Paper-II
Section A

(General Medicine, Paediatrics and Dermatology)

Answer any three of the following: (20 × 3 60)

Define metabolic syndrome. Mention the names of diseases which individuals with metabolic syndrome are susceptible to. Indicate the measures to overcome this problem.

A 12 year old child has been brought to emergency with high fever of 2 weeks duration, abdominal discomfort and bleeding per rectum. Indicate the differential diagnosis and list of investigations.

Name important causes of CHF in a child. How would you investigate a child with systolic murmur at apex.

Classify Hansen's disease. Mention salient features of tuberculoid and lepromatous leprosy. How would you treat multi drug resistant leprosy?

Answer the following questions

Mention the diseases caused by chronic smoking. A 60 year old male, a chronic smoker develops severe cough, dyspnoea and swelling in feet. Name the differential diagnosis and approach to this case 8 8).

A 30 year old female has been brought in an unconscious state with pin point pupil. Discuss the differential diagnosis of this case. How would you proceed to achieve the correct diagnosis (10

A 50 year old chronic alcoholic truck driver has developed severe haematemesis. Indicate the diagnostic possibilities. How would you manage this case (10

Answer the following questions

An 8 year old child was brought with acute onset dyspnoea and found to have continuous murmur in left parasternal region. Discuss the differential diagnosis of this child. Name few important investigations (15 5).

A 6 year old boy has come to paediatric emergency with high fever, bleeding gums, epistaxis and rashes over the leg. Discuss the probable diagnosis and management (10 10).

Mention five characteristic fades observed in a child, describe facies of a child born from an untreated hypothyroid mother. What drug you will prescribe to this child (10 5

Answer the following questions

Mention common dermatological lesions associated with AIDS

Enumerate various skin complications of diabetes. What is diabetic foot? Briefly mention its pathophysiology (10 5 5).

Mention cutaneous manifestations of tuberculosis. Describe lupus vulgaris 15).

Section B

(General surgery, obstetrics and gynaecology including family planning and preventive and social medicine)

Answer any three of the following:

Write short notes on:

Perinephric Abscess

Colles Fracture

A 14 year old girl presents with pain in the right iliacfossa with vomiting. What is the differential diagnosis? How will you reach the diagnosis and treat her? Describe the steps of appendicectomy

Write short note on Partographic management of labour

What are the signs and symptoms of Lathyrism? Discuss them very briefly

Answer the following questions

How will you investigate a case of Solitary Thyroid Nodule? outline the differential diagnosis and the plan of management

What are the causes of liver abscess? Discuss their clinical presentation. How will you investigate and manage them

Describe the clinical features of ulcerative colitis. Enumerate its complications and outline the plan of management

Answer the following questions

How would you manage a case of bleeding pervaginum with pain abdomen at 8 weeks of gestation

Describe the causes of anaemia in pregnancy. How would you manage a case of Dimorphic anaemia in Pregnancy

Write short note on merits and demerits of Hormonal Contraception

Answer the following questions

List the salient reasons for resurgence of Malaria:

Discuss the diagnosis and treatment of Malignant Malaria