Answer: An inventory-control system is the mechanism within a company that is used for efficient management of the movement and storage of goods and the related flow of information. Product resellers have access to technology-driven software programs that help optimize inventory control, which is critical in achieving business success. Getting product to customers on time and as inexpensively as possible are the main goals of an inventory-control system.
Avoid Stock-Outs: Making sure that your customers

Q. 3. Discuss the advantages of preventive maintenance
Answer: Preventative maintenance is maintenance that is regularly performed on a piece of equipment to lessen the likelihood of it failing. Preventative maintenance is performed while the equipment is still working, so that it does not break down unexpectedly.  Preventative maintenance is planned so that any required resources are available.  The maintenance is scheduled based on a time or usage trigger. A typical example of an asset with a time based preventative maintenance schedule is an air-conditioner which is serviced every year, before summer. A

Q. 4. Write short notes on.
Q. a) ABC analysis
Answer: It is an analysis of a range of items that have different levels of significance and should be handled or controlled differently. It is a form of Pareto analysis in which the items (such as activities, customers, documents, inventory items, sales territories) are grouped into three categories (A, B, and C) in order of their estimated importance. 'A' items

Q. b) Economic Order Quantity (EOQ)
Answer: An inventory-related equation that determines the optimum order quantity that a company should hold in its inventory given a set cost of production, demand rate and other variables. This is done to minimize variable inventory costs. The full equation is as follows:



where :
5. A) Multiple Choice Questions
Q. i) The functions of Hospital Formulary Committee are following except:
a) Responsible for the preparation of the formulary for the hospital.
b) To exercise over all control on the consumption of drugs and tomaintain economy.
c) It considers the deletion of certain drugs which are not frequentlyused.
d) Make selection of drugs and injections which are to be used in thehospital.
Answer


Q. ii) Pre requisite for modern materials management in hospitals are:
a) Meticulous planning
b) Accurate demand estimation
c) Appropriate staffing
d) All of the above
Answer


Q. iii) Cost incurred in placing an order is known as
a) Inventory carrying cost
b) Shortage cost
c) Inventory ordering cost
d) Storage cost.
Answer:



Q. iv) Space requirement for storage of drugs in a major hospital with a bedstrength of 700 and above is
a) 4 - 5 sq. ft. area per bed
b) 7 - 8 sq. ft. area per bed
c) 10 - 15 sq. ft. area per bed
d) 20 - 25 sq. ft. area per bed
Answer:



Q. v) “VED analysis” is the analysis of items based on
a) Criticality of the items in relation to functioning of the hospital
b) Quantity and rate of consumption of items
c) Cost criteria
d) Availability of costly items
Answer:



Q. vi) Vitamin preparations should ideally be stored at
a) Cold temperature 2C to 10C
b) Cold temperature 15C to 25
c) Room temperature
d) - 4C
Answer:


Q. vii) Advantage of centralized purchasing are following except
a) Vendors offer better prices and better service and quantitydiscounts are possible.
b) Duplication of effort and haphazard purchasing practice areminimized.
c) Responsibility of the purchasing function is with single departmenthead, there by facilitating effective management control.
d) Various members of the hospital have the authority to purchaseand purchaser usually knows the needs of his department andsecures it.
Answer:



Q. B) Write 'True or False' in front of respective sentence
i) Imported medical equipment is more reliable and easy to maintainthan an indigenous one.
Answer:

ii) Purchasing encompasses the process of procurement.
Answer


Q. C) Fills in the blanks
i) The Equipment Audit Committee should meet for a minimum of
………………….… in six months.
Answer:
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Healthcare Systems

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Healthcare Systems
Total: 100 Marks

Answer the following questions: Each question carries 20 marks

Q. 1. Write in detail about National Rural Health Mission India.
Answer: The National Rural Health Mission (NRHM) is an initiative undertaken by the government of India to address the health needs of underserved rural areas. Founded in April 2005 by Indian Prime Minister Manmohan Singh, the NRHM was initially tasked with addressing the health needs of 18 states that had been identified as having weak public health indicators.
Under the NRHM, the Empowered Action Group (EAG) States as well as North Eastern States, Jammu and Kashmir and Himachal Pradesh have been

Q. 2. Write about National Health Programs for non communicable diseases.
Answer: National Health Programmes for Non Communicable Diseases are as given below:
1. National ProgrammeFor Control Of Blindness:Vision loss from cataract is one of the chief reasons of blindness in India. One and a half million new cases of cataract blindness occur every year, and affect individuals, families, and communities. The greater part of people with cataract blindness live in rural areas where their blindness is related to poverty, lack of medical insurance, and poor access to eye care and surgical services. The cure for cataract blindness is a safe and inexpensive surgery. While the solution is simple, it has also been beyond the reach of most of the people.In view of this India launched the National Program for Control of



Q. 3. Write about agencies involved in International Health.
Answer:Almost the entire cost of health care in the developing world is borne by the developing countries themselves. According to two separate estimates, aid from international health organizations in the developed countries pays for less than 5% of the total health care costs in the developing world. The estimates do not specify exactly what they include as health aid, but they probably omit the value of food relief and other health-related disaster relief, as well as money spent on water supply and sanitation projects, although these activities


Q. 4. Write short notes on
Q. a) Quality Council of India
Answer: Quality Council of India is the national level body responsible for formulating the strategy, general policy, constitution and monitoring of various components of QCI including the accreditation boards to ensure an effective accreditation system, monitoring the progress of activities & appeal mechanisms set by the respective boards.  Quality Council of India, (QCI), registered as autonomous society was formed by a joint initiative of Government of India and the Indian Industry represented by the three prime industry associations,

Q. b) AYUSH
Answer: The Department of Ayurveda, Yoga and Naturopathy, Unani, Siddha and Homoeopathy, abbreviated as AYUSH, is a governmental body in India purposed with developing education and research in ayurveda (Indian traditional medicine), yoga, naturopathy, unani, siddha, and homoeopathy, and other alternative medicine systems. Created in March 1995 as the Department of Indian Systems of Medicine and Homoeopathy (ISM&H), AYUSH

Q. 5 A) Multiple Choice Questions
Q. i) The current Infant mortality rate (IMR) of India is around
a) 42
b) 60
c) 100
d) 22
Answer:



Q. ii) Under the Central Government Health Scheme (CGHS) the servicesinclude
a) Outpatient care
b) Laboratory and x-ray investigations
c) Hospitalization
d) All the above
Answer


Q. iii) The Primary Health Centre is directly under the charge of:
a) Medical officer
b) Medical Superintendent
c) Health Assistant (Male)
d) Auxillary Nurse Midwife ( ANM)

Answer:



Q. iv) Under the RCH programme, the child survival interventions are
a) Immunization
b) Vitamin A supplementation
c) Oral rehydration therapy
d) All the above
Answer


Q. v) The following vaccines are included in UIP schedule except
a) BCG
b) MMR
c) DPT
d) OPV
Answer


Q. vi) In the NHP-2002, it is envisaged to eradicate the following diseases
a) Polio and Yaws
b) Filariasis& Kala Azar
c) Leprosy & TB
d) None of the above
Answer:



Q. vii) The following are the components of National Blindness ControlProgramme
a) Vitamin-A prophylaxis
b) Cataract Surgeries
c) Health manpower training
d) All the above.
Answer:



Q. viii) The prevalence of blindness in India is
a) 0.5 %
b) 0.7 %
c) 1.5%
d) 2.5%
Answer:



Q. ix) The activities under NLEP are
a) MDT
b) Detection of cases
c) Rehabilitation
d) All the above.
Answer:



Q. x) Accredited Social Health Activist will be chosen by and accountable tothe
a) Medical Officer (MO)
b) Government of India (GOI)
c) Gram Panchayat
d) ZillaParishad
Answer:
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Financial Management

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Financial Management

Total: 100 Marks

Answer the following questions. Each question carries 20 marks.
Q. 1. What is Budget ? Explain in details the Capital budgeting process.
Answer: An organisation must earn enough revenue so that after all costs have been subtracted, there is a profit remaining. One of the most useful financial tools is the budget. A budget is a business plan expressed in financial terms. Budgets can be drawn up for sales, costs or investment spending. A budget will include a degree of prediction of performance which is usually based on past data, e.g. sales. 
Capital budgeting is the process that companies use for decision making on capital project. The capital project lasts for longer time, usually more than one year. As the project is usually large and has important impact on the long term success of the business, it is crucial for the business to make the right decision.

Q. 2. Explain in details the different types of Financial ratios.
Answer:Financial ratios are one of the most common tools of managerial decision making. A ratio is a comparison of one number to another—mathematically, a simple division problem. Financial ratios involve the comparison of various figures from the financial statements in order to gain information about a company's performance. It is the interpretation, rather than the calculation, that makes financial ratios a useful tool for business managers. Ratios may serve as indicators, clues, or red flags regarding noteworthy relationships between


Q. 3. Explain the three postures a company can take in estimating Working capital.
Answer: For investors, the strength of a company's balance sheet can be evaluated by examining three broad categories of investment quality: working capital adequacy, asset performance and capitalization structure. In this article, we'll start with a comprehensive look at how best to evaluate the investment quality of a company's working capital position. In simple terms, this entails measuring the liquidity and managerial efficiency related to a company's current position. The analytical tool employed to accomplish this task will be a company's cash conversion


Q. 4. Explain the role of Financial Management in Healthcare sector & functionsof Finance Manager?
Answer:Financial managers perform data analysis and advise senior managers on profit-maximizing ideas. Financial managers are responsible for the financial health of an organization. They produce financial reports, direct investment activities, and develop strategies and plans for the long-term financial goals of their organization. Financial managers typically:
        Prepare financial statements, business activity reports

Q. 5. Write short notes on :
Q. a) Inventory Management
Answer:Inventory management is the process of efficiently overseeing the constant flow of units into and out of an existing inventory. This process usually involves controlling the transfer in of units in order to prevent the inventory from becoming too high, or dwindling to levels that could put the operation of the company into jeopardy. Competent inventory management also seeks to control the costs associated with the inventory, both from the

Q. b) Revenue Expenditure
Answer:Revenue expenditures are usually just called "expenses." Expenses are the costs your company incurs doing its normal business, and they are recognized immediately. In accrual accounting, you recognize revenues when they're earned and expenses when they're incurred. When you immediately record your expenses, you are matching them with the revenue those expenses helped produce. For example, labor and materials are expenses incurred to provide the services reflected in the revenue they are matched against.
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Basic Principles of Management

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Basic Principles of Management
Total : 100 Marks

Answer the following questions. Each question carries 20 marks

Q. 1. What is meant by Management process? Describe the various functions ofManagement
Answer:Management process refers to planning and controlling the performance or execution of an activity in an organization. There can be two types of management processes including; process management and project management. Process management deals with the performance and management system. Management process is conducted by the top management of the company. It is the most important process because it gives the control to management over the tasks of the company.
Controlling a complex organisation so as

Q. 2. Discuss the Hawthorne experiments by Elton Mayo and significance thereof in area of Management
Answer: The Hawthorne Experiments began in 1924, Mayo's involvement in them in 1928, after he had moved to the Harvard University School of Business Administration as Associate Professor of Industrial Research. Later awarded a Chair, he remained at Harvard until his retirement in 1947. During the Second World War, Mayo contributed to the development of supervisor training within his Training Within Industry (TWI) programme, which was widely adopted in the USA. The last two years of his life were spent in Britain as an advisor to the British government on problems within industry.
The Hawthorne plant of Western Electric was located

Q. 3. Your hospital wants to organize a health checkup camp. Describe in detailthe planning and organizing process to make camp a great success
Answer:Health ‘camps’ are one of the strategies adopted by both government and non-government organizations. This literally means that a team of health professionals ‘camp’ in an area to carry out a limited health intervention. For instance, government organizes sterilization camps for women. Or an NGO organises a diabetes screening camp. Or a private hospital organises a blood donation camp. Unfortunately government pays little attention to the quality of sterilization service and tends to focus on targets. Or there are NGOs which conduct camps just as an activity, which do not yield quality. Many times, a health camp run by with a private hospital

Q. 4. What is meant by Authority? Distinguish between Authority and Power.
Explain the conditions required for acceptable instructions.
Answer:  Authority involves the duties that are delegated to an individual while power is the possession of control that allows an individual to influence the actions of others. Most individuals who are in positions of power often have some type of authority.  An example of a person with authority is a director of a company. The director can choose to make changes to an organization without the consent of others and is trusted to do so. Police officers also have authority. They are able to arrest people and prosecute them based on their individual






Q. 5. Write short notes on :
Q. a) Participative Management and its importance
Answer:Participative management acts as a force to motivate employees to meet specific organizational goals. The main idea behind this style of management is not only using physical capital but also making optimum utilization of intellectual and emotional human capital. This is the process of involving people in decision making process to ensure that everyone’s psychological needs are met. It, in turn, increases the job satisfaction among employees and improves the quality of their work life. Motivated employees are the biggest assets of an organization and
Q. b) Budgeting and benefits of budgeting
Answer:Budgeting is the most basic and the most effective tool for managing your money.  Yet, most people avoid doing it because it is additional work, much like cutting your lawn or fixing the roof.  Budgeting also connotes that you have to give up and stop yourself from enjoying stuff.  What budgeting actually does is clearly show you how you allocate your money and present you the choices on what stuff to enjoy – based on your financial limitations.  It will save you the grief of overspending and being too much in debt. Budgeting does not stop you from enjoying stuff, it ensures that you enjoy stuff when you want it.
Benefits of Budgeting
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