SECTION A
1. Answer any four of the following :
(a) How will you manage a case of acute servere bronchiall asthma ? 15
(b) Enumericate the causes of secondary hypertension. Describe, in brief, the treatment of a patient with essential hyperyension. 6+9= 15
(c) Describe uses of intravenous human immunoglobulin (IVIG) in dermatological diseases. 15
(d) Discuss the management of a 2- year-old child presenting the management of a 2-year-old child presenting with diarrhoea for 10 days. The child weighs 5 kg, looks moribund and has low volume peripheral pulses. 15
(e) Describe the diagnostic categories for acute respiratory infections and pneumonia as per WHO classification. Outline the management of servere pneumonia. 6+9=15
2. (a) What are the common causes of haemetermesis ? Discuss the treatment of duodenal ulcer. 6+14=20
(b) Mention common incriminating allergens. Discuss the management of allergic dermatitis. 8+12=20
(c) Outline the National Immunization Schedule as practicedb under the RCH Programme. 20
3. (a) Describe post-exposure prophylaxis for rabies and management of dog bites. 20
(b) Enumerate types of psoriatic arthropathies. How will you nmanage a case of server psoriatic arthropathy? 6+14=20
(c) Enumerate common congenital cyanotic heart diseases in paediatrics practice. Describe salient clinical features of tetralogy of Fallot. 8+12=20
4. (a) Outline the causes of acute liver cell failure (hepatic encephalopathy). Discuss, in brief, its management. 6+14=20
(b) Describe Koebner's phenomenon and enumerate various skin disorders in which it is observed. 10+10= 20
(c) A 4.2 kg, 38 weeks gestation, amle baby is born to a 28-year-old primi-gravida who has an unsupervised pregnancy by an emergency caesarean section. The child at 1 hour of age was noticed to have respiratory distress and blood glucose of 12 mg/al. Discuss, in brief, the differential diagnosis and outline the key points in management of this child. 8+12=20
SECTION B
5. (a) How would you manage a young man with recurrent ulceration just above the medial malleolus of right lower limb ?
15
(b) How would you investigate a 40- yera-old lady found to have 5×5 cm adrental mass ? 15
(c) Describe the indications and contraindications of oral contraceptives. 15
(d) Describe the management of a lady with hyperemesis gravidarum. 15
(e) Describe the management of Biomedical Waste. 15
6. (a) Describe the problem of nutritional anaemia in India. Describe the National Nutritional Anaemia Prophylaxis Programe. 10+10=20
(b) What do you understand by Evaluation of Health Services ? Describe the elements of an Evaluation Study and discuss the general steps involved. 5+15=20
(c) Discuss meaurements of Disease Frequency in Epidemiology, giving their advantages and limitations. 20
7. (a) How would you manage a 21-year-old lady admitted with features auggestive of repeated episodes of sub acute intestinal obstuction ?Her mother was treated for pulmonary tubstruction ? Her mother was treated for pulmonary tuberculosis. 20
(b) Discuss the hormonal management of a 70- year-old man with carcinoma prostate. 20
(c) How would you manage a 35- year-old lady with 2×2 cm carcinoma breast ? 20
8. (a) Describe the prevention and management of post-partum haemorrhage . 20
(b) Describe the management of a lady with cervical cancer in early stage. 20
(c) Describe the management of pregnancy induced severe hypertensions. 20