C. S. (MAIN) 2009

MEDICAL SCIENCE

Paper-II

Time Allowed: Three Hours Maximum Marks 300

INSTRUCTIONS

Each question is printed both in Hindi and in English.

Answers must be written in the medium specified in the Admission Certificate issued to you, which must be stated clearly on the cover of the answer-book in the space provided for the purpose. No marks will be given for the answers written in a mediwn other thafi that specified in tne Admission Certificate.

Candidates should attempt Question Nos. 1 and S which are compulsory, and any three of the remaining questions selecting at least one question from each Section.

The number of marks carried by each question is indicated at the end of the question.

Wherever required, the candidates may use coloured pencils for drawing sketches and diagrams in the answer-book.

SECTION-A

1. Answer any FOUR of the following:-

A 40-year old male comes to you with history of smoking 20 cigarettes per day for the last 15 years. What are the diseases he is prone to get? How to deaddict such an individual 5+5=10

Outline the management of a case of Alcoholic Liver Cirrhosis. 5
Enumerate Anti-retroviral Therapy in HIV infected adult. 15
A 9-month old baby is brought with complaints of 3 episodes of diarrhoea since his mother stopped breast-feroing at the age of 6 months and started cow's milk along with other food. The current episode of diarrhoea began 18 days ago. The baby still takes cow's milk but his mother has reduced his intake of solid food since the dianhoea began. There is no blood in the stool. He weighs 6 kg. How will you classify his illness What will you look for during examination of this baby? How will you manage this baby?

A 20-year old primigravida delivered a pretenn baby by normal vaginal delivery at 31 weeks of Gestation. The baby breathed and cried at birth. Weight was 1.1 kg. At 1 hour of age the baby was found to be in respiratory distress with Grunting. What is the likely diagnosis ii) What are the complications of this condition How will you manage this baby? 15

Enumerate differences between Allergic and Irritant contact dermatitis. 15

2. A 40-year old person comes with acute abdominal pain of 4 hours duration. What is the differential diagnosis How will you manage a case of acute pancreatitis? 10+10=20

A 3-day old neonate was found to.be cyanosed on routine pre-discharge check-up. The baby was otherwise well with no dyspnoea and only a mild tachycardia of 140/MT. On examination there are normal femoral pulses, no hepatomegaly, a loud second heart sound and no murmur. What are the likely diagnoses Chest X-ray demonstrated a typical appearance of a particular cyanotic heart disease. What complications are likely to arise in the neonatal period for this baby How will you manage this baby?

Describe Etiology, Clinical features and Prognostic scoring points of mortality of Stevens-Johnson syndrome.

3. A 35-year old male took Anti-TB Treatment for 9 months with first-line dru??. His sputum is still positive for AFB. Discuss causes of treatment faihn-e and his management now. IO+ 10=20

What is the definitio?? etiology and importance of Dysentery in yom1g children
What are the clinical features and complications of Dysentery in children?
How will you manage a child brought with Dysentery?

What are points of difference between Erythema Multifonne and Toxic Epidermal Necrolysis 20

4. Enwnerate common life style diseases in adults in India and the causes for their increasing incidence. lo+I0=20

A 2-year old boy is brought with a history of recurrent episodes of fever, cough and breathlessness. He was well till 10 months of age. When suddenly for the first time he developed breathing difficulty when left in the care of his elder sibling. What is the most likely diagnosis? How will you investigate this child? How will you manage this child? 10=20

Discuss Etiopathogenesis of Vitiligo.6X20

SECTION-B

5. Answer any THREE of the following:- 20x3=60

Discuss the management of a 30 yrs. old lady with complaints of repeated attacks of pain in upper abdomen, jaundice and fever. 20

Enumerate the premalignant lesions of oral cavity. How would you manage a 40 yrs. old smoker with a 2 x 2 cm ulcer on the right lateral border of tongue. 5+15=20

A lady comes with 2 months of amenorrhoea to the antenatal clinic. How would you diagnose pregnancy in her? Describe the regular antenatal care with its aims and advantages. 20

Discuss briefly Iodine deficiency disorders. 20

6. Describe the management of a 30 yrs. old man presenting with painless bleeding per-rectum. 20

Enumerate the cystic lesions of the breast How would you manage a 18 yrs. old girl presenting with 8x8 cm, lobulated, soft to firm lump in right breast without any lymphadenopathy? 15=20

Enwnerate the surgical causes of hypertension. How would you manage a 25 yrs. young man with severe hypertension with right adrenal mass 20

7. Define dysfunctional uterine bleeding. Describe its clinical features and investigations. How would you manage a 34 yrs. old lady with an ovulatory bleeding? 20

What is normal labour Describe the mechanism of labour in left occipito anterior position. 20

What is MfP Mention indications for MTP. Describe different methods of tennination in first trimester of pregnancy. 20

8. List the causative organisms and vectors of lymphatic filariasis in India. What are its salient control measures? 10+20=30
How is the diagnosis of malaria confirmed Descnbe the presumptive and radical treatment of malignant malaria 10+20=30

Note English version of the Instructions is printed on the front cover of this question paper.