UPSC Mains MEDICAL-SCIENCE-PAPER-II 2012

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. (i) Enumerate all the probable causes of this condition. (ii) What investigations will you advise to diagnose the cause? (iii) 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. (i) What is your diagnosis? List the common organisms that cause this condition. (ii) What findings do you expect on CSF examination? (iii) 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.

What are multidrug-resistant tuberculosis (MDR-TB) and extensive drug-resistant tuberculosis (XDR-TB)?

List the group of drugs used to treat MDR-TB.

What are the symptoms of acute pyelonephritis?

Name the organisms that commonly cause acute pyelonephritis.

List the antibiotics commonly used to treat severe pyelonephritis.

Write briefly about 'Baby Friendly Hospital Initiative'. List all the ten steps of its policy.

What is tetanus neonatorum?

Describe its clinical features.

What is its treatment?

How can this condition be prevented?

Tabulate the National Immunization Schedule. What are newer vaccines? Give their immunization schedule.

What is panic disorder? Name the drugs commonly used to treat this disorder.

How does human milk compare with animal milks? Enumerate three key differences between them. Which micro-nutrients is natural milk deficient in?