Section-A
1. A 4-year-old male child is admitted
with history of diarrhea, pain abdomen,
vomiting off and on since the age of
one year. He had taken treatment from
various practitioners without significant
improvement. On examination, child is
malnourished, weight 9 kg, height
90 cm. There are signs of vitamin and
mineral deficiency.
Enumerate all the probable causes
of this condition.
What investigations will you advise
to diagnose the cause?
Describe the management of celiac
disease.
A young adult presents with history of
headache, fever, vomiting and altered
sensorium for five days. On examination,
neck rigidity is present.
What is your diagnosis? List the
common organisms that cause this
condition.
What findings do you expect on
CSF examination?
List the drugs that are used to
manage this case.
How is scabies transmitted? Mention
the complications of scabies. Discuss
the clinical features of crusted scabies
and its management. 12

Tabulate the National Immunization
Schedule. What are newer vaccines?
Give their immunization schedule. 6+6
What is panic disorder? Name the drugs
commonly used to treat this disorder. 4+8
2. What are multidrug-resistant tuberculosis
and extensive drug-resistant tuberculosis
List the group of drugs used to treat MDR-TB. 10
What are the symptoms of acute pyelonephritis?
Name the organisms that commonly cause acute pyelo-nephritis.
List the antibiotics commonly used
to treat severe pyelonephritis. 8
Write briefly about 'Baby Friendly
Hospital Initiative'. List all the ten steps of its policy. 15

3. What is tetanus neonatorum? 2
Describe its clinical features. 5
What is its treatment? 5
How can this condition be prevented? 3

Write the WHO classification of undernutrition,
and also describe the complications and causes of death in
kwashiorkor. 10
What is unstable angina? How will you
manage a patient with unstable angina?
8+12
Classify eczema. What is the diagnostic
test for allergic contact dermatitis?
Discuss in brief the management of
atopic dermatitis.
4. What is empyema? Discuss the
management of a case with empyema. 15
List the conditions that cause
megaloblastic anemia. Discuss the
blood picture of this condition. How will
you treat this case?
What 1s IMNCI? Why is it necessary
for our country? Write the principles of
this approach.
Name the malaria parasites. Mention
complications of malaria. How will you
confirm and treat malaria?
Section-B
5. How does human milk compare with
animal milks? Enumerate three key
differences between them. Which micronutrients
is natural milk deficient in? 1 5

Describe and enumerate the
various types of polyps seen in the
colorectum. Briefly enumerate how you
will assess and manage a patient with
familial adenomatous polyposis (FAP). 15
Name the commonly used IUCDs. What
are the indications and contraindications
of IUCD? Enumerate the complications
associated after IUCD insertion. 15
Define menorrhagia. How would you
manage a case of puberty menorrhagia? 15
6. Enumerate the various causes of
chronic ulcers in the leg. Briefly
describe how you will assess and treat
a patient with varicose veins including
newer modalities. 20
You have just been appointed to the
post of District Magistrate. What
measures would you take to ensure that
the main aims of the 'National Rural
Health Mission' are met with? State
briefly, citing the thrust areas at each
level of the district. 20
Enumerate the most frequent causes of
purulent leukorrhea and describe the
management of any two most common
vaginal infections. 20
7. Describe the antenatal care in a
primigravida from the early pregnancy
till term. What investigations will be
required during pregnancy? 20

The increasing use of Junk food' in
the country has distinct negative
connotations for the health of its
citizens. What do you understand by
the term Junk Cite some common
examples. State the ill effects of
excessive consumption of junk food on
health, outlining the scientific basis. 20
A 40-year-old male is diagnosed with
rectal cancer located 7-8 cm from anal
verge. Briefly enumerate how you will
assess this patient. What are the
treatment options available for this
patient who is unwilling for permanent
colostomy? 20
8. Which contraceptive is most appropriate
for a newly wedded young couple,
wherein the husband is allergic towards
latex? While making this decision, cite
the pros and cons of the specific
contraceptive agent, and state its
contraindications and its failure rate. 20
Briefly enumerate the various
differential diagnoses in a patient
presenting with gastric outlet
obstruction. How will you assess and
manage such a patient due to gastric
carcinoma in pyloric area? 20
Discuss the differential diagnosis in a
28-year-old woman with two months
amenorrhea and acute lower abdominal
pain followed by bleeding per vaginam.
How would you manage such patient? 20