UPSC Mains MEDICAL-SCIENCE-PAPER-II 2013

A 45-year-old lady, after death of her husband 2 months back, is feeling lonely and remains aloof. (i) Enumerate the likely conditions. (ii) How will you diagnose and manage a major depressive disorder?

What is the principle of ultrasound? In which medical conditions, it is almost diagnostic?

A 2-year-old boy was brought to you with cough and fever for 3 days. On examination, the respiratory rate was 46 per minute along with lower chest indrawing. (i) Classify the illness of this child as per IMNCI guidelines. (ii) Outline the treatment for this child. (iii) Enumerate the general danger signs you will ask or look for in this child to assess the severity of illness.

An 8-month-old child, weighing 8 kg, is brought with loose motions 6 per day, mixed with blood, for last 2 days. There is no history of vomiting. (i) Enumerate the 4 most important signs you will look/feel for to assess the severity of dehydration. (ii) Assessment of dehydration reveals SOME dehydration. Write the initial prescription for appropriate management of this child.

How will you differentiate between irritant and allergic contact dermatitis? Write the salient differentiating points of both.

An 18-year-old boy was brought to the casualty in stuporose condition with history of high-grade fever for 3 days. (i) Enumerate the causes. (ii) Describe the management of cerebral malaria.

An 18-month-old girl is diagnosed with Severe Acute Malnutrition (SAM). Outline the 4 diagnostic criteria for this condition. Write the 10 steps for appropriate management of severe malnutrition as per WHO guidelines.

Enumerate the cutaneous, mucosal, follicular and nail manifestations of lichen planus. Describe the histopathological features in a typical lichen planus and their relevance to clinical presentation.

An elderly woman is bed-ridden for 4 weeks because of a fractured hip. She is brought to the casualty with sudden onset of breathlessness. (i) Enumerate the possible causes of breathlessness in this case. (ii) Describe the management of acute pulmonary embolism.

What is the most probable diagnosis?

What is the major pathophysiological abnormality?

Describe the pathophysiology and management of cyanotic spells in this condition.

What are various etiological factors for causation of vitiligo?

Enumerate various disorders associated with vitiligo.

Enumerate the causes of hematemesis in this case.

How will you manage this patient?

Draw a flow diagram showing the pathophysiology of Respiratory Distress Syndrome in a newborn.

Outline the measures to prevent RDS in a pregnant woman at 30 weeks of gestation, with threatened preterm labour.