NONursing Officer HubGandaki Province · Level 7
Paper II · Unit 3 · 10%

Epidemiology and Vital Statistics

Complete step-by-step revision notes with examiner-focused MCQs and likely subjective questions.

How to use

Read the concept, reproduce the steps from memory, then answer the possible questions.

Revision target

Complete one topic, ten MCQs and one written answer before marking it revised.

Topic 1

Health, economic and social indicators

Core meaning: Indicators summarise population health and development.

Step-by-step learning

Define indicator

Numerator, denominator and time.

Choose measure

Mortality, morbidity, fertility, service or socioeconomic.

Check quality

Validity, reliability and comparability.

Interpret trend

Time, place and population.

Use for action

Planning and evaluation.

Key points to remember

  • MMR uses live births as denominator.
  • Incidence measures new cases; prevalence measures all existing cases.
  • Rates need a defined population and time.
Possible MCQs
  • What is the denominator of MMR?
  • Differentiate incidence and prevalence.
Possible subjective questions
  • Explain major health and socioeconomic indicators.
Topic 2

Epidemiological approach and methods

Core meaning: Epidemiology studies distribution and determinants of health events and applies findings to control problems.

Step-by-step learning

Define case and population

Person, place and time.

Describe distribution

Rates, epidemic curve and maps.

Generate hypothesis

Likely exposure and pathway.

Test hypothesis

Cohort, case-control or other analytic design.

Control and communicate

Act promptly and report.

Key points to remember

  • Outbreak control may begin before the investigation is complete.
  • Case definition should be clear and consistent.
Possible MCQs
  • What does an epidemic curve show?
  • Which study starts with cases and controls?
Possible subjective questions
  • Describe steps of outbreak investigation.
  • Compare cohort and case-control studies.